Medical record review price per page: published benchmarks
Answer in brief: published rates captured 2026-11-12 are $0.20 to $0.75 a page for per-page services, $15 to $35 an hour for hourly services (about $0.10 to $0.50 a page at their own stated speeds), and $200 to $250 per case for hospital external peer review. California pays a QME $3.00 a page for record review past the first 200 pages. Your real price depends on what counts as a page and on the case minimum.
Limits: We have not ordered work from the services listed: prices and turnaround times are what each service publishes on its own site on the date shown, and the worked example uses a synthetic file.
All published rates, captured 2026-11-12
We pulled Google results for 9 buyer queries and read every service page that came up, plus the pages those services link to. These are all the sources that publish a usable number. Services that only quote after upload, such as Expert Institute, are not listed because there is nothing to compare.
| Source | Kind | Published rate | Minimum or catch | Source, date |
|---|---|---|---|---|
| RRR Health Tech | Human service | $15 an hour; opinion $35 an hour | Hours estimate first, pay after delivery; first case free to 500 pages for new plaintiff firms | medicalrecordsreviewforattorneys.com, 2026-11-12 |
| Medilenz | Human service, AI-assisted | $25 an hour; MD opinion $50 an hour; AI chronology 10 cents a page | 500-page example: about 5 hours, chronology $125, opinion $150 | medilenz.com/pricing, 2026-11-12 |
| Medico Legal Request | Human service | $25 an hour; opinion $50 an hour; PDF sorting $20 an hour | 500-page example: about 10 hours, chronology $250 | medicolegalrequestllc.com/pricing, 2026-11-12 |
| MRR Health Tech | Human service | $25 an hour; physician opinion $50 an hour | Estimate before work starts | mrrhealthtech.com, 2026-11-12 |
| National Record Retrieval | Human service | $35 an hour | Expense fees billed back to the case | nationalrecordretrieval.com, 2026-11-12 |
| NaviCase | Clinician-written service, uses AI tools | Summary $0.25 a page; summary plus analysis $0.40; IME report prep $0.50; deposition guide $0.75 | Minimums $150, $150, $500 and $1,000 | navicasemed.com/services, 2026-11-12 |
| LezDo TechMed | Human service, AI-assisted | $100 flat to 100 pages; $0.75 a page at 101 to 500; $0.40 at 501 to 1,000; $0.30 at 1,001 to 2,000; $0.20 above | Monthly plans from $0.40 a page with a $4,500 monthly minimum below 100,001 pages | lezdotechmed.com/pricing, 2026-11-12 |
| Trivent Legal | Human service (doctors, nurses) | From $230 for summaries up to 200 pages | Larger files quoted after upload; billed after delivery | triventlegal.com, 2026-11-12 |
| ICAHN External Peer Review Network | Hospital external peer review, physician panel | Members $200 routine, $250 expedited; non-members $250 routine | Non-member expedited is negotiable; hospital signs an agreement and a BAA first | icahn.org (PDF), 2026-11-12 |
| California DWC fee schedule, 8 CCR 9795 | Regulated physician fee | ML-201 evaluation $2,015 includes 200 pages; record review past 200 pages $3.00 a page | Applies to California medical-legal evaluations only | dir.ca.gov, 2026-11-12 |
| Superinsight comparison table | Market ranges reported by a software vendor | Nurse reviewer companies $300 to $1,500 or more per case; offshore vendors $100 to $1,000 per case | Unnamed vendors; treat as a rough range | superinsight.ai, 2026-11-12 |
Most of these services sell to law firms first and quote final prices after they see the records. Treat every number as a starting point for a written quote, not a price you can hold them to.
4 pricing models and how to convert each to a file price
- Per hour. Cost = hours x rate. The hours are the vendor's estimate, so ask for it in writing and ask what happens if they run over. The 3 published examples imply 50 to 150 pages an hour for a chronology: Medico Legal Request about 50 (500 pages, 10 hours), Medilenz about 100 (500 pages, 5 hours), RRR Health Tech 75 to 150 (600 pages, 4 to 8 hours, on its cost page).
- Per page, flat. Cost = billed pages x rate, or the minimum, whichever is higher. Ask whether duplicate pages are billed.
