Patient privacy has seldom received much attention from American bioethicists. When the broader topic of privacy has been addressed, it has generally been in the context of debates over abortion, sexuality, and the right to die. Healthcare providers in recent years have focused more on compliance with HIPAA and related regulatory regimes than on the ethical dimensions of patient privacy. However, this paper argues there are numerous aspects of patient privacy that are ethically unsettled and that Christian bioethics ought to be fully engaged.Warren and Brandeis famously described privacy in an 1890 Harvard Law Review article as “the right to be left alone.” Unfortunately, this concept of privacy is wholly inadequate for modern bioethics. A healthcare encounter can hardly be described as being left alone. Patients come with an informal contract in mind: relinquishing some control over their person and personal information in exchange for help with a medical need. Furthermore, this medical encounter creates additional information in the form of records of medical tests, assessments, and treatments. Prior to HIPAA, healthcare providers were guided by ethical canons and bound by state laws and the fiduciary responsibilities recognized under common law. Although the current regulatory regimes guide and control privacy practices, they leave broad swathes of unresolved issues. The ease with which electronic health records can be accessed, transferred, and aggregated increases the risk of privacy breaches and facilitates commercial exploitation in ways never before possible. In view of this new environment, this paper evaluates six distinct but somewhat overlapping models that offer ethical guidance in issues of patient privacy. The beneficence, consent/contract, trust, public interest/balancing, property, and personhood models are examined and compared from legal, philosophical, and theological perspectives.