What a copy of your medical records can cost, state by state

Start with your state's row. In 2026, state law in 48 states and DC sets its own rules on what a copy of medical records can cost: 43 states and DC set a charge per page for at least some requests, and 29 states make the copy free in some cases. In 14 states and DC the law adjusts its amounts over time, so ask the office for the current figure. We found no fee rule in 2 states. Whatever your state allows, for a copy you ask for yourself from a provider HIPAA covers, the federal rule limits the fee to labor for copying, supplies for a paper copy or portable media, postage, and a summary you agree to.

State laws read between October 3, 2026 and October 9, 2026; federal rules read between October 4, 2026 and October 5, 2026.

Find your state's row

Not legal advice. This page says what state law lets doctors and hospitals charge for a copy of medical records in the United States. It is general information, not a substitute for advice from a lawyer, and not medical advice. It shows state laws read between October 3, 2026 and October 9, 2026 and federal rules read between October 4, 2026 and October 5, 2026. Amounts change, so ask the doctor's office or hospital for its current charges before you rely on anything here.

Can a doctor charge you for your own records?

Yes, within a limit. HIPAA, the federal privacy law, says: “If the individual requests a copy of the protected health information or agrees to a summary or explanation of such information, the covered entity may impose a reasonable, cost-based fee, provided that the fee includes only the cost of: ( i ) Labor for copying the protected health information requested by the individual, whether in paper or electronic form; ( ii ) Supplies for creating the paper copy or electronic media if the individual requests that the electronic copy be provided on portable media; ( iii ) Postage, when the individual has requested the copy, or the summary or explanation, be mailed; and ( iv ) Preparing an explanation or summary of the protected health information, if agreed to by the individual”

HHS, the US Department of Health and Human Services, adds: “Your doctor can, however, charge you a reasonable fee for a copy of your health information. The fee may not be a per page fee if your information is stored electronically”, and “you can't be denied access for not paying your medical bill”.

A state rule does not lift the federal limit: for a copy you ask for yourself from a provider HIPAA covers, the fee may include only the costs the federal rule lists, even where a state rule would allow more; a state rule that charges less, or makes the copy free, applies too. Some state rules say so themselves, or cover only copies sent to someone else, such as a lawyer, insurer or court; each row says who a rule binds and what it covers.

If you think a fee breaks the federal limit, see who to contact about your health record in the United States.

Sources: 45 CFR 164.524, Access of individuals to protected health information, read October 5, 2026; Get it. Check it. Use it., read October 4, 2026.

When the copy is free

In 29 states the law makes the copy free in some cases. In the law's words:

Arizona: The patient to whom the medical record pertains for the demonstrated purpose of obtaining health care; The patient or the patient's legal representative for the purpose of appealing a denial of benefits under the social security act
California: needed to support a claim or appeal regarding eligibility for a public benefit program
Colorado: one free copy of the record for the application process or for an appeal or reapplication when required by the disability benefit administrator
Connecticut: necessary for the purpose of supporting a claim or appeal under any provision of the Social Security Act or a claim or appeal for veterans' benefits; does not charge the patient for the costs incurred in copying such records; may not charge a patient for costs incurred in copying the records of the retired or deceased provider
Florida: for the purpose of continuing to receive medical care
Georgia: requested in order to make or complete an application for a disability benefits program
Illinois: 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: providing a digital copy or digital access through an interoperability platform of an individual's electronic health record
Kentucky: without charge to the patient, a copy of the patient's medical record
Maryland: That will be used for the purpose of filing a claim regarding or appealing a denial of Social Security disability income or Social Security benefits under Title II or Title XVI of the Social Security Act
Massachusetts: if the record is requested for the purpose of supporting a claim or appeal under any provision of the Social Security Act or any federal or state financial needs-based benefit program
Michigan: for a medically indigent individual
Minnesota: When a patient requests a copy of the patient's record for purposes of reviewing current medical care; when the patient is receiving public assistance, represented by an attorney on behalf of a civil legal services program, or represented by a volunteer attorney program based on indigency; For the purpose of further appeals
Nebraska: medical records requested by a patient for use in supporting an application for disability or other benefits or assistance or an appeal relating to the denial of such benefits or assistance
Nevada: records that are necessary to support a claim or appeal under any provision of the Social Security Act, 42 U.S.C. 301 et seq., or under any federal or state financial needs-based benefit program
New Hampshire: any records not provided within 30 days; any records provided pursuant to those additional requests; when the requestor of medical records is the person's health care provider
New Jersey: A patient who does not have the ability to pay and who presents either: (a) a statement certifying to annual income at or below 250 percent of the federal poverty level; A not-for-profit corporation indicating in writing that it is representing a patient; A health care practitioner; An attorney representing a patient on a pro bono basis; A patient or an attorney representing a patient who has a pending application for, or is currently receiving, federal Social Security disability benefits
New York: where requested for the purpose of supporting an application, claim or appeal for any government benefit or program
North Dakota: if the records are requested for the purpose of transferring that patient's health care to another health care provider for the continuation of treatment
Ohio: if the medical record is necessary to support a claim under Title II or Title XVI of the "Social Security Act," and the request is accompanied by documentation that a claim has been filed
Oregon: one copy of the individual’s health information, free of charge
Rhode Island: the record is requested for immunization records required for school admission or by the applicant or beneficiary or individual representing an applicant or beneficiary for the purposes of supporting a claim or appeal under the provision of the Social Security Act
South Carolina: when the patient is referred by the physician, health care provider, or an employee, agent, or contractor of the owner of the record to another physician or health care provider for continuation of treatment; records sent to a health care provider at the request of the patient for the purpose of continuing medical care
Texas: a medical or mental health record requested by a patient or former patient, or by an attorney or other authorized representative of the patient or former patient, for use in supporting an application for disability benefits; if the request is related to a benefits or assistance claim based on the patient's disability
Utah: the requested records are not postmarked or otherwise made available electronically by the person fulfilling the request within 60 days after the day on which notice is received; the first copy of the record for each date of service that is necessary to support the qualified claim or appeal in each calendar year; for an indigent individual
Vermont: any health care record requested to support a claim or an appeal under any provision of the Social Security Act or for any other federal or State needs-based benefit or program
Virginia: one free copy of a patient's medical records stored or maintained in an electronic health record (EHR) per calendar year if requested by a patient or his attorney for the purpose of supporting a claim or appeal
Washington: if the patient is appealing the denial of federal supplemental security income or social security disability benefits
West Virginia: an indigent person or his or her authorized representative if the medical records are necessary for the purpose of supporting a claim or appeal under any provisions of the Social Security Act

In 13 states the law waives one charge or makes one item free, but not the whole copy. In the law's words:

Arizona: a fee may not be charged if no medical records are located in response to the request
Delaware: a summary of the patient's record, in lieu of transferring the entire record, at no charge to the patient
Indiana: at no cost, provide to the patient or the patient's designee: (1) access to; or (2) a copy of; the patient's x-ray image
Iowa: one copy free of charge of the patient's complete billing statement
Louisiana: at no extra charge, a certification page setting forth the extent of the completeness of records on file
Michigan: shall not charge a patient an initial fee
New Jersey: a billing record requested by a patient, or a patient's legally authorized representative; a patient who is requesting the patient's own record
New York: copying an original mammogram when the original has been furnished to any qualified person
Oklahoma: a person who requests their own record
Pennsylvania: if requestor is requesting their own personal health record
South Carolina: no medical record is found as a result of the search, where the request is made by the patient
South Dakota: access to the patient’s electronic health information through a patient portal
Virginia: if no medical records are found in response to the request

What a hospital can charge

In 17 states a fee rule names hospitals or other facilities: Colorado, Connecticut, Florida, Illinois, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Jersey, Oklahoma, Pennsylvania, South Carolina, Texas, Washington. Elsewhere the row gives who the rule binds, such as “health care provider”, in the law's words.

For a copy you ask for yourself, the federal limit above applies to a hospital that HIPAA covers. To ask a hospital for a copy, see how to get your medical records.

Copy fees in each state

What kinds of fee rule each state sets: 43 states and DC set a charge per page for at least some requests

Read across for one state's rules, down for how many places have each kind (of the 50 states and DC). A state can have several kinds. Counts include rules that cover only copies sent to someone else; your own copy stays under the federal limit. Amounts are not compared across states: they count different things and change on different dates.

Per page A charge per page
Flat fee A flat, handling, search or certification fee
Electronic A rule for electronic copies
Free copy The copy is free in some cases
One charge waived One charge waived or one item free, such as a search fee or a billing statement
No amount Actual or reasonable cost, or another rule with no amount, such as no holding back records over an unpaid bill
Adjusts The law adjusts its amounts over time

State	Per page44	Flat fee42	Electronic27	Free copy29	One charge waived13	No amount44	Adjusts15
AL	yes	yes	no	no	no	yes	no
AK	No fee rule found
AZ	no	yes	no	yes	yes	yes	no
AR	yes	yes	yes	no	no	yes	no
CA	yes	yes	yes	yes	no	yes	no
CO	yes	yes	no	yes	no	yes	no
CT	yes	yes	no	yes	no	yes	no
DE	yes	yes	yes	no	yes	yes	no
FL	yes	yes	no	yes	no	yes	no
GA	yes	yes	no	yes	no	yes	yes
HI	no	no	no	no	no	yes	no
ID	No fee rule found
IL	yes	yes	yes	yes	no	yes	yes
IN	no	no	no	yes	yes	yes	no
IA	yes	yes	yes	no	yes	yes	no
KS	no	no	no	no	no	yes	no
KY	yes	no	no	yes	no	no	no
LA	yes	yes	yes	no	yes	yes	no
ME	yes	no	yes	no	no	yes	no
MD	yes	yes	yes	yes	no	yes	yes
MA	yes	yes	no	yes	no	yes	yes
MI	yes	yes	yes	yes	yes	yes	yes
MN	yes	yes	yes	yes	no	yes	no
MS	yes	yes	no	no	no	yes	no
MO	yes	yes	yes	no	no	yes	yes
MT	yes	yes	no	no	no	yes	no
NE	yes	yes	no	yes	no	yes	no
NV	yes	yes	yes	yes	no	yes	yes
NH	yes	yes	yes	yes	no	no	no
NJ	yes	yes	no	yes	yes	yes	no
NM	yes	yes	yes	no	no	yes	no
NY	yes	no	no	yes	yes	yes	no
NC	yes	yes	no	no	no	yes	no
ND	yes	yes	yes	yes	no	no	no
OH	yes	yes	yes	yes	no	yes	yes
OK	yes	yes	yes	no	yes	yes	no
OR	yes	yes	no	yes	no	yes	no
PA	yes	yes	yes	no	yes	yes	yes
RI	yes	yes	yes	yes	no	yes	no
SC	yes	yes	yes	yes	yes	yes	yes
SD	yes	yes	yes	no	yes	no	no
TN	yes	yes	yes	no	no	yes	no
TX	yes	yes	yes	yes	no	yes	yes
UT	yes	yes	yes	yes	no	yes	yes
VT	yes	yes	no	yes	no	yes	no
VA	yes	yes	yes	yes	yes	yes	no
WA	yes	yes	no	yes	no	yes	no
DC	yes	yes	yes	no	no	yes	yes
WV	yes	yes	yes	yes	no	yes	yes
WI	yes	yes	no	no	no	no	yes
WY	no	no	no	no	no	yes	no

Source: state statutes, rules and official pages, read between October 3, 2026 and October 9, 2026. The grouping is ours, from the law's words.

See the numbers

What kinds of fee rule each state sets: 43 states and DC set a charge per page for at least some requests
Kind of rule	Places (of 51)
A charge per page	44: AL AR CA CO CT DE FL GA IL IA KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI
A flat, handling, search or certification fee	42: AL AZ AR CA CO CT DE FL GA IL IA LA MD MA MI MN MS MO MT NE NV NH NJ NM NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI
A rule for electronic copies	27: AR CA DE IL IA LA ME MD MI MN MO NV NH NM ND OH OK PA RI SC SD TN TX UT VA DC WV
The copy is free in some cases	29: AZ CA CO CT FL GA IL IN KY MD MA MI MN NE NV NH NJ NY ND OH OR RI SC TX UT VT VA WA WV
One charge waived or one item free, such as a search fee or a billing statement	13: AZ DE IN IA LA MI NJ NY OK PA SC SD VA
Actual or reasonable cost, or another rule with no amount, such as no holding back records over an unpaid bill	44: AL AZ AR CA CO CT DE FL GA HI IL IN IA KS LA ME MD MA MI MN MS MO MT NE NV NJ NM NY NC OH OK OR PA RI SC TN TX UT VT VA WA DC WV WY
The law adjusts its amounts over time	15: GA IL MD MA MI MO NV OH PA SC TX UT DC WV WI
No fee rule found	2: AK ID

A place is counted in every kind of rule it has, so the rows add to more than 51.

Each row gives every fee rule we found in the state's own law, read between October 3, 2026 and October 9, 2026: its kind, who it binds, what it covers in our words, and the law's own words. Every amount is the law's; we work none out.

How to read a row

The label before a rule names its kind, the same words as the matrix's columns.
Who it binds is in the law's words, such as “health care provider” or “hospital”; the plain line after it, on what the rule covers, is ours.
The quoted words are the law's, from the page we stored and link, with the date we read it.
The law adjusts this amount means the law changes its amounts over time, usually each year with prices. The quote gives either the law's starting amount or the amount published for the year the row names; ask the office for the current figure. “How the law adjusts” in the row gives the law's words.
Your own copy: a state rule does not let a provider HIPAA covers charge more than the federal limit for a copy you ask for yourself.
No fee rule found means we searched the state's laws and found none; if the provider is covered by HIPAA, the federal limit still applies to your own copy.

