Onboarding design partners now

State-of-the-art open source models. Covered by BAA.

Get HIPAA-compliant inference for the latest frontier open-source models - at a fraction of the cost of OpenAI/Anthropic etc.

https://api.openmedrouter.com/inference/v1
from openai import OpenAI
client = OpenAI(
api_key=os.environ.get("OPENMEDROUTER_API_KEY"),
base_url="https://api.openmedrouter.com/inference/v1"
)
stream = client.chat.completions.create(
model="glm-5.3",
messages=[{"role": "user", "content": "..."}]
)
Cheaper than closed-source on Azure/Bedrock
~10xCheaper than closed-source on Azure/Bedrock
Open source models available now
12+Open source models available now
Unified API - OpenRouter-style routing
1Unified API - OpenRouter-style routing
For enterprise-grade HIPAA-compliance
BAAFor enterprise-grade HIPAA-compliance

Model catalog

The latest open source models - not on Azure or Bedrock

One API, every model. Swap models with a single parameter, the same way you would with OpenRouter. Run the latest open source models behind HIPAA-compliant infrastructure.

Cost comparison

Closed-source on Azure & Bedrock costs up to ~10x more

Open source models are served on optimized inference infrastructure, and the savings are passed through to you.

Closed-source on Azure OpenAI / Bedrock

Indicative cost baseline

~10x baseline~$30/ 1M tokens
  • Ecosystem built to push expensive, proprietary models
  • Limited open-source model catalog (no access to GLM-5.3, DeepSeek V4, etc.)
  • Rigid vendor lock-in to their specific cloud infrastructure
OpenMed Router

Open source models, unified API

Pass-through optimized inference pricing

~1x baseline~$3/ 1M tokens
  • Frontier-level intelligence at a fraction of proprietary model costs
  • Unlock access to the world's best open-source models
  • Flexible routing commitment spent dynamically across any model or provider
Browse the model catalog →

How it works

From waitlist to production in three steps

A single integration gets you from prototype to HIPAA-compliant production inference - with the model flexibility healthcare teams need.

01

One unified API

OpenRouter-style routing across the full open source catalog. Change models with a single parameter - no re-architecting when something better ships.

02

HIPAA-compliant by default

AES-256 encryption in transit and at rest. Isolated inference, access controls, and audit logging. Enterprise-grade AI governance.

03

Deploy & scale

Fast deployment across your organisation with the OpenAI SDK. Scale effortlessly with the one API for any model. Keep up to date with the latest models - no vendor lock-in.

Python

import os
from openai import OpenAI
client = OpenAI(
    api_key=os.environ.get("OPENMEDROUTER_API_KEY"),
    base_url="https://api.openmedrouter.com/inference/v1"
)
stream = client.chat.completions.create(
    model="glm-5.3",
    messages=[{"role": "user", "content": "Write a discharge summary for this patient"}],
    stream=True
)
for chunk in stream:
    if chunk.choices[0].delta.content:
        print(chunk.choices[0].delta.content, end="")

Compliance & trust

Built for healthcare

Enterprise HIPAA Compliance

Sign a comprehensive BAA with confidence. Protect patient data (PHI) via zero-retention isolated inference, end-to-end AES-256 encryption (in transit and at rest), and strict least-privilege access controls.

Continuous Audit & AI Governance

Maintain full visibility with real-time access logs and cryptographic inference audit trails. Configure custom retention windows to cleanly support your institutional security reviews and compliance postures.

Read the full HIPAA compliance guide →

FAQ

HIPAA, BAAs, and open source models - answered

OpenAI offers a Business Associate Agreement (BAA) for its API under Enterprise terms, but the latest open source models (GLM-5.3 and GLM-5.3-Flash, DeepSeek-V4-Pro and V4-Flash, Kimi K3, Qwen3.8 27B/Flash-Next/Max, and others) are not available through OpenAI at all. OpenMed Router brings those same open source models under a HIPAA-compliant deployment with a signed BAA.

How BAAs work for LLM APIs →OpenAI in healthcare →

Yes - AWS Bedrock can be configured as HIPAA-eligible and offers a BAA. However, Bedrock supports only a limited subset of models (largely Anthropic, Meta, and Amazon), and closed-source model pricing is often around 10x higher than running equivalent open source models. OpenMed Router gives you a wider catalog of the latest open source models at a fraction of the cost.

HIPAA compliance guide →

Yes. The open source licenses for these models permit commercial use. HIPAA compliance depends on how the model is hosted and whether PHI is protected with a signed BAA, encryption in transit and at rest, and access controls - all of which OpenMed Router provides.

Browse the model catalog →HIPAA compliance guide →

OpenRouter (the popular inference aggregator) is not positioned as a HIPAA-compliant provider and does not provide a BAA for open source model workloads. Here at OpenMed Router, we follow the same unified-API model as OpenRouter, but add HIPAA-compliant infrastructure and an AI Governance layer for covered entities and their business associates.

HIPAA compliance guide →

Closed-source frontier models carry large per-token margins. Open source models can be served efficiently on optimized inference infrastructure, and those savings are passed through. You also avoid cloud egress lock-in and minimum commitments. Exact savings depend on the model and volume you select.

Pricing comparison →Browse the model catalog →

We are currently onboarding design partners, with general availability is coming soon! Join the waitlist to be prioritized - we'll reach out with a qualification call and early access.

Recent model launches →

Join the waitlist

Be first in line for HIPAA-compliant open source inference

We are currently onboarding design partners, with general availability is coming soon! Join the waitlist to be prioritized - we'll reach out with a qualification call and early access.

Step 1 of 2

We'll never share your details.

By joining the waitlist you agree to be contacted by OpenMed Router about the design partner program.