10 Best HIPAA-Compliant Databases of 2026

1. 1

   Amazon RDS

   AWS's managed relational database service for PostgreSQL, MySQL, MariaDB, SQL Server, Oracle and Db2.

   8.7overall

   AWS's managed relational database service for PostgreSQL, MySQL, MariaDB, SQL Server, Oracle and Db2.

   Best forhealthcare teams already building on AWS

   Adoption data

   $46.0 billionAmazon reported AWS segment sales of $46.0 billion in the third quarter of 2026, up 39% year over year; Amazon does not break out RDS revenue.

   Amazon, Amazon.com Announces Third Quarter Results (2026): “AWS segment sales increased 39% year-over-year to $46.0 billion.”

   Amazon RDS is the default answer for healthcare software that runs on AWS. AWS lists Amazon RDS on its HIPAA eligible services reference for the SQL Server, MySQL, Oracle, PostgreSQL, Db2 and MariaDB engines, so a team that has accepted the AWS BAA can keep patient records in the same account as its application servers and storage. The production features matter for clinical systems: Multi-AZ deployments replicate synchronously to a standby in another Availability Zone and carry an SLA of up to 99.95%, and a variant with two readable standbys spreads one primary and two replicas across three zones. The weak point for buyers is price transparency. RDS bills per instance hour, storage, I/O and backup, and the instance table on the pricing page loads in a calculator, so we left the entry price as pending. HIPAA eligibility does not configure itself, either: you still turn on encryption, restrict access and keep audit logs. We compared documented features and published prices.

   Strengths

   • +Six database engines are covered by the AWS HIPAA eligible services list
   • +Fits teams that already sign the AWS BAA for compute and storage
   • +Multi-AZ SLA of up to 99.95% for production patient data

   Limitations

   • −Instance prices load in a calculator, so we could not confirm a USD entry rate here
   • −T4g and T3 instances charge $0.075 per vCPU-hour for CPU credits above baseline
   • −HIPAA eligibility covers the service, not your configuration: encryption, access and logging remain your job

   SummaryAmazon RDS is the best choice for healthcare teams on AWS because six engines sit on the AWS HIPAA eligible services list under one BAA. Budget time for a cost estimate, since instance pricing is calculator driven.

2. 2

   MongoDB Atlas

   MongoDB's managed document database, with a BAA built into the cloud terms for self-serve accounts.

   8.6overall

   MongoDB's managed document database, with a BAA built into the cloud terms for self-serve accounts.

   Best forhealthcare apps with flexible or nested patient records

   Adoption data

   29%MongoDB reported that Atlas revenue grew about 29% year over year in its fiscal 2027 second quarter, which ended July 31, 2026.

   MongoDB, MongoDB, Inc. Announces Second Quarter Fiscal 2027 Financial Results (Form 8-K, Exhibit 99.1) (2026): “Atlas revenue up approximately 29% year-over-year in the second quarter fiscal 2027”

   MongoDB Atlas makes the BAA step unusually simple. Its HIPAA page says a Business Associate Agreement is included in the MongoDB Cloud Terms of Service for self-service, pay-as-you-go accounts, so a small team does not need to wait on a signed contract before storing protected health information. Organizations billed by invoice under an Order Form must still ask sales for one. The BAA covers Atlas, App Services, Charts, Atlas Serverless, Cloud Manager and Atlas Data Lake, and it excludes anything in beta or preview. For production health data, the relevant tier is Dedicated, which starts at $0.08 per hour, about $56.94 per month, and scales from 10 GB to 4 TB of storage and up to 96 vCPUs. MongoDB reported Atlas revenue growth of about 29% in the quarter ended July 31, 2026. The document model suits varied clinical payloads such as FHIR resources, but relational reporting is less natural than in Postgres or SQL Server. We compared documented features and published prices.

