QME record review price per page vs the $3.00 ML-PRR rate
Short version: on an 806-page file, published tools cost 1.0% to 5.7% of the $3.00 ML-PRR rate per page once your volume fills the plan you pick, and up to 18.4% if you buy a big monthly plan and send it 1 file. Services publish no rate, so get a written quote and enter it in the calculator below. This page compares vendor cost only; it is not billing advice.
Limits: Prices, turnaround and features come from each vendor's own website, read on 2026-11-12. We did not send any vendor a real file, so turnaround and quality are the vendors' claims. Nothing here is billing or legal advice.
The rate you are comparing against
The Medical-Legal Fee Schedule pays $2,015 for an ML201 evaluation, which includes review of 200 pages of records. Pages past 200 pay $3.00 each under code ML-PRR (8 CCR 9795, effective 2021-04-01). CWCI's 2024 study found these excess-page charges on 43.3% of ML201 evaluations, adding $1,817 on average where they appeared (CWCI press release).
That average implies about 606 pages past 200, or an 806-page file. We use 806 pages as the reference file below. It is a synthetic file built from a published average, not a real case.
Cost per file at 3 volumes
Synthetic, no real patient: every file is 806 pages, no duplicates, and the prices are the vendors' own as read on 2026-11-12. Monthly plans divide their fee across the files you send that month. "Share of $3.00" is the cost per page divided by $3.00.
| Option | 1 file a month | 4 files a month | 12 files a month | Share of $3.00 at 12 files |
|---|---|---|---|---|
| OctopusLM, $300 top-up (5 cents) | $40.30 | $40.30 | $40.30 | 1.7% |
| Medrecords AI (ours), 10 cents per deduplicated page | $80.60 | $80.60 | $80.60 | 3.3% |
| Doqtor, 10 cents | $80.60 | $80.60 | $80.60 | 3.3% |
| InPractice, 1,000-page pack (15 cents) | $120.90 | $120.90 | $120.90 | 5.0% |
| Trusted Summaries, 15 cents | $120.90 | $120.90 | $120.90 | 5.0% |
| IME Coach, 17 cents, $99 minimum | $137.02 | $137.02 | $137.02 | 5.7% |
| InjuryMgmt Review ($99 for 1,500, then 5 cents) | $99.00 | $46.30 | $42.30 | 1.7% |
| InjuryMgmt Review Plus ($249 for 5,000, then 5 cents) | $249.00 | $62.25 | $40.22 | 1.7% |
| MediScan Starter ($169 for 1,200, then 10 cents) | $169.00 | $92.85 | $84.68 | 3.5% |
| MediScan Pro ($445 for 3,500, then 7 cents) | $445.00 | $111.25 | $73.09 | 3.0% |
| QME Copilot seat ($299) | $299.00 | $74.75 | $24.92 | 1.0% |
3 things stand out. First, per-page tools cost the same at any volume, which makes them the safe pick for a new QME. Second, a flat seat goes from the most expensive option at 1 file to the cheapest at 12. Third, OctopusLM's 5-cent rate needs a $300 top-up, which buys 6,000 pages, about 7 of these files.
Volume tiers lower the per-page tools too: InPractice drops to 7 cents at 100,000 pages, and Medrecords AI to 8 cents at 100,000 credits and 5 cents at 500,000. A solo QME rarely reaches those tiers; a management company might.
Calculator: your files, every published price
Enter your own numbers. It runs in your browser and sends nothing. Prices are the vendors' published rates on 2026-11-12. Duplicates are removed before billing only for Medrecords AI, which says so; OctopusLM says it bills duplicates; the others don't say, so the calculator bills all uploaded pages for them.
What the per-page price leaves out
- Your time checking the output. Every option still needs your review of the excerpts. A tool that cites pages cuts that time; one that doesn't adds it back.
- Staff time to upload and download. Small for software, real for a service that wants files sorted before you send them.
- Rework. Ask a service whether a redo for missed records is free. Software reruns cost the same page rate again unless the vendor says otherwise.
- Supplemental records. New records after the exam come in small batches. Per-page pricing handles a 40-page batch for $4; a monthly plan absorbs it; a service may charge a minimum.
Questions about price per page
Why compare vendor prices with $3.00?
Because $3.00 is what the schedule pays per page past 200 on an ML201 evaluation. Setting a vendor's rate next to it shows how much of that payment the vendor takes, which a bare "15 cents a page" does not.
Why 806 pages?
CWCI found an average excess-page charge of $1,817 where one was billed. At $3.00 a page that is about 606 pages past the 200 included, so 806 pages in all.
Do duplicate pages change the cost?
Yes, if the vendor bills them. OctopusLM says it does; Medrecords AI says exact duplicates are never charged; the other tools don't say on their pricing pages.