How to Obtain Medical Records, Itemized Bills & Radiology from UPMC (University of Pittsburgh Medical Center)
UPMC operates more than 40 hospitals across Western, Central, and North Central Pennsylvania, plus locations in Western New York and Western Maryland.
UPMC (University of Pittsburgh Medical Center) Record Retrieval Profile
- ROI Processing Model
- UPMC Health Information Management (HIM) Centralized Release of Information
- Primary States & Statutory Jurisdiction
- PA, NY, MD
- Critical Retrieval & Subpoena Notes
- Pennsylvania third-party copying fees are governed by 42 Pa.C.S. § 6152.1 and the annual December fee schedule published by the PA Secretary of Health.
The 3-Department Routing Split at UPMC (University of Pittsburgh Medical Center)
A standard medical record request sent only to Health Information Management (HIM) will almost never return itemized billing ledgers or native DICOM imaging. Below is how UPMC (University of Pittsburgh Medical Center) separates record production across three distinct units:
| Department Unit | Document Deliverable | Routing & Retrieval Protocol |
|---|---|---|
| 1. Clinical HIM / Release of Information | Discharge Summaries, Operative Notes, ED Nursing Logs, Labs | UPMC Corporate HIM Release of Information (Pittsburgh/Presbyterian, Shadyside, Mercy, Magee-Womens, Children's, Hamot, Altoona, Williamsport, Central PA / Pinnacle) |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | UPMC Patient Financial Services (Hospital UB-04 & University of Pittsburgh Physicians CMS-1500) |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | UPMC Radiology Film Library |
State Statutory Copying Fee Caps Governing UPMC (University of Pittsburgh Medical Center)
While direct-to-patient requests under 45 CFR § 164.524(c)(4) qualify for the federal cost-based labor rate, third-party attorney and subpoena requests to UPMC (University of Pittsburgh Medical Center) are governed by the statutory per-page fee schedule of the state where treatment was rendered:
42 Pa.C.S. § 6152 & § 6152.1 (Annual PA Dept. of Health Secretary Notice) • 30 calendar days
N.Y. Pub. Health Law § 18 & § 17 • 10 days to provide inspection; reasonable time (30 days max) for copies
Md. Code, Health-Gen. § 4-304 • 21 working days under Md. Code, Health-Gen. § 4-304(a)(1)!