Medical record copying fees by state

Nationwide rates for record search, storage, and copying

img banner fees

You can rely on RRS to retrieve records from all 50 US states. We’ve served as a valuable asset to insurance and law firms since 2014 by quickly retrieving medical records at the cost dictated by each state. Below are each state’s current copy fees.

Note that Alaska, Idaho, and South Dakota do not have fee statutes in place.

img fee map states

Texas

Hospital Records
  • 10 Pages: $52.12 flat fee
  • 11+ Pages: $1.76/page
  • 61+ Pages: $0.86/page
  • 401+ Pages: $0.47/page
Microfilm
  • −10 Pages: $79.39 flat fee
  • 11+ Pages: $1.81/page
Electronic Records If the requested records are provided on a digital or other electronic medium and the requesting party requests delivery in a digital or electronic medium, including electronic mail.
  • Processing fee may not exceed $94.42
In addition, the hospital or its agent may charge the actual cost of mailing, shipping, or otherwise delivering the provided copies reasonable fee for: (1) execution of an affidavit or certification of a document, not to exceed the charge authorized by Civil Practice and Remedies Code, §22.004; and (2) written responses to a written set of questions, not to exceed $10.00 for a set.

Alabama

  • Search Fee: $5.00
  • −25 Pages: $1.00/page
  • 26+ Pages: $0.50/page
  • X-rays/Other Media: Actual reproduction cost

Alaska

No current laws for copying medical records on record in this state.

Arizona

A reasonable fee may be charged

Arkansas

  • Search Fee: $15.00
  • −25 Pages: $0.50
  • 26+ Pages: $0.25
  • Storage Fee: A reasonable fee may be charged for records stored off site

California

  • Copy Fee: $0.25/page
  • Microfilm: $0.50/page
  • X-rays: Actual reproduction cost
  • Attorney Rates

Colorado

  • Search Fee/−10 Pages: $18.53 flat fee
  • 11+ Pages: $0.85/page
  • 41+ Pages: $0.57/page
  • Microfilm: $1.50/pageAttorney Rates

Connecticut

Copy Fee: $0.65/page

Delaware

Paper/Electronic Records

  • −10 Pages: $2.00/page
  • 11+ Pages: $1.00/page
  • 21+ Pages: $0.90/page
  • 61+ Pages: $0.50/page
  • Microfilm/Other Media: Actual reproduction cost

Worker’s Comp

  • Search Fee: $25.00
  • −20 Pages: $1.25/page
  • 21+ Pages: $0.90/page
  • 61+ Pages: $0.30/page

District of Columbia

A reasonable fee may be charged

Florida

  • Search Fee: $1.00/year/request
  • Copy Fee: $1.00/page
  • Microfilm: $2.00/page

Worker’s Comp

  • Copy Fee: $0.50/page

Georgia

  • Search Fee: $25.88
  • −20 Pages: $0.97/page
  • 21+ Pages: $0.83/page
  • 101+ Pages: $0.66/page
  • Certification Fee: $9.70

Worker’s Comp

  • Search Fee/−150 Pages: $30.00 flat fee
  • 151+ Pages: $0.20/page
  • X-rays: $9.50/copy

Hawaii

A reasonable fee may be charged

Illinois

  • Search Fee: $33.60
    −25 Pages:
  • $1.26/page
  • 26+ Pages:
  • $0.84/page
  • 50+ Pages:
  • $0.42/page
  • Microfilm/Other Media: $2.10/page

Code of Civil Procedure 735 ILCS 5/8-2001(d) and (h) The person requesting copies of records shall reimburse the facility or healthcare practitioner for all reasonable expenses, including the costs of independent copy service companies, incurred in connection with such copying not to exceed a handling charge for processing the request, and the actual postage or shipping charge, if any, plus copy charges.
The facility or healthcare practitioner may, however, charge for the reasonable cost of all duplication of record material or information that cannot routinely be copied or duplicated on a standard commercial photocopy machine such as X-ray films or pictures.
Records retrieved from scanning, digital imaging, electronic information or other digital format do not qualify as microfiche or microfilm retrieval for purposes of calculating charges.
For electronic records, retrieved from a scanning, digital imaging, electronic information or other digital format in a electronic document, a charge of 50% of the per page charge for paper copies listed above. This per page charge includes the cost of each CD Rom, DVD, or other storage media.
Records already maintained in an electronic or digital format shall be provided in an electronic format when so requested. If the records system does not allow for the creation or transmission of an electronic or digital record, then the facility or practitioner shall inform the requester in writing of the reason the records cannot be provided electronically.
A health care facility or health care practitioner shall provide without charge one complete copy of a patient's records if the records are being requested by the patient or a person, entity, attorney, registered representative, or organization presenting a valid authorization for the release of records signed by the patient or the patient's legally authorized representative who has provided documentation of authority to act for the patient, or by such other requester as is authorized by statute if the patient is deceased, for the purpose of supporting a claim for: (1) federal veterans' disability benefits; (2) federal Social Security or Supplemental Security Income benefits, or both, under any title of the Social Security Act; or (3) Aid to the Aged, Blind, or Disabled benefits.

