Mississippi Medical Record Fees: The 2025-2026 Statutory Guide
Mississippi law provides a strict, tiered fee schedule for medical record reproduction. Under Miss. Code § 11-1-52 and recent 2026 amendments, fees are capped based on the format and volume of the request.
1. Statutory Fee Schedule (2025-2026)
The following rates apply to medical providers, hospitals, and nursing homes. Note the significant 2026 update regarding flat-fee caps for existing electronic records.
| Service Type | Paper Records Fee | Electronic Records Fee |
|---|---|---|
| Pages 1–20 | $20.00 (Flat Fee) | $30.00 (Flat Fee) |
| Pages 21–100 | $1.00 per page | $0.00 |
| Pages 101+ | $0.50 per page | $0.00 |
| Conversion (Paper to Digital) | N/A | $0.25 per page (Max) |
| Retrieval (Off-site) | $15.00 | $15.00 |
| Certification / Affidavit | $25.00 | $25.00 |
| Postage & Handling | 10% of total charge | Actual Cost |
The “Electronic Flat Fee” Rule
As of the 2026 Regular Session, Mississippi law (HB 476) mandates that if a provider maintains records electronically and a third party requests them in digital format, the fee is capped at a flat $30.00 regardless of the page count. Per-page fees only apply if the records must be converted from paper to digital format.
2. Mandatory Restrictions
Under 30 Miss. Admin. Code Pt. 2635, Ch. 10, Mississippi providers face strict prohibitions on withholding information:
- Outstanding Balances: A provider cannot refuse to release or transfer medical records solely because the patient has an unpaid bill for medical services.
- Pre-payment: While providers cannot withhold for old debts, they are legally entitled to “reasonable compensation paid in advance” for the specific costs of the current duplication request.
3. Response Timeframe
Mississippi law does not set a unique state-level deadline for all facilities. Instead, providers must adhere to the federal HIPAA standard, which requires the production of records within 30 days of a valid request.
Audit Tip
- The 10% Postage Cap: Mississippi is one of the only states that limits postage and handling to a strict 10% of the total duplication fee for paper records. Flat “processing fees” for shipping that exceed this percentage are a statutory violation.
- The $30.00 Electronic Limit: If a provider charges per-page rates for a PDF or CD of records already stored in their EMR, they are likely overcharging. Under the 2026 update, the $30.00 flat fee covers the entire digital record.
- Off-site Retrieval: The $15.00 retrieval fee only applies if records are stored in archives at a location off the premises. It cannot be applied to records stored locally or digitally.
Audit Your Invoice
If a Mississippi provider is charging $1.00 per page for digital records stored in an EMR, or if their postage charge exceeds 10% of the bill, our auditor uses Miss. Code § 11-1-52 to dispute the invoice.
Not sure if your invoice is accurate? Use our Medical Record Fee Calculator to audit your charges against these Mississippi statutes.
Please understand that the materials on this web page are for general information purposes only, and is not intended as legal advice.