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The cheapest production-HA Postgres — after the disqualifications

The sticker-cheapest managed Postgres for a production HA workload can't run it: it fails HIPAA or ships PITR only as an add-on. Here's the cheapest provider that actually clears the HA + PITR + HIPAA bar — itemized and sourced.

Decision guide · 