If a hospital procedure was done then I always request those records and there is a charge for that for locating the transcripts and printing them, but I also inform them to please call when the records are , so I can personally pick them up.
If memory serves me correctly I believe that a person still has the right to choose if the medical information should be made available in medical terms, or lay person's terms. We once requested layperson's terms from the Hospital since the records were for my sister's personal use, and she wanted to be able to fully comprehend the contents.
If I have had any tests done I always ask for copies from the physician, when I go in and see the physician for the results, and there is no fee for that. Cone Density test done in gynecologist's office also releases the results directly to the patient before they leave and if there is a charge for that I am sure it is covered in what they charge for the procedure done in the GYN's office by the technician.
Different states have different laws so knowing individual state law is advantageous.
So sorry this unfortunate over zealous medical related appetite to over charge patients has become so prevalent......charging for copying records is understandable, but gouging the patient for additional funds above and beyond is truly unconscionable!
There are legal consequences for these actions, and rightfully so.