Annual Fee Schedule

Federal Agencies

Pricing Structure Determined by the following:

Non-profit eHealth Exchange charges participants based upon their varying use of the network since increased network usage increases eHealth Exchange’s costs.  eHealth Exchange charges non-federal participants based upon their varying use of the network, where annual Net Patient Revenue, Adjusted Patient Revenue, or Operating Expenses correlate to transaction volume and network usage.  Given that these figures are not representative of federal agencies’ organizational complexities or transaction volume, federal agencies’ actual transaction volumes are used to represent federal agencies’ network usage. 

Annual Recurring Fees

Item Number Description of Supplies/Services Quantity Unit Unit Fee Amount
1001 Annual eHealth Exchange Participation 1.00 Each $250,000 $250,000
1002 Plus Tier One Volume:
Annual Hub Services – Requests by your organization to match up to 500,000 individuals to individuals listed in other organizations’ systems, or requests by other organizations to match to individuals listed in your system, whichever is greater.
1.00 Each $150,000 $150,000
1003 Plus Any Tier Two Volume (if applicable):
Annual Hub Services – Requests by your organization to match between 500,001 and 999,999 individuals to individuals listed in other organizations’ systems, or requests by other organizations to match to individuals listed in your system, whichever is greater.

This item is cumulative to Item Number 1002 and will be invoiced only if and when the 500,001 to 999,999 volume threshold is reached.
1.00 Each $100,000 $100,000
1004 Plus Any Tier Three Volume (if applicable):
Annual Hub Services – Requests by your organization to match over 1,000,000 individuals to individuals listed in other organizations’ systems, or requests by other organizations to match to individuals listed in your system, whichever is greater.

This item is cumulative to Item Number 1003 and will be invoiced only if and when the over 1,000,000 volume threshold is reached.
1.00 Each $150,000 $150,000

Grand Total:

$400,000.00 to $650,000.00 Annually
Depending upon transaction volume

Non-Recurring Fees for Technology Conformance Testing

In the event the federal agency participant initially joins eHealth Exchange, or changes the technical gateway or interface engine it uses to exchange data with eHealth Exchange, Technology Conformance testing is required to validate the gateway meets eHealth Exchange requirements. 

Item Number Description of Supplies/Services Quantity Unit Unit Fee Amount
3000 Transport Conformance Testing

  • Applies only if and when federal agency deploys a new gateway technology platform
  • Includes up to 10 hours of remote support.
1.00 One-Time $19,000 $19,000
3001 If needed, one or more supplemental ten-hour blocks of remote conformance testing support may be purchased for $1,750.00 each. 1.00 One-Time $1,750 $1,750