COPY OF MEDICAL RECORD:
Hard Copy (paper): $25.00+
Electronic (e-mailed): $25.00, $50.00
Hybrid Copy: $50.00+
Requested by Social Security Disability Administration: $0.00
Certified copy (affidavit): +$15.00
Notarized affidavit: +$21.00
Mailed (USPS): + postage, handling and supplies

The cost of ordering a copy of your medical record at SPC is determined by State and Federal regulations.  Texas Medical Board (TMB) rules  (§165.2. Medical Record Release and Charges) set the allowable charge for copies, as per Texas law, including regulations for electronic copies.

The TMB allows physicians to charge a "reasonable, cost-based fee," as follows:

For paper copies of your record, the charge is $25.00 for the first 20 pages, plus $0.50 cents for each additional page.  However, your record at SPC is stored, and can be released to you, in an electronic format, at a cost of $25.00 for 500 pages or less, or $50.00 for more than 500 pages.

Only individuals who enrolled at SPC before 2018 have records in hybrid -- partially electronic, and partially paper -- format; in this case, the TMB defines a reasonable fee as a combination of the above fees.

State rules also allow a reasonable fee for the actual costs of labor, supplies, and postage.  If an affidavit is requested certifying that the information is a true and correct copy of the records, a "reasonable fee" of $15.00 is added for executing the affidavit.  Notarized affidavits incur the additional cost of notary service, set by Texas law at $6.00

Physicians may retain the records until receiving payment of the copy fee (with some exceptions).  However, if the patient has paid the copy fee, records may not be withheld due to a past-due account.

No Charge for Social Security Disability Medical Records, or Public Benefits: You will not be charged for a copy of your medical record to support a claim for Social Security or other public benefits; no provider may charge a copying fee when medical records are requested to support a claim for Social Security Disability Income, Medicaid or other public benefit based on disability.