Fee rules for a copy of medical records in state law, read between October 3, 2026 and October 9, 2026
State	Fee rules	Law we read
Alabama	Per page · Flat fee any person required to release copies of medical records: Written or typed records; mailing at actual cost and X-rays at actual cost are extra under (b)(2) and (b)(3).reasonable costs of reproducing copies of written or typed documents, or reports shall not be more than one dollar ($1) for each page of the first 25 pages, not more than 50 cents ($.50) for each page in excess of 25 pages, and a search fee of five dollars ($5).Ala. Code § 12-21-6.1, read October 3, 2026 No amount a physician or his or her practice: Copies of a physician's medical records given to a patient or the patient's legal representative; sets no figure itself and points to state and federal law.The cost of reproduction shall not exceed what is authorized under state and federal law. Records subpoenaed by the State Board of Medical Examiners are exempt from this subsection.Ala. Admin. Code r. 540-X-9-.10, read October 3, 2026 No amount Physicians: Board guidance to physicians charging for copies; it says copying charges should be waived when appropriate and names no case or figure.Physicians charging for the cost of reproduction of medical records should give primary consideration to the ethical and professional duties owed to other physicians and their patients and waive copying charges when appropriate.Ala. Admin. Code r. 540-X-9-.10, read October 3, 2026	Ala. Code § 12-21-6.1; Ala. Admin. Code r. 540-X-9-.10.Back to the list of states
Alaska	No fee rule foundAS 18.23.005 gives a patient the right to inspect and copy records; we found no Alaska law setting a fee for the copy.If the provider is covered by HIPAA, the federal limit applies to your own copy: the fee may include only the costs HIPAA lists.Searched October 9, 2026; pages we read: akleg.gov	No law to cite.Back to the list of states
Arizona	Flat fee a health care provider or contractor: Any person requesting reproductions of medical or payment records; no figure is set.Except as otherwise provided by law, a health care provider or contractor may charge a person who requests reproductions of medical records or payment records a reasonable fee for the reproduction of the records pursuant to this section.A.R.S. 12-2295, read October 3, 2026 Free copy A health care provider or contractor: Listed in subsection B as cases where no charge may be made for pertinent information: the patient or the patient's health care decision maker obtaining health care.2. The patient to whom the medical record pertains for the demonstrated purpose of obtaining health care. 3. The health care decision maker of the patient to whom the medical record pertains for the demonstrated purpose of obtaining health care for the patient.A.R.S. 12-2295, read October 3, 2026 Free copy A health care provider or contractor: Records for a Social Security benefits denial appeal; a legal representative must first provide form SSA-1696.5. The patient or the patient's legal representative for the purpose of appealing a denial of benefits under the social security act.A.R.S. 12-2295, read October 3, 2026 One charge waived A health care provider or contractor: Repeat requests within the same calendar year after a free copy may be charged a reasonable fee; no fee when no records are located.a request for medical records that were previously provided free of charge in the same calendar year are subject to a reasonable fee pursuant to subsection A of this section, except that a fee may not be charged if no medical records are locatedA.R.S. 12-2295, read October 3, 2026 No amount a health care provider or contractor: Fees may be required in advance, except where needed for continuity of care.Except as necessary for continuity of care, a health care provider or contractor may require the payment of any fees in advance.A.R.S. 12-2295, read October 3, 2026	A.R.S. 12-2295.Back to the list of states
Arkansas	Per page medical provider: Paper copies for a legal proceeding, an insurance claim or a life insurance application.A photocopy of a medical record shall not cost more than fifty cents (50¢) per page for the first twenty-five (25) pages and twenty-five cents (25¢) for each additional page.Ark. Code 16-46-106, read October 9, 2026 Flat fee medical provider: A labor charge for each request; actual postage may be added.A labor charge not exceeding twenty-five dollars ($25.00) may be charged for each request for medical records under subsection (a) of this section, and the actual cost of any required postage may also be charged.Ark. Code 16-46-106, read October 9, 2026 Flat fee medical provider: Notarized or certified records.If the patient or person authorized to request the patient's medical records requests that the medical records be notarized or certified, an additional fee of two dollars ($2.00) may be charged.Ark. Code 16-46-106, read October 9, 2026 Electronic medical provider: Records produced under subsection (c); actual postage may be added.The fee for producing medical records under this subsection is seventy-five dollars ($75.00), and the actual cost of postage, if any postage is required, may be charged in addition to the fee for producing medical records.Ark. Code 16-46-106, read October 9, 2026 No amount medical provider: Instead of the labor charge, when paper records are stored somewhere other than the provider's location.in the alternative to the labor charge described in subdivision (b)(2)(A) of this section, a reasonable retrieval fee for stored, printed, or written medical records that do not exist in an electronic format may be added to the photocopy chargesArk. Code 16-46-106, read October 9, 2026 No amount medical provider: A patient's own request follows HIPAA's access rules, not the charges above.If a request for the patient's own medical records is submitted by the patient or a person authorized to request the patient's medical records under this section, then access shall be provided according to all the requirements of the patient access regulationsArk. Code 16-46-106, read October 9, 2026	Ark. Code 16-46-106.Back to the list of states
California	Per page a health care provider: Per-page ceiling on paper copies and on records copied from microfilm.The fee from a health care provider shall not exceed twenty-five cents ($0.25) per page for paper copies or fifty cents ($0.50) per page for records that are copied from microfilm.Cal. Health & Safety Code § 123110, read October 3, 2026 Flat fee · Electronic a health care provider: Paper or electronic copies or summaries; the fee may include only labor, supplies for portable media, postage, and preparing an agreed summary.a health care provider may impose a reasonable, cost-based fee for providing a paper or electronic copy or summary of patient records, provided the fee includes only the cost of the following:Cal. Health & Safety Code § 123110, read October 3, 2026 Flat fee a health care provider: Copies of X-rays or tracings under subdivision (c), where originals may instead be sent to another provider on the patient's written request.All reasonable costs, not exceeding actual costs, incurred by a health care provider in providing copies pursuant to this subdivision may be charged to the patient or representative requesting the copies.Cal. Health & Safety Code § 123110, read October 3, 2026 Free copy the provider: Patient, personal representative or nonprofit legal services employee proving need for a public benefit claim or appeal, U visa petition or VAWA self-petition; one free copy per portion.is entitled to a copy, at no charge, of the relevant portion of the patient's records, upon presenting to the provider a written request, and proof that the records or supporting forms are needed to support a claim or appeal regarding eligibility for a public benefit programCal. Health & Safety Code § 123110, read October 3, 2026 No amount a health care provider: Records or summaries may not be withheld because the patient owes a bill for health care services.This section prohibits a health care provider from withholding patient records or summaries of patient records because of an unpaid bill for health care services.Cal. Health & Safety Code § 123110, read October 3, 2026	Cal. Health & Safety Code § 123110.Back to the list of states
Colorado	Per page health-care facility or health-care provider: "Reasonable fees" charged to a third person with a HIPAA authorization, subpoena or court order, for requests up to 664 pages; not the patient's own request.Eighteen dollars and fifty-three cents for the first ten pages, eighty-five cents per page for the next thirty pages, and fifty-seven cents per page for each additional page; except that, if the medical records are stored on microfilm, one dollar and fifty cents per page;C.R.S. 25-1-800.3, read October 3, 2026 Flat fee health-care facility or health-care provider: Part of the "reasonable fees" for third persons; actual postage, electronic media costs, applicable taxes and radiograph reproduction costs may be added.If the authorized person requests certification of the medical records, a fee of ten dollars;C.R.S. 25-1-800.3, read October 3, 2026 Free copy health-care facility or health-care provider: A third-party entity performing duties under the Laura Hershey Disability Support Act requesting a patient record.the third party may obtain one free copy of the record for the application process or for an appeal or reapplication when required by the disability benefit administrator;C.R.S. 25-1-800.3, read October 3, 2026 No amount A health facility licensed or certified pursuant to section 25-1.5-103 (1) or article 3 of this title 25: Patient or personal representative requesting from a licensed health facility (C.R.S. 25-1-801); the fee is whatever HIPAA allows a covered entity, not the state schedule.must provide copies of a patient's medical records, including X rays, to the patient or the patient's personal representative upon request and payment of the fee a covered entity may impose in accordance with the "Health Insurance Portability and Accountability Act of 1996"C.R.S. 25-1-800.3, read October 3, 2026 No amount health-care provider: Patient or personal representative requesting from an individual health-care provider (C.R.S. 25-1-802); the fee is whatever HIPAA allows a covered entity.A copy of the records, including radiographic studies, must be made available to the patient or the patient's personal representative, upon request and payment of the fee a covered entity may impose in accordance with the "Health Insurance Portability and Accountability Act of 1996"C.R.S. 25-1-800.3, read October 3, 2026	C.R.S. 25-1-800.3.Back to the list of states
Connecticut	Per page provider: Copies of a health record from a provider to a patient, the patient's attorney or authorized representative; the per-page charge includes research, handling and postage.No provider shall charge more than sixty-five cents per page, including any research fees, handling fees or related costs, and the cost of first class postage, if applicable, for furnishing a health record pursuant to this subsection,Conn. Gen. Stat. 20-7c(d), read October 3, 2026 Per page institution licensed pursuant to this chapter: Copies of a health record from a licensed health care institution to a patient, attorney or authorized representative; includes research, clerical, handling and postage costs.No such institution shall charge more than sixty-five cents per page, including any research fees, clerical fees, handling fees or related costs, and the cost of first class postage, if applicable, for furnishing or providing access to a health record pursuant to this subsection,Conn. Gen. Stat. 19a-490b, read October 3, 2026 Flat fee provider: Copies of x-rays from a provider.except such provider may charge a patient the amount necessary to cover the cost of materials for furnishing a copy of an x-ray,Conn. Gen. Stat. 20-7c(d), read October 3, 2026 Flat fee institution licensed pursuant to this chapter: Copies of x-rays and retained pathology slides, tissue blocks or new section cuts from a licensed institution.except such an institution may charge the amount necessary to cover its cost of materials for furnishing a copy of an x-ray or for furnishing an original retained slide, an original tissue block or a new section cut from a retained pathology tissue block.Conn. Gen. Stat. 19a-490b, read October 3, 2026 Free copy provider: Records needed for a Social Security or veterans' benefits claim or appeal, when the request comes with documentation of the claim or appeal.provided no such charge shall be made for furnishing a health record or part thereof to a patient, a patient's attorney or authorized representative if the record or part thereof is necessary for the purpose of supporting a claim or appeal under any provision of the Social Security ActConn. Gen. Stat. 20-7c(d), read October 3, 2026 Free copy provider: Records the patient brought from another provider; the provider may keep copies but may not charge the patient for making them.When returning records to a patient, a provider may retain copies of such records for the provider's file, provided such provider does not charge the patient for the costs incurred in copying such records.Conn. Gen. Stat. 20-7c(d), read October 3, 2026 Free copy health care provider, who has purchased or assumed the practice of a provider who is retiring or deceased: A successor to a retiring or deceased provider returning records to a patient who does not stay with the successor.When returning records to a patient who has decided not to seek care from a successor provider, such provider may not charge a patient for costs incurred in copying the records of the retired or deceased provider.Conn. Gen. Stat. 20-7c, read October 3, 2026 Free copy institution licensed pursuant to this chapter: Records from a licensed institution needed for a Social Security or veterans' benefits claim or appeal, with documentation of the claim or appeal.No institution licensed pursuant to this chapter shall charge for furnishing a health record or part thereof to a patient, his attorney or conservator if the record or part thereof is necessary for the purpose of supporting a claim or appeal under any provision of the Social Security ActConn. Gen. Stat. 19a-490b(b), read October 3, 2026 No amount institution: A person unable to pay a licensed institution's fees still gets the records; a sworn statement of inability to pay is presumptive evidence.No institution may deny a person the records available under subsection (a) of this section because of the person's inability to pay the required fees. An affidavit from such person attesting to an inability to pay such fees shall be presumptive evidence thereof.Conn. Gen. Stat. 19a-490b(b), read October 3, 2026	Conn. Gen. Stat. 20-7c(d); Conn. Gen. Stat. 20-7c; Conn. Gen. Stat. 19a-490b; Conn. Gen. Stat. 19a-490b(b).Back to the list of states
Delaware	Per page person certified to practice medicine: The Board's schedule for a patient's own records, sent to the patient or to another physician; the next line adds $0.50 per page for pages 61 and above.a reasonable fee not to exceed the fees set forth in the schedule below, excluding the actual cost of postage or shipping if the records are mailed: • $2.00 per page for pages 1-10 • $1.00 per page for pages 11-20 • $0.90 per page for pages 21-6024 DE Admin. Code 1700-16.1, read October 3, 2026 Per page · Electronic person certified to practice medicine: Pages 61 and above, and the rule that the per-page schedule applies to electronic copies too; 16.2 refers to "subsection 30.1", read here as the 16.1 schedule above it.• $0.50 per page for pages 61 and above 16.2 The fees set forth in subsection 30.1 above shall apply whether the records are produced in paper or electronic format.24 DE Admin. Code 1700-16.1, read October 3, 2026 Flat fee person certified to practice medicine: Patients requesting their own records from a physician, at the Board's schedule plus postage; the section does not apply to hospitals or agencies that treated the patient.Patients, on their own behalf, shall have the right to obtain a copy of their medical records from any person certified to practice medicine according to a payment schedule established by the Board of Medical Licensure and Discipline.24 Del. C. § 1761, read October 3, 2026 Flat fee person certified to practice medicine: Radiology films, models, photographs, fetal monitoring strips and other records that cannot be photocopied.Charges for copies of such records not susceptible to photostatic reproduction, such as radiology films, models, photographs or fetal monitoring strips shall be the full cost of such reproduction.24 Del. C. § 1761, read October 3, 2026 One charge waived the former person: A patient changing physicians; the former physician may otherwise charge reasonable copying expenses on the Board schedule for transferring the full record.Alternatively, if the patient and current person agree, the former person may forward to the current person a summary of the patient's record, in lieu of transferring the entire record, at no charge to the patient.24 Del. C. § 1761, read October 3, 2026 No amount the provider or its third-party release-of-information service: Payment may be required before copies are sent, except for records needed to make or complete a disability benefits application.Payment of all costs may be required by the provider or its third-party release-of-information service prior to the copies of the records being furnished. This subsection shall not apply to copies of the records requested in order to make or complete an application for a disability benefits program.24 Del. C. § 1761, read October 3, 2026	24 Del. C. § 1761; 24 DE Admin. Code 1700-16.1.Back to the list of states
Florida	Per page licensed facility: Copies from a licensed hospital or facility, including from a copy service acting for it; sales tax and actual postage may be added.The exclusive charge for copies of patient records may include sales tax and actual postage, and, except for nonpaper records that are subject to a charge not to exceed $2, may not exceed $1 per page.Fla. Stat. s. 395.3025(1), read October 3, 2026 Per page A nursing home facility: Copies of a nursing home resident's records for the resident or an authorized representative.A nursing home facility may charge a reasonable fee for the copying of resident records. Such fee may not exceed $1 per page for the first 25 pages and 25 cents per page for each additional page.Fla. Stat. s. 400.145, read October 3, 2026 Per page Any person licensed pursuant to chapter 458, F.S.: For patients and governmental entities, from physicians licensed under chapter 458; other requesters may be charged up to $1.00 per page for every page.the reasonable costs of reproducing copies of written or typed documents or reports shall not be more than the following: (a) For the first 25 pages, the cost shall be $1.00 per page. (b) For each page in excess of 25 pages, the cost shall be 25 cents.Fla. Admin. Code r. 64B8-10.003, read October 3, 2026 Flat fee licensed facility: A per-year-of-records fee on requests to a licensed facility, also binding a copy service acting for the facility.A fee of up to $1 may be charged for each year of records requested. These charges shall apply to all records furnished, whether directly from the facility or from a copy service providing these services on behalf of the facility.Fla. Stat. s. 395.3025(1), read October 3, 2026 Flat fee A health care practitioner or records owner: Copies or digital scanning of a practitioner's records; the board rule (for physicians, 64B8-10.003) sets the amount.furnishing copies of reports or records or making the reports or records available for digital scanning pursuant to this section shall charge no more than the actual cost of copying, including reasonable staff time, or the amount specified in administrative rule by the appropriate boardFla. Stat. s. 456.057, read October 3, 2026 Flat fee Any person licensed pursuant to chapter 458, F.S.: Physicians copying x-rays and other special kinds of records; actual costs include materials, supplies, labor and overhead.(4) Reasonable costs of reproducing x-rays, and such other special kinds of records shall be the actual costs.Fla. Admin. Code r. 64B8-10.003, read October 3, 2026 Free copy licensed facility: Licensed facility records copied or searched so the patient can continue receiving medical care.However, a patient whose records are copied or searched for the purpose of continuing to receive medical care is not required to pay a charge for copying or for the search.Fla. Stat. s. 395.3025(1), read October 3, 2026 No amount the health care practitioner: A practitioner may not hold back a patient's report or copies because of an unpaid bill for services.The furnishing of such report or copies shall not be conditioned upon payment of a fee for services rendered.Fla. Stat. s. 456.057, read October 3, 2026	Fla. Stat. s. 395.3025(1); Fla. Stat. s. 400.145; Fla. Stat. s. 456.057; Fla. Admin. Code r. 64B8-10.003.Back to the list of states