Indiana

  • Search Fee/−10 Pages: $20.00 flat fee
  • 11+ Pages: $0.50/page
  • 51+ Pages: $0.25/page
  • Microfilm/Other Media: $1.25/page
  • Rush Fee: Additional $10 for requests completed/sent within 2 days

Iowa

A reasonable fee may be charged

Worker’s Comp

  • −20 Pages: $20
  • 21+ Pages: $20 + $1/page
  • 31+ Pages: $30 + $0.50/page
  • 101+ Pages: $65 + $0.25 per page
  • 201+ Pages: $90 + $0.10/page

Kansas

A cost-based fee may be charged

Worker’s Comp

  • −10 Pages: $16.00 flat fee
  • 11+ Pages: $12.00 flat fee (+ $16.00 = $28.00 total)
  • 50+ Pages: $0.35/page

Kentucky

  • First copy request from patient: FREE
  • Second copy request (same patient and same records): $1.00/page

Worker’s Comp

  • Copy Fee: $0.50/page

Louisiana

  • Search Fee: $25.00
  • −25 Pages: $1.00/page
  • 26+ Pages: $0.50/page
  • 351+ Pages: $0.25/page

Electronic Records

  • Search Fee: $25.00
  • −25 Pages: $1.00/page
  • 26+ Pages: $0.50/page
  • 351+ Pages: $0.25/page
  • Max Fee: $100.00/request

X-rays

  • From hospitals: $20 flat fee + reasonable production costs
  • From other healthcare providers: $10 flat fee + reasonable production costs

Worker's Comp

  • First Request: FREE
  • Second Request: $0.50/page

Maine

Paper Records

  • Per Page: $5.00
  • 2+ Pages: $0.45/page
  • Max Fee: $250.00/request

Electronic Records

  • A reasonable fee may be charged
  • Max Fee: $150.00/request

Maryland

  • Search Fee: $22.88
  • Copy Fee: $0.76/page

Massachusetts

For the period, effective October 1, 2023, we have determined that the rate using these indices has increased by 1.8292%, which would result in a maximum state-based rate for copying fees as follows:
  • $28.38 base charge for clerical and other administrative expenses related to complying with the request for making a copy of the record;
  • $0.95 per-page charge for the first 100 pages copied; and
  • $0.49 per-page charge for each page in excess of 100 pages.

Michigan

  • Initial fee of $26.74 per request for a copy of the record.
  • $1.34 per page for the first 20 pages.
  • $0.67 per page for pages 21 through 50.
  • $0.27 for pages 51 and over
  • If the medical record is in some form or medium other than paper, the actual cost of preparing a duplicate
  • Any postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copies
  • Any actual costs incurred by the health care provider, health facility, or medical records company in retrieving medical records that are 7 years old or older and not maintained or accessible on-site
  • Source: MI Comp Law §333.26269 (adjusted based on CPI in 2022) Last updated: 04/01/2022

Minnesota

  • Search Fee: $20.35
  • Copy Fee: $1.53/page
  • X-rays: $10 search fee + actual reproduction cost per page

Mississippi

  • Search Fee/−20 Pages: $20.00 flat fee
  • 21+ Pages: $1.00/page
  • 81+ Pages: $0.50/page
  • Search/Storage Fee: $15.00 (charged for records retrieved off site)
  • Certification Fee: $25.00

Worker's Comp

  • -5 Pages: $15.00/admission
  • 6+ Pages: $0.50/page/admission + fee for -5 pages
  • Max Fee: $50.00/admission, excluding
  • postage/handling/retrieval fees

