Transparent pricing, usage that's fair
A platform subscription plus usage credits — one currency for translations and AI-agent actions. Published ranges, not a quote-only maze. Priced to undercut the managed incumbents while staying honest about a pre-launch product.
- Starter from ~$1–3k/mo · Growth ~$5–15k/mo · Enterprise custom
- Translation credits ~$0.05–$0.25 per message
- Undercuts Redox's ~$35k/mo floor · CMS-0057-F fixed-price wedge
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{ "resourceType": "Patient",
"identifier": [{ "value": "MRN12345" }],
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"given": ["John","A"] }],
"gender": "male",
"birthDate": "1970-12-25" }
{ "resourceType": "Condition",
"code": { "coding": [{
"system": "…/icd-10-cm",
"code": "E11.9" }] } }In short
Health1st uses a hybrid model: a platform subscription plus usage credits. The subscription (tiered Starter ~$1–3k/mo, Growth ~$5–15k/mo, Enterprise custom) covers support and compliance; credits meter what you do — 1 credit = 1 standard translation, 2–5 for complex types, 25–100 for an AI-generated mapping, 500–2,000 to provision a new interface (roughly $0.05–$0.25 per translated message). It's designed to undercut Redox's ~$35k/mo floor, out-feature free Mirth, and price AI as usage rather than a vague premium. Payers can start with a fixed-price CMS-0057-F readiness package; HIEs can choose a per-interface alternative. All figures are illustrative pre-launch starting points.
Three tiers, one fair model
Every tier is a platform subscription plus usage credits. Prices are illustrative pre-launch starting points — a demo gives you a quote scoped to your volumes and deployment.
Starter
Land your first interfaces fast.
Digital-health vendors & small systems
- Platform subscription (base support & compliance)
- Included monthly credit allotment
- AI-native v2 ↔ FHIR mapping studio
- Private VPC or on-prem deployment
- HIPAA-compliant · BAA available
- Email & business-hours support
Growth
Scale interfaces and CMS-0057-F APIs.
Mid-market health systems & regional payers
- Everything in Starter
- Larger included credit pool + volume discounts
- CMS-0057-F FHIR API modules (Patient/Provider/P2P/PARDD)
- Custom & edge message types (Z-segments)
- Priority support + implementation guidance
- SSO, audit logging, environment separation
Enterprise
High-volume, undercutting the managed floor.
Large payers, HIEs/QHINs, EHR vendors
- Everything in Growth
- Committed-volume credit pricing (best per-credit rate)
- Dedicated deployment (on-prem / private VPC / hybrid)
- SLA, dedicated support & solution engineering
- Security review support (SOC 2 Type II in progress)
- Priced to undercut Redox's ~$35k/mo floor
Not sure which fits? Talk to our team or see how we compare to Redox, Rhapsody and Mirth.
One currency for translations and AI
Credits let heavier work cost more without a maze of SKUs. Buy monthly or annual packs with volume discounts; overage bills or auto-tops-up.
| Billable action | Credits | Why |
|---|---|---|
| 1 message translated (v2 ↔ FHIR, standard) | 1 credit | High-volume, thin margin |
| 1 message translated (complex / custom type) | 2–5 credits | More compute & validation |
| 1 AI mapping generated + validated | 25–100 credits | The differentiated, high-value action |
| 1 new interface / connection provisioned | 500–2,000 credits | One-time setup value |
| Bulk export / batch job | Volume-based | Aligns to data moved |
Illustrative credit design; exact conversion rates finalize at launch. A translation credit is priced well under Redox's $0.50–$2.00 per transaction.
Model your monthly cost
Drag your volume, pick a complexity mix, and see an illustrative usage estimate plus savings versus a per-transaction benchmark.
Illustrative pre-launch estimate. Usage cost covers translation credits only and excludes the platform subscription and one-time AI-mapping / new-interface credits. Competitor benchmark uses a public $0.50–$2.00 per-transaction range and is directional, not a quote. Final credit rates lock at launch.
A deadline wedge and a per-interface option
Because not every buyer wants to start from credits.
CMS-0057-F readiness package
A fixed-price, scoped deliverable to stand up the four mandated FHIR APIs — Patient Access, Provider Access, Payer-to-Payer and Prior Auth (PARDD) — on the required stack (FHIR R4.0.1, US Core STU 3.1.1, SMART, Bulk Data, OIDC) ahead of the January 1, 2027 deadline. An easy yes for deadline-driven payers; it converts to platform + credits after go-live.
Why payers are behindPer-interface pricing
Prefer a flat, predictable number per connection? Pay ~$150–$500 per interface per month, tiered by volume band — an alternative to credits for HIEs, QHINs and vendors managing many trading-partner connections. It trades granularity for forecastability.
Available on Growth and Enterprise. Talk to us about which model fits your throughput.
Predictable base, upside on value
Predictable + fair
A flat platform base means a bill you can forecast; credits mean you only pay more when you move more value — with volume discounts as you grow.
AI priced as usage
AI-agent mapping actions consume credits from the same pool as translations — no vague AI premium and no separate SKU to negotiate.
Undercuts the incumbents
Below Redox's ~$35k/mo managed floor, above free-but-DIY Mirth on support and validation, and without Rhapsody's quote-only enterprise license.
Security & Compliance
Enterprise-grade trust, stated honestly
Protecting PHI is non-negotiable. Here's exactly where our certifications stand — no overclaiming.
Compliant · BAAs available
Audit in progress
On roadmap
Native, by design
AWS HIPAA-eligible infrastructure · Business Associate Agreements (BAAs) · Encryption in transit & at rest · See our security details →
Pricing & billing FAQ
Get pricing scoped to your volumes
Bring your message volume, interface count and deployment needs. We'll turn this model into a real number — no obligation.