Ohio Revised Code

Ohio Rev. Code § 2317.421 (2026)

Prima-facie evidence of the reasonableness of medical bills

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In an action for damages arising from personal injury or wrongful death, a written bill or statement, or any relevant portion thereof, itemized by date, type of service rendered, and charge, shall, if otherwise admissible, be prima-facie evidence of the reasonableness of any charges and fees stated therein for medication and prosthetic devices furnished, or medical, dental, hospital, and funeral services rendered by the person, firm, or corporation issuing such bill or statement, provided, that such bill or statement shall be prima-facie evidence of reasonableness only if the party offering it delivers a copy of it, or the relevant portion thereof, to the attorney of record for each adverse party not less than five days before trial.

Notes of Decisions
Cited in 22 cases (2 in the last 5 years), 1983–2022 · leading case: Moretz v. Muakkassa, 2013-Ohio-4656, 998 N.E.2d 479.
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Moretz v. Muakkassa, 2013-Ohio-4656, 998 N.E.2d 479. · cites it 24× “49 requires trial court to submit interrogatory to jury—R.C. 2317.421—Expert testimony not required for admission of evidence of write-offs, reflected on medical bills and statements, as prima facie evidence of reasonable value of medical services.”
Robinson v. Bates, 857 N.E.2d 1195 (Ohio 2006). · cites it 5× “Citing R.C. 2317.421 only in passing, it relied on the collateral-source rule to hold that Robinson was entitled to seek recovery of the entire amount of her medical bills, rather than simply the amount paid by her insurer.”
Stiver v. Miami Valley Cable Council, 663 N.E.2d 1310 (Ohio Ct. App. 2d Dist. 1995). · cites it 15× “Stiver now claims that (1) the trial court erred by furnishing the jury with an instruction on contributory negligence, (2) the jury’s finding that she was fifty percent contributorily negligent was against the manifest weight of the evidence, and (3) the trial court erred by…”
Jenkins v. Grawe, 2019-Ohio-2013. · cites it 4× “16AP-804 15 {¶ 52} R.C. 2317.421 defines the evidentiary weight given to medical bills in personal injury actions.”
Jackovic v. Webb, 2013-Ohio-2520. · cites it 2× “Jackovic received was necessary following the accident. They argue that, in light of seriousness of the accident and the pain that Mrs.”
Wood v. Elzoheary, 462 N.E.2d 1243 (Ohio Ct. App. 8th Dist. 1983). · cites it 2× “R.C. 2317.421. However, defendant argues that no evidence showed the care was necessary for injuries sustained in the collision.”
State v. Williams, 516 N.E.2d 1270 (Ohio Ct. App. 2d Dist. 1986). “See R.C. 2317.421. Accordingly, we find the trial court abused its discretion in ordering restitution in an amount which had not been determined to bear a reasonable relationship to the actual losses suffered.”
Fiorini v. Whiston, 635 N.E.2d 1311 (Ohio Ct. App. 1st Dist. 1993). · cites it 2× “The trial court admitted the medical bills under R.C. 2317.421 and Fiorini’s testimony. R.”
Jaques v. Manton, 2010-Ohio-1838, 125 Ohio St. 3d 342. “at ¶ 9, quoting R.C. 2317.421. Defendants are permitted to present evidence that the amount billed is not reasonable.”
Robinson v. Bates, 828 N.E.2d 657 (Ohio Ct. App. 1st Dist. 2005). “{¶ 26} R.C. 2317.421 states, “In an action for damages arising from personal injury or wrongful death, a written bill or statement, or any relevant portion thereof, itemized by date, type of service rendered, and charge, shall, if otherwise admissible, be prima-facie evidence of…”
Brethren Mut. Ins. v. Suchoza, 66 A.3d 1073 (Md. Ct. Spec. App. 2013). “2d at 1198 (citing Ohio Rev.Code § 2317.421). Similarly, in Stanley , Indiana courts were governed by a rule of evidence that reads: “ ‘Statements of charges for medical, hospital or other health care expenses for diagnosis or treatment occasioned by an injury are admissible…”
Rimsky v. Snider, 701 N.E.2d 710 (Ohio Ct. App. 1st Dist. 1997). · cites it 2× “We point out initially that the reasonableness of the bills is established by R.C. 2317.421. 1 *252 At trial, plaintiffs-appellees presented the testimony of Dr.”
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