Hi, for paper documents under the HITECH act we charge 10 cents a page. $6.50 is when you can provide them on a CD or other media.
We worked it out with our ROI vendor. We have a document we share when asked.
I would suggest you start with your state's statues. Here in Wisconsin, we have a statue that specifically states what we are able to charge for records.
Mary Petersen, RHIT
Health Information Services Manager