PUBLIC NOTICE
Department of Health Services Annual Adjustment to Fees
That May be Charged by a Health Care Provider for Providing Copies of a Patient’s Health Care Records
Statutory Authority
Pursuant to Wis. Stat. §146.83 (3f) (c) 2., each July 1, beginning on July 1, 2012, the Department of Health Services is required to adjust, by the percentage difference between the consumer price index for the 12-month period ending on December 31 of the preceding year and the consumer price index for the 12-month period ending on December 31 of the year before the preceding year, the dollar amounts specified under Wis. Stat. §146.83 (3f) (b) that a health care provider may charge for providing copies of a patient’s health care records.
Under the methods prescribed in Wis. Stat. §146.83 (3f) (c) 2., the adjusted dollar amounts that a health care provider may charge for providing copies of a patient’s health care records are as follows:
Schedule of Health Care Provider Records Fees July 1, 2020 – June 30, 2021
July 1, 2020 - June 30, 2021
Schedule of HealthCare Provider Record Fees
% difference from
Dec 2018 to Dec 2019
Previous
charges 2019
Adjustment for CPI % increase
New Charges 2020
2.30%
Paper Copies (per page)
First 25 pages
$   1.14
$   0.03
$   1.17
Pages 26 to 50
$   0.86
$   0.02
$   0.88
Pages 51 to 100
$   0.56
$   0.01
$   0.57
Pages 101 and above
$   0.34
$   0.01
$   0.34
Microfiche or Microfilm
$   1.68
$   0.04
$   1.72
(per page)
Print of an X-ray
$   11.28
$   0.26
$   11.54
(per image)
If the requestor is not the patient or a person
authorized by the patient
Certification of Copies
$   9.04
$   0.21
$   9.25
Retrieval Fee
$   22.61
$   0.52
$   23.13
Actual Shipping Costs and
Any Applicable Taxes
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Links to Admin. Code and Statutes in this Register are to current versions, which may not be the version that was referred to in the original published document.