apiCommonsPlans: '0.1'
generated: '2026-08-15'
method: searched
source: >-
  https://www.jeffersonhealthplans.com/home/about-us/interoperability/api-tools/
  (HTTP 200), https://fhir.epic.com/Developer/Apps (HTTP 200),
  https://appgallery.healthpartnersplans.com/app-gallery/portal/ (HTTP 200) and
  https://www.jeffersonhealth.org/pay-my-bill/price-estimator (HTTP 200),
  re-verified 2026-08-15.
plan_count: 4
paid_plan_count: 0
pricing_page: null
pricing_note: >-
  Jefferson Health publishes no developer pricing page, because there is no
  commercial API product. All four entries below are free-at-point-of-use
  regulatory surfaces published under CMS-9115-F; the only gate is app
  registration and organizational approval, not payment. Recorded as four real
  free tiers rather than as an absence, because the access terms of each differ
  materially (patient-authorized, member-authorized, fully public,
  out-of-scope).
info:
  title: Jefferson Health API Plans and Pricing
  description: >-
    Commercial plan and pricing surface for Jefferson Health's published APIs.
    The CMS Interoperability and Patient Access (CMS-9115-F) FHIR APIs from
    Thomas Jefferson University Hospital and Jefferson Health Plans are
    free at the point of use for patient-authorized applications, with cost
    of access governed by the CMS rule and HIPAA — not by a developer
    pricing tier. There is no public commercial developer marketplace.
  created: '2026-05-23'
  modified: '2026-05-23'
provider:
  name: Jefferson Health
  url: https://www.jeffersonhealth.org/
plans:
- id: tjuh-patient-access-fhir
  name: Thomas Jefferson University Hospital Patient Access FHIR (Free)
  description: >-
    Free patient-authorized access to USCDI-aligned EHR data via the
    Jefferson FHIR R4 endpoint under CMS-9115-F. Apps must register with
    Epic on FHIR and obtain Jefferson approval to access production data;
    the API itself is not metered or charged.
  audience: Patient-facing third-party applications, individual patients.
  scope: Patient-level read access via SMART on FHIR.
  pricing:
    model: free
    currency: USD
    amount: 0
  termsOfService:
  - https://fhir.epic.com/
  - https://www.healthit.gov/curesrule/
  registration:
    url: https://fhir.epic.com/Developer/Apps
  notes:
  - Production access requires Epic on FHIR app registration and Jefferson Health onboarding.
  - Bulk Data Group export is supported but typically restricted to organizational data-use agreements.

- id: jhp-patient-access-fhir
  name: Jefferson Health Plans Patient Access FHIR (Free)
  description: >-
    Free member-authorized access to adjudicated claims, encounter data,
    formulary, and clinical data for Jefferson Health Plans members under
    CMS-9115-F via OAuth 2.0 / OpenID Connect on the Smile CDR-powered
    Patient Access API.
  audience: JHP-member-facing third-party applications.
  scope: Member-level read access via CARIN BB profiles.
  pricing:
    model: free
    currency: USD
    amount: 0
  termsOfService:
  - https://www.jeffersonhealthplans.com/home/about-us/interoperability/terms-of-service.html
  registration:
    url: https://appgallery.healthpartnersplans.com/app-gallery/portal/#/login

- id: jhp-provider-directory-fhir
  name: Jefferson Health Plans Provider Directory FHIR (Public)
  description: >-
    Public, unauthenticated FHIR R4 provider directory required by
    CMS-9115-F. No registration or payment required.
  audience: Open public, app developers, consumers, researchers.
  scope: Public read across Practitioner, PractitionerRole, Organization, Location, HealthcareService, InsurancePlan, Endpoint.
  pricing:
    model: free
    currency: USD
    amount: 0
  registration: null
  notes:
  - No API key required; rate limits and abuse controls may apply at the network edge.

- id: clinical-care
  name: Clinical Care (Out of Scope for Developer Pricing)
  description: >-
    Jefferson Health's hospital and physician services are billed under
    standard insurance and self-pay arrangements; cost-of-care information
    is published through the Hospital Price Transparency program (charge
    description master) and Price Estimator tool, not the developer APIs.
  audience: Patients, payers.
  scope: Out of scope for API monetization.
  pricing:
    model: unmetered-clinical-billing
  references:
  - https://www.jeffersonhealth.org/pay-my-bill/charge-description
  - https://www.jeffersonhealth.org/pay-my-bill/price-estimator