# Provenance stamped 2026-10-07 (roadmap#943): written by an API Evangelist sweep (dated 2026-06-13 by the file itself), not
# harvested from the provider. `method: generated` so the economics campaign may replace it with a
# dated, verbatim transcription; every figure below is unverified until it does.
method: generated
generated: '2026-06-13'
specification: API Commons Plans
specificationVersion: '0.1'
schema: https://raw.githubusercontent.com/api-evangelist/interface-research/main/schema/api-commons.yml#/$defs/Plans
provider: Google Cloud Healthcare
providerId: google-cloud-healthcare
created: '2026-06-13'
modified: '2026-06-13'
reconciled: true
tags:
  - Healthcare
  - FHIR
  - HL7v2
  - DICOM
  - Google Cloud
  - Medical Imaging
description: >-
  Google Cloud Healthcare API is priced on a usage-based model across its four main data store types:
  FHIR, HL7v2, DICOM, and de-identification. Costs are incurred for data storage (per GB-month),
  API operations (reads, writes, searches), bulk import/export jobs, Pub/Sub notifications, and
  Consent Management policies. De-identification is measured in GUs (Gigabyte Units) with tiered
  pricing. New Google Cloud customers receive $300 in free credits. No meaningful free tier exists
  for production healthcare workloads; always verify current rates on the official pricing page.
sources:
  - https://cloud.google.com/healthcare-api/pricing
plans:
  - id: google-cloud-healthcare-free-credits
    name: Free Credits (New Customers)
    type: freemium
    description: >-
      New Google Cloud customers receive $300 in free credits that can be applied to any Google
      Cloud product including the Cloud Healthcare API. Credits expire 90 days after account
      creation. This is not a sustained free tier — once credits are exhausted, standard usage
      billing applies.
    entries:
      - label: New customer free credits
        description: One-time $300 credit for new Google Cloud accounts applicable to Healthcare API usage
        name: new_customer_credits
        type: quota
        metric: USD
        limit: 300
        timeFrame: one-time
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: '0.00'
        userMultiplied: false
    elements:
      - name: FHIR Store operations
      - name: HL7v2 Store operations
      - name: DICOM Store operations
      - name: De-identification
      - name: Consent Management
  - id: google-cloud-healthcare-fhir
    name: FHIR Store - Usage-Based
    type: usage-based
    description: >-
      FHIR store pricing covers data storage (per GB-month), read/write/search operations billed
      per GB of FHIR resource data processed, bulk import/export operations, and Pub/Sub notification
      costs. FHIR data volume is measured based on the entire FHIR resource size in protocol buffer
      format. Rates vary by region; consult the official pricing page for current SKU rates.
    entries:
      - label: FHIR structured storage
        description: Storage for FHIR resources, billed per GB-month
        name: fhir_storage
        type: metered
        metric: GB-month
        limit: -1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: FHIR read operations
        description: Per-GB of FHIR resource data read; billed on data volume processed
        name: fhir_read_ops
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: FHIR write operations
        description: Per-GB of FHIR resource data written (create/update/delete)
        name: fhir_write_ops
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: FHIR search operations
        description: Per-GB of FHIR resource data scanned during search queries
        name: fhir_search_ops
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: FHIR bulk export
        description: Bulk export of FHIR resources to Cloud Storage or BigQuery
        name: fhir_bulk_export
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
    elements:
      - name: FHIR R4
      - name: FHIR STU3
      - name: FHIR DSTU2
      - name: SMART on FHIR authorization
      - name: Pub/Sub notifications
      - name: BigQuery export
      - name: Cloud Storage import/export
  - id: google-cloud-healthcare-hl7v2
    name: HL7v2 Store - Usage-Based
    type: usage-based
    description: >-
      HL7v2 store pricing covers message storage (per GB-month), message ingest/send operations,
      and Pub/Sub notification delivery. HL7v2 data volume is based on the raw byte size of HL7v2
      messages. Individual messages are limited to 10 MB. Rates vary by region.
    entries:
      - label: HL7v2 message storage
        description: Storage for HL7v2 messages, billed per GB-month
        name: hl7v2_storage
        type: metered
        metric: GB-month
        limit: -1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: HL7v2 ingest operations
        description: Per-GB of raw HL7v2 message bytes ingested
        name: hl7v2_ingest_ops
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
    elements:
      - name: HL7v2 message parsing
      - name: Pub/Sub notifications
      - name: BigQuery export
      - name: Cloud Storage export
  - id: google-cloud-healthcare-dicom
    name: DICOM Store - Usage-Based
    type: usage-based
    description: >-
      DICOM store pricing covers imaging data storage (per GB-month), DICOMweb operations
      (STOW-RS store, WADO-RS retrieve, QIDO-RS query), and bulk import/export to Cloud Storage.
