Payers, Vendors and For-Profit Health Information Exchanges or Networks
Pricing Structure Determined by Two Components
- Base Fee
- Technology Component
Base Fee Pricing
| If Total Annual Revenue1 or Represented Annual Revenue is: | Annual Base Fee |
|---|---|
| >$10 Billion | $400,000 |
| $2.5 Billion to less than $10 Billion | $206,000 |
| $1.5 Billion to less than $2.5 Billion | $167,000 |
| $1 Billion to less than $1.5 Billion | $138,000 |
| $700 Million to less than $1 Billion | $115,000 |
| $500 Million to less than $700 Million | $106,000 |
| $250 Million to less than $500 Million | $88,000 |
| $150 Million to less than $250 Million | $75,000 |
| $100 Million to less than $150 Million | $62,000 |
| $75 Million to less than $100 Million | $48,000 |
| $50 Million to less than $75 Million | $40,000 |
| $25 Million to less than $50 Million | $34,000 |
| $10 Million to less than $25 Million | $26,500 |
| $5 Million to less than $10 Million | $20,500 |
| $2 Million to less than $5 Million | $15,000 |
| <$2 Million | $12,500 |
1 “Annual Revenue” is the total annual revenue from the most recently complete calendar year
Technology Component Pricing
(In addition to Annual Base Fee for Payers, Vendors, and For-Profit Health Information Exchanges or Networks)
| Incremental Fee to Respond to Transactions Initiated by other Organizations | Incremental Fee to Initiate Queries (Request Data) Routed Through eHealth Exchange’s Platform |
|---|---|
| $02 | $.0004 for each Targeted Query made by your organization to match to a patient in another organization’s system, for document lists, to retrieve data, as well as requests to send data to other organizations. |
| $02 | $.0002 for each Broadcast or Group Query where the same patient request is being sent to multiple organizations. For example, an organization sends a patient discovery transaction to five different organizations as part of a Group Query. The incremental fee would be $.0002 for each of the four additional transactions. This also includes requests to send data to multiple organizations |
2 Included in Annual Base Fee
eHealth Exchange will regularly measure the volume of queries (transactions) processed through Hub for Payers, Vendors, and For-Profit Health Information Exchanges. Six (6) months after the Effective Date of the Initial Term and six (6) months after the effective date of each Renewal Term, eHealth Exchange shall conduct a reconciliation of the total transactions processed versus 50 percent (%) of transactions estimated at the beginning of the Initial or Renewal Term.
- If the number of transactions processed exceeds 50 percent (%) of the transactions estimated for the year, eHealth Exchange will invoice the Participant for the revised estimate of total transactions for the year less the amount invoiced at the beginning of the Initial Term or Renewal Term.
At the end of the Initial Term or Renewal Term, eHealth Exchange shall conduct a reconciliation of the total transactions processed versus the transactions estimated at the beginning of the Initial or Renewal Term.
- If the number of transactions processed exceeds the transactions estimated for the year, eHealth Exchange will invoice the Participant for the actual number of total transactions for the year less the transaction fees invoiced and paid for the Initial Term or Renewal Term.
- If the actual number of transactions processed is less than the transactions estimated for the year, eHealth Exchange will refund the excess transaction fees paid.