- Per page, tiered. Ask whether the tier rate applies to the whole file or to each band. The difference on a 1,400-page file at LezDo TechMed's tiers is $300.
- Per case. Cost is fixed, but find out the page limit and what a supplemental production costs. Trivent Legal's "from $230" covers up to 200 pages; the ICAHN peer review fee is per case regardless of page count.
Worked example: 1,400 pages, 6 ways
Synthetic file, no real patient. A 54-year-old with a lumbar fusion and 3 years of follow-up. The production arrives from 6 providers as 1,400 pages. 250 of them are exact repeats (the same imaging reports and discharge summaries sent by more than 1 provider), so 1,150 pages are unique.
| Model | How we computed it | Cost for 1,400 pages | If only 1,150 unique pages are billed |
|---|---|---|---|
| RRR Health Tech, $15 an hour | 75 to 150 pages an hour = 9.3 to 18.7 hours | $140 to $280 | $115 to $230 |
| Medilenz, $25 an hour | 100 pages an hour = 14 hours | $350 | $288 |
| NaviCase summary, $0.25 a page | 1,400 x $0.25, above the $150 minimum | $350 | $288 |
| LezDo TechMed casewise tiers | Whole file at $0.30, or band by band ($100 + 400 x $0.75 + 500 x $0.40 + 400 x $0.30) | $420 or $720 | $345 or $645 |
| Medico Legal Request, $25 an hour | 50 pages an hour = 28 hours | $700 | $575 |
| NaviCase IME report prep, $0.50 a page | 1,400 x $0.50; includes a draft on your template with conclusions left blank | $700 | $575 |
3 things to take from this:
- The spread is 5-fold on the same file, from $140 to $720, before any rush fee.
- Deduplication is worth 18% here (250 of 1,400 pages). We don't know which of these services bill duplicate pages; none of the price pages says. Ask.
- The cheapest quote isn't the same product. The IME prep row includes a draft report; the hourly rows include only the chronology. Compare like with like by writing 1 scope and sending it to everyone.
Run your own file in the quote calculator, which applies minimums, rush fees and duplicate handling for up to 3 quotes.
What physicians and hospitals pay that law firms don't
Most rates above come from services that sell to attorneys. 2 benchmarks matter more to clinical buyers:
- California QMEs are paid $3.00 a page for record review past 200 pages under ML-201 and the record review code ML-PRR. A QME who outsources a 1,400-page chronology at $0.25 to $0.50 a page is spending $350 to $700 on work billed at $3,600 for the 1,200 pages past the first 200. The physician still signs a declaration of the pages reviewed, so the outsourced chronology replaces sorting, not reading.
- Hospitals buying external peer review through a network such as ICAHN pay per case ($200 to $250), with a physician panel member reviewing within 10 working days. Commercial peer review firms mostly quote per engagement. CMRS, which runs peer reviews for workers' comp and auto claims, publishes no price and asks for your monthly case volume first.
Hidden costs that never show up in the rate
- Supplemental records. New records after delivery are usually a new order. Ask for the price to update an existing chronology.
- Rush. LezDo TechMed adds 20% for 24 hours; RRR Health Tech expedites at no charge; NaviCase confirms its rush premium before you pay. See turnaround.
- Revisions. Ask how many rounds are included and whether a wrong date or page cite is fixed free.
- Your own checking time. Every outside summary needs a check before it goes in your report. A summary that cites a page for each entry takes far less time to check than one that doesn't.
- Retrieval. Getting the records is a different service with its own fees. Don't let a retrieval quote be compared with a review quote.
Questions about record review pricing
Is per-page or hourly pricing cheaper for record review?
Neither by default. Hourly pricing is cheaper when the vendor reads fast; at the published examples, $25 an hour works out to $0.25 to $0.50 a page. Per-page pricing is easier to predict. Convert both to a file price before you choose.
Do record review services charge for duplicate pages?
None of the 11 price pages we read says whether duplicate pages are billed. Ask in writing, and put the answer in your statement of work.
What does external peer review cost a hospital?
The ICAHN External Peer Review Network publishes $200 per routine case and $250 per expedited case for member hospitals, and $250 per routine case for non-members, captured 2026-11-12. Commercial peer review firms mostly quote per engagement.