Missouri

Paper Records

  • Search Fee: $27.46
  • Copy Fee: $0.63/page
  • Storage Fee: $25.71 + additional fee for records retrieved off site

Electronic Records

  • Search Fee: $27.46
  • Copy Fee: $0.63/page
  • Max Fee: $120.32

Montana

  • Search Fee: $15.00
  • Copy Fee: $0.50/page

Nebraska

  • Search Fee: $20.00
  • Copy Fee: $0.50/page
  • X-rays/Other Media: Actual reproduction cost

Nevada

  • Copy Fee: .60 per page and must not exceed $40 or the amount per page prescribed by NRS 629.061, whichever is less
  • X-rays/Other Media: Reasonable fees may be charged

New Hampshire

  • Copy Fee: $15 flat fee (30 pages) or $0.50/page
  • X-rays/Other Media: Reasonable fees may be charged

New Jersey

Hospitals (For Attorneys Representing Patients)

  • Search Fee: $10.00
  • 100+ Pages: $1.00/page
  • 101+ Pages: $0.25/page
  • Max Fee: $200.00/admission

Clinics (For Attorneys Representing Patients)

  • Search Fee: $10.00
  • Copy Fee: $1.00/page
  • Max Fee: $100.00/admission

For Attorneys NOT Representing Patients

  • Search Fee: $10.00
  • Copy Fee: $1.00/page

New Mexico

  • −15 Pages: $30.00 flat fee
  • 16+ Pages: $0.25/page
  • X-rays/Other Media: Actual reproduction cost

New York

  • Copy Fee: $0.75/page
  • X-rays/Other Media: Actual reproduction cost

Worker’s Comp

  • Copy Fee: $0.75/page

North Carolina

  • −25 Pages: $0.75/page
  • 26+ Pages: $0.50/page
  • 100+ Pages: $0.25/page
  • Minimum Fee: $10.00

North Dakota

Paper Records

  • −25 Pages: $20 flat fee
  • 26+ Pages: $0.75/page

Electronic Records

  • −25 Pages: $30 flat fee
  • 26+ Pages: $0.25/page

Ohio

  • Search Fee: $21.65
  • 10 Pages: $1.42/page
  • 11+ Pages: $0.73/page
  • 51+ Pages: $0.29/page
  • X-rays/Other Media (recorded on film/paper): $2.35/page
  • The actual cost of postage may also be charged

Oklahoma

Paper Records

  • Search Fee: $10.00
  • Copy Fee: $0.50/page
  • X-rays/Other Media: $5.00/page
  • Postage: Actual mailing cost

Electronic Records

  • Search Fee: $10.00
  • Copy Fee: $0.30/page, max $200.00 (requires EMR)

Oregon

  • Search Fee: $30.00 (Includes pages 1-10)
  • Pages 11-50: $0.50 per page
  • Pages 51+: $0.25 per page
  • X-rays and other media: Actual cost of reproduction

Pennsylvania

  • Search Fee: $25.20
  • −20 Pages: $1.70/page
  • 21+ Pages: $1.26/page
  • 61+ Pages: $0.44/page
  • Microfilm: $2.51/page

District Attorney Requests

  • Copy Fee: $25.20 flat fee

SSA Requests

  • Copy Fee: $31.94 flat fee

Electronic Records

  • Pursuant to 42 U.S.C. § 17935(e), if a health care provider uses or maintains health records in an electronic format with respect to protected health information of an individual, such individual shall have a right to obtain from the health care provider a copy of such information in an electronic format. The individual also has a choice to direct the health care provider to transmit electronically a copy of the health record directly to an entity or person designated by the individual, provided that any such choice is clear, conspicuous, and specific. Any fee that the health care provider may impose for providing such information (or a summary or explanation of such information) in an electronic format shall not be greater than the labor costs in responding to the request. The Department of Health and Human Services has stated that the labor costs may not include costs associated with searching for and retrieving the requested information.

