Oklahoma Medical Record Fees: The 2025-2026 Statutory Guide
In Oklahoma, medical record fees are regulated by 76 O.S. § 19. For 2026, these rates include critical updates from SB 423, which adjusted the maximum allowable charges for electronic records and established new base fees for third-party requests to account for inflation.
1. Statutory Fee Schedule (2025-2026)
Oklahoma distinguishes between requests from patients (or their immediate family/representatives) and those from third parties like insurance companies or law firms.
| Service Type | Patient / Family Fee | Third-Party / Subpoena Fee |
|---|---|---|
| Base Fee | $0.00 (Prohibited) | $23.00 |
| Paper Copies | $0.50 per page | $0.67 per page |
| Electronic Copies | $0.30 per page | $0.40 per page |
| Electronic Total Cap | $270.00 Maximum | $270.00 Maximum |
| Digital Images (CD) | $23.00 per CD | $23.00 per CD |
| Printed X-Rays | $15.00 per image | $15.00 per image |
The “$270.00 Electronic Cap”
If a provider maintains records in an electronic health record (EHR) system and the records are requested in a digital format, the total charge for the reproduction—including all pages and labor—cannot exceed $270.00 plus postage or delivery fees.
Search and Retrieval Fees
Under Oklahoma law, healthcare providers are strictly prohibited from charging a patient or their personal representative a fee for “searching, retrieving, reviewing, and preparing” the records. No mailing fee may be charged if the records are delivered via facsimile (fax).
2. Mandatory Free Records (Social Security)
Oklahoma follows federal guidelines regarding records for Social Security Disability (SSDI) and Supplemental Security Income (SSI). Providers typically must provide records for free or at a rate specified by federal contract when the request is made for these programs.
3. Mental Health Record Exceptions
The fee limits and access rights defined in 76 O.S. § 19 do not apply to psychological or psychiatric records. These are governed by 43A O.S. § 1-109, which allows providers to provide a summary of the record or deny access if they determine it would be detrimental to the patient’s health or safety.
Audit Tip for Oklahoma Paralegals
- The $270.00 Ceiling: If you receive an invoice for $500.00 for a large electronic production, it is a direct violation of 76 O.S. § 19(A)(2). The statutory ceiling for electronic delivery is $270.00.
- The Facsimile Rule: No mailing or delivery fee can be charged if the copies are provided via facsimile (fax).
- Digital vs. Paper: If the records exist in an EHR, the provider must produce them in digital form at the $0.30 rate if requested, rather than printing them to paper to charge the $0.50 rate.
Audit Your Invoice
If an Oklahoma provider is attempting to charge a “search fee” to a patient or is ignoring the $270.00 digital cap, you can use our auditor to generate a formal dispute letter citing these statutes.
Not sure if your invoice is accurate? Use our Medical Record Fee Calculator to audit your charges against these Oklahoma statutes.
Please understand that the materials on this web page are for general information purposes only, and is not intended as legal advice.