Nevada Medical Record Fees: The 2025-2026 Statutory Guide
In Nevada, access to health care records is strictly regulated under Chapter 629 of the Nevada Revised Statutes. Nevada law is highly favorable to patients and their representatives, as it prohibits administrative “junk fees” and places a hard cap on the cost of electronic records.
1. Statutory Fee Schedule (2025-2026)
Nevada’s fee structure is fixed by statute. The most significant feature of Nevada law is the absolute prohibition of administrative or “search” fees.
| Service Type | Paper Format Fee | Electronic Format Fee |
|---|---|---|
| Administrative / Search Fee | $0.00 (Strictly Prohibited) | $0.00 (Strictly Prohibited) |
| Per Page Fee | $0.60 per page | Included in Cap |
| Electronic Total Cap | N/A | $40.00 Maximum |
| Postage | Actual cost | $0.00 (if digital delivery) |
The “No Administrative Fee” Rule
Under NRS 629.061(4), a custodian of health care records may charge for the “costs of making the copy,” but no administrative fee or additional service fee of any kind may be charged for furnishing the records. If an invoice includes a “Handling Fee” or “Retrieval Fee,” it is in direct violation of Nevada law.
The “$40.00 Electronic Cap”
Under NRS 629.062, if a provider maintains records electronically, the fee for furnishing those records in an electronic format (via email, portal, or digital media) must not exceed $40.00 or the per-page rate, whichever is less.
- Minimum Fee: If the total electronic fee calculates to less than $5.00, the provider is permitted to charge a flat $5.00.
2. Mandatory Free Records (Public Assistance)
Nevada provides robust protections for individuals seeking needs-based benefits. Under NRS 629.061(5), a custodian must provide one copy free of charge if the records are necessary to support a claim or appeal for:
- Social Security Disability (SSDI/SSI).
- Any federal or state financial needs-based benefit program.
- Requirement: The request must be accompanied by documentation of the claim or appeal. A fee (up to $0.60/page) may only be charged for a second copy of the same records for the same claim.
3. Physical Inspection Rights
Patients in Nevada have a statutory right to inspect their records in person. The custodian must make records available for physical inspection within 10 working days (if the records are located in-state) or 20 working days (if located out-of-state). There is no charge for the physical inspection of records.
4. X-Rays and Specialized Media
For records that cannot be photocopied (X-rays, MRIs, etc.), providers may charge a reasonable cost for reproduction. Under recent guidance, digital copies of radiologic images are typically capped at $25.00 per request.
Audit Tip for Nevada Paralegals
Nevada is one of the most frequently “over-billed” states by national record retrieval vendors because those vendors’ software defaults to charging an administrative fee.
- The $0.00 Admin Audit: If your invoice shows a $25.00 “Basic Fee” or “Handling Fee,” delete it. Cite NRS 629.061(4).
- The Electronic Ceiling: If you are sent a 500-page PDF and a bill for $300.00 ($0.60 x 500), cite NRS 629.062. The bill must be capped at $40.00.
Audit Your Invoice
If you believe a Nevada provider is improperly charging “search fees” or exceeding the $40.00 digital cap, our auditor is configured to catch these common statutory violations.
Not sure if your invoice is accurate? Use our Medical Record Fee Calculator to audit your charges against these Nevada statutes.
Please understand that the materials on this web page are for general information purposes only, and is not intended as legal advice.