Medical Malpractice

What are "Costs" in a Medical Malpractice Lawsuit?

Your medical malpractice lawsuit will hopefully bring a good result, but a favorable outcome comes at a price. Who pays it?
Updated by David Goguen, J.D. · University of San Francisco School of Law
Updated: Sep 5th, 2018
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In any medical malpractice case, expenses come up -- the day-to-day costs necessary to building a successful claim and moving it along from inception to resolution.

If the case reaches a favorable outcome (meaning there's a medical malpractice settlement or court judgment in favor of the injured patient), these costs are typically passed along to the client, under the attorney-client contingency fee agreement that is common to most medical malpractice cases. Read on for the details.



Examples of Medical Malpractice Lawsuit Costs

Costs of filing and litigating a medical malpractice case will typically include things like:

  • court filing fees
  • sheriff’s or constable’s fee for service of legal papers
  • medical record requests
  • deposition transcripts
  • expert witness fees
  • the lawyer’s travel for depositions, mediation, and court appearances (which can include mileage, tolls, cab fare, hotels, and meals)
  • witness fees for trial subpoenas
  • mediation fees
  • postage and overnight mail
  • online legal research
  • photocopying, and
  • trial and jury consultants.

Let’s look at these costs and match them with some ballpark dollar amounts. The court filing fee is simply the fee that the court charges to file a medical malpractice lawsuit. This is anywhere from $200 to $500, depending on the court. After a lawsuit is filed, it must be formally served, generally by a local sheriff or constable. This fee is generally not more than $100.

Medical malpractice cases generally require a lot of medical record requests. The lawyer has to request all of the client’s relevant medical records and bills from each of the client’s health care providers. This can often add up to 15 to 20 separate requests. The bills for all of these requests might be as much as $1,000.

Medical malpractice cases also typically require a lot of depositions, sometimes five or ten. Deposition transcripts are expensive. Each transcript might cost $500 or more; so the total deposition bill for a medical malpractice case might be $3,000 to $5,000. The lawyers also have to travel to these depositions, as well as to mediations and court appearances (not to mention meetings with clients and witnesses). Lawyers charge for travel, and, if the travel includes out-of-state or overnight visits, that can get expensive. It is not unusual for travel expenses to exceed $10,000 in big cases.

If the case goes into suit, it will likely go to mediation at some point. If the case uses a private mediator, that might be $500 to $2,000. If the case goes to trial, the lawyer might need to subpoena witnesses, which could run another $500. Postage, overnight mail, online legal research, and photocopying could be another $1,000 or so.

Lawyers will incur most of the same fees we've discussed here in any type of personal injury lawsuit, but medical malpractice cases are typically far more expensive to litigate when compared with the average personal injury case. This is because these cases require costly expert witnesses in order to help prove medical malpractice was the cause of the plaintiff's harm, and to establish the nature and extent of that harm (the plaintiff's damages).

Any medical malpractice case will require at least one, if not two or more, medical, vocational, and economic experts. And they will be expensive. A lawyer could easily pay $50,000 for expert witness fees without blinking an eye in a big medical malpractice case.

And, finally, in a big medical malpractice case, a lawyer might use trial and jury consultants. These are experts (not witnesses) who advise the lawyer on trial strategy and jury selection, and help create exhibits like Powerpoint presentations and animations. These expert could easily be another $10,000 or more.

So, putting it all together, you can see how a lawyer’s costs in a medical malpractice case can easily exceed $100,000.

How are Costs Paid in a Medical Malpractice Case?

A standard contingency fee agreement in a medical malpractice case usually provides that the lawyer will pay for these costs up front, but will be entitled to recover them from any settlement or judgment that the client may get in the case. This is something you'll want to discuss with any lawyer you're thinking about hiring. Get tips on finding the right medical malpractice lawyer.)

About the Author

David Goguen J.D. · University of San Francisco School of Law

David Goguen is a Legal Editor at Nolo, focusing on claimants' rights in personal injury cases. He is a member of the State Bar of California with almost two decades of experience in litigation and legal publishing. His work has been featured and quoted in a number of publications, including Medscape and Fodor’s.

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