   Strengths

   • +No separate BAA paperwork for self-serve, pay-as-you-go accounts
   • +Hourly prices for every tier are published in USD
   • +MongoDB reports Atlas growth in SEC filings

   Limitations

   • −Invoice customers on an Order Form must request a BAA from sales before storing PHI
   • −Beta and preview features are outside the BAA
   • −Document model, so teams that want SQL joins should look at the relational options

   SummaryMongoDB Atlas is the best choice for teams storing FHIR-style JSON records because its self-serve terms already include a BAA. Plan on Dedicated clusters from about $56.94 per month for production PHI.

3. 3

   Google Cloud SQL

   Google Cloud's managed PostgreSQL, MySQL and SQL Server service, covered by the Google Cloud BAA.

   8.5overall

   Google Cloud's managed PostgreSQL, MySQL and SQL Server service, covered by the Google Cloud BAA.

   Best forbudget-conscious teams on Google Cloud

   Adoption data

   $30.7 billionAlphabet reported Google Cloud revenue of $30.7 billion in the third quarter of 2026, up 103%; Google does not report Cloud SQL revenue on its own.

   Alphabet, Alphabet Announces Third Quarter 2026 Results (Form 8-K, Exhibit 99.1) (2026): “Google Cloud delivered record growth as revenues increased 103% to $30.7 billion”

   Google Cloud SQL is the lowest-cost way into a hyperscaler database that sits under a BAA. Google's HIPAA page lists Cloud SQL among the covered products and says the BAA spans the entire Google Cloud infrastructure, so you are not restricted to particular regions. It also states that HIPAA-regulated customers get the same services at the same pricing as everyone else. The smallest shared-core instance, db-f1-micro, costs $0.0105 per hour, and an HA version costs $0.021 per hour, but shared-core machines are not covered by the Cloud SQL SLA, so production patient data belongs on dedicated-core instances. Enterprise edition carries a 99.95% availability SLA and Enterprise Plus a 99.99% SLA. Cloud SQL runs PostgreSQL, MySQL and SQL Server, which covers most healthcare application stacks. New customers can start with a 30-day trial instance and $300 in credits. We compared documented features and published prices.

   Strengths

   • +Lowest published hyperscaler entry rate in this list at $0.0105 per hour
   • +Google says HIPAA customers get the same services and pricing as everyone else
   • +BAA is not limited to specific regions

   Limitations

   • −Shared-core db-f1-micro and db-g1-small instances are not covered by the Cloud SQL SLA
   • −High availability doubles the shared-core hourly rate to $0.021
   • −Three engines only, with no Oracle or Db2 option

   SummaryGoogle Cloud SQL is the best value for healthcare teams on Google Cloud because its BAA covers every region and entry instances start at $0.0105 per hour. Move to dedicated cores for production data that needs the SLA.

4. 4

   Azure SQL Database

   Microsoft's managed SQL Server engine in Azure, covered by the HIPAA BAA in the Microsoft Product Terms.

   8.3overall

   Microsoft's managed SQL Server engine in Azure, covered by the HIPAA BAA in the Microsoft Product Terms.

   Best forMicrosoft and SQL Server shops

   Adoption data

   27.1%In the 2026 Stack Overflow Developer Survey, 27.1% of the 12,061 respondents who answered the database question used Microsoft SQL Server, the engine behind Azure SQL Database.

   Stack Overflow, 2026 Developer Survey: Databases (2026): “Microsoft SQL Server 3,270 27.1%”

   Azure SQL Database is the natural pick for healthcare organizations that already run SQL Server and Microsoft 365. Microsoft says it offers a HIPAA BAA as part of the Microsoft Product Terms to all customers who are covered entities or business associates, for in-scope Azure services, so the agreement does not need a separate negotiation. The security features map well to PHI: transport layer security in transit, transparent data encryption at rest, and Always Encrypted for data in use, plus data discovery and classification to find and label sensitive columns. Point-in-time restore works within the automatic backup retention period, and single and pooled databases support active geo-replication. SQL Server remains widely used: 27.1% of database respondents in the 2026 Stack Overflow survey reported using it. The drawback is cost clarity, since Azure offers vCore and DTU models and the page we fetched did not show USD rates, so the price is pending. We compared documented features and published prices.