Georgia	Per page physician: Rates the Department of Community Health set from July 1, 2026; not for your own request, which HIPAA governs. The table's two columns are equal.Copying Costs for Records in Paper Form Per page for pages 1-20: $0.97 $0.97 Per page for pages 21-100: $0.83 $0.83 Per page for pages over 100: $0.66 $0.66The law adjusts this amount over time; ask for the current figure.Georgia Department of Community Health, rates under O.C.G.A. 31-33-3, read October 3, 2026 Flat fee physician: Rates the Department of Community Health set from July 1, 2026; not for your own request, which HIPAA governs. The table's two columns are equal.Accordingly, the rates effective July 1, 2026, are as follows: Previous Effective July 1, 2026 Search, Retrieval and Other Direct Administrative Costs Up to: $25.88 $25.88The law adjusts this amount over time; ask for the current figure.Georgia Department of Community Health, rates under O.C.G.A. 31-33-3, read October 3, 2026 Flat fee physician: Rates the Department of Community Health set from July 1, 2026; not for your own request, which HIPAA governs. The table's two columns are equal.Certification Fee Up to Per Record: $9.70 $9.70The law adjusts this amount over time; ask for the current figure.Georgia Department of Community Health, rates under O.C.G.A. 31-33-3, read October 3, 2026 Free copy A physician: Records requested to make or complete a disability benefits application.A physician may not charge for medical records requested in order to make or complete an application for a disability benefits program per O.C.G.A. § 31-33-3(a).Georgia Composite Medical Board, on O.C.G.A. 31-33-3, read October 3, 2026 No amount covered entity: A HIPAA covered entity answering an individual's request for their own records uses HIPAA's fee rules, not the state rate table.State rates for medical records should not be applied when individuals request records for themselves from a covered entity. The HIPAA fee provisions apply in those situations.Georgia Department of Community Health, rates under O.C.G.A. 31-33-3, read October 3, 2026 No amount The physician: A physician may require payment before providing the records.The physician may even require the payment "up front", (before providing the records).Georgia Composite Medical Board, on O.C.G.A. 31-33-3, read October 3, 2026 How the law adjusts its amounts (1 clause) Pursuant to O.C.G.A §31-33-3, effective July 1, of each year, the costs related to medical record retrieval, certification and copy may be adjusted in accordance with the medical component of the consumer price index.O.C.G.A. 31-33-3	Georgia Department of Community Health, rates under O.C.G.A. 31-33-3; Georgia Composite Medical Board, on O.C.G.A. 31-33-3.Back to the list of states
Hawaii	No amount health care provider: Any person who asks for copies; the law sets no amount.Reasonable costs incurred by a health care provider in making copies of medical records shall be borne by the requesting person.Haw. Rev. Stat. 622-57(g), read October 9, 2026	Haw. Rev. Stat. 622-57(g).Back to the list of states
Idaho	No fee rule foundWe found no Idaho law setting a fee for a patient's copy; a 2025 bill to set one (S1087) failed in the House.If the provider is covered by HIPAA, the federal limit applies to your own copy: the fee may include only the costs HIPAA lists.Searched October 9, 2026; pages we read: legislature.idaho.gov, legislature.idaho.gov	No law to cite.Back to the list of states
Illinois	Per page the facility or the health care practitioner: Paper copies, per page; microfiche or microfilm copies have their own cap.75 cents per page for the first through 25th pages, 50 cents per page for the 26th through 50th pages, and 25 cents per page for all pages in excess of 50 (except that the charge shall not exceed $1.25 per page for any copies made from microfiche or microfilm;The law adjusts this amount over time; ask for the current figure.735 ILCS 5/8-2001, read October 3, 2026 Flat fee the facility or the health care practitioner: Any requester, including patients and attorneys; not collected from a patient or personal representative obtaining copies under Section 8-2001.5.incurred in connection with such copying not to exceed a $20 handling charge for processing the request and the actual postage or shipping charge, if any, plus:The law adjusts this amount over time; ask for the current figure.735 ILCS 5/8-2001, read October 3, 2026 Flat fee The facility or health care practitioner: Material that cannot be copied on a standard photocopier, such as x-ray films or pictures.The facility or health care 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.The law adjusts this amount over time; ask for the current figure.735 ILCS 5/8-2001, read October 3, 2026 Electronic the facility or the health care practitioner: Electronic copies; the per-page charge covers storage media such as CDs and DVDs.for electronic records, retrieved from a scanning, digital imaging, electronic information or other digital format in an electronic document, a charge of 50% of the per page charge for paper copies under subdivision (d)(1). This per page charge includes the cost of each CD Rom, DVD, or other storage media.The law adjusts this amount over time; ask for the current figure.735 ILCS 5/8-2001, read October 3, 2026 Free copy a health care facility or health care practitioner: One complete copy, and later updates, to support a claim for federal veterans' disability, Social Security or SSI, or Aid to the Aged, Blind, or Disabled benefits.Notwithstanding any other provision of the law, 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 patient735 ILCS 5/8-2001(h), read October 3, 2026 No amount The facility or health care practitioner: Patients or personal representatives obtaining copies under Section 8-2001.5; this exemption does not name the per-page and postage charges.The handling fee shall not be collected from the patient or the patient's personal representative who obtains copies of records under Section 8-2001.5.735 ILCS 5/8-2001, read October 3, 2026 How the law adjusts its amounts (1 clause) These rates shall be automatically adjusted as set forth in Section 8-2006.735 ILCS 5/8-2001	735 ILCS 5/8-2001; 735 ILCS 5/8-2001(h).Back to the list of states
Indiana	Free copy provider: Digital copies or digital access to an electronic health record; no charge allowed (IC 16-39-9-2(1)).A provider may not charge a person for: (1) providing a digital copy or digital access through an interoperability platform of an individual's electronic health recordIC 16-39-1-2, read October 3, 2026 One charge waived provider: Access to or a copy of the patient's x-ray image, for the patient or the patient's designee (IC 16-39-1-2).Upon a patient's written request and reasonable notice, a provider shall, at no cost, provide to the patient or the patient's designee: (1) access to; or (2) a copy of; the patient's x-ray image possessed by the provider.IC 16-39-1-2, read October 3, 2026 No amount provider: Paper copies of medical records; the cap is set by department of insurance rules, not shown here.(2) making and providing paper copies of medical records at an amount greater than the amount set in rules adopted by the department of insurance under section 4 of this chapter.IC 16-39-1-2, read October 3, 2026 No amount provider: Original mammogram films and copies of reports transferred at a patient's request; fee capped at the provider's actual cost (IC 16-39-7-3(c)).(c) Any fee charged to a patient for providing mammogram films and copies of reports under subsection (b) may not exceed the provider's actual cost in providing the films and reports.IC 16-39-1-2, read October 3, 2026 No amount provider: A parent given equal access to a child's health records may be charged the provider's additional expense (IC 16-39-1-7(c)).(c) If a provider incurs additional expense by allowing a parent equal access to health records under this section, the provider may require the parent requesting the equal access to pay a fee to cover the cost of the additional expense.IC 16-39-1-2, read October 3, 2026 No amount provider: A parent given equal access to a child's mental health records may be charged a fee under IC 16-39-9 for the additional expense (IC 16-39-2-9).If the provider incurs an additional expense by allowing a parent equal access to a child's mental health records, the provider may require the parent requesting the equal access to pay a fee under IC 16-39-9 to cover the cost of the additional expense.IC 16-39-1-2, read October 3, 2026	IC 16-39-1-2.Back to the list of states
Iowa	Per page · Flat fee party furnishing duplicates: Iowa's workers' compensation copy rates, which the Iowa Code 622.10 rule above uses; the rule goes on for longer records.the amount to be paid for furnishing duplicates of records or reports shall be the actual expense to prepare duplicates not to exceed: $20 for 1 to 20 pages; $20 plus $1 per page for 21 to 30 pages; $30 plus $.50 per page for 31 to 100 pagesIowa Admin. Code 876-8.10, read October 9, 2026 Flat fee · Electronic any provider: Copies of records or images for a patient, legal representative, attorney, or an adverse party with a waiver; includes electronic copies.The fee charged for the cost of producing the requested records or images shall be based upon the actual cost of production.Iowa Code §622.10, read October 3, 2026 Flat fee any provider: Applies when the request and any waiver release all of the patient's records for the period; the cap is the state's workers' compensation copy rates, quoted below.the amount charged shall not exceed the rates established by the workers' compensation commissioner for copies of records in workers' compensation cases.Iowa Code §622.10, read October 3, 2026 Flat fee the provider: An affidavit of authenticity for records or images, when the requester asks for one.If requested, the provider shall include an affidavit certifying that the records or images produced are true and accurate copies of the originals for an additional fee not to exceed ten dollars.Iowa Code §622.10, read October 3, 2026 One charge waived the provider or custodian of the record: The patient's complete billing statement, one free copy, postage or delivery aside; the subsection defines records to include billing information.A patient or a patient's legal representative or a patient's attorney is entitled to one copy free of charge of the patient's complete billing statement, subject only to a charge for the actual costs of postage or delivery charges incurred in providing the statement.Iowa Code §622.10, read October 3, 2026 No amount A provider providing the records or images: Advance payment only with an itemized statement sent within fifteen days; the deadline then runs to the later of thirty days from request or ten days from payment.A provider providing the records or images may require payment in advance if an itemized statement demanding such is provided to the requesting party within fifteen days of the request.Iowa Code §622.10, read October 3, 2026 No amount any provider: No sales tax on fees charged under subsection 6.Fees charged pursuant to this subsection are exempt from the sales tax pursuant to section 423.3, subsection 96.Iowa Code §622.10, read October 3, 2026	Iowa Code §622.10; Iowa Admin. Code 876-8.10.Back to the list of states
Kansas	No amount Health care providers: Copies for a patient, authorized representative or other authorized person; the cap is set by Board of Healing Arts regulations; the Board's own answer is quoted below.Health care providers may condition the furnishing of the patient's health care records to the patient, the patient's authorized representative or any other person or entity authorized by law to obtain or reproduce such records, upon the payment of charges not to exceed those establishedK.S.A. 65-6836(b), read October 3, 2026 No amount Providers: Record information that cannot be routinely duplicated on a standard photocopy machine may be charged at reasonable cost.Providers may charge for the reasonable cost of all duplications of health care record information which cannot be routinely duplicated on a standard photocopy machine.K.S.A. 65-6836(b), read October 3, 2026 No amount licensee of the Board: Physicians and other licensees of the Board of Healing Arts.A reasonable, cost-based fee that is allowable under HIPAA may be charged to produce the recordsKansas Board of Healing Arts, on K.A.R. 100-22-1, read October 9, 2026	K.S.A. 65-6836(b); Kansas Board of Healing Arts, on K.A.R. 100-22-1.Back to the list of states
Kentucky	Per page health care provider: A second copy requested by the patient, the patient's attorney or the patient's authorized representative; the Department of Corrections is not a health care provider here.A copying fee, not to exceed one dollar ($1) per page, may be charged by the health care provider for furnishing a second copy of the patient's medical record upon request either by the patient or the patient's attorney or the patient's authorized representative.KRS 422.317, read October 3, 2026 Free copy a hospital licensed under KRS Chapter 216B or a health care provider: The first copy of the patient's medical record, on the patient's written request.(1) Upon a patient's written request, a hospital licensed under KRS Chapter 216B or a health care provider shall provide, without charge to the patient, a copy of the patient's medical record.KRS 422.317, read October 3, 2026	KRS 422.317.Back to the list of states
Louisiana	Per page health care provider: Paper or digital copies of treatment records that exist solely in paper form, for the patient and anyone the patient authorizes (R.S. 40:1165.1(A)(2)(b)(i)).paper or digital copies shall be provided upon payment of a reasonable copying charge, not to exceed one dollar per page for the first twenty-five pages, fifty cents per page for twenty-six to three hundred fifty pages, and twenty-five cents per page thereafterLa. R.S. 40:1165.1, read October 3, 2026 Per page The provider of health care: Records a claimant or representative needs to support a Social Security disability or supplemental security income filing (R.S. 46:18).Cost of each photocopy shall not exceed fifty cents per page for the first five pages and twenty-five cents for each additional page except that the amount due shall not be less than the amount paid by the Louisiana Department of Health for such copies.La. R.S. 46:18, read October 3, 2026 Flat fee hospitals, nursing homes, and other health care providers: One handling charge per request for treatment records, plus actual postage; the provider may not divide a request by record type.and twenty-five cents per page thereafter, a handling charge not to exceed twenty-five dollars for hospitals, nursing homes, and other health care providers, and actual postage.La. R.S. 40:1165.1, read October 3, 2026 Flat fee hospitals and other health care providers: Copies of patient X-rays and other imaging media, at reasonable reproduction cost plus one handling charge per request.shall also have the right to obtain copies of patient X-rays, and other imaging media, upon payment of reasonable reproduction costs and a handling charge of twenty dollars for hospitals and ten dollars for other health care providers.La. R.S. 40:1165.1, read October 3, 2026 Electronic health care provider: Digital copies of treatment records that exist in digital format; the cap applies only to the digitally stored portion.If treatment records exist in digital format, copies shall be provided in digital format if requested to be provided in digital format and charged at the rate provided by this Item; however, the charges for providing digital copies shall not exceed one hundred dollars, plus all postage charges actually incurred.La. R.S. 40:1165.1, read October 3, 2026 Electronic health care provider: Digital copies of patient X-rays and other imaging media stored in digital format.copies may be requested to be provided in digital format and charged at the rate provided by this Item; however, the charges for providing digital imaging media copies shall not exceed two hundred dollars, plus all postage charges actually incurred.La. R.S. 40:1165.1, read October 3, 2026 One charge waived health care provider: A certification page on the completeness of the records on file; the same applies to X-rays and other imaging media.If requested, the health care provider shall provide the requestor, at no extra charge, a certification page setting forth the extent of the completeness of records on file.La. R.S. 40:1165.1, read October 3, 2026 No amount The health care provider or person or legal entity providing records on behalf of the health care provider: No fee beyond those the Subparagraph authorizes, other than notary fees and expedited-request fees contracted by the parties; includes agents copying for the provider.The health care provider or person or legal entity providing records on behalf of the health care provider shall not charge any other fee which is not specifically authorized by the provisions of this Subparagraph, except for notary fees and fees for expedited requests as contracted by the parties.La. R.S. 40:1165.1, read October 3, 2026 No amount A person or entity otherwise subject to the provisions of this Section: Records given to a nonprofit organization assisting with Social Security or Medicaid applications may be free or below the maximum; this is permitted, not required.(2) A person or entity otherwise subject to the provisions of this Section who provides medical records to a nonprofit organization assisting with Social Security or Medicaid applications may waive or charge an amount less than the maximum charges set forth in Item (A)(2)(b)(i) of this Section.La. R.S. 40:1165.1, read October 3, 2026	La. R.S. 40:1165.1; La. R.S. 46:18.Back to the list of states
Maine	Per page health care practitioner: Paper copies from a health care practitioner (22 M.R.S. §1711-A).The charge for the copies or the report may not exceed $5 for the first page and 45¢ for each additional page, up to a maximum of $250 for the entire treatment record or medical report.22 M.R.S. §1711-A, read October 3, 2026 Per page hospital: Paper copies from a hospital (22 M.R.S. §1711).The charge for paper copies of records may not exceed $5 for the first page and 45¢ for each additional page, up to a maximum of $250 for the entire medical record.22 M.R.S. §1711, read October 3, 2026 Electronic health care practitioner: Electronic copies from a practitioner: reasonable actual staff time, supplies and postage, no retrieval fee or system costs (22 M.R.S. §1711-A).Actual costs may not include a retrieval fee or the costs of new technology, maintenance of the electronic record system, data access or storage infrastructure. Charges assessed under this paragraph may not exceed $150.22 M.R.S. §1711-A, read October 3, 2026 Electronic hospital: Electronic copies from a hospital: reasonable actual staff time, supplies and postage, no retrieval fee or system costs (22 M.R.S. §1711).Actual costs may not include a retrieval fee or the costs of new technology, maintenance of the electronic record system, data access or storage infrastructure. Charges assessed under this paragraph may not exceed $150.22 M.R.S. §1711, read October 3, 2026 No amount health care practitioner defined in section 1711‑B: Paper copies of a treatment record or medical report, or additions, for the patient or authorized representative; capped at the practitioner's reasonable costs (22 M.R.S. §1711-A).the charge for the copies or the report may not exceed the reasonable costs incurred by the health care practitioner in making and providing the copies or the report.22 M.R.S. §1711-A, read October 3, 2026 No amount hospital: Paper copies of medical records and additions for the requesting person, at the hospital's reasonable costs; the hospital may require payment first (22 M.R.S. §1711).Reasonable costs incurred by the hospital in making and providing paper copies of medical records and additions to medical records may be assessed as charges to the requesting person and the hospital may require payment prior to responding to the request.22 M.R.S. §1711, read October 3, 2026	22 M.R.S. §1711-A; 22 M.R.S. §1711.Back to the list of states
