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While hospitals and health systems have garnered attention lately for announcing they would charge patients up to $50 for certain MyChart messages, the rule that allowed. Key Takeaways Many healthcare systems are now charging patients for using MyChart to communicate with providers. Patient -generated questions that require medical advice. Sending messages could cost as much as $50 per message depending on the time and skill necessary to answer the request. Most people on Medicare will have no out-of-pocket. Costs have ranged between less than $10 and $100 for a message. Now that at least 22 hospital systems have implemented the practice, a great debate has broken out in the. We found ourselves spending time and money developing features that were commonplace across patient portals and already included in MyChart . We also faced challenges. Doctors say they need to be paid for their time spent sending patient messages through portals such as Epic Systems’ MyChart . But payers and patient advocates worry about. The charges vary for each patient and hospital system, with messages costing as little as $3 for Medicare patients to as much $160 for the uninsured. In some cases, the. Patients will be charged for new issues (medications, symptoms, chronic disease changes, referrals) or requests to fill out medical forms. Messages, which will be billed. A growing number of health systems are starting to charge patients for asking for their physicians’ advice through online patient portals, such as MyChart, with fees.