   Strengths

   • +BAA comes through the standard Product Terms rather than a separate negotiation
   • +Always Encrypted keeps selected columns encrypted even from database administrators
   • +Familiar T-SQL engine for teams moving from on-premises SQL Server

   Limitations

   • −Prices did not render in USD on the page we fetched, so the entry rate is pending
   • −Two purchase models, vCore and DTU, make cost comparison harder
   • −SQL Server only, with no PostgreSQL option inside this service

   SummaryAzure SQL Database is the best choice for SQL Server shops because the HIPAA BAA is part of Microsoft's standard Product Terms and Always Encrypted protects columns in use. Use the Azure calculator to price vCore or DTU options.

5. 5

   Supabase

   Hosted Postgres with auth, storage and APIs, with HIPAA available as a paid add-on on Team and Enterprise.

   8.1overall

   Hosted Postgres with auth, storage and APIs, with HIPAA available as a paid add-on on Team and Enterprise.

   Best forsmall product teams building full-stack health apps

   Adoption data

   10 millionSupabase said in its Series F announcement in 2026 that nearly 10 million developers build on its platform.

   Supabase, Supabase Series F (2026): “Nearly 10 million developers build on Supabase today, more than doubling since our last fundraising announcement eight months ago.”

   Supabase is the quickest route to a complete HIPAA backend for a small team, but the entry price is high. Its pricing page lists HIPAA as a paid add-on on the Team plan, which starts at $599 per month, and on Enterprise. The HIPAA projects guide says organizations must have a signed BAA with Supabase and the add-on enabled before handling PHI, and the compliance guide notes that Supabase has signed BAAs with vendors such as AWS that could access ePHI. The appeal is scope: one agreement covers Postgres plus auth, storage and functions, so a telehealth or patient-portal app does not stitch together several vendors. Team also adds SOC 2 and ISO 27001 reports, SSO and 14 days of daily backups. Supabase reports nearly 10 million developers on the platform. Weigh that against the add-on fee, which is not published, and note that self-hosted Supabase does not carry the HIPAA controls out of the box. We compared documented features and published prices.

   Strengths

   • +One BAA covers database, auth and file storage for a full app backend
   • +Standard Postgres, so data and SQL move to other hosts
   • +Self-serve start on Free or Pro before the HIPAA move

   Limitations

   • −HIPAA starts at the $599 per month Team plan plus an add-on whose price is not published
   • −Self-hosted Supabase does not include the HIPAA controls out of the box
   • −Free and Pro plans exclude HIPAA

   SummarySupabase is the best choice for small teams that want database, auth and storage under one BAA because its Team plan bundles all three. Expect at least $599 per month plus the HIPAA add-on.

6. 6

   Neon

   Serverless Postgres from Databricks with self-serve HIPAA on the Scale plan.

   7.9overall

   Serverless Postgres from Databricks with self-serve HIPAA on the Scale plan.

   Best forteams wanting self-serve HIPAA Postgres billed by usage

   Adoption data

   80%Databricks said when it agreed to acquire Neon in 2025 that over 80% of databases provisioned on Neon were created by AI agents rather than people.

   Databricks, Databricks Agrees to Acquire Neon to Help Developers Deliver AI Systems (2025): “Recent internal telemetry showed that over 80 percent of the databases provisioned on Neon were created automatically by AI agents rather than by humans”

   Neon makes HIPAA Postgres a settings change instead of a sales process. Its documentation says HIPAA is a self-serve feature on the Scale plan: you review and accept the BAA while enabling HIPAA for the organization, and the agreement is with Databricks, Neon's parent company. Neon says HIPAA support is currently free, and that a 15% surcharge will be added when it starts charging, which buyers should factor in now. Scale bills $0.222 per compute-unit hour and $0.35 per GB-month, with computes up to 56 CU and 224 GB of RAM, SLAs and private networking. Neon's own pricing example for a high-load 100 GB workload comes to about $701 per month. Branching is useful in regulated work because developers can test migrations on a copy instead of production. Adoption data is thin: the cited Databricks release describes how databases get created, not customer counts. We compared documented features and published prices.