Maryland	Per page health care provider: Copying and mailing a medical record for a person in interest or other authorized person, from providers other than State facilities.for a copy of a medical record requested by a person in interest or any other authorized person under paragraph (2)(ii) of this subsection, a health care provider may charge a fee for copying and mailing not exceeding 76 cents for each page of the medical record.The law adjusts this amount over time; ask for the current figure.Md. Code, Health-General § 4-304, read October 3, 2026 Per page a health care provider: A person in interest requesting the record of a Maryland Medical Assistance Program enrollee; does not apply to an attorney appointed in writing.a health care provider may not charge a person in interest, except for an attorney appointed in writing by a person in interest, who requests a copy of a medical record of an individual enrolled in the Maryland Medical Assistance Program a fee that exceeds $20, adjusted annually for inflationThe law adjusts this amount over time; ask for the current figure.Md. Code, Health-General § 4-304, read October 3, 2026 Flat fee a hospital or a health care provider: Added to the per-page fee, with actual postage and handling; subject to the fee limits in 45 C.F.R. 164.524 for persons in interest.1. Subject to the fee limitations that apply to persons in interest under 45 C.F.R. 164.524 and any guidance on those limitations issued by the U.S. Department of Health and Human Services, a preparation fee not to exceed $22.88 for medical record retrieval and preparation;The law adjusts this amount over time; ask for the current figure.Md. Code, Health-General § 4-304, read October 3, 2026 Electronic a hospital or a health care provider that uses or maintains the requested medical records in an electronic format: Electronic copies of records kept electronically, plus actual postage and handling; subject to the fee limits in 45 C.F.R. 164.524 for persons in interest.1. A preparation fee not to exceed $22.88 for electronic format medical records retrieval and preparation; 2. A per–page fee of 75% of the per–page fee charged by a health care provider under subparagraph (i) of this paragraph that may not exceed $80;The law adjusts this amount over time; ask for the current figure.Md. Code, Health-General § 4-304, read October 3, 2026 Free copy A health care provider or a representative of the health care provider: Requests by the patient, the personal representative, a nonprofit legal services or volunteer program, or the patient's attorney, for a Social Security claim or appeal.4. An attorney representing the patient; and (ii) That will be used for the purpose of filing a claim regarding or appealing a denial of Social Security disability income or Social Security benefits under Title II or Title XVI of the Social Security Act.Md. Code, Health-General § 4-304, read October 3, 2026 No amount all other health care providers: Copies for a person in interest or other authorized person; State facilities regulated by the Maryland Department of Health charge under General Provisions § 4-206 instead. X-rays are excluded.(ii) For all other health care providers, a reasonable cost–based fee for providing the information requested.Md. Code, Health-General § 4-304, read October 3, 2026 No amount health care provider: How the amounts may change over time.(4) (i) Except as provided in subparagraph (ii) of this paragraph, the fees charged under paragraph (3) of this subsection may be adjusted annually for inflation in accordance with the Consumer Price Index.Md. Code, Health-General § 4-304, read October 3, 2026 No amount any person or entity who is not subject to the provisions of this subsection and who obtains a medical record from a health care provider or the provider’s agent: Anyone else who obtained the record and sells later copies is held to the 76 cents per page cap in paragraph (3)(i).any person or entity who is not subject to the provisions of this subsection and who obtains a medical record from a health care provider or the provider’s agent may not charge a fee for any subsequent copies of that medical record that exceeds the fee authorized under paragraph (3)(i)Md. Code, Health-General § 4-304, read October 3, 2026 No amount a health care provider: The provider may hold copies until the fee is paid, except emergency requests from State or local government in child or adult protective services cases.(d) Except for an emergency request from a unit of State or local government concerning a child protective services case or adult protective services case, a health care provider may withhold copying until the fee for copying is paid.Md. Code, Health-General § 4-304, read October 3, 2026 How the law adjusts its amounts (3 clauses) (4) (i) Except as provided in subparagraph (ii) of this paragraph, the fees charged under paragraph (3) of this subsection may be adjusted annually for inflation in accordance with the Consumer Price Index.Md. Code, Health-General § 4-304(ii) The preparation fee charged for medical record retrieval and preparation under paragraph (3)(ii)1 of this subsection and for retrieval and preparation of a medical record in an electronic format under paragraph (3)(iii)1 of this subsection may not be adjusted annually for inflation in accordance with the Consumer Price Index.Md. Code, Health-General § 4-304copy of a medical record of an individual enrolled in the Maryland Medical Assistance Program a fee that exceeds $20, adjusted annually for inflation in accordance with the Consumer Price Index, for each 100 pages or portion of 100 pages copied.Md. Code, Health-General § 4-304	Md. Code, Health-General § 4-304.Back to the list of states
Massachusetts	Per page hospital or clinic: Pages copied per request from a hospital or clinic medical record, charged on top of the base charge (c.111, s.70).a per page charge of not more than $0.50 for each of the first 100 pages of a hospital or clinic medical record that is copied per request; and not more than $0.25 per page for each page in excess of 100 pagesThe law adjusts this amount over time; ask for the current figure.Mass. Gen. Laws c.111, s.70, read October 3, 2026 Flat fee hospital or clinic: Copies of a hospital or clinic medical record for the patient, the patient's attorney, or an estate's executor or administrator (c.111, s.70).a copy shall be furnished upon the payment of a reasonable fee, which for the purposes of this section shall mean a base charge of not more than $15 for each request for a hospital or clinic medical record;The law adjusts this amount over time; ask for the current figure.Mass. Gen. Laws c.111, s.70, read October 3, 2026 Free copy hospital or clinic: Applicants, beneficiaries and their representatives asking a health care provider for records; the sentence that follows the no-fee rule.no fee shall be charged to any applicant, beneficiary or individual representing said applicant or beneficiary for furnishing a record if the record is requested for the purpose of supporting a claim or appeal under any provision of the Social Security ActMass. Gen. Laws c.111, s.70, read October 3, 2026 Free copy health care provider: Applicants, beneficiaries and their representatives asking a health care provider for records; the sentence that follows the no-fee rule.Any person for whom no fee shall be charged shall present reasonable documentation at the time of such records request that the purpose of such request is to support a claim or appeal under any provision of the Social Security Act or any federal or state financial needs-based benefit program.Mass. Gen. Laws c.112, s.12CC, read October 3, 2026 No amount hospital or clinic: How the amounts may change over time.The reasonable fee under this section may be adjusted to reflect the consumer price index for medical care services, such that the base amount and the per page charge shall be increased by the proportional consumer price index in effect as of October of the calendar yearMass. Gen. Laws c.111, s.70, read October 3, 2026 No amount A hospital or clinic: Postage, priority mailing, and a requested explanation or summary of the record may be charged in addition (c.111, s.70).A hospital or clinic may also charge an additional fee to cover the cost of postage, other priority mailing and preparation of an explanation or summary of the hospital or clinic medical record if so requested.Mass. Gen. Laws c.111, s.70, read October 3, 2026 No amount A health care provider who maintains records for a patient: Copies for the patient or an authorized representative from physicians, dentists, therapists, nurses and other providers, at the fee defined in c.111, s.70 (c.112, s.12CC).upon request a copy of such patient's record shall be furnished upon payment of a reasonable fee, as defined in section 70 of chapter 111 available to such patient or such representativeMass. Gen. Laws c.112, s.12CC, read October 3, 2026 How the law adjusts its amounts (2 clauses) The reasonable fee under this section may be adjusted to reflect the consumer price index for medical care services, such that the base amount and the per page charge shall be increased by the proportional consumer price index in effect as of October of the calendar year in which theMass. Gen. Laws c.111, s.70for medical care services, such that the base amount and the per page charge shall be increased by the proportional consumer price index in effect as of October of the calendar year in which the request is made, rounded to the nearest dollar.Mass. Gen. Laws c.111, s.70	Mass. Gen. Laws c.111, s.70; Mass. Gen. Laws c.112, s.12CC.Back to the list of states
Michigan	Per page the health care provider, health facility, or medical records company: Paper copies for a patient or authorized representative.(b) Paper copies as follows: (i) One dollar per page for the first 20 pages. (ii) Fifty cents per page for pages 21 through 50. (iii) Twenty cents for pages 51 and over.The law adjusts this amount over time; ask for the current figure.MCL 333.26269, read October 3, 2026 Flat fee the health care provider, health facility, or medical records company: Requests by a patient or authorized representative; subsection (5) bars the initial fee for the patient, so it reaches only representatives.may charge the patient or his or her authorized representative a fee that is not more than the following amounts: (a) An initial fee of $20.00 per request for a copy of the record.The law adjusts this amount over time; ask for the current figure.MCL 333.26269, read October 3, 2026 Electronic the health care provider, health facility, or medical records company: Records held in a form or medium other than paper.(c) If the medical record is in some form or medium other than paper, the actual cost of preparing a duplicate.The law adjusts this amount over time; ask for the current figure.MCL 333.26269, read October 3, 2026 Free copy a health care provider, health facility, or medical records company: All fees waived for a medically indigent individual, who may be asked for proof of assistance and is limited to one free set per holder.Except as otherwise provided in subsection (4), a health care provider, health facility, or medical records company shall waive all fees for a medically indigent individual.MCL 333.26269, read October 3, 2026 One charge waived a health care provider, health facility, or medical records company: The patient personally pays no initial fee; page, duplicate, postage and retrieval charges still apply.(5) Notwithstanding subsection (1), a health care provider, health facility, or medical records company shall not charge a patient an initial fee for his or her medical record.MCL 333.26269, read October 3, 2026 No amount the health care provider, health facility, or medical records company: Postage or shipping costs the holder incurs in providing the copies may be added.(d) Any postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copies.MCL 333.26269, read October 3, 2026 No amount the health care provider, health facility, or medical records company: Actual retrieval costs may be added for records 7 years old or older that are not kept or accessible on-site.(e) 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.MCL 333.26269, read October 3, 2026 No amount A health care provider, health facility, or medical records company: The holder may decline to retrieve or copy the record until the fee is paid.(2) A health care provider, health facility, or medical records company may refuse to retrieve or copy all or part of a medical record for a patient or his or her authorized representative until the applicable fee is paid.MCL 333.26269, read October 3, 2026 No amount A health care provider, health facility, or medical records company: No fee for retrieving, copying or mailing beyond those listed in subsection (1).(3) A health care provider, health facility, or medical records company shall not charge a fee for retrieving, copying, or mailing all or part of a medical record other than a fee allowed under subsection (1).MCL 333.26269, read October 3, 2026 No amount the health care provider, health facility, or medical records company: How the amounts change over time.the department of community health shall adjust on an annual basis the fees prescribed by subsection (1) by an amount determined by the state treasurer to reflect the cumulative annual percentage change in the Detroit consumer price index.MCL 333.26269, read October 3, 2026 How the law adjusts its amounts (1 clause) (6) Beginning 2 years after the effective date of this act, the department of community health shall adjust on an annual basis the fees prescribed by subsection (1) by an amount determined by the state treasurer to reflect the cumulative annual percentage change in the Detroit consumer price index.MCL 333.26269	MCL 333.26269.Back to the list of states
Minnesota	Per page · Flat fee the provider or its representative: Paper copies for the patient or representative, unless other law, a rule or a contract sets a lower maximum.may charge the patient or the patient's representative no more than the following amount, unless other law or a rule or contract provide for a lower maximum charge: (1) for paper copies, $1 per page, plus $10 for time spent retrieving and copying the records;Minn. Stat. 144.292, read October 3, 2026 Flat fee the provider or its representative: X-ray copies for the patient or representative.(2) for x-rays, a total of $30 for retrieving and reproducing x-rays;Minn. Stat. 144.292, read October 3, 2026 Flat fee a provider or the provider's representative: Total caps on paper copies charged under paragraph (b), clause (1).(1) $10 if there are no records available; (2) $30 for copies of records of up to 25 pages; (3) $50 for copies of records of up to 100 pages; (4) $50, plus an additional 20 cents per page for pages 101 and above; or (5) $500 for any request.Minn. Stat. 144.292, read October 3, 2026 Flat fee A provider or its representative: Copies for appealing a denial of Social Security disability income or benefits: retrieval fee only, no per page or x-ray fee.(d) A provider or its representative may charge a $10 retrieval fee, but must not charge a per page fee or x-ray fee to provide copies of records requested by a patient or the patient's authorized representativeMinn. Stat. 144.292, read October 3, 2026 Electronic the provider or its representative: Electronic copies for the patient or representative.and (3) for electronic copies, a total of $20 for retrieving the records.Minn. Stat. 144.292, read October 3, 2026 Free copy the provider: Copies a patient requests to review current medical care.(a) When a patient requests a copy of the patient's record for purposes of reviewing current medical care, the provider must not charge a fee.Minn. Stat. 144.292, read October 3, 2026 Free copy a provider or its representative: Social Security disability appeals for patients on public assistance or with legal services or volunteer attorneys, with proof; no fee, including retrieval.Social Security disability benefits under title II or title XVI of the Social Security Act when the patient is receiving public assistance, represented by an attorney on behalf of a civil legal services program, or represented by a volunteer attorney program based on indigency.Minn. Stat. 144.292, read October 3, 2026 Free copy provider: Up to two free record updates for further Social Security appeals, covering only information not provided before.For the purpose of further appeals, a patient may receive no more than two medical record updates without charge, but only for medical record information previously not provided.Minn. Stat. 144.292, read October 3, 2026 No amount a provider: Copies of the health record or the pertinent portion, furnished on a patient's written request at a reasonable cost (subd. 5); subd. 6 sets the caps.upon a patient's written request, a provider, at a reasonable cost to the patient, shall furnish to the patient within 30 calendar days of receiving a written request for medical records:Minn. Stat. 144.292, read October 3, 2026	Minn. Stat. 144.292.Back to the list of states
Mississippi	Per page · Flat fee Any medical provider or hospital or nursing home or other medical facility: Photocopies of a patient's records for an authorized requesting party, as set by Miss. Code § 11-1-52 and restated in Board Rule 10.8.i. Twenty Dollars ($20.00) for pages one (1) through twenty (20); ii. One Dollar ($1.00) per page for the next eighty (80) pages; iii. Fifty Cents (50¢) per page for all pages thereafter.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 Flat fee Any medical provider or hospital or nursing home or other medical facility: Postage and handling may be added to the photocopy charge.iv. Ten percent (10%) of the total charge may be added for postage and handling.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 Flat fee Any medical provider or hospital or nursing home or other medical facility: Retrieving records kept in archives off the premises of the facility or office.v. Fifteen Dollars ($15.00) may be recovered by the medical provider or hospital or nursing home or other medical facility for retrieving medical records in archives at a location off the premises where the facility/office is located.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 Flat fee Any medical provider, hospital, nursing home or other medical facility: Executing a medical record affidavit requested by the patient or the patient's representative (§ 11-1-52(3) as amended by 2006 HB 1235).Any medical provider, hospital, nursing home or other medical facility shall charge no more than Twenty-five Dollars ($25.00) for executing a medical record affidavit, when the affidavit is requested by the patient or the patient's representative.Miss. Code Ann. 11-1-52, as amended by 2006 HB 1235, read October 3, 2026 No amount licensee: Actual costs of reproducing x-rays or other special records may be added to the duplication fees (Board Rule 10.8).vi. In addition, the actual costs of reproducing x-rays or other special records may be included.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 No amount The licensee: A narrative summary of the medical record, given instead of or in addition to a copy (Board Rule 10.7).The licensee may charge a reasonable fee for the time devoted to preparation of the medical record narrative summary.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 No amount the licensee: Records may not be held back over an unpaid medical bill, but copy expenses may be required in advance (Board Rule 10.6).Transfer of the records shall not be withheld because of an unpaid bill for medical services, but the licensee is entitled to reasonable compensation paid in advance for any copy expenses as provided in Part 2635, Rule 10.6.30 Miss. Admin. Code Pt. 2635, R. 10.6, read October 3, 2026 No amount the medical provider, hospital, nursing home or other medical facility: Fees under subsection (1) must comply with the federal Health Insurance Portability and Accountability Act (§ 11-1-52(4) as amended by 2006 HB 1235).In charging the fees authorized under subsection (1) of this section, the medical provider, hospital, nursing home or other medical facility shall comply with the federal Health Insurance Portability and Accountability Act (HIPAA).Miss. Code Ann. 11-1-52, as amended by 2006 HB 1235, read October 3, 2026	30 Miss. Admin. Code Pt. 2635, R. 10.6; Miss. Code Ann. 11-1-52, as amended by 2006 HB 1235.Back to the list of states
Missouri	Per page · Flat fee Health care providers: Copies of medical records: a search and retrieval charge, plus copying per page.(1) (a) Search and retrieval, in an amount not more than twenty-four dollars and eighty-five cents plus copying in the amount of fifty-seven cents per page for the cost of supplies and laborThe law adjusts this amount over time; ask for the current figure.RSMo 191.227, read October 3, 2026 Flat fee Health care providers: An added labor cost when records are kept in outside storage.if the health care provider has contracted for off-site records storage and management, any additional labor costs of outside storage retrieval, not to exceed twenty-three dollars and twenty-six cents, as adjusted annually pursuant to subsection 6 of this section;The law adjusts this amount over time; ask for the current figure.RSMo 191.227, read October 3, 2026 Flat fee Health care providers: Postage, including packaging and delivery, and a notary fee if requested, may be added.(2) Postage, to include packaging and delivery cost; (3) Notary fee, not to exceed two dollars, if requested.The law adjusts this amount over time; ask for the current figure.RSMo 191.227, read October 3, 2026 Electronic Health care providers: Electronic delivery in a format of the provider's choice, when records are kept wholly in an electronic health record and the provider can send them electronically.(b) The records shall be furnished electronically upon payment of the search, retrieval, and copying fees set under this section at the time of the request or one hundred eight dollars and eighty-eight cents total, whichever is less, if such person:The law adjusts this amount over time; ask for the current figure.RSMo 191.227, read October 3, 2026 No amount Health care providers: How the amounts change over time.the fees listed in subsection 2 of this section shall be increased or decreased annually based on the annual percentage change in the unadjusted, U.S. city average, annual average inflation rate of the medical care component of the Consumer Price Index for All Urban Consumers (CPI-U).RSMo 191.227, read October 3, 2026 No amount providers: Record material that cannot routinely be copied on a standard commercial photocopy machine may be charged at reasonable cost.Notwithstanding provisions of this section to the contrary, providers may charge for the reasonable cost of all duplications of health care record material or information which cannot routinely be copied or duplicated on a standard commercial photocopy machine.RSMo 191.227, read October 3, 2026 No amount emergency care provider: Records made by an emergency care provider or telecommunicator first responder on a call; fee equal to that for any other health care record.(2) The furnishing of health care records under this subsection may be conditioned upon the payment of a fee in an amount equal to the fee allowed for the furnishing of any other health care record under this section.RSMo 191.227, read October 3, 2026 How the law adjusts its amounts (3 clauses) records storage and management, any additional labor costs of outside storage retrieval, not to exceed twenty-three dollars and twenty-six cents, as adjusted annually pursuant to subsection 6 of this section; or (b) The records shall be furnished electronically upon payment of the search, retrieval, and copying fees set under thisRSMo 191.227city average, annual average inflation rate of the medical care component of the Consumer Price Index for All Urban Consumers (CPI-U).RSMo 191.227The department of health and senior services shall report the annual adjustment and the adjusted fees authorized in this section on the department's internet website by February first of each year.RSMo 191.227	RSMo 191.227.Back to the list of states
