Free tool

Ask for your itemized medical bill

A summary bill shows totals. An itemized bill shows every charge with its date, code and amount, which is what you need to understand it. Fill in what you know and your letter is ready to send.

Your letter

[Your full name]
[Your address or email]

September 27, 2026

Billing Department
[Hospital or provider name]

Re: Request for an itemized bill
Account or statement number: [number on your statement]
Patient: [Your full name]
Date(s) of service: [dates of your visit or stay]

Dear Billing Department,

Please send me a complete itemized bill for the services above. For each charge, please include:

- the date of service
- a description of the service, supply or medication
- the billing code (the CPT or HCPCS code, and the revenue code for hospital charges)
- the quantity or number of units
- the amount charged, and any adjustments, insurance payments and payments applied

I am also asking for these records under my right to access my health information, which includes my billing records (45 CFR 164.524).

Please send the itemized bill to the address or email above. While I review it, please note on my account that the balance is being reviewed.

Thank you,
[Your full name]

When the itemized bill arrives

Open it in MedBillCheckup. It is read on your phone or computer, never uploaded, and reading is free. You will see possible duplicate charges, totals that don’t add up, and the questions to ask. The guide to reading a medical bill explains each column.

Read a bill free

Questions

Do I have a right to an itemized bill?: Providers generally supply one on request, and several states require it. You also have a right to access your own health information, which includes your billing records (45 CFR 164.524). The letter mentions that right.
How do I send it?: Email it or mail it to the billing department on your statement, or paste it into your patient portal’s message box. Keep a copy and note the date you sent it.
Should I pay the bill while I wait?: That is your decision. The letter asks the provider to note that the balance is being reviewed. Calling the billing office to say you have asked for an itemized bill is also a good idea.

MedBillCheckup provides informational assistance only. It does not determine whether a charge is medically necessary, fraudulent, illegal, or definitively incorrect, and it is not a substitute for advice from a lawyer, doctor, insurer, or certified medical billing specialist.

Ask for your itemized medical bill

When the itemized bill arrives

Questions

Know someone waiting on a medical bill?