   Strengths

   • +BAA accepted in the console during HIPAA enablement, with no sales call
   • +Usage-based billing with no fixed monthly fee
   • +Instant copy-on-write branches for testing schema changes

   Limitations

   • −HIPAA only on Scale, where Neon's typical spend example is about $701 per month
   • −Neon has announced a future 15% HIPAA surcharge
   • −No published customer count, so adoption scores lower

   SummaryNeon is the best choice for teams that want HIPAA Postgres without a sales call because the BAA is accepted self-serve on the Scale plan. Budget for usage billing and the announced 15% surcharge.

7. 7

   InterSystems IRIS for Health

   A healthcare data platform with a built-in HL7 FHIR repository, available self-managed or as a managed service.

   7.8overall

   A healthcare data platform with a built-in HL7 FHIR repository, available self-managed or as a managed service.

   Best forinteroperability and FHIR-heavy health systems

   Adoption data

   More than one billionInterSystems says more than one billion health records worldwide are managed by solutions built on its technology.

   InterSystems, InterSystems IRIS for Health (2026): “Globally, more than one billion health records are managed by solutions built on InterSystems technology.”

   InterSystems IRIS for Health is the specialist in this list: a data platform built around healthcare standards rather than a general database with HIPAA paperwork attached. InterSystems describes it as providing the building blocks for any healthcare data standard, including HL7 FHIR, with an advanced FHIR repository. It extends the IRIS platform that Epic uses, and InterSystems says Epic's customer systems count 2.5 million concurrent users, and that more than one billion health records are managed by solutions built on its technology. Teams can run it themselves on a cloud covered by their BAA or use the IRIS Managed Service, which InterSystems says operates in environments audited to SOC 2 Type 2, HITRUST CSF and ISO 27001. The trade-offs are commercial. Pricing is quote-based, we did not find a published BAA statement for the managed service, and fewer developers know IRIS than Postgres. It earns its place when interoperability, not cost, drives the decision. We compared documented features and published prices.

   Strengths

   • +The only platform here designed specifically for healthcare data standards
   • +InterSystems says Epic's systems on IRIS support 2.5 million concurrent users
   • +U.S. managed-service operations hold SOC 2 Type 2 and HITRUST certifications

   Limitations

   • −No public pricing
   • −We did not find a published BAA statement for the managed service; confirm with sales
   • −Smaller developer pool than PostgreSQL, MySQL or SQL Server

   SummaryInterSystems IRIS for Health is the best choice for interoperability-heavy health systems because FHIR and other healthcare standards are built into the platform. Expect a sales-led, quote-based purchase.

8. 8

   Oracle Autonomous AI Database

   Oracle's self-managing cloud database on Exadata, listed among OCI's HIPAA-assessed services.

   7.7overall

   Oracle's self-managing cloud database on Exadata, listed among OCI's HIPAA-assessed services.

   Best forenterprises standardized on Oracle

   Adoption data

   9.4%In the 2026 Stack Overflow Developer Survey, 9.4% of the 12,061 respondents who answered the database question used Oracle.

   Stack Overflow, 2026 Developer Survey: Databases (2026): “Oracle 1,135 9.4%”

   Oracle Autonomous AI Database fits healthcare organizations that already run Oracle and want it managed. Oracle's HIPAA-assessed regions and services page lists Autonomous Database on Shared Exadata Infrastructure, on Dedicated Exadata Infrastructure and on Cloud at Customer, which runs inside the customer's own data center. That last option matters for hospitals whose policies keep PHI on premises. Compute is billed by ECPU with the same metric across deployments, and a fixed Developer instance with 4 ECPUs and 20 GB of storage gives a low-commitment test bed. Oracle also builds vector search and machine learning into the database. The page we fetched did not show USD rates without selecting a currency, so the price is pending, and the BAA is a contract with Oracle rather than a self-serve checkbox. Oracle was used by 9.4% of database respondents in the 2026 Stack Overflow survey, far fewer than PostgreSQL. We compared documented features and published prices.