Montana	Per page health care provider: Paper copies or photocopies of health care information (50-16-540).A reasonable fee for providing health care information may not exceed 50 cents for each page for a paper copy or photocopy.Mont. Code Ann. 50-16-540, read October 3, 2026 Flat fee health care provider: Searching and handling recorded health care information (50-16-540).A reasonable fee may include an administrative fee that may not exceed $15 for searching and handling recorded health care information.Mont. Code Ann. 50-16-540, read October 3, 2026 No amount The health care provider: Each patient request for health care information; fee capped by 50-16-540, and copies may be withheld until the fee is paid (50-16-541).The health care provider may charge a reasonable fee for each request, not to exceed the fee provided for in 50-16-540 , for providing the health care information and is not required to provide copies until the fee is paid.Mont. Code Ann. 50-16-541, read October 3, 2026	Mont. Code Ann. 50-16-541; Mont. Code Ann. 50-16-540.Back to the list of states
Nebraska	Per page · Flat fee provider: Records for a patient or an authorized representative, including under subpoena.for medical records provided under section 71-8403 or under subpoena by a patient or his or her authorized representative a provider may charge no more than twenty dollars as a handling fee and may charge no more than fifty cents per page as a copying feeNeb. Rev. Stat. 71-8404, read October 9, 2026 Free copy provider: Benefits under sections 43-501 to 43-536, the Medical Assistance Act, and Titles II, XVI and XVIII of the Social Security Act; the request needs agency confirmation.A provider shall not charge a fee for medical records requested by a patient for use in supporting an application for disability or other benefits or assistance or an appeal relating to the denial of such benefits or assistance under:Neb. Rev. Stat. 71-8405(1), read October 3, 2026 No amount provider: Records that cannot be copied on a standard photocopy machine.A provider may charge for the reasonable cost of all duplications of medical records which cannot routinely be copied or duplicated on a standard photocopy machine.Neb. Rev. Stat. 71-8404, read October 9, 2026 No amount provider: X-rays and similar special records.A provider may charge an amount necessary to cover the cost of labor and materials for furnishing a copy of an X-ray or similar special medical record.Neb. Rev. Stat. 71-8404, read October 9, 2026	Neb. Rev. Stat. 71-8405(1); Neb. Rev. Stat. 71-8404.Back to the list of states
Nevada	Per page custodian of health care records: Patients, their authorized representatives and others listed in subsection 1; actual postage may be added; X-ray copies at a reasonable cost.the custodian of health care records shall also furnish a copy of the records to each person described in subsection 1 who requests it and pays the actual cost of postage, if any, the costs of making the copy, not to exceed 60 cents per page for photocopiesNRS 629.061, read October 3, 2026 Per page custodian of health care records: A second copy for the same Social Security or needs-based benefit claim or appeal; X-ray copies at a reasonable cost.not to exceed 60 cents per page for photocopies and a reasonable cost for copies of X-ray photographs and other health care records produced by similar processes, may be charged by the custodian for furnishing a second copy of the records to support the same claim or appeal.NRS 629.061, read October 3, 2026 Per page person who owns or operates an ambulance: Ambulance records for the patient, an authorized representative and others listed in subsection 6; actual postage may be added; no administrative or service fee.person who owns or operates an ambulance shall also furnish a copy of the records to each person described in this subsection who requests it and pays the actual cost of postage, if any, and the costs of making the copy, not to exceed 60 cents per page for photocopies.NRS 629.061, read October 3, 2026 Flat fee custodian of health care records: Added to the electronic copy fee for written confirmation that no records were found; not available to government custodians (NRS 629.062).A fee of $5 for written confirmation that no health care records were found.The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Flat fee custodian of health care records: Added to the electronic copy fee for a custodian's certificate; not available to government custodians (NRS 629.062).A fee of $5 for furnishing a copy of a certificate of the custodian of health care records.The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Flat fee custodian of health care records: Added to the electronic copy fee for a printed film sheet; not available to government custodians (NRS 629.062).A fee of $20 for a copy of a printed film sheet.The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Flat fee custodian of health care records: Added to the electronic copy fee for radiologic images in any form other than a printed film sheet; not available to government custodians (NRS 629.062).A fee of $25 for furnishing a copy of radiologic images in any form other than a printed film sheet.The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Electronic custodian of health care records: Records kept electronically and furnished electronically at the request of a person entitled to a copy under NRS 629.061 (NRS 629.062).if a custodian of health care records maintains health care records electronically, any fee to furnish those records electronically pursuant to subsection 1 must not exceed $40 or the amount per page prescribed by NRS 629.061, whichever is less.The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Electronic custodian of health care records: Minimum fee for electronic copies when the capped fee is under $5; not available to state or local government custodians (NRS 629.062).the fee chargeable pursuant to subsection 2 for the furnishing of health care records electronically is less than $5, a custodian of health care records, other than a custodian of the health care records of a state or local governmental entity, may charge a fee of $5The law adjusts this amount over time; ask for the current figure.NRS 629.061, read October 3, 2026 Free copy custodian of health care records: First copy for a patient or authorized representative supporting a Social Security or needs-based benefit claim or appeal, with documentation; due within 30 days.or under any federal or state financial needs-based benefit program, without charge, to a patient, or a representative with written authorization from the patient, who requests it, if the request is accompanied by documentation of the claim or appeal.NRS 629.061, read October 3, 2026 No amount custodian of health care records: No administrative or service fee on top of copying costs and postage.No administrative fee or additional service fee of any kind may be charged for furnishing such a copy.NRS 629.061, read October 3, 2026 No amount custodian of health care records: Copies for Social Security or needs-based benefit claims or appeals may not be refused because the patient cannot pay.the custodian shall not deny the furnishing of a copy of the records pursuant to this subsection solely because the patient is unable to pay the fees established in this subsection.NRS 629.061, read October 3, 2026 How the law adjusts its amounts (1 clause) The amount specified in subsection 1 must be increased or decreased annually in an amount corresponding to the percentage of increase or decrease in the Consumer Price Index (All Items) published by the United States Department of Labor for the immediately preceding year.NRS 629.061	NRS 629.061.Back to the list of states
New Hampshire	Per page · Flat fee health care provider: Paper copies and all related services for a requestor; records stored electronically are given on paper only if the requestor asks for paper.the cost for paper copies of the patient's medical records, and all related services, shall not exceed $5 for the first page, $.41 per page for pages 2 through 50, and $.30 per page for pages 51 and higher.RSA 332-I:1, I(f), read October 3, 2026 Flat fee health care provider: Labor for redactions only when the requestor specifically asks for them, such as of HIV status, drug and alcohol use, mental health or genetic testing.the requestor may be charged a reasonable cost for the labor necessary to complete those redactions, not to exceed $25 per hour.RSA 332-I:1, I(f), read October 3, 2026 Electronic health care provider: Electronic copies and all related services for a requestor: the patient's personal representative, health care provider, power of attorney holder, or attorney.For any request made by a requestor, the cost for electronic copies of the patient's medical records, and all related services, shall be charged at a reasonable rate not to exceed $50.00RSA 332-I:1, I(f), read October 3, 2026 Free copy health care provider: Records not provided within 30 days of the request, unless a force majeure makes them inaccessible, irretrievable or undeliverable in that time.any records not provided within 30 days shall be provided at no costRSA 332-I:1, I(f), read October 3, 2026 Free copy health care provider: Additional requests needed because an incomplete copy was provided.If an incomplete copy of the requested medical records is provided, and additional requests are required to obtain a complete copy of the originally requested medical records, any records provided pursuant to those additional requests shall be provided at no cost.RSA 332-I:1, I(f), read October 3, 2026 Free copy health care provider: Transfers to the person's own health care provider, due within 14 days of the request.Notwithstanding any other provision of law, when the requestor of medical records is the person's health care provider, the requested transfer must be made within 14 days of the request at no cost.RSA 332-I:1, I(f), read October 3, 2026	RSA 332-I:1, I(f).Back to the list of states
New Jersey	Per page · Flat fee general, special, or psychiatric hospital: Requests by a patient or legally authorized representative, for records stored electronically, on microfilm or microfiche, or on paper; delivery within 30 days.For a request by a patient or the patient's legally authorized representative for a medical record, whether such record is stored electronically, on microfilm or microfiche, or on paper, the fee for reproducing the record shall not exceed $1 per page or $50 per individual admission record, whichever is less.N.J.S.A. 26:2H-5n, read October 3, 2026 Flat fee general, special, or psychiatric hospital: X-rays and other material that a commercial photocopier cannot routinely copy.A fee for the reproduction of x-rays or any other material that cannot be routinely copied or duplicated on a commercial photocopy machine, which shall be no more than $15 per printed image or $30 per compact disc (CD) or digital video disc (DVD), plus an administrative fee of $10.N.J.S.A. 26:2H-5n, read October 3, 2026 Flat fee · One charge waived general, special, or psychiatric hospital: Added to per-page fees for legally authorized representatives and authorized third parties; charged even if no records are found; never charged to a patient for their own record.a search fee of no more than $20 per request; provided that no search fee shall be charged to a patient who is requesting the patient's own record.N.J.S.A. 26:2H-5n, read October 3, 2026 Flat fee general, special, or psychiatric hospital: Certification of a copy of a medical record, in addition to per-page fees.a fee for certification of a copy of a medical record of no more than $10 per certificationN.J.S.A. 26:2H-5n, read October 3, 2026 Free copy general, special, or psychiatric hospital: Also a patient showing eligibility for or enrollment in a State or federal assistance program, such as the State Medicaid program, NJ FamilyCare or Work First New Jersey.The fees authorized by this section shall not be imposed on: (1) A patient who does not have the ability to pay and who presents either: (a) a statement certifying to annual income at or below 250 percent of the federal poverty level;N.J.S.A. 26:2H-5n, read October 3, 2026 Free copy general, special, or psychiatric hospital: Nonprofit representatives, health care practitioners, and pro bono attorneys who certify pro bono status; contingency fee attorneys pay the ordinary fees.A not-for-profit corporation indicating in writing that it is representing a patient; (3) A health care practitioner; (4) An attorney representing a patient on a pro bono basis, provided that the attorney submits with the request a certification that the attorney is representing the patient on a pro bono basis.N.J.S.A. 26:2H-5n, read October 3, 2026 Free copy general, special, or psychiatric hospital: Patients, or their attorneys, applying for or receiving Social Security disability benefits under Title II or Title XVI.A patient or an attorney representing a patient who has a pending application for, or is currently receiving, federal Social Security disability benefits provided under Title II or Title XVI of the federal Social Security Act,N.J.S.A. 26:2H-5n, read October 3, 2026 One charge waived general, special, or psychiatric hospital: Electronic or paper copies of billing records.A hospital shall not charge any fee to provide an electronic or paper reproduction of a billing record requested by a patient, or a patient's legally authorized representative;N.J.S.A. 26:2H-5n, read October 3, 2026 No amount general, special, or psychiatric hospital: A patient's request for the patient's own records made under HIPAA; the federal response times and fees in 45 C.F.R. 164.524 apply.If a patient requests a copy of the patient's own medical records in accordance with the federal "Health Insurance Portability and Accountability Act of 1996," Pub.L.104-191, the requirements provided under 45 C.F.R. 164.524(b) with respect to the time required to respond to such requests and the applicable fees shall applyN.J.S.A. 26:2H-5n, read October 3, 2026 No amount general, special, or psychiatric hospital: Delivery costs in any medium plus any sales tax, in addition to per-page fees.costs for delivering records in any medium, plus sales tax, if applicable.N.J.S.A. 26:2H-5n, read October 3, 2026 No amount general, special, or psychiatric hospital: The same fees apply to electronic copies as to paper copies.The fees established in this subsection shall be charged for electronic reproductions as well as paper copies of medical records.N.J.S.A. 26:2H-5n, read October 3, 2026 No amount general, special, or psychiatric hospital: Each hospital must have a policy giving access to copies for patients who cannot pay.The hospital shall establish a policy assuring access to copies of medical records for patients who do not have the ability to pay for the copies.N.J.S.A. 26:2H-5n, read October 3, 2026 No amount general, special, or psychiatric hospital: No fees or charges beyond those in this section may be assessed for copies of admission records.A hospital shall not assess any fees or charges for a copy of individual admission records as provided herein other than those provided for in this section.N.J.S.A. 26:2H-5n, read October 3, 2026	N.J.S.A. 26:2H-5n.Back to the list of states
New Mexico	Per page health care provider: Copies for persons applying for or appealing denial of social security disability benefits, or their authorized representatives.No health care provider shall charge more than: A. $2.00 per page for the first 10 one-sided pages; B. For each page after the first 10 one-sided pages, not more than twenty cents per page.8.370.6.9 NMAC, read October 3, 2026 Per page · Flat fee Physicians: Duplicating and mailing medical records for a patient or the patient's legally designated representative.A reasonable cost-based charge may be made for the cost of duplicating and mailing medical records. A reasonable charge is not more than $30 for the first 15 pages, and $0.25 per page thereafter.16.10.17.8 NMAC, read October 3, 2026 Electronic Physicians: Electronic records and formats other than paper, such as x-rays.Patients may be charged the actual cost of reproduction for electronic records and record formats other than paper16.10.17.8 NMAC, read October 3, 2026 No amount health care provider: Patients, former patients or authorized representatives applying for or appealing denial of social security disability benefits; the fee is one the department sets.A fee as established by the department of health, may be charged by the health care provider to the requestor for the copies or for the service in obtaining the records.NMSA 1978, § 14-6-3, read October 3, 2026 No amount health care provider: Social security disability applicants and appellants; records are due within 30 days whether or not the fee has been received.shall be produced within 30 calendar days of receipt of the written request, regardless of prior receipt of the fee for the records.8.370.6.9 NMAC, read October 3, 2026 No amount Physicians: Records may not be held back over an unpaid bill or overdue account.Medical records may not be withheld because an account is overdue or a bill for treatment, medical records, or other services is owed.16.10.17.8 NMAC, read October 3, 2026	NMSA 1978, § 14-6-3; 8.370.6.9 NMAC; 16.10.17.8 NMAC.Back to the list of states
New York	Per page provider: Paper copies of patient information.However, the reasonable charge for paper copies shall not exceed seventy-five cents per page.N.Y. Public Health Law 18, read October 3, 2026 Free copy provider: Copies supporting a government benefit application, claim or appeal, in electronic or paper form as the program requires or the patient asks.No charge may be imposed under this section for providing, releasing, or delivering patient information or copies of patient information where requested for the purpose of supporting an application, claim or appeal for any government benefit or programN.Y. Public Health Law 18, read October 3, 2026 One charge waived provider: Copies of an original mammogram already furnished; a charge for furnishing an original mammogram may not exceed documented costs.a provider may not impose a charge for copying an original mammogram when the original has been furnished to any qualified personN.Y. Public Health Law 18, read October 3, 2026 No amount provider: Inspections and copies of patient information for a qualified person; the charge may not exceed the provider's costs.The provider may impose a reasonable charge for all inspections and copies, not exceeding the costs incurred by such providerN.Y. Public Health Law 18, read October 3, 2026 No amount provider: Access may not be refused only because the qualified person cannot pay.A qualified person shall not be denied access to patient information solely because of inability to pay.N.Y. Public Health Law 18, read October 3, 2026	N.Y. Public Health Law 18.Back to the list of states
North Carolina	Per page · Flat fee health care provider: Maximum fee for each request; the minimum fee includes copying costs; workers' compensation claims and Disability Determination Services requests are excluded.seventy-five cents (75¢) per page for the first 25 pages, fifty cents (50¢) per page for pages 26 through 100, and twenty-five cents (25¢) for each page in excess of 100 pages, provided that the health care provider may impose a minimum fee of up to ten dollars ($10.00)N.C. Gen. Stat. 90-411, read October 3, 2026 No amount health care provider: Copies of medical records for the patient or the patient's designated representative; the fee covers searching, handling, copying and mailing.A health care provider may charge a reasonable fee to cover the costs incurred in searching, handling, copying, and mailing medical records to the patient or the patient's designated representative.N.C. Gen. Stat. 90-411, read October 3, 2026	N.C. Gen. Stat. 90-411.Back to the list of states
North Dakota	Per page · Flat fee health care provider: Paper or fax copies of records and associated bills on the patient's signed authorization; the charge includes any administration fee, retrieval fee and postage.either in paper or facsimile format at a charge of no more than twenty dollars for the first twenty-five pages and seventy-five cents per page after twenty-five pagesN.D. Cent. Code § 23-12-14, read October 3, 2026 Electronic health care provider: Electronic, digital or other computerized copies on the patient's signed authorization; the charge includes any administration fee, retrieval fee and postage.in an electronic, digital, or other computerized format at a charge of thirty dollars for the first twenty-five pages and twenty-five cents per page after twenty-five pagesN.D. Cent. Code § 23-12-14, read October 3, 2026 Free copy health care provider: Request by the patient or a person the patient authorized, for records sent to a health care provider the patient designates.the provider shall provide a free copy of a patient's health care records to a health care provider designated by the patientN.D. Cent. Code § 23-12-14, read October 3, 2026	N.D. Cent. Code § 23-12-14.Back to the list of states