      DICOM data volume is based on the size of the stored DICOM files. DICOM store transactions
      are unlimited in size; other request methods are limited to 10 MB each.
    entries:
      - label: DICOM imaging storage
        description: Storage for DICOM instances (studies, series, images), billed per GB-month
        name: dicom_storage
        type: metered
        metric: GB-month
        limit: -1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
      - label: DICOMweb operations
        description: Per-GB of DICOM file data for STOW-RS (store), WADO-RS (retrieve), QIDO-RS (query)
        name: dicom_ops
        type: metered
        metric: GB
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page
        userMultiplied: false
    elements:
      - name: STOW-RS (store instances)
      - name: WADO-RS (retrieve instances)
      - name: QIDO-RS (query metadata)
      - name: Cloud Storage import/export
  - id: google-cloud-healthcare-deidentify
    name: De-identification - Usage-Based
    type: usage-based
    description: >-
      De-identification is billed in Gigabyte Units (GUs) of data inspected or transformed. Tiered
      pricing applies with inspection charged separately from transformation. The first 1 GU per
      month is free for both inspection and transformation. Transformation costs exceed inspection
      costs by approximately 10x. De-identification applies to FHIR resources, DICOM pixel data,
      and unstructured text via Cloud DLP integration.
    entries:
      - label: De-identification inspection (0-1 GU/month)
        description: First gigabyte unit of inspection per month is free
        name: deidentify_inspect_free
        type: quota
        metric: GU
        limit: 1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: '0.00'
        userMultiplied: false
      - label: De-identification inspection (>1 GU/month, tiered)
        description: Tiered rates for inspection beyond the first free GU; rates decrease at higher volumes
        name: deidentify_inspect_paid
        type: metered
        metric: GU
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page (approx $0.10-$0.30/GU tiered)
        userMultiplied: false
      - label: De-identification transformation (0-1 GU/month)
        description: First gigabyte unit of transformation per month is free
        name: deidentify_transform_free
        type: quota
        metric: GU
        limit: 1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: '0.00'
        userMultiplied: false
      - label: De-identification transformation (>1 GU/month, tiered)
        description: Tiered rates for transformation beyond the first free GU; approximately $1.00-$3.00/GU
        name: deidentify_transform_paid
        type: metered
        metric: GU
        limit: -1
        timeFrame: usage
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: see pricing page (approx $1.00-$3.00/GU tiered)
        userMultiplied: false
    elements:
      - name: FHIR resource de-identification
      - name: DICOM pixel anonymization
      - name: Unstructured text redaction
      - name: Date shifting
      - name: Cryptographic hashing
      - name: HIPAA Safe Harbor compliance
  - id: google-cloud-healthcare-consent
    name: Consent Management - Usage-Based
    type: usage-based
    description: >-
      Consent Management is billed per active consent artifact or admin policy held per month.
      Patient-level consents are charged at $0.05 per active Patient consent per month.
      Organization-level admin policies are charged at $50.00 per active Admin policy per month.
    entries:
      - label: Active patient consent
        description: Per active Patient consent record per month
        name: consent_patient
        type: metered
        metric: consent
        limit: -1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: '0.05'
        userMultiplied: false
      - label: Active admin policy
        description: Per active Admin policy record per month
        name: consent_admin_policy
        type: metered
        metric: policy
        limit: -1
        timeFrame: month
        geo: global
        domains:
          - https://healthcare.googleapis.com
        unit: 1
        price: '50.00'
        userMultiplied: false
    elements:
      - name: Patient consent artifacts
      - name: Admin access policies
      - name: Consent evaluation at query time
      - name: FHIR store consent enforcement
maintainers:
  - FN: Kin Lane
    email: kin@apievangelist.com
x-canonical:
  generated: '2026-10-08'
  vocabulary: all/0-working/economics/plans-canonical.yml
  models:
  - free
  - metered
  units:
  - data
  - money
  plans:
  - name: Free Credits (New Customers)
    access: freemium
    model: free
    model_how: derived
    units:
    - money
    periods:
    - one-time
  - name: FHIR Store - Usage-Based
    access: other
    model: metered
    model_how: stated
    units:
    - data
    periods:
    - month
    - per-use
  - name: HL7v2 Store - Usage-Based
    access: other
    model: metered
    model_how: stated
    units:
    - data
    periods:
    - month
    - per-use
  - name: DICOM Store - Usage-Based
    access: other
    model: metered
    model_how: stated
    units:
    - data
    periods:
    - month
    - per-use
  - name: De-identification - Usage-Based
    access: other
    model: metered
    model_how: stated
    units:
    - other
    periods:
    - month
    - per-use
  - name: Consent Management - Usage-Based
    access: other
    model: metered
    model_how: stated
    units:
    - other
    periods:
    - month