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Independent directory. VektorIndex is not affiliated with or sponsored by any listed vendor. All specifications are sourced from official vendor documentation.

Head-to-Head Specification Audit

Epic Systems vs Fly.io

Enterprise Electronic Health Records · United States

Healthcare Software

Epic Systems

Enterprise Electronic Health Records · United States

Visit Epic Systems

Cloud Hosting & Edge

Fly.io

Backend & API Developers · Global

Visit Fly.io

Specification Matrix

MetricEpic SystemsFly.io
Starting Price$1000000/moCustomBetter
API Rate Limit200 req/minN/A
Target CountryUnited StatesGlobal
CategoryHealthcare SoftwareCloud Hosting & Edge
ComplianceHIPAA, ONC, SOC2, HL7-FHIR, FDA-SaMDSOC2, GDPR
Hosting RegionsUS-East, US-WestUS-East, EU-West, AP-Southeast, AF-South-ZA
Native Integrations5 listedBetter5 listed

Epic Systems — Key Specs

  • Largest EHR market share (35%+ of US hospital beds)
  • MyChart patient portal with 200M+ registered patients
  • Epic AI (Cosmos) — largest real-world clinical dataset for AI training
  • ONC-certified, HIPAA, HL7 FHIR R4 compliant

Fly.io — Key Specs

  • Deploy Docker containers to 30+ global regions — closest to ZA is Johannesburg (jnb)
  • Machines API launches VMs in under 300ms — ideal for per-request compute isolation
  • Fly Volumes provide persistent SSDs for stateful apps like databases and file stores
  • Free allowance covers 3 shared-CPU VMs and 3GB of persistent storage permanently

Frequently Asked Questions

What is cheaper, Epic Systems or Fly.io?+

Fly.io starts at $0/mo, which is lower than Epic Systems at $1000000/mo.

Which tool is better for compliance — Epic Systems or Fly.io?+

Both support SOC2. Epic Systems additionally supports HIPAA, ONC, HL7-FHIR, FDA-SaMD. Fly.io additionally supports GDPR.

Which tool is better suited for United States?+

Epic Systems is evaluated for Enterprise Electronic Health Records in United States with hosting regions: US-East, US-West. Fly.io has hosting regions: US-East, EU-West, AP-Southeast, AF-South-ZA. For data residency in United States, check each vendor's data processing agreements.

Data last verified: 26 June 2026

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