Rhode Island

Paper Records

  • −50 Pages: $0.75/page
  • 51+ Pages: $0.50/page

Electronic Records

  • Copy Fee: $0.10/page
  • X-rays/Other Media: Reasonable costs, but not exceed $25.00
  • Max Fee: $25.00
  • Rush Fee: $20.00 (for requests completed and delivered within 48 hours)

South Carolina

Paper Records

  • $ 0.80 per page up to 30 pages per admission
  • $ 0.61 per page in excess of 30 pages per admission $ 31.02
  • Clerical fee maximum (only one clerical fee may be charged even if there is more then one admission to a health care facility) Total not to Exceed: $248.23 Total is per admission + add Postage + add Sales tax GRAND TOTAL $ If no records are found, a $25.00 maximum clerical fee may be charge

Electronic Records

  • $ 0.80 per page up to 30 pages

  • $ 0.61 per page in excess of 30 pages

  • $ 31.02 Clerical fee maximum

  • Total not to Exceed: $186.18

  • Total is regardless of the number of admissions + add Postage + add Sales tax GRAND TOTAL $

  • If no records are found, a $25.00 maximum clerical fee may be charged

South Dakota

  • Copy Fee: Actual reproduction and mailing expense

Tennessee

Clinic Records

  • −5 Pages: $20.00 flat fee
  • 6+ Pages: $0.50/page
  • Postage: Actual mailing expense

Hospital Records

  • −5 Pages: $18.00 flat fee
  • 6+ Pages: $0.85/page
  • 51+ Pages: $0.60/page
  • Postage: Actual mailing expense

Social Security

Attorneys representing patients who are applying for social security benefits and indigent may receive records for FREE. Proof of indigency affidavit may be required.

Utah

Paper Records

  • Search Fee: $21.16
  • −40 Pages: $0.53/page
  • 41+ Pages: $0.32/page

Electronic Records

  • Copy Fee: 50% of the per page fee

Vermont

  • Copy Fee: $5.00 or no more than $0.50/page

Note: Attorneys representing patients who are applying for social security benefits may receive records for FREE.

Virginia

Paper Records

  • Search Fee: $20.00
  • −50 Pages: $0.50/page
  • 51+ Pages: $0.25/page

Electronic Records

  • Search Fee: $20.00
  • −50 Pages: $0.37/page
  • 51+ Pages: $0.18/page

Microfilm/Other Media

  • Search Fee: $10.00
  • Copy Fee: $1.00/page

Washington

  • Search Fee: $28.00
  • −30 Pages: $1.24/page
  • 31+ Pages: $0.94/page

West Virginia

  • Search Fee: $20.00
  • Copy Fee (Paper Records): $0.40/page
  • Copy Fee (Digital Records): $0.20/page
  • Max Fee (Electronic Records): $150

Wisconsin

Paper Records
  • Search Fee (For Non-patient Related Requests): $23.13
  • −25 Pages: $1.19/page
  • −50 Pages: $0.89/page
  • -100 Pages: $0.58/page
  • 101+ Pages: $0.35/page
Microfilm/Other Media
  • Copy Fee: $1.74/page
  • X-rays: $11.70/image
  • Certification (For Non-patient Related Requests): $9.38/request
Worker's Comp
  • Flat Fee (Electronic): $26.00
  • Search Fee (Paper): $7.50 (Includes pages 1-16)
  • Pages 17+ (Paper): $0.45 per page

Wyoming

A reasonable fee may be charged

Note: The rates listed above are subject to change depending on new rulings in each state. If you notice outdated or incorrect information, please contact us.

Also note: These rates are meant for third-party requesters and are not inclusive of fees for patient or patient directive appeals based on HITECH Act updates.

Our record retrieval solutions

for attorneys and law firms

Medical Record Retrieval

Medical Record Summarization

Radiology Imaging Retrieval

Prescription Network Retrieval

Electronic Medical Record Retrieval

Frequently asked questions

Our Fair Pricing model presents a $40 fixed flat fee for handling all aspects of a typical record request. We also offer a wide range of time- and cost-saving document management services. You can see the full details on our pricing page.

Yes, we will work the case until you get what you need. We do a quality check to make sure the records are for the correct person, legible, within the correct time frame, and the type of records requested. Sometimes providers or copy services send incomplete records, and it’s impossible for us to identify if they left something out. In this situation, once you inform us, we go back to the provider to get what’s missing — at no additional fee to you.

If a record is unavailable, a “No Records Found” certificate will be issued automatically.

Our statistical average turnaround time is 16 days.