Ohio	Per page health care provider or medical records company: Paper or electronic copies, per page.(i) One dollar and eleven cents per page for the first ten pages; (ii) Fifty-seven cents per page for pages eleven through fifty; (iii) Twenty-three cents per page for pages fifty-one and higher.The law adjusts this amount over time; ask for the current figure.Ohio Rev. Code 3701.741, read October 3, 2026 Per page health care provider or medical records company: X-ray, MRI or CT scan images on paper or film.With respect to data resulting from an x-ray, magnetic resonance imaging (MRI), or computed axial tomography (CAT) scan and recorded on paper or film, one dollar and eighty-seven cents per page;The law adjusts this amount over time; ask for the current figure.Ohio Rev. Code 3701.741, read October 3, 2026 Flat fee health care provider or medical records company: Records search fee for requesters other than the patient, personal representative or power of attorney holder, such as a person the patient authorized in writing; postage added.An initial fee of sixteen dollars and eighty-four cents adjusted in accordance with section 3701.742 of the Revised Code, which shall compensate for the records search;The law adjusts this amount over time; ask for the current figure.Ohio Rev. Code 3701.741, read October 3, 2026 Electronic health care provider or medical records company: Digital or electronically transmitted records requested by the patient, personal representative or power of attorney holder, including all related services.If the request is made by a person identified in division (B)(1)(a) of this section and the request is for access to digital records or electronically transmitted records, the total cost for that access or for the electronic transmission, and all related services, shall not exceed fifty dollars.The law adjusts this amount over time; ask for the current figure.Ohio Rev. Code 3701.741, read October 3, 2026 Free copy health care provider or medical records company: One copy of the record, and one copy of later treatment records, for a patient, personal representative or authorized person with a Social Security claim filed.A patient, patient's personal representative, or authorized person if the medical record is necessary to support a claim under Title II or Title XVI of the "Social Security Act," 49 Stat. 620 (1935), 42 U.S.C.A. 401 and 1381, as amended, and the request is accompanied by documentationOhio Rev. Code 3701.741, read October 3, 2026 No amount health care provider or medical records company: Requests by the patient, personal representative or power of attorney holder; per-page charges are capped by the division (B)(2)(b) and (c) amounts.costs for copies and all services related to those copies shall be reasonable, cost-based amounts permitted to be charged to the patient under federal laws and regulations. Any per page charges shall not exceed the sum of the per page charges authorized in division (B)(2)(b) and (c) of this section.Ohio Rev. Code 3701.741, read October 3, 2026 No amount health care provider or medical records company: A patient, personal representative or authorized person may agree by contract to a copying fee different from the division (B) amounts.A health care provider or medical records company may enter into a contract with either of the following for the copying of medical records at a fee other than as provided in division (B) of this section: (1) A patient, a patient's personal representative, or an authorized person;Ohio Rev. Code 3701.741, read October 3, 2026 How the law adjusts its amounts (2 clauses) those copies shall not exceed the sum of the following: (a) An initial fee of sixteen dollars and eighty-four cents adjusted in accordance with section 3701.742 of the Revised Code, which shall compensate for the records search; (b) Except as provided in division (B)(2)(c) of this section, with respect toOhio Rev. Code 3701.741as provided in division (B)(2)(c) of this section, with respect to data recorded on paper or electronically, the following amounts adjusted in accordance with section 3701.742 of the Revised Code: (i) One dollar and eleven cents per page for the first ten pages; (ii) Fifty-seven cents per page for pagesOhio Rev. Code 3701.741	Ohio Rev. Code 3701.741.Back to the list of states
Oklahoma	Per page doctor, hospital or other medical institution: Copies for the patient or the patient's personal representative, spouse or responsible family member; excludes x-rays, images, pathology slides and mental health or substance abuse treatment records.The cost of each copy to such person or to the personal representative, spouse or responsible family member of such person, not including any x-ray or other photograph or image or pathology slide, shall be fifty cents ($0.50) for each page.76 O.S. Section 19, read October 3, 2026 Flat fee doctor, hospital or other medical institution: Requests from attorneys, insurance companies and by subpoena, added to per-page charges and postage; charged even if no records are found.Requests for medical records and medical bills from attorneys, insurance companies and by way of subpoena shall be charged a base fee of Twenty Dollars ($20.00) in addition to the per page charges required pursuant to this section, plus postage or delivery fee.76 O.S. Section 19, read October 3, 2026 Flat fee doctor, hospital or other medical institution: Certification or affidavit of the authenticity of the records or bills, when requested.A fee of Fifteen Dollars ($15.00) shall be charged if a certification or an affidavit by the provider regarding the authenticity of the medical records or bills is requested.76 O.S. Section 19, read October 3, 2026 Flat fee doctor, hospital or other medical institution: Each printed x-ray, photograph or image for the patient or the patient's legal representative.The cost of each printed x-ray, other photograph or image to such person or to the legal representative of such person shall be Fifteen Dollars ($15.00).76 O.S. Section 19, read October 3, 2026 Flat fee doctor, hospital or other medical institution: X-rays, photographs or images provided on CD, DVD or other electronic media.If the x-ray, other photograph or image is provided on a CD/DVD or other electronic media, the fee shall be Twenty Dollars ($20.00) per CD/DVD or other electronic media.76 O.S. Section 19, read October 3, 2026 Electronic physician, hospital or other medical professionals and institutions, or their business associates: Digital copies when the whole request can come from an electronic health record system, electronic delivery is requested, and the records can be sent electronically.shall produce the records in digital form at the rate of thirty cents ($0.30) per page if: a. the entire request can be reproduced from an electronic health record system, b. the records are specifically requested to be delivered in electronic format, and c. the records can be delivered electronically.76 O.S. Section 19, read October 3, 2026 Electronic physician, hospital or other medical professionals and institutions, or their business associates: Ceiling on the total charge for electronically stored and delivered records; electronic transmission carries no postage but a delivery charge.In no event shall a charge for the reproduction of electronically stored and delivered medical records pursuant to this paragraph exceed Two Hundred Dollars ($200.00) plus postage or delivery fee.76 O.S. Section 19, read October 3, 2026 One charge waived physician, hospital or other medical professionals and institutions, or their business associates: No fee for searching, retrieving, reviewing or preparing records when patients request their own record.shall not charge a person who requests their own record a fee for searching, retrieving, reviewing, and preparing medical records of the person.76 O.S. Section 19, read October 3, 2026 No amount doctor, hospital or other medical institution: No mailing fee for copies sent by fax.No mailing fee shall be charged for copies provided by facsimile.76 O.S. Section 19, read October 3, 2026	76 O.S. Section 19.Back to the list of states
Oregon	Per page · Flat fee health care provider or state health plan: Copies released on an authorization to disclose; postage and the cost of a requested summary may be added.No more than $30 for copying 10 or fewer pages of written material, no more than 50 cents per page for pages 11 through 50 and no more than 25 cents for each additional pageORS 192.563, read October 9, 2026 Free copy covered entity: A person appealing the denial of Social Security disability benefits; one copy, after which the 192.563 charges may apply.In the case of an individual appealing the denial of Social Security disability benefits, a covered entity shall upon request provide to the individual or the individual’s personal representative, free of charge, one copy of the individual’s health informationORS 192.576, read October 9, 2026 No amount health care services provider: Staff and units of public providers only; reasonable costs of searching files, and of abstracting and copying when requested.A health care services provider may require a person requesting disclosure of the contents of a written account under this section to reimburse the provider for the reasonable costs incurred in searching files, abstracting if requested and copying if requested.ORS 179.505(9)(a), read October 3, 2026 No amount health care services provider: Public providers may not refuse the individual or personal representative access to written accounts because they cannot pay.However, an individual or a personal representative of the individual may not be denied access to written accounts concerning the individual because of inability to pay.ORS 179.505, read October 3, 2026	ORS 179.505(9)(a); ORS 179.505; ORS 192.563; ORS 192.576.Back to the list of states
Pennsylvania	Per page health care facility or health care provider: Per-page amounts for 2026, as published by the Department of Health.Amount charged per page for: Not to Exceed Pages 1—20 $2 Pages 21—60 $1.48 Pages 61—end $0.52 Microfilm copies $2.95The law adjusts this amount over time; ask for the current figure.55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 Flat fee · One charge waived health care facility or health care provider: Search and retrieval fee effective January 1, 2026; not charged to a requestor seeking their own record or on top of a flat fee.*Search and retrieval of records (cannot be charged if requestor is requesting their own personal health record) $29.61The law adjusts this amount over time; ask for the current figure.55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 Flat fee health care facility or health care provider: Flat fee under 42 Pa.C.S.Production of records to support any claim under Social Security or any Federal or State financial needs-based program $37.52The law adjusts this amount over time; ask for the current figure.55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 Electronic health care provider: Electronic copies for the individual under 42 U.S.C. 17935(e), as described in the notice; labor costs exclude search and retrieval.A fee that the health care provider may impose for providing the information (or a summary or explanation of the information) in an electronic format shall not be greater than the labor costs in responding to the request.The law adjusts this amount over time; ask for the current figure.55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 No amount health care provider or facility: A patient or the patient's designee, including an attorney; the cap is the schedule in section 6152.A health care provider or facility shall not charge a patient or his designee, including his attorney, a fee in excess of the amounts set forth in section 6152(a)(2)(i) (relating to subpoena of records).42 Pa.C.S. § 6155, read October 3, 2026 No amount health care provider: The Department of Health notice says charges for requests by the individual or personal representative follow HIPAA, not the schedule above.The charges for the production of medical records by a health care provider in response to a request made by either an individual who is the subject of the health information or the individual's personal representative is governed by the Health Insurance Portability and Accountability Act (HIPAA)55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 No amount covered entity: Copies for the individual under 45 CFR 164.524(c)(4), as described in the notice; only labor, supplies, postage and an agreed summary; no search and retrieval.if the individual requests a copy of the protected health information or agrees to a summary or explanation of the information, the covered entity may impose a reasonable, cost-based fee, provided that the fee includes only the cost of:55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680), read October 3, 2026 No amount hospital: Hospital copies for patients or the patient's next of kin; the charge must be reasonably related to the cost of making the copy.The patient or the patient’s next of kin may be charged for the cost of reproducing the copies; however, the charges shall be reasonably related to the cost of making the copy.28 Pa. Code § 115.29, read October 3, 2026 How the law adjusts its amounts (1 clause) §§ 6152 and 6152.1, is directed to adjust annually the amounts which may be charged by the health care provider or facility.55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680)	42 Pa.C.S. § 6155; 55 Pa.B. 8441 (Pa.B. Doc. No. 25-1680); 28 Pa. Code § 115.29.Back to the list of states
Rhode Island	Per page · Electronic healthcare provider: Per-page charges on copies in electronic format under subsection (c)(2), on top of the clerical fee, with a ceiling on total page charges.Provided, however, that fifty cents ($.50) per page for the first one hundred (100) pages and twenty-five cents ($.25) per page for all pages thereafter may be charged. In no event shall the charge for pages exceed one hundred dollars ($100).R.I. Gen. Laws § 23-1-48, read October 3, 2026 Per page healthcare provider: Per-page charges on copies from a provider without an electronic records system under subsection (d), on top of the clerical fee; no ceiling is stated for these pages.provided, however, that fifty cents ($.50) per page for the first one hundred (100) pages and twenty-five cents ($.25) per page for all pages thereafter may be charged. In addition, the requestor shall pay for the actual shipping costs incurred.R.I. Gen. Laws § 23-1-48, read October 3, 2026 Per page physician: Requests by authorized third parties with a signed authorization, which the regulation says include attorneys representing the patient and a patient's estate; postage may be added.submitting a properly executed Authorization for Release of Information shall be billed at not more than two dollars and fifty cents ($2.50) per page for the first ten (10) pages, then seventy-five cents ($0.75) per page for the next fifty (50) pages, then fifty cents ($0.50) per page.216-RICR-40-05-1, § 1.5.12, read October 3, 2026 Flat fee healthcare provider: Copies from a provider that does not use an electronic health records system; per-page charges may be added under the next rule.If the healthcare provider does not utilize an electronic health records system or database, the charges for responding to requests for copies of medical records shall not exceed a fee for clerical services, research, and handling of twenty-five dollars ($25.00), inclusive of retrieval costs, plus actual shipping costs;R.I. Gen. Laws § 23-1-48, read October 3, 2026 Flat fee healthcare provider: Copies of X-rays or films that cannot be photocopied.Copies of X-rays or films not reproducible by photocopy shall be provided at the healthcare provider’s actual cost for materials and supplies. In addition, the requestor shall pay reasonable fees for clerical services, research, and handling, not to exceed twenty-five dollars ($25.00), plus actual shipping costs incurred.R.I. Gen. Laws § 23-1-48, read October 3, 2026 Flat fee healthcare provider: Records that must be delivered to the patient, authorized representative or third-party requestor within 48 hours of the request.A special handling fee of ten dollars ($10.00) may be charged if the records must be delivered to the patient or authorized representative or third-party requestor within forty-eight (48) hours of the request.R.I. Gen. Laws § 23-1-48, read October 3, 2026 Flat fee physician: Physician copies of X-rays or other documents that cannot be photocopied.Copying of X-rays or other documents not reproducible by photocopy shall be at the physician's actual cost plus reasonable fees for clerical service not to exceed twenty-five dollars ($25.00).216-RICR-40-05-1, § 1.5.12, read October 3, 2026 Electronic healthcare provider: Copies in electronic format from a provider that uses an electronic health records system; per-page charges may be added under the next rule.the charges for responding to requests for copies of medical records in electronic format shall not exceed a fee for clerical services, research, and handling of twenty-five dollars ($25.00), inclusive of shipping costs and the costs of data retrieval and/or the data storage device used to transport the medical records.R.I. Gen. Laws § 23-1-48, read October 3, 2026 Free copy physician: Physician records requested for school immunization or to support a Social Security claim or appeal; the regulation's list continues to federal and state needs-based programs.Charges shall not be made if the record is requested for immunization records required for school admission or by the applicant or beneficiary or individual representing an applicant or beneficiary for the purposes of supporting a claim or appeal under the provision of the Social Security Act216-RICR-40-05-1, § 1.5.12, read October 3, 2026 No amount physician: A physician's charge to a patient for a copy of the patient's own record in any format follows the federal rule at 45 C.F.R. § 164.524.Reimbursement to the physician for responding to a patient a copy of their medical record, regardless of format, shall be consistent with Federal law specifically 45 C.F.R. § 164.524.216-RICR-40-05-1, § 1.5.12, read October 3, 2026 No amount Physicians: A physician may not charge a patient who requests their own records a retrieval or certifying fee.Physicians are prohibited from charging patients who requests their own records a retrieval or certifying fee for duplicating medical records.216-RICR-40-05-1, § 1.5.12, read October 3, 2026 No amount physician: A physician may not withhold a copy of the record because the patient has not paid for medical services.The physician may not require prior payment of charges for medical services as a condition for obtaining a copy of the medical record.216-RICR-40-05-1, § 1.5.12, read October 3, 2026 No amount physician: A physician may not require prepayment of copying or retrieval charges when the patient requests the record for continuity of care.The physician may not require prepayment of charges for duplicating or retrieving records as a condition prior to fulfilling the patient's request for the medical record if the request is for the purpose of continuity of care.216-RICR-40-05-1, § 1.5.12, read October 3, 2026	R.I. Gen. Laws § 23-1-48; 216-RICR-40-05-1, § 1.5.12.Back to the list of states
