Medical Imaging Storage Costs
DICOM archives grow continuously and are rarely accessed after initial reads. S3 Standard pricing for petabytes of historical imaging data is expensive when most images are accessed less than once per year.
Cost Optimization & FinOps
AWS Cost Optimization for Healthcare Organizations
We optimize AWS costs for healthcare organizations — reducing medical imaging storage costs, optimizing HIPAA-compliant environments, and managing the unique cost structure of clinical data platforms without compromising compliance.
- Waste is found in the current bill — idle, oversized, uncommitted.
- The pass is written before anything is changed.
- Right-sizing covers idle and oversized capacity.
- Commitments are modeled, not bought on a hunch.
- You approve the spend change before we touch the account.
- Recovered spend is what remains after the change, in writing.
Key Challenges We Solve
HIPAA Environment Overhead
HIPAA-compliant environments have mandatory overhead — CloudTrail logging, Config rules, GuardDuty, and Security Hub all have costs. These compliance costs must be managed, not eliminated.
HealthLake Query Costs
AWS HealthLake charges per GB scanned for analytics queries. Unoptimized FHIR queries that scan full patient histories are significantly more expensive than targeted queries with proper filters.
Non-Production Environment Sprawl
Healthcare development and testing environments often run full-time with production-level configurations. De-identified test environments need not run at production scale continuously.
Our Approach
DICOM Archive Tiering Strategy
S3 Intelligent-Tiering for images accessed in the past year, S3 Glacier Instant Retrieval for 1-3 year archives, and S3 Glacier Deep Archive for HIPAA long-term retention mandates — reducing storage costs by 60-80% vs. S3 Standard.
Compliance Cost Optimization
AWS Security Hub and GuardDuty can be over-configured. We audit your compliance tooling against actual HIPAA requirements, consolidate redundant tools, and optimize log retention to the minimum required periods.
Non-Production Environment Scheduling
Automated start/stop schedules for development and testing environments — running only during business hours (8am-6pm) saves 65% of compute costs for environments that don't need 24/7 availability.
Frequently Asked Questions
Can we use S3 Glacier for DICOM archives under HIPAA?
Yes. S3 Glacier and S3 Glacier Deep Archive are HIPAA-eligible services covered under the AWS BAA. The key requirement is that objects remain encrypted (SSE-KMS), access is restricted to authorized roles, and retrieval logs are maintained via CloudTrail. S3 Intelligent-Tiering automatically moves infrequently accessed DICOM files to Glacier without requiring manual lifecycle management.
How do you optimize HealthLake query costs?
HealthLake charges $0.01 per GB scanned for data export operations. We optimize by: adding date range filters to limit scan scope, using FHIR resource type filtering to avoid full table scans, implementing result caching for frequently run population health queries, and scheduling large analytical queries for off-peak hours when lower-priority compute is available.
What are the required compliance costs we cannot eliminate?
Under HIPAA, you must maintain: CloudTrail logging (all regions), S3 access logging for PHI buckets, VPC Flow Logs for PHI subnets, and audit log retention for 6 years. GuardDuty and Security Hub are highly recommended but not technically required. We help you right-size these required services (e.g., CloudTrail data events only for PHI S3 buckets, not all buckets) to minimize cost while maintaining compliance.
Ready to Get Started?
Talk to our AWS experts about aws cost optimization for healthcare organizations.