Edward R. Waxman & Associates is the Hospital Bill Auditing company. We are medical bill auditors. We perform hospital bill audits. We review hospital bills for errors, mistakes and improper charges.

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Fees That Hospitals Are Allowed to Charge for Medical Records, by State

The fees that hospitals are allowed to charge patients for retrieving and photocopying their medical records are set, in most states, by state statute or regulation.

The table below shows the maximum fees, by state, that a hospital is allowed to charge for producing paper medical records for a patient to use for the purpose of having his or her hospital bill audited. Some of the links lead directly to the listed statute; others lead to a table of contents or an index of statutes that can be used as the starting point from which to search for the listed statute.

NOTE: Under the federal Health Insurance Portability and Accountability Act (HIPAA), medical record copying fees for patients may not include costs associated with searching for and retrieving their medical records (45 CFR 164.524(c)(4)). HIPAA further requires that copying and postage fees be reasonable and cost-based.  In many states, therefore, a hospital that charges a patient the maximum fees allowed under state law appears to be violating federal law.

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State		File Retrieval Fee
(see note above)		Photocopying
Fee Per Page		  
Other Fee		  
Legal Reference
Alabama $5.00 $1.00 pp. 1-25
$0.50 pp. 26+		 Actual postage Ala. Code § 12-21-6.1(b)(2)
Alaska        
Arizona   Reasonable fee   Ariz. Rev. Stat. § 12-2295
Arkansas* $15.00 $0.50 pp. 1-25
$0.25 pp. 26+		 Actual postage Ark. Code § 16-46-106(a)
[update]
California Reasonable clerical costs $0.25   Cal. Health & Safety Code §123110(b)
Colorado   $1.40 pp. 1-10
$0.50 pp. 11-40
$0.33 pp. 41+
[$14.00 minimum]		 Actual postage and applicable sales tax 6 Code of Colo. Reg. 1011-1,
Ch. 2, Part 5.2.3.4
Connecticut None $0.65 Actual postage Conn. Gen. Stat. § 19a-490b
Delaware        
District of Columbia        
Florida $1.00 for each year of records requested $1.00 Actual postage and sales tax Fla. Stat. § 395.3025(1)
Georgia* $24.86 $0.93 pp. 1-20
$0.80 pp. 21-100
$0.63 pp. 101+		 Actual postage Ga. Code § 31-33-3
[update]
Hawaii   Reasonable costs   Haw. Rev. Stat. § 622-57(g)
Idaho        
Illinois* $22.84 $0.86 pp. 1-25
$0.57 pp. 26-50
$0.29 pp. 51+		 Actual postage 735 Ill. Comp. Stat. 5/8-2001
[update]
Indiana* $20.00 (if charged, includes photocopying
pp. 1-10)		 $1.00 pp. 1-10
$0.50 pp. 11-50
$0.25 pp. 51+		 Actual postage Ind. Code § 16-39-9-2
[update -- Rule 71]
Iowa        
Kansas* $17.50 $0.58 pp. 1-250
$0.41 pp. 251+		   Kan. Stat. § 65-4971(b)
[update]
Kentucky First copy free First copy free First copy free Ky. Rev. Stat. § 422.317(1)
Louisiana $15.00 $1.00 pp. 1-25
$0.50 pp. 26-500
$0.25 pp. 501+		 Actual postage La. Rev. Stat.
§ 40:1299.96(A)(2)(b)
Maine   $10.00 p. 1
$0.35 pp. 2+		   Me. Rev. Stat. tit. 22, § 1711
Maryland* None $0.73 Actual postage Md. Code, Health-General
§ 4-304(c)(3)         [update]
Massachusetts $15.00 $0.50 pp. 1-100
$0.25 pp. 101+		 Actual postage Mass. Gen. Laws ch. 111, § 70
