I would disagree a bit. I doubt many states will change the charges due to electronic means. My receptionist complains all the time at how long it takes to put together a CD or PDF. It really is faster to just pull it up and choose a printer.
A Rheam of paper at Staples is $7.49. So, my guess is your paper cost would be no more than $2.50.
Leave it to Maryland to come up with $22.88. There must be some reason for that. But, it is much higher than here where it is $10 and 35 cents per page.
I have had at least five patients threaten to get a lawyer. Then I just tell them it is $10 plus 35 cents a page plus your attorney's fees. Much easier to just Google the statute online.
