How much does a Review of medical records for care typically cost in the United States?

Across 465 U.S. hospitals in 41 states, the modeled national fair BaseRate for Review of medical records for care is $108, with most hospital negotiated prices falling between $47 and $258.

Why do hospital prices for Review of medical records for care vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 465 hospitals

Review of medical records for care cost

What a review of medical records for care costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +57% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

This hospital prices routine shoppable procedures at 1.3× Medicare (median 0.90× Fair BaseRate) while upper-quartile commercial rates jump +57% to 1.41× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#35 of 103 in KS · 33rd State Percentile#1,421 of 3,385 in U.S. · 41st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.66× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 92% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.90× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.41×) jump +57% above the median procedure ratio (Q50 0.90×)
Unnegotiated chargemaster list prices average 5.5× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+57% Upper Tail

Q25 0.66× · Q50 0.90× · Q75 1.41×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

64% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Review of medical records for care

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.15× 1.8× Med ME0.97× 1.5× Med WA0.65× 1.5× Med ID0.41× 1.6× Med MT1.20× 1.5× Med ND1.00× 2.4× Med MN1.32× 1.6× Med WI1.25× 2.0× Med MI0.76× 1.1× Med VT0.89× 1.3× Med NH1.05× 1.9× Med OR1.14× 1.5× Med NV2.14× 1.7× Med WY0.85× 1.0× Med SD1.52× 1.8× Med IA0.56× 1.7× Med IL0.66× 1.5× Med IN0.36× 1.4× Med OH0.39× 1.4× Med PA0.71× 1.3× Med NY0.76× 1.4× Med MA0.35× 1.9× Med CA0.95× 1.5× Med UT1.00× 2.2× Med CO2.84× 1.9× Med NE1.52× 2.5× Med MO1.28× 1.4× Med KY0.93× 1.7× Med WV0.86× 1.5× Med VA1.16× 1.7× Med MD1.20× 1.2× Med NJ1.74× 1.7× Med CT1.00× 1.3× Med AZ2.18× 1.5× Med NM0.41× 2.0× Med KS0.35× 1.8× Med AR0.93× 1.4× Med TN0.80× 1.3× Med NC0.93× 1.6× Med SC1.01× 1.4× Med DE1.21× 2.3× Med DC1.31× 1.9× Med RI1.40× 1.6× Med OK1.34× 1.7× Med LA1.39× 1.4× Med MS1.22× 1.3× Med AL0.95× 1.1× Med GA0.77× 1.6× Med HI0.98× 1.3× Med TX1.54× 1.8× Med FL2.00× 2.1× Med PR0.77× 1.1× Med

KS0.35×1.8× Med MA0.35×1.9× Med IN0.36×1.4× Med OH0.39×1.4× Med ID0.41×1.6× Med NM0.41×2.0× Med IA0.56×1.7× Med WA0.65×1.5× Med IL0.66×1.5× Med PA0.71×1.3× Med MI0.76×1.1× Med NY0.76×1.4× Med GA0.77×1.6× Med PR0.77×1.1× Med TN0.80×1.3× Med WY0.85×1.0× Med WV0.86×1.5× Med VT0.89×1.3× Med AR0.93×1.4× Med KY0.93×1.7× Med NC0.93×1.6× Med AL0.95×1.1× Med CA0.95×1.5× Med ME0.97×1.5× Med HI0.98×1.3× Med CT1.00×1.3× Med ND1.00×2.4× Med UT1.00×2.2× Med SC1.01×1.4× Med NH1.05×1.9× Med OR1.14×1.5× Med AK1.15×1.8× Med VA1.16×1.7× Med MD1.20×1.2× Med MT1.20×1.5× Med DE1.21×2.3× Med MS1.22×1.3× Med WI1.25×2.0× Med MO1.28×1.4× Med DC1.31×1.9× Med MN1.32×1.6× Med OK1.34×1.7× Med LA1.39×1.4× Med RI1.40×1.6× Med NE1.52×2.5× Med SD1.52×1.8× Med TX1.54×1.8× Med NJ1.74×1.7× Med FL2.00×2.1× Med NV2.14×1.7× Med AZ2.18×1.5× Med CO2.84×1.9× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

KS0.35×(1.8×)MA0.35×(1.9×)IN0.36×(1.4×)OH0.39×(1.4×)ID0.41×(1.6×)

5 Highest-Markup States (Strict Bill Audit Recommended)

CO2.84×(1.9×)AZ2.18×(1.5×)NV2.14×(1.7×)FL2.00×(2.1×)NJ1.74×(1.7×)

The BaseRate high confidence

$108

the fair national price for a review of medical records for care

typically $47–$258 across 465 hospitals · how we calculate it

modeled estimate · not a bill or quote

465

hospitals priced

states

5.5×

price spread — where shopping matters

—

vs. Medicare

Across 465 hospitals in 41 states, a review of medical records for care has a fair BaseRate of $108 and typically costs $47–$258. The cheapest state is MA; the priciest is CO.

Cheapest hospitals for a review of medical records for care

Review of medical records for care cost by state

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $108

Medicare Rate $63

Self-Pay Cash Request Quote

Insurer Median $114

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $99 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $99

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $99).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$166 Above Fair BaseRate

Negotiate Toward $108 Fair BaseRate ($63 Medicare)

Your bill ($274) is $166 above the denoised Fair BaseRate ($108) and 4.3× the $63 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.