Our system is incredibly easy to use: Simply submit your medical record request through our secure, encrypted, HIPAA-compliant online portal. You can log in at any time to check the status of your documents and when they are ready, you can download them.

We are also well known for our hands-on service, so if we encounter any issues with your request, we will reach out to you immediately. And if you ever have any questions or concerns, you can contact us directly for immediate help.

Yes, with Neos, Needles, TrialWorks & FileVine.

We bill you the same day we complete your order. We email you the invoice, and you also can review it in your user account by logging in to the portal.

Yes, we can get records from any medical provider in Canada, Mexico, or Puerto Rico.

We handle standard medical records, radiology imaging records, prescription records, electronic medical records, medical billing records, personnel & payroll records, and police reports.

Yes, we work with Ciox, MRO, and ScanSTAT.

Search Fee: $5.00
−25 Pages: $1.00/page
26+ Pages: $0.50/page
X-rays/Other Media: Actual reproduction cost

No current laws for copying medical records on record in this state.
A reasonable fee may be charged

Search Fee: $15.00
−25 Pages: $0.50
26+ Pages: $0.25
Storage Fee: A reasonable fee may be charged for records stored off site

Copy Fee: $0.25/page
Microfilm: $0.50/page
X-rays: Actual reproduction cost
Attorney Rates

Search Fee/−10 Pages: $18.53 flat fee
11+ Pages: $0.85/page
41+ Pages: $0.57/page
Microfilm: $1.50/page

Copy Fee: $0.65/page

Paper/Electronic Records
−10 Pages: $2.00/page
11+ Pages: $1.00/page
21+ Pages: $0.90/page
61+ Pages: $0.50/page
Microfilm/Other Media: Actual reproduction cost

Worker’s Comp
Search Fee: $25.00
−20 Pages: $1.25/page
21+ Pages: $0.90/page
61+ Pages: $0.30/page

A reasonable fee may be charged

Search Fee: $1.00/year/request
Copy Fee: $1.00/page
Microfilm: $2.00/page

Worker’s Comp
Copy Fee: $0.50/page

Search Fee: $25.88
−20 Pages: $0.97/page
21+ Pages: $0.83/page
101+ Pages: $0.66/page
Certification Fee: $9.70

Worker’s Comp
Search Fee/−150 Pages: $30.00 flat fee
151+ Pages: $0.20/page
X-rays: $9.50/copy

A reasonable fee may be charged

Search Fee: $31.56
−25 Pages: $1.18/page
26+ Pages: $0.79/page
50+ Pages: $0.39/page
Microfilm/Other Media: $1.97/page

Note: For electronic records, retrieved from a scanning, digital imaging, electronic information or other digital format in a electronic document, a charge of 50% of the per page charge for paper copies listed above. This per page charge includes the cost of each CD Rom, DVD, or other storage media.

Search Fee/−10 Pages: $20.00 flat fee
11+ Pages: $0.50/page
51+ Pages: $0.25/page
Microfilm/Other Media: $1.25/page
Rush Fee: Additional $10 for requests completed/sent within 2 days

A reasonable fee may be charged

Worker’s Comp
−20 Pages: $20
21+ Pages: $20 + $1/page
31+ Pages: $30 + $0.50/page
101+ Pages: $65 + $0.25 per page
201+ Pages: $90 + $0.10/page

A cost-based fee may be charged

Worker’s Comp
−10 Pages: $16.00 flat fee
11+ Pages: $12.00 flat fee (+ $16.00 = $28.00 total)
50+ Pages: $0.35/page

First copy request from patient: FREE
Second copy request (same patient and same records): $1.00/page

Worker’s Comp
Copy Fee: $0.50/page

Paper/Microfilm Records
Search Fee: $25.00
−25 Pages: $1.00/page
26+ Pages: $0.50/page
351+ Pages: $0.25/page

Electronic Records
Search Fee: $25.00
−25 Pages: $1.00/page
26+ Pages: $0.50/page
351+ Pages: $0.25/page
Max Fee: $100.00/request

X-rays
From hospitals: $20 flat fee + reasonable production costs
From other healthcare providers: $10 flat fee + reasonable production costs