South Carolina	Per page · Flat fee physician, or other owner of medical records: Physician records on paper, per page, plus a search and handling fee.Sixty-five cents per page for the first thirty printed pages and fifty cents per page for all other printed pages, plus a clerical fee not to exceed twenty-five dollars for searching and handling, which combined with the per page print costs may not exceed two hundred dollars per request,The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-115-80, read October 3, 2026 Per page · Flat fee health care facility, as defined in Section 44-7-130, and a health care provider licensed pursuant to Title 40: Printed records from a facility or Title 40 provider; the cap applies per admission, with only one clerical fee across admissions; postage and tax may be added.sixty-five cents per page for the first thirty printed pages and fifty cents per page for all other printed pages, plus a clerical fee not to exceed twenty-five dollars for searching and handling, which combined with the per page print costs may not exceed two hundred dollars per admissionThe law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-7-325, read October 3, 2026 Flat fee · Electronic physician, or other owner of medical records: Physician records in an electronic format: search and handling fee, and a ceiling on the combined charge per request before postage and tax.plus a clerical fee not to exceed twenty-five dollars for searching and handling, which combined with the per page costs may not exceed one hundred fifty dollars per request, but to which may be added actual postage and applicable sales tax.The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-115-80, read October 3, 2026 Flat fee physician: Physician copies of X-rays for a patient or legal representative.The physician may charge a patient or the patient's legal representative no more than the actual cost of reproduction of an X-ray. Actual cost means the cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplication.The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-115-80(B), read October 3, 2026 Flat fee · Electronic health care facility, as defined in Section 44-7-130, and a health care provider licensed pursuant to Title 40: Records from a facility or a Title 40 provider in electronic form, per page, plus a clerical fee.sixty-five cents per page for the first thirty pages provided in an electronic format and fifty cents per page for all other pages provided in an electronic format, plus a clerical fee not to exceed twenty-five dollars for searching and handling,The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-7-325, read October 3, 2026 Flat fee facility or provider: Facility or Title 40 provider copies of X-rays for a patient or representative.The facility or provider may charge a patient or the patient's representative no more than the actual cost of reproduction of an X-ray.The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-7-325, read October 3, 2026 Electronic physician, or other owner of medical records: Physician records in electronic form, per page.Sixty-five cents per page for the first thirty pages provided in an electronic format and fifty cents per page for all other pages provided in an electronic format,The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-115-80, read October 3, 2026 Electronic health care facility, as defined in Section 44-7-130, and a health care provider licensed pursuant to Title 40: Records from a facility or Title 40 provider in an electronic format: ceiling on the total charge per request, whatever the number of admissions.for records requested to be produced in an electronic format, the total charge to the requestor may not exceed one hundred fifty dollars per request regardless of the number of records produced or number of times the patient has been admitted to the health care facility.The law adjusts this amount over time; ask for the current figure.S.C. Code Ann. 44-7-325, read October 3, 2026 Free copy physician, health care provider, or other owner of medical records: Records sent when the record owner refers the patient to another physician or provider for continued treatment of a specific condition.must provide a patient's medical records at no charge when the patient is referred by the physician, health care provider, or an employee, agent, or contractor of the owner of the record to another physician or health care provider for continuation of treatmentS.C. Code Ann. 44-115-80(B), read October 3, 2026 Free copy health care facility, as defined in Section 44-7-130, and a health care provider licensed pursuant to Title 40: Records a facility or Title 40 provider sends to another provider at the patient's request for continuing care.no fee may be charged for records copied at the request of a health care provider or for records sent to a health care provider at the request of the patient for the purpose of continuing medical care.S.C. Code Ann. 44-7-325, read October 3, 2026 One charge waived physician, or other owner of medical records: A physician may not charge the patient a search and handling fee when no record is found.The search and handling fee is permitted even though no medical record is found as a result of the search, except where the request is made by the patient.S.C. Code Ann. 44-115-80, read October 3, 2026 One charge waived health care facility, as defined in Section 44-7-130, and a health care provider licensed pursuant to Title 40: A facility or Title 40 provider may not charge the patient a search and handling fee when no record is found.the search and handling fees in subitems (a) and (b) are permitted even though no medical record is found as a result of the search, except where the request is made by the patient;S.C. Code Ann. 44-7-325, read October 3, 2026 No amount physician: A physician may require payment before releasing a copy of the record.Payment for all services related to medical record requests is a just debt, due and payable at the time service is rendered. A physician may require payment in advance for a copy of the record.S.C. Code Ann. 44-115-80, read October 3, 2026 How the law adjusts its amounts (3 clauses) (3) All fees allowed by this section, including the maximum, must be adjusted annually in accordance with the Consumer Price Index for all Urban Consumers, South Region (CPI-U), published by the U.S.S.C. Code Ann. 44-115-80is made by the patient; and (d) all of the fees allowed by this section, including the maximum, must be adjusted annually in accordance with the Consumer Price Index for all Urban Consumers, South Region (CPI-U), published by the U.S.S.C. Code Ann. 44-7-325(d) all of the fees allowed by this section, including the maximum, must be adjusted annually in accordance with the Consumer Price Index for all Urban Consumers, South Region (CPI-U), published by the U.S.S.C. Code Ann. 44-7-325	S.C. Code Ann. 44-115-80; S.C. Code Ann. 44-115-80(B); S.C. Code Ann. 44-7-325.Back to the list of states
South Dakota	Per page health care provider or a medical records company: Paper copies other than imaging; postage or shipping and any tax may be added.A health care provider or a medical records company may charge the following fees: (1) For a paper copy of a medical record not specified below, the fee may not exceed ten dollars for the first ten pages and thirty-three cents for each additional page;SDCL 36-2-16.4 (SL 2023, ch 134, § 4), read October 3, 2026 Flat fee health care provider or a medical records company: Printed copies of x-rays and other medical imaging.(3) For a printed copy of an x-ray, magnetic resonance imaging, computerized tomography scan, or any other form of medical imaging, the fee may not exceed ten dollars;SDCL 36-2-16.4 (SL 2023, ch 134, § 4), read October 3, 2026 Flat fee healthcare provider or medical records company: Copies the patient directs to a designated person, or that a third party requests with the patient's signed authorization; added to the copy fees.the healthcare provider or medical records company may charge, in addition to any other fee allowed under §§ 36-2-16.1 to 36-2-17 , inclusive, a fee to search for the medical record, regardless of whether any record is found. The search fee may not exceed eighteen dollars.SDCL 36-2-16.5 (SL 2023, ch 134, § 5), read October 3, 2026 Electronic health care provider or a medical records company: Electronic copies other than imaging; postage or shipping and any tax may be added.(2) For an electronic copy of a medical record not specified below, the fee may not exceed twenty-five cents per page;SDCL 36-2-16.4 (SL 2023, ch 134, § 4), read October 3, 2026 Electronic health care provider or a medical records company: Medical imaging copied onto a disc or other transportable electronic media.(4) For an x-ray, magnetic resonance imaging, computerized tomography scan, or any other form of medical imaging copied onto a compact disc, digital video disc, or other transportable electronic media, the fee may not exceed fifteen dollars.SDCL 36-2-16.4 (SL 2023, ch 134, § 4), read October 3, 2026 One charge waived health care provider: Access to a patient's own electronic health information through a patient portal.A health care provider may not charge a patient a fee for access to the patient’s electronic health information through a patient portal.SDCL 36-2-16.3 (SL 2023, ch 134, § 3), read October 3, 2026	SDCL 36-2-16.4 (SL 2023, ch 134, § 4); SDCL 36-2-16.3 (SL 2023, ch 134, § 3); SDCL 36-2-16.5 (SL 2023, ch 134, § 5).Back to the list of states
Tennessee	Per page · Flat fee provider or the provider's third-party release of information provider: Paper copies under section 63-2-102, for any requesting party, outside workers' compensation cases.Such reasonable costs must not exceed: (A) Twenty-five dollars ($25.00) for paper copies of medical records five (5) pages or less in length; (B) Fifty cents (50¢) per page for each page copied after the first five (5) pages; (C) The actual cost of mailing;Tenn. Code Ann. 63-2-102, read October 3, 2026 Per page · Flat fee provider or the provider's third-party release of information provider: Paper copies under section 68-11-304, for any requesting party, outside workers' compensation cases; the actual cost of mailing may be added.Such reasonable costs must not exceed: (a) Twenty-five dollars ($25.00) for paper copies of medical records five (5) pages or less in length; (b) Fifty cents (50¢) per page for each page copied after the first five (5) pages;Tenn. Code Ann. 68-11-304, read October 3, 2026 Flat fee provider or the provider's third-party release of information provider: Hard-copy radiology images under section 63-2-102.(D) For producing radiology images in hard copy, no more than twenty dollars ($20.00) per printed film;Tenn. Code Ann. 63-2-102, read October 3, 2026 Flat fee provider or the provider's third-party release of information provider: Certification or notarization of paper copies under section 63-2-102, when requested.(E) A certification or notary fee, if certification or notarization is requested, must be charged as a flat fee of twenty dollars ($20.00);Tenn. Code Ann. 63-2-102, read October 3, 2026 Flat fee provider or the provider's third-party release of information provider: Certification or notarization of electronic records for requesters other than the patient under section 63-2-102.(v) A certification or notary fee, if certification or notarization is requested, must be charged as a flat fee of twenty dollars ($20.00);Tenn. Code Ann. 63-2-102, read October 3, 2026 Flat fee provider or the provider's third-party release of information provider: Hard-copy radiology images under section 68-11-304.(c) Twenty dollars ($20.00) per printed film for producing radiology images in hard copy; and (d) The actual cost of mailing;Tenn. Code Ann. 68-11-304, read October 3, 2026 Flat fee provider or the provider's third-party release of information provider: Certification or notarization of paper copies under section 68-11-304, when the requesting party asks for it.(ii) If a party described in subdivision (a)(2)(A)(i) requests certification or notarization, then a certification or notary fee must be charged as a flat fee of twenty dollars ($20.00);Tenn. Code Ann. 68-11-304, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic records for requesters other than the patient, by media, email or portal, under section 63-2-102; actual mailing costs and taxes may be added.(i) The total charges must be no more than twenty-five dollars ($25.00) for records ten (10) pages or less in length; (ii) The total charges must be no more than twenty-five cents (25¢) per page for each page after the first ten (10) pages, up to ninety dollars ($90.00);Tenn. Code Ann. 63-2-102, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic radiology images for requesters other than the patient under section 63-2-102.(iv) The fee for producing electronic copies of radiology images must be no more than twenty-five dollars ($25.00) per request for CD, DVD, or USB, or fifteen dollars ($15.00) per request for electronic files emailed or sent via medical record portal;Tenn. Code Ann. 63-2-102, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic records of patients with a Social Security disability claim or appeal, under section 63-2-102.(vii) The fees charged for reproducing records of patients involved in a claim or appeal of denial for social security disability benefits must be a flat fee of twenty dollars ($20.00), only when the records are produced electronically;Tenn. Code Ann. 63-2-102, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic records for requesters and recipients other than the patient under section 68-11-304.For all other requesters and recipients, the total fees for electronic medical records provided via portable media, electronic mail, or medical record portal, must comply with the following: ( 1) The fee for all electronic medical records must be a flat fee of ninety dollars ($90.00);Tenn. Code Ann. 68-11-304, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic radiology images for requesters other than the patient under section 68-11-304.(2) The fee for producing electronic copies of radiology images must be no more than twenty-five dollars ($25.00) per request for CD, DVD, or USB, or fifteen dollars ($15.00) per request for electronic files emailed or sent via medical record portal;Tenn. Code Ann. 68-11-304, read October 3, 2026 Electronic provider or the provider's third-party release of information provider: Electronic records of patients with a Social Security disability claim or appeal, under section 68-11-304.(5) The fees charged for reproducing records of patients involved in a claim or appeal of denial for social security disability benefits must be a flat fee of twenty dollars ($20.00), only when the records are produced electronically;Tenn. Code Ann. 68-11-304, read October 3, 2026 No amount provider or the provider's third-party release of information provider: A patient's request for their own records in electronic format under section 63-2-102; the fee may cover only labor, supplies or media, and postage.(A) The reasonable fees for fulfilling a patient's request for the patient's own records are governed by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (42 U.S.C. § 1320d et seq.),Tenn. Code Ann. 63-2-102, read October 3, 2026 No amount provider or the provider's third-party release of information provider: A patient's request for their own records in electronic format under section 68-11-304; the fee may cover only labor, supplies or media, and postage.(a) The reasonable fees for fulfilling a patient's request for the patient to receive their own records are governed by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (42 U.S.C. § 1320d et seq.),Tenn. Code Ann. 68-11-304, read October 3, 2026 No amount covered entity or business associate: Prepayment may be required only of requesters other than the patient or personal representative asking for the patient's personal use.other than a request made by the patient or the patient's personal representative, as defined by the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) (42 U.S.C. § 1320d et seq.), for the patient's personal use, a covered entity or business associate may require payment priorTenn. Code Ann. 68-11-304, read October 3, 2026	Tenn. Code Ann. 63-2-102; Tenn. Code Ann. 68-11-304.Back to the list of states
Texas	Per page hospital or its agent: Hospital copies beyond the first 10 pages.(A) a charge for each page of: (i) $1 for the 11th through the 60th page of the provided copies; (ii) 50 cents for the 61st through the 400th page of the provided copies; and (iii) 25 cents for any remaining pages of the provided copies;The law adjusts this amount over time; ask for the current figure.Tex. Health & Safety Code § 241.154, read October 3, 2026 Per page · Flat fee hospital or its agent: Hospital records stored on microform; the actual cost of delivery may be added.if the requested records are stored on microform, a retrieval or processing fee, which must include the fee for providing the first 10 pages of the copies and which may not exceed $45; and (A) $1 per page thereafter;The law adjusts this amount over time; ask for the current figure.Tex. Health & Safety Code § 241.154, read October 3, 2026 Per page · Flat fee physician: Paper copies from a physician.Board rules define a reasonable fee for providing paper copies of medical records as no more than $25 for the first twenty pages and $.50 per page for every copy thereafter.Texas Medical Board, on its rules, read October 9, 2026 Flat fee hospital or its agent: Hospital copies: a retrieval or processing fee that includes the first 10 pages.The fee may not exceed the sum of: (1) a basic retrieval or processing fee, which must include the fee for providing the first 10 pages of the copies and which may not exceed $30;The law adjusts this amount over time; ask for the current figure.Tex. Health & Safety Code § 241.154, read October 3, 2026 Flat fee physician: Copies of imaging studies.A reasonable fee for copies of imaging studies shall be no more than $8 per copy of an imaging study.Texas Medical Board, on its rules, read October 9, 2026 Electronic hospital or its agent: Hospital records delivered in a digital or electronic medium at the requester's request; the actual cost of delivery may be added.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: (A) a retrieval or processing fee, which may not exceed $75;The law adjusts this amount over time; ask for the current figure.Tex. Health & Safety Code § 241.154, read October 3, 2026 Electronic physician: Electronic copies from a physician.A reasonable fee for providing copies of medical records in electronic format is a charge of no more than: $25 for 500 pages or less and $50 for more than 500 pages.Texas Medical Board, on its rules, read October 9, 2026 Free copy health care provider or health care facility: Records for a disability-based benefits application or appeal under the programs listed in 161.202(a), with confirmation from the agency; this subchapter controls over other fee provisions.A health care provider or health care facility may not charge a fee for a medical or mental health record requested by a patient or former patient, or by an attorney or other authorized representative of the patient or former patient, for use in supporting an application for disability benefitsTex. Health & Safety Code § 161.202(a), read October 3, 2026 Free copy physician: Records for a disability benefits or assistance claim.A physician may not charge a fee for a medical or mental health record if the request is related to a benefits or assistance claim based on the patient's disability.Texas Medical Board, on its rules, read October 9, 2026 No amount physician: Physician copies of billing or medical records; the amounts are set by Texas Medical Board rule; the Board's own answer is quoted below.a physician: (1) may charge a reasonable fee, as prescribed by board rule, for copying billing or medical records; and (2) is not required to permit examination or copying of the records until the fee is paid unless there is a medical emergency.Tex. Occ. Code § 159.006(d), read October 3, 2026 No amount hospital or its agent: Hospital copies on a patient's or representative's written authorization; the hospital may hold the copies until paid, except in a medical emergency.the hospital or its agent may charge a reasonable fee for providing the health care information except payment information and is not required to permit the examination, copying, or release of the information requested until the fee is paid unless there is a medical emergency.Tex. Health & Safety Code § 241.154, read October 3, 2026 How the law adjusts its amounts (1 clause) (e) Effective September 1, 1996, and annually thereafter, the fee for providing health care information as specified in this section shall be adjusted accordingly based on the most recent changes to the consumer price index as published by the Bureau of Labor Statistics of the United States Department of LaborTex. Health & Safety Code § 241.154	Tex. Occ. Code § 159.006(d); Tex. Health & Safety Code § 241.154; Tex. Health & Safety Code § 161.202(a); Texas Medical Board, on its rules.Back to the list of states
