There are two types of fees associated with the eHealth Exchange:

eHealth Exchange Network Participation Fees (Annual)

  • Annual service fee that covers the cost to support participants who exchange data under the DURSA and purview of the Coordinating Committee
  • Covers ongoing support and maintenance of trust framework, specifications, service registry, certificate management, etc.

This sliding scale is based on annual healthcare revenue.   For government agencies and non-profits, the fees are based on annual operating costs.

Participation Fees


Testing Fees

  • Participant Testing Fee: Applies to every organization onboarding for the first time to the eHealth Exchange and may apply if an existing participant changes vendors or makes substantial changes to its system once in production and are detailed in the Participant Testing Agreement.  Multiple testing fees may apply if multiple systems / connection points exist.

Testing Fees

  • Product Testing Fee: Applies to vendor’s seeking to validate their product and are detailed in the Product Testing Agreement


product fee