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Connecticut Medical Record Fees: 2026 Statutory Guide

Under Conn. Gen. Stat. § 19a-490b, the following rates apply to all licensed healthcare institutions and providers in Connecticut.

1. Statutory Fee Schedule (2026)

Connecticut uses a flat-rate model where all administrative costs must be bundled into the per-page fee.

Service TypePaper Records FeeElectronic Records Fee
Per Page Rate$0.65 per page$0.65 per page
Search / Clerical Fee$0.00 (Included)$0.00 (Included)
Handling / Related Costs$0.00 (Included)$0.00 (Included)
PostageIncluded in $0.65$0.00
Imaging (X-Ray/MRI)Actual CostActual Cost

Audit Rule: The Bundled Fee

The $0.65 per page limit explicitly includes “any research fees, clerical fees, handling fees, or related costs and the cost of first-class postage.” If an invoice contains separate line items for “Search” or “Processing,” it is a statutory overcharge.

2. Mandatory Free Records

Under Conn. Gen. Stat. § 19a-490b(b), a provider cannot charge any fee (including the per-page rate) if the records are required for:

3. Patient Rights & Deadlines


Audit Tip for 2026

Connecticut is a “bundled” state. Any vendor invoice that lists a flat $10.00 or $20.00 fee plus a per-page fee is likely citing failed 2025 legislation (SB 1508). Under the current active statute, the only allowable charge is the flat $0.65 per page which must cover all labor and postage.

Audit Your Invoice

If a provider is exceeding the $0.65 cap or charging for a Social Security-related request, use the current statutes to dispute the balance.

Not sure if your invoice is accurate? Use our Medical Record Fee Calculator to audit your charges against these active Connecticut statutes.


Please understand that the materials on this web page are for general information purposes only, and is not intended as legal advice.

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