Utah	Per page · Flat fee health care provider or a health care provider's third-party service: Paper or electronic copies: a locating fee and per-page charges.may charge a reasonable fee for paper or electronic copies, but may not exceed the following rates: (A) $30 per request for locating a patient's records; (B) reproduction charges may not exceed 53 cents per page for the first 40 pages and 32 cents per page for each additional page;Utah Code 78B-5-618, read October 3, 2026 Per page health care provider or a health care provider's third-party service: Later copies for a documented Social Security or needs-based benefit claim or appeal; no administrative fee, and electronic copies follow the $150 ceiling.(b) for a second or subsequent copy in a calendar year of a date of service that is necessary to support the qualified claim or appeal, may charge a reasonable fee that may not: (i) exceed 60 cents per page for paper photocopies;The law adjusts this amount over time; ask for the current figure.Utah Code 78B-5-618(12), read October 3, 2026 Flat fee health care provider or a health care provider's third-party service: Certification of a copy as a duplicate, when an attorney, legal representative or other authorized third party asks for it.(D) if requested, the person fulfilling the request will certify the record as a duplicate of the original for a fee of $20;Utah Code 78B-5-618, read October 3, 2026 Flat fee health care provider or a health care provider's third-party service: Expedited requests from an attorney, legal representative or other authorized third party, delivered within 15 days.(iii) may charge an expedition fee of $20 if: (A) the requester's notice explicitly requests an expedited response; and (B) the person fulfilling the request postmarks or otherwise makes the record available electronically within 15 days from the day the person fulfilling the request receives notice of the request.Utah Code 78B-5-618, read October 3, 2026 Electronic health care provider or a health care provider's third-party service: Copies produced in an electronic medium, for patients, representatives and third parties alike.(b) The per page fee for producing a copy of records in an electronic medium shall be 50% of the per page fee otherwise provided in this section, regardless of whether the original medical records are stored in electronic format.The law adjusts this amount over time; ask for the current figure.Utah Code 78B-5-618, read October 3, 2026 Electronic person fulfilling the request: Electronic copies: one ceiling, whatever the number of pages.(B) may not charge a fee for the electronic copy that exceeds $150 regardless of the number of pages and regardless of whether the original medical records are stored in electronic format.The law adjusts this amount over time; ask for the current figure.Utah Code 78B-5-618, read October 3, 2026 Electronic person fulfilling the request: Electronic copies not delivered within 30 days of notice; if not delivered within 60 days they are free; extended for force majeure.(i) within 30 days after the day notice is received by the person fulfilling the request, the person fulfilling the request may not charge a fee for the electronic copy that exceeds $75 regardless of the number of pagesThe law adjusts this amount over time; ask for the current figure.Utah Code 78B-5-618, read October 3, 2026 Free copy health care provider or a health care provider's third-party service: Subsection (5) requests from attorneys and other third parties: half the fee is waived after 30 days and all of it after 60, extended for force majeure.(ii) within 60 days after the day on which notice is received by the person fulfilling the request, the person fulfilling the request shall provide the requested records free of charge to the requester.Utah Code 78B-5-618, read October 3, 2026 Free copy health care provider or a health care provider's third-party service: Requests with documentation of a Social Security or needs-based benefit claim or appeal; one free copy per date of service each calendar year.a health care provider or the health care provider's third-party service: (a) may not charge a fee for the first copy of the record for each date of service that is necessary to support the qualified claim or appeal in each calendar year;Utah Code 78B-5-618(12), read October 3, 2026 Free copy health care provider or a health care provider's third-party service: Indigent individuals (household income at or below 100% of the federal poverty level), one copy per date of service per provider each year; proof by affidavit may be required.(a) Except as otherwise provided in Subsections (4) through (8), a health care provider or the health care provider's third-party service shall waive all fees under this section for an indigent individual.Utah Code 78B-5-618(12), read October 3, 2026 No amount health care provider: Paper or electronic copies given to the patient or the patient's personal representative under subsection (4).(b) may charge a reasonable cost-based fee provided that the fee includes only the cost of: (i) copying, including the cost of supplies for and labor of copying; and (ii) postage, when the patient or patient's personal representative has requested the copy be mailed.Utah Code 78B-5-618, read October 3, 2026 How the law adjusts its amounts (1 clause) (11) (a) On January 1 of each year, the state treasurer shall adjust the following fees for inflation: (i) the fee for providing patient's records under Subsections (5)(a)(ii)(A) and (B); and (ii) the maximum amount that may be charged for an electronic copy under Subsection (10)(c)(ii)(B).Utah Code 78B-5-618	Utah Code 78B-5-618; Utah Code 78B-5-618(12).Back to the list of states
Vermont	Per page · Flat fee custodian: Copies of an individual's record from any custodian, including providers, facilities and insurers; the cap is whichever of the flat fee or per-page amount is greater.A custodian may impose a charge that is no more than a flat $5.00 fee or no more than $0.50 per page, whichever is greater, for providing copies of an individual’s health care record.18 V.S.A. § 9419(a), read October 3, 2026 Free copy custodian: Records requested to support a Social Security or other needs-based benefit claim or appeal.A custodian shall not charge for providing copies of any health care record requested to support a claim or an appeal under any provision of the Social Security Act or for any other federal or State needs-based benefit or program.18 V.S.A. § 9419(a), read October 3, 2026 No amount custodian: Copies of X-rays, films, models, disks, tapes and records kept in other formats.(b) A custodian may charge an individual a fee, reasonably related to the associated costs, for providing copies of X-rays, films, models, disks, tapes, or other health care record information maintained in other formats.18 V.S.A. § 9419(a), read October 3, 2026	18 V.S.A. § 9419(a).Back to the list of states
Virginia	Per page · Flat fee health care provider: Paper or hard copies. Attorney, executor, administrator or insurer requests, not a patient's own.reasonable fee not to exceed $0.50 per page for up to 50 pages and $0.25 per page thereafter for such copies, $1 per page for hard copies from microfilm or other micrographic process, and a fee for search and handling not to exceed $20, plus all postage and shipping costs.Va. Code § 8.01-413, read October 3, 2026 Flat fee · Electronic health care provider: Electronic copies of records kept in electronic storage. Attorney, executor, administrator or insurer requests, not a patient's own.a health care provider may charge the requester a reasonable fee not to exceed $0.37 per page for up to 50 pages and $0.18 per page thereafter for such copies and a fee for search and handling not to exceed $20, plus all postage and shipping costs.Va. Code § 8.01-413, read October 3, 2026 Flat fee · Electronic health care provider: X-ray and other imaging studies produced electronically. Attorney, executor, administrator or insurer requests, not a patient's own.a health care provider may charge the requester a reasonable fee, which shall not exceed $25 per X-ray series or study or other imaging study, and a fee for search and handling, which shall not exceed $10, plus all postage and shipping costs.Va. Code § 8.01-413, read October 3, 2026 Flat fee health care provider: X-ray and other imaging studies in hard copy, or where the provider cannot produce them electronically. Attorney, executor, administrator or insurer requests, not a patient's own.a reasonable fee, which may include a fee for search and handling not to exceed $10 and the actual cost of supplies for and labor of copying the requested X-ray series or study or other imaging study, plus all postage and shipping costs.Va. Code § 8.01-413, read October 3, 2026 Electronic health care provider: Ceiling on B3 electronic copies; an audit trail may be added. Attorney, executor, administrator or insurer requests, not a patient's own.the total amount charged to the requester for health records produced in electronic format pursuant to this subsection, including any postage and shipping costs and any search and handling fee, shall not exceed $160 for any request made on or after July 1, 2021,Va. Code § 8.01-413, read October 3, 2026 Free copy health care provider: One free electronic copy a year for a documented Social Security, veterans' or needs-based benefit claim or appeal; later copies that year may be charged.one free copy of a patient's medical records stored or maintained in an electronic health record (EHR) per calendar year if requested by a patient or his attorney for the purpose of supporting a claim or appeal under Title II, XVI, XVIII, or XIX of the Social Security Act,Va. Code § 8.01-413, read October 3, 2026 One charge waived health care provider: Benefit-claim requests under B7 when no records are found.Any additional requests for medical records in the same calendar year are subject to a reasonable fee for the production of the records. No fees shall be charged if no medical records are found in response to the request.Va. Code § 8.01-413, read October 3, 2026 No amount health care entity: An individual's request for their own record, including a person authorized to act for them; postage and an agreed summary may also be charged.if an individual requests a copy of his health record from a health care entity, the health care entity may impose a reasonable cost-based fee, which shall include only the cost of supplies for and labor of copying the requested information,Va. Code § 32.1-127.1:03, read October 3, 2026 No amount health care provider: Paper-only parts of an electronic request: paper rates, outside the $160 ceiling. Attorney, executor, administrator or insurer requests, not a patient's own.a health care provider may charge a fee pursuant to subsection B2 for the production of such portion, and such production of such portion is not subject to any limitations set forth in subsection B3,Va. Code § 8.01-413, read October 3, 2026 No amount health care provider: Records requested by the patient or the patient's attorney may not be held back for nonpayment.Production of health records to the patient, or his attorney, requested pursuant to this section shall not be withheld or delayed solely on the grounds of nonpayment for such health records.Va. Code § 8.01-413, read October 3, 2026	Va. Code § 32.1-127.1:03; Va. Code § 8.01-413.Back to the list of states
Washington	Per page health care provider: Copying by a health care provider; HIPAA covered entities are further limited under subsection (3).(1) Copying charge per page: (a) No more than one dollar and twenty-four cents per page for the first thirty pages; (b) No more than ninety-four cents per page for all other pages.WAC 246-08-400, read October 3, 2026 Flat fee provider: Searching and handling by a health care provider; HIPAA covered entities are further limited under subsection (3).(2) Additional charges: (a) The provider can charge a twenty-eight dollar clerical fee for searching and handling records;WAC 246-08-400, read October 3, 2026 Flat fee provider: When the provider personally removes confidential information from the record as a statute requires.(b) If the provider personally edits confidential information from the record, as required by statute, the provider can charge the usual fee for a basic office visit.WAC 246-08-400, read October 3, 2026 Free copy health care facility or health care provider: Patients appealing a denial of SSI or Social Security disability benefits; one free copy, not repeated within two years.a health care facility or health care provider shall provide the patient or representative with one copy of the patient's health care information free of charge if the patient is appealing the denial of federal supplemental security income or social security disability benefits.RCW 70.02.030, read October 3, 2026 No amount health care provider: A patient's request to examine or copy their own health care information; the provider may wait for payment before copying.Except as provided in RCW 70.02.030 , the health care provider may charge a reasonable fee for providing the health care information and is not required to permit examination or copying until the fee is paid.RCW 70.02.080, read October 3, 2026 No amount health care provider or health care facility: Disclosures made on a patient's written authorization; the provider or facility may wait for payment before honoring it.(2)(a) Except as provided in (b) of this subsection and RCW 70.02.370 , a health care provider or health care facility may charge a reasonable fee for providing the health care information and is not required to honor an authorization until the fee is paid.RCW 70.02.030, read October 3, 2026 No amount HIPAA covered entities: Providers that are HIPAA covered entities may charge only what the federal HIPAA rule allows, whatever the state schedule says.(3) HIPAA covered entities as defined in 45 C.F.R. Sec. 103 may not charge fees or costs that are not authorized by, or are prohibited by, Federal HIPAA regulation 45 C.F.R. Sec. 164.WAC 246-08-400, read October 3, 2026	RCW 70.02.080; RCW 70.02.030; WAC 246-08-400.Back to the list of states
Washington, DC	Per page · Flat fee A health care entity: Records produced on paper; the search and handling fee applies even if no record is found.(2) For any personal medical record that is produced in a non-electronic format: (A) A search and handling fee of $22.88, even if no personal medical record is located; (B) A per page fee not exceeding 88 cents; and (C) The actual cost for postage and handling.The law adjusts this amount over time; ask for the current figure.D.C. Code § 3-1210.12, read October 3, 2026 Flat fee A health care entity: Requests by the patient, a health care power of attorney, or a deceased patient's executor, administrator or survivor; the amount is set by rule, not shown here.under a health care power of attorney for the patient or client, or, if the patient or client is deceased, a person listed under subsection (a) of this section, to pay a reasonable fee for copying, as determined by the board through rulemaking.D.C. Code § 3-1210.11, read October 3, 2026 Electronic A health care entity: Records produced electronically; the search and handling fee applies even if no record is found.(1) For a personal medical record that is produced in an electronic format: (A) A search and handling fee of $22.88, even if no personal medical record is located; and (B) A per page fee not exceeding 66 cents; provided the total amount shall not exceed $86.54.The law adjusts this amount over time; ask for the current figure.D.C. Code § 3-1210.12, read October 3, 2026 No amount A health care entity: A health care power of attorney or a deceased patient's representative pays the same fee the patient would pay.under a health care power of attorney for the patient or client or, if the patient or client is deceased, a person listed under subsection (a) of this section, a fee different than the one the health care entity would charge the patient or client.D.C. Code § 3-1210.11, read October 3, 2026 No amount a health care entity: No other fees may be charged to an authorized person beyond those in subsection (b).The fees enumerated in subsection (b) of this section are the only fees that a health care entity may charge an authorized person for the production of a personal medical record;D.C. Code § 3-1210.12, read October 3, 2026 No amount the health care entity: Fee falls by 15 dollars a day after 60 days, never below zero; no reduction when the entity has a legal basis to withhold.If the health care entity fails to furnish the requested personal medical record within the 60-day period, the health care entity shall reduce its fee for producing the personal medical record as provided for under subsection (b) of this section by 15 dollars for each day of non-compliance;D.C. Code § 3-1210.12(a)(1), read October 3, 2026 How the law adjusts its amounts (2 clauses) (d) (1) The fees enumerated in subsection (b) of this section shall be adjusted for inflation on an annual basis starting on January 1, 2024, in accordance with the Consumer Price Index ("CPI") for the District as calculated by the United States Bureau of Labor Statistics.D.C. Code § 3-1210.12(2) The Department of Health shall calculate the CPI adjustments and publish the adjusted fee amounts on the Department's website no later than February 1 of each year.D.C. Code § 3-1210.12	D.C. Code § 3-1210.11; D.C. Code § 3-1210.12; D.C. Code § 3-1210.12(a)(1).Back to the list of states
West Virginia	Per page · Flat fee health care provider: Copies: a search and handling fee, a per-page fee for paper, and postage if mailed.(A) A search and handling fee of $20; (B) a per page fee of 40 cents for paper copies; and (C) postage, if the person requested that the records be mailed, plus any applicable taxes.The law adjusts this amount over time; ask for the current figure.W. Va. Code 16-29-2, read October 3, 2026 Electronic health care provider: Records stored electronically and delivered electronically to a person other than the patient or personal representative, unless they ask for paper.the per page fee for providing an electronic copy shall not exceed 20 cents per page but shall in no event exceed $150 inclusive of all fees, including a search and handling fee, except for applicable taxes.The law adjusts this amount over time; ask for the current figure.W. Va. Code 16-29-2, read October 3, 2026 Free copy provider: Indigent persons supporting a Social Security claim or appeal, shown by legal aid representation or proof of inability to pay; one free set per provider.a provider shall not impose a charge on an indigent person or his or her authorized representative if the medical records are necessary for the purpose of supporting a claim or appeal under any provisions of the Social Security Act,W. Va. Code 16-29-2(f), read October 3, 2026 No amount provider: Copies requested by the patient or the patient's personal representative.(a) A provider may charge a patient or the patient’s personal representative no more than a fee consistent with HIPAA, as amended, and any rules promulgated pursuant to HIPAA, plus any applicable taxes.W. Va. Code 16-29-2, read October 3, 2026 How the law adjusts its amounts (1 clause) (e) The per page fee for copying under subsection (b) shall be adjusted to reflect the consumer price index for medical care services such that the base amount shall be increased or decreased by the proportional consumer price index as published every October 1 starting October 1, 2017.W. Va. Code 16-29-2	W. Va. Code 16-29-2; W. Va. Code 16-29-2(f).Back to the list of states
Wisconsin	Per page health care provider: Paper copies for any requester with informed consent; actual shipping and taxes may be added.For paper copies: $1 per page for the first 25 pages; 75 cents per page for pages 26 to 50; 50 cents per page for pages 51 to 100; and 30 cents per page for pages 101 and above.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83(3f)(b)1, read October 3, 2026 Per page health care provider: Copies from microfiche or microfilm.For microfiche or microfilm copies, $1.50 per page.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83(3f)(b)1, read October 3, 2026 Flat fee health care provider: Prints of X-rays.For a print of an X-ray, $10 per image.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83(3f)(b)1, read October 3, 2026 Flat fee health care provider: Certification charge for requesters other than the patient or a person the patient authorized; the patient is not charged it.If the requester is not the patient or a person authorized by the patient, for certification of copies, a single $8 charge.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83(3f)(b)1, read October 3, 2026 Flat fee health care provider: Retrieval fee for requesters other than the patient or a person the patient authorized; the patient is not charged it.If the requester is not the patient or a person authorized by the patient, a single retrieval fee of $20 for all copies requested.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83(3f)(b)1, read October 3, 2026 Flat fee health care provider: Copies a patient or authorized person requests to appeal a denial of Social Security disability insurance or supplemental security income.the health care provider may charge the patient or person authorized by the patient no more than the amount that the federal social security administration reimburses the department for copies of patient health care records.The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83, read October 3, 2026 Flat fee health care provider: One set of copies for a patient eligible for medical assistance; proof may be required; further sets cost the full fee; not when the provider is a state department.a health care provider may not charge a patient or a person authorized by the patient more than 25 percent of the applicable fee under sub. (3f) for providing one set of copies of a patient’s health care records under this section if the patient is eligible for medical assistance,The law adjusts this amount over time; ask for the current figure.Wis. Stat. 146.83, read October 3, 2026 How the law adjusts its amounts (1 clause) On each July 1, beginning on July 1, 2012, the department shall adjust the dollar amounts specified under par.Wis. Stat. 146.83	Wis. Stat. 146.83(3f)(b)1; Wis. Stat. 146.83.Back to the list of states
Wyoming	No amount physician: A patient's request to a physician for copies of any part of their medical record; no dollar figure is set.A physician may establish reasonable charges, and charge a patient for the actual costs incurred in responding to a patient's request for copies of any portion of a patient's medical record. Such costs may include the cost of copies, clerical staff time and the physician's time in reviewingWyo. Admin. Rules, Board of Medicine Ch. 3 s. 4 (052.0001.3), read October 3, 2026 No amount physician: A physician may not refuse a patient a copy or summary because the patient cannot pay.The patient requesting medical records is responsible for payment of all such charges; however, a patient shall not be denied a summary or a copy of requested medical records because of inability to pay.Wyo. Admin. Rules, Board of Medicine Ch. 3 s. 4 (052.0001.3), read October 3, 2026	Wyo. Admin. Rules, Board of Medicine Ch. 3 s. 4 (052.0001.3).Back to the list of states

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Health Record Rights Index by SuperTruth. Not legal or medical advice. State laws read between October 3, 2026 and October 9, 2026; federal rules read between October 4, 2026 and October 5, 2026. Our own words are CC BY 4.0; quoted law and page titles stay with their owners. This page last changed on October 9, 2026. Terms of Use · Privacy Policy