Wisconsin 2017-2018 Schedule of Health Care Provider Records Fees

Effective July 1, 2017 - June 30, 2018 

  • Retrieval Fee - $21.73
  • Paper Copies (per page)
    • First 25 pages - $1.10
    • Pages 26-50 - $0.82
    • Pages 51-100 - $0.54
    • Pages 101 and above - $0.32
  • Microfiche or Microfilm (per page) - $1.62
  • Print of an X-ray (per image) - $10.84
  • Certification of Copies (if requestor is not patient or a person authorized by the patient) - $8.69
  • Actual Shipping Costs
  • Any Applicable Taxes