Only 53 of 318 medical record review vendors will tell you what it costs
We read the published claims of 318 medical record review vendors and scored each on eight facts a buyer needs. 53 publish an indicative cost. 83 more publish a pricing model with no number attached, and 182 publish neither. Seven publish a per-page rate you can compare directly.
The finding
Every vendor in the Content Hub is scored on the same eight rows, taken from its own site. On price, 17% of the market says anything specific. A row marked not published is a negative finding: we looked for it and the vendor does not state it.
Disclosure is uneven across the other rows too. 280 of 318 state whether a human reviews the output, 76 state a turnaround, and only 24 state what formats you get back. Export format is the rarest disclosure in the whole study, and the one most likely to turn a delivered summary into a re-typing job.
Three rungs of disclosure
Publishing a pricing model and publishing a price are different acts, and the gap between them is where most of this market sits.
182 say nothing
No model, no number. Every route through the site ends at a demo request or a contact form. You cannot size the spend, rank the options, or take a budget to anyone until you have sat through a call.
83 name the meter
They tell you whether it is per page, per case, per seat, per credit or per year, but not what the unit costs. Useful, because the meter shape decides whether a big file is a rounding error or a budget event. Not sufficient.
53 publish a number
A figure you can put in a spreadsheet. Of those, 7 publish it per page, which is the only unit that compares cleanly across vendors, because a case, a seat and a credit all mean different things at different firms.
Split by section, 35 of 166 software listings publish a rate (21%) against 18 of 152 service listings (12%). Software is more transparent, but not by much, and neither half clears a quarter.
Every published per-page rate in the study
These are the only vendors in the corpus that state a per-page figure on their own site. Quoted as published, with our own row at the bottom held to the same standard. Follow a vendor name for the full profile and the capture date.
| Vendor | Per page | As published | Pricing model |
|---|---|---|---|
| InPractice AI | $0.05 | $0.05 a page | Per-Page (pay-as-you-go credits, no subscription) |
| Dodonai | $0.008-$0.06 | $0.008 to $0.06 a page | Usage-based subscription (credits/pages) |
| MediScan | 7¢-10¢ | 7¢ to 10¢ a page in overage | Month-to-month subscription |
| Medilenz | $0.10 | $0.10 a page, or $25 an hour | Per-hour / Per-page |
| OctopusLM | $0.10 | $0.10 a page, or $250 a month unlimited | Per-page (pay-as-you-go) or subscription |
| Managed Outsource Solutions (MOS) | $0.10 | first 300 pages free, then "as low as $0.10 per page" | Quote-based (free consultation/trial) |
| ChartSquad | $0.35 | $0.35 a page, about $350 per 1,000 | Per-page (AI summaries); per-request plus fee (retrieval) |
| Medrecords AI | 10¢ | 10¢ a page, duplicates not billed | Pay per page, no subscription |
The spread is roughly forty-fold from bottom to top, which says less about margin than about deliverable. A page index, a chronology, a narrative summary and a physician-reviewed report are four different products quoted in the same unit. Read the deliverable before you read the rate.
Four questions that turn a quote into a comparison
If a vendor will not publish a rate, these four answers get you to something you can put beside another vendor's.
- What counts as a pageDuplicates, blank separator sheets and billing ledgers are real pages in a litigation file and a large share of one. Ask whether you are billed for them.
- What the deliverable isAn index, a chronology, a narrative summary and a signed report are four products. A rate without a deliverable is not a price.
- What a rush costsPublished turnaround is rare, and expedited pricing is rarer. Ask for both numbers, not the marketed one.
- What the floor isMinimums, per-file fees and annual commitments move an apparently cheap per-page rate more than the rate itself does.
Disclosure by category
Vendors carry one or more category tags in the Content Hub, so a vendor with two tags counts in both rows. The pattern is not evenly spread: whole categories publish nothing.
| Category | Vendors | Publish a rate | Publish a model | Rate disclosure |
|---|---|---|---|---|
| IME / Peer Review / UR / Bill Review | 31 | none | 1 | 0% |
| US Med-Legal Review / Legal Nurse Consulting | 26 | none | 5 | 0% |
| Insurance Underwriting & Payer Chart Review | 27 | 2 | 6 | 7% |
| Mass Tort / Settlement / Lien | 27 | 3 | 12 | 11% |
| Medical Record Retrieval / ROI | 27 | 3 | 9 | 11% |
| HIM / RCM Outsourcer & LPO at scale | 29 | 2 | 11 | 7% |
| AI-native / Tech-enabled service | 14 | 3 | 10 | 21% |
| Long-tail / Boutique | 38 | 10 | 26 | 26% |
| India-delivery BPO / LPO | 20 | 6 | 11 | 30% |
| Offshore (non-India): PH / LatAm / Other | 30 | 18 | 26 | 60% |
2 of the 10 largest categories publish no rate at all, covering 57 vendors between them: IME / Peer Review / UR / Bill Review, US Med-Legal Review / Legal Nurse Consulting. The most transparent category by a wide margin is offshore delivery outside India, where published hourly and per-page rates are the norm rather than the exception.
Method, and what this study is not
How the 318 were read
Each vendor has a profile in the Content Hub scored on eight rows: processing model, human QA, typical turnaround, pricing model, indicative cost, export formats, best for, and customer satisfaction. Every value is what that vendor published on its own site, captured 13 August 2026. The counts on this page are recomputed from those profiles on every build, so the study and the profiles cannot drift apart.
Published means published by the vendor. Not quoted to us, not reported by a reseller, not inferred from a review. Where a row says not published, we searched the vendor site and did not find it. That is a finding about disclosure, not a judgement about the vendor or its price.
This is not a rating. Medrecords AI does not score, rank or rate the vendors in the Content Hub, and a low disclosure count is not a quality signal. Several of the least transparent vendors here are among the largest and most established in the market.
Prices move. Anything below the capture date may have changed. Follow a vendor name to its profile for the full text and the date it was read. Browse the corpus at software and services, or see the alternatives pages for head-to-head comparisons.
Medical record review pricing: common questions
Our number is on this page. Check it against a real file.
Ten cents a page, duplicates not billed. Send a file and compare what comes back with what you are paying now.
Test a file