Michigan* $21.58 $1.08 pp. 1-20
$0.54 pp. 21-50
$0.22 pp. 51+		   Mich. Comp. Laws § 333.26269
[update]
Minnesota* $16.03 $1.22   Minn. Stat. § 144.335, Sub. 5 [update]
Mississippi $15.00 if records are located off premises of facility $1.00 pp. 1-100
$0.50 pp. 101+
[$20.00 minimum]		 10% of combined file retrieval and photocopying fee Miss. Code of 1972 § 11-1-52
Missouri* $19.31 $0.46 Actual postage Mo. Rev. Stat. § 191.227
[update]
Montana $15.00 $0.50   Mont. Code § 50-16-540
Nebraska $20.00 $0.50   Neb. Rev. Stat. § 71-8404
Nevada None $0.60 Actual postage Nev. Rev. Stat. § 629.061
New Hampshire   $0.50
[$15.00 minimum]		   N.H. Rev. Stat. § 332-I:1
New Jersey $10.00 $1.00 pp. 1-100
$0.25 pp. 101+
[$200.00 maximum]		 Actual postage N.J. Admin. Code
§ 8.43G-15.3(d)
New Mexico**        
New York   $0.75   N.Y. Pub. Health Law § 17
North Carolina   $0.75 pp. 1-25
$0.50 pp. 26-100
$0.25 pp. 101+
[$10.00 minimum]		   N.C. Gen. Stat. § 90-411
North Dakota   $0.80 pp. 1-25
$0.75 pp. 26+
[$20.00 minimum]		   N.D. Cent. Code § 23-12-14
Ohio*   $2.74 pp. 1-10
$0.57 pp. 11-50
$0.23 pp. 51+		 Actual postage Ohio Rev. Code § 3701.741(B)(1)
[update]
Oklahoma None $1.00 p. 1
$0.50 pp. 2+		 Actual postage Okla. Stat. § 76-19
Oregon*   $3.00 pp. 1-10
$0.50 pp. 11-50
$0.25 pp. 51+
[$30.00 minimum]		 Actual postage Or. Rev. Stat. § 192.521
[update]
Pennsylvania* None $1.28 pp. 1-20
$0.95 pp. 21-60
$0.32 pp. 61+		 Actual postage 42 Pa. Cons. Stat. § 6152
[update]
Rhode Island**        
South Carolina $15.00 $0.65 pp. 1-30
$0.50 pp. 31+		 Actual postage and sales tax S.C. Code § 44-7-325(A)
South Dakota   Actual cost Actual postage S.D. Codified Laws § 34-12-15
Tennessee*   $3.60 pp. 1-5
$0.85 pp. 6-50
$0.60 pp. 51-250
$0.35 pp. 251+
[$18.00 minimum]		 Actual postage Tenn. Code § 68-11-304(a)(2)(A)
[update]
Texas*   $4.254 pp. 1-10
$1.43 pp. 11-60
$0.71 pp. 61-400
$0.37 pp. 401+
[$42.54 minimum]		 Actual postage Tex. Health & Safety Code
§ 241.154(b)
[update]
Utah        
Vermont   $0.50     [$5.00 minimum]   Vt. Stat. tit. 18, § 9419
Virginia   Reasonable cost-based fee Actual postage Va. Code § 32.1-127.1:03-J
Washington* $22.00 $0.96 pp. 1-30
$0.73 pp. 31+		   Wash. Rev. Code § 70.02.80(2) [update]
West Virginia $10.00 $0.75   W. Va. Code § 16-29-2(a)
Wisconsin   $0.31 Actual postage and sales tax Wis. DHS § 117.05(2)
Wyoming   Reasonable fee, not to exceed actual cost   Wyo. Stat. § 35-2-611(b)
*Fees are updated periodically for inflation.

**Sets maximum fees for physicians but not for hospitals.		   Please note that the information in this table is presented for general information purposes only and is not meant to be taken as legal advice.   We do our best to keep the information in this table correct and current. Please let us know if you find any errors or out of date information.


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Edward R. Waxman & Associates is the hospital bill auditing company. The service we provide results in lower hospital bills. We reduce hospital bills by getting overcharges removed. We save you money on your hospital bill.
3646 Pleasant Valley Road
York, PA 17406-7035
Phone: (717) 757-5613
Toll-free: (877) 679-7224
Fax: (717) 751-0070
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