Worker’s Comp
First Request: FREE
Second Request: $0.50/page

Paper Records
Per Page: $5.00
2+ Pages: $0.45/page
Max Fee: $250.00/request

Electronic Records
A reasonable fee may be charged
Max Fee: $150.00/request

Search Fee: $22.88
Copy Fee: $0.76/page

Search Fee: $22.32
−100 Pages: $0.76/page
101+ Pages: $0.39/page
X-rays/Other Media: Actual reproduction cost
Social Security: FREE for request to support a claim, but must be specified in the request letter

Initial fee of $26.74 per request for a copy of the record.
$1.34 per page for the first 20 pages.
$0.67 per page for pages 21 through 50.
$0.27 for pages 51 and over
If the medical record is in some form or medium other than paper, the actual cost of preparing a duplicate
Any postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copies
Any actual costs incurred by the health care provider, health facility, or medical records company in retrieving medical records that are 7 years old or older and not maintained or accessible on-site
Source: MI Comp Law §333.26269 (adjusted based on CPI in 2022) Last updated: 04/01/2022

Search Fee: $20.35
Copy Fee: $1.53/page
X-rays: $10 search fee + actual reproduction cost per page

Search Fee/−20 Pages: $20.00 flat fee
21+ Pages: $1.00/page
81+ Pages: $0.50/page
Search/Storage Fee: $15.00 (charged for records retrieved off site)
Certification Fee: $25.00

Worker’s Comp
-5 Pages: $15.00/admission
6+ Pages: $0.50/page/admission + fee for -5 pages
Max Fee: $50.00/admission, excluding postage/handling/retrieval fees

Paper Records
Search Fee: $27.46
Copy Fee: $0.63/page
Storage Fee: $25.71 + additional fee for records retrieved off site

Electronic Records
Search Fee: $27.46
Copy Fee: $0.63/page
Max Fee: $120.32

Search Fee: $15.00
Copy Fee: $0.50/page

Search Fee: $20.00
Copy Fee: $0.50/page
X-rays/Other Media: Actual reproduction cost

The amended statute went into effect on October 1, 2023

.60 per page and must not exceed $40 or the amount per page prescribed by NRS 629.061, whichever is less.

Copy Fee: $15 flat fee (30 pages) or $0.50/page
X-rays/Other Media: Reasonable fees may be charged

Hospitals (For Attorneys Representing Patients)
Search Fee: $10.00
100+ Pages: $1.00/page
101+ Pages: $0.25/page
Max Fee: $200.00/admission

Clinics (For Attorneys Representing Patients)
Search Fee: $10.00
Copy Fee: $1.00/page
Max Fee: $100.00/admission

For Attorneys NOT Representing Patients
Search Fee: $10.00
Copy Fee: $1.00/page

−15 Pages: $30.00 flat fee
16+ Pages: $0.25/page
X-rays/Other Media: Actual reproduction cost

Copy Fee: $0.75/page
X-rays/Other Media: Actual reproduction cost

Worker’s Comp
Copy Fee: $0.75/page

−25 Pages: $0.75/page
26+ Pages: $0.50/page
100+ Pages: $0.25/page
Minimum Fee: $10.00

Paper Records
−25 Pages: $20 flat fee
26+ Pages: $0.75/page

Electronic Records
−25 Pages: $30 flat fee
26+ Pages: $0.25/page

Search Fee: $21.65
10 Pages: $1.42/page
11+ Pages: $0.73/page
51+ Pages: $0.29/page
X-rays/Other Media (recorded on film/paper): $2.35/page
The actual cost of postage may also be charged

Paper Records
Search Fee: $10.00
Copy Fee: $0.50/page
X-rays/Other Media: $5.00/page
Postage: Actual mailing cost

Electronic Records
Search Fee: $10.00
Copy Fee: $0.30/page, max $200.00 (requires EMR)

Search Fee: $30.00 (Includes pages 1-10)
Pages 11-50: $0.50 per page
Pages 51+: $0.25 per page
X-rays and other media: Actual cost of reproduction

Search Fee: $25.20
−20 Pages: $1.70/page
21+ Pages: $1.26/page
61+ Pages: $0.44/page
Microfilm: $2.51/page

District Attorney Requests
Copy Fee: $25.20 flat fee

SSA Requests
Copy Fee: $31.94 flat fee

Electronic Records
Pursuant to 42 U.S.C. § 17935(e), if a health care provider uses or maintains health records in an electronic format with respect to protected health information of an individual, such individual shall have a right to obtain from the health care provider a copy of such information in an electronic format. The individual also has a choice to direct the health care provider to transmit electronically a copy of the health record directly to an entity or person designated by the individual, provided that any such choice is clear, conspicuous, and specific. Any fee that the health care provider may impose for providing such information (or a summary or explanation of such information) in an electronic format shall not be greater than the labor costs in responding to the request. The Department of Health and Human Services has stated that the labor costs may not include costs associated with searching for and retrieving the requested information.