   Strengths

   • +Dedicated Exadata and Cloud at Customer options suit hospitals with strict isolation rules
   • +Same engine many hospital and payer systems already run
   • +AI and vector features in the database, without a separate vector store

   Limitations

   • −USD prices did not render on the page we fetched, so the entry rate is pending
   • −BAA is arranged with Oracle rather than accepted self-serve
   • −Smaller share of developers than PostgreSQL or SQL Server

   SummaryOracle Autonomous AI Database is the best choice for Oracle-standardized health systems because Oracle lists its Shared, Dedicated and Cloud at Customer deployments as HIPAA assessed. Smaller teams will find the managed Postgres options simpler.

9. 9

   Crunchy Bridge

   Fully managed Postgres on AWS, Azure or Google Cloud from Crunchy Data, with HIPAA compliance listed in its security features.

   7.3overall

   Fully managed Postgres on AWS, Azure or Google Cloud from Crunchy Data, with HIPAA compliance listed in its security features.

   Best forPostgres teams that want the lowest flat monthly price

   Crunchy Bridge is a managed Postgres service from Crunchy Data, and it has the lowest flat monthly entry in this list. The pricing page says plans start at $10 per month and that prices include infrastructure, backups, data transfer and connection pooling, with storage at $0.10 per GB. Clusters run on AWS, Azure or Google Cloud, and the product page lists single-tenant isolation, a SOC 2 Type 2 report, VPC and VNET peering and encryption at rest and in transit, alongside support for HIPAA compliance. What we could not find is a public BAA document or a statement of which plans it covers, so ask Crunchy Data for the agreement before you load PHI. The smallest Hobby instances have between half a gigabyte and 4 GB of memory, so most production clinical systems will start on Standard plans at $70 per month or more. We compared documented features and published prices.

   Strengths

   • +Cheapest flat monthly entry in this list at $10
   • +Choice of three clouds without changing vendor
   • +Storage priced simply at $0.10 per GB

   Limitations

   • −We did not find a published BAA document or plan requirement; confirm terms with Crunchy Data
   • −Hobby instances have half a GB to 4 GB of memory, too small for most clinical workloads
   • −No published customer count, so adoption scores low

   SummaryCrunchy Bridge is the best budget choice for Postgres teams because plans start at $10 per month with backups and data transfer included. Get the BAA in writing before storing patient data.

10. 10

    Aptible

    A platform for digital health teams that deploys apps and managed databases with HIPAA controls applied automatically.

    7.2overall

    A platform for digital health teams that deploys apps and managed databases with HIPAA controls applied automatically.

    Best fordigital health startups without a DevOps team

    Aptible is less a database than a compliant hosting platform with managed databases built in, and that is its appeal for small digital health teams. The Production plan, from a $499 monthly base fee plus usage, deploys into a dedicated private network with high availability and, in Aptible's words, 100% of HIPAA controls applied automatically. Managed database types include PostgreSQL, MySQL, Redis, Elasticsearch, InfluxDB and RabbitMQ. Backups are compressed and encrypted, run daily, can be copied to another region, and PostgreSQL supports point-in-time recovery. Because apps and databases live on the same platform, a startup gets one vendor for the hosting part of its HIPAA program instead of assembling it on a raw cloud account. The costs add up: the base fee comes before containers and storage, and HITRUST or PCI need Enterprise. Aptible does not publish customer counts, so adoption scores lower than the big clouds. We compared documented features and published prices.

    Strengths

    • +Built for digital health, with HIPAA and SOC 2 frameworks on the Production plan
    • +Hosts the application and the database under one vendor
    • +Startup Program offers discounted infrastructure for the first 6 months

    Limitations

    • −$499 per month base fee before any infrastructure usage
    • −Smaller vendor without published customer counts
    • −HITRUST and PCI require the Enterprise plan

    SummaryAptible is the best choice for digital health startups without DevOps staff because its Production plan applies HIPAA controls to apps and databases automatically. The $499 monthly base fee comes before usage.

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