Paper Records
−50 Pages: $0.75/page
51+ Pages: $0.50/page

Electronic Records
Copy Fee: $0.10/page
X-rays/Other Media: Reasonable costs, but not exceed $25.00
Max Fee: $25.00
Rush Fee: $20.00 (for requests completed and delivered within 48 hours)

Paper Records
$0.73 per page for the first 30 pages
$0.56 per page for all pages following the first 30 pages
Clerical fee not to exceed $28.37
Max fee for electronic records: $227.00 per admission
Plus actual postage and applicable sales tax
X-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplication
If no records are found, a $25.00 maximum clerical fee may be charged.
SC Code § 44-7-325 (Adjusted based on CPI as of July 31, 2021)

Electronic Records
$0.73 per page for the first 30 pages
$0.56 per page for all pages following the first 30 pages
Clerical fee not to exceed $28.37
Max fee for electronic records: $170.26 (regardless of number of admissions)
Plus actual postage and applicable sales tax
X-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplication
If no records are found, a $25.00 maximum clerical fee may be charged.
SC Code § 44-7-325 (Adjusted based on CPI as of July 31, 2021)

Copy Fee: Actual reproduction and mailing expense

Clinic Records
−5 Pages: $20.00 flat fee
6+ Pages: $0.50/page
Postage: Actual mailing expense

Hospital Records
−5 Pages: $18.00 flat fee
6+ Pages: $0.85/page
51+ Pages: $0.60/page
Postage: Actual mailing expense

Social Security
Attorneys representing patients who are applying for social security benefits and indigent may receive records for FREE. Proof of indigency affidavit may be required.

Hospital Records
10 Pages: $52.12 flat fee
11+ Pages: $1.76/page
61+ Pages: $0.86/page
401+ Pages: $0.47/page

Microfilm
−10 Pages: $79.39 flat fee
11+ Pages: $1.81/page

Electronic Records
If the requested records are provided on a digital or other electronic medium and the requesting party requests delivery in a digital or electronic medium, including electronic mail.

Processing fee may not exceed $94.42
In addition, the hospital or its agent may charge the actual cost of mailing, shipping, or otherwise delivering the provided copies reasonable fee for:
(1) execution of an affidavit or certification of a document, not to exceed the charge authorized by Civil Practice and Remedies Code, §22.004; and
(2) written responses to a written set of questions, not to exceed $10.00 for a set.

Paper Records
Search Fee: $21.16
−40 Pages: $0.53/page
41+ Pages: $0.32/page

Electronic Records
Copy Fee: 50% of the per page fee

Copy Fee: $5.00 or no more than $0.50/page

Note: Attorneys representing patients who are applying for social security benefits may receive records for FREE.

Paper Records
Search Fee: $20.00
−50 Pages: $0.50/page
51+ Pages: $0.25/page

Electronic Records
Search Fee: $20.00
−50 Pages: $0.37/page
51+ Pages: $0.18/page

Microfilm/Other Media
Search Fee: $10.00
Copy Fee: $1.00/page

Search Fee: $28.00
−30 Pages: $1.24/page
31+ Pages: $0.94/page

Search Fee: $20.00
Copy Fee (Paper Records): $0.40/page
Copy Fee (Digital Records): $0.20/page
Max Fee (Electronic Records): $150

Paper Records
Search Fee (For Non-patient Related Requests): $23.13
−25 Pages: $1.19/page
−50 Pages: $0.89/page
-100 Pages: $0.58/page
101+ Pages: $0.35/page

Microfilm/Other Media
Copy Fee: $1.74/page
X-rays: $11.70/image
Certification (For Non-patient Related Requests): $9.38/request

Worker’s Comp
Flat Fee (Electronic): $26.00
Search Fee (Paper): $7.50 (Includes pages 1-16)
Pages 17+ (Paper): $0.45 per page

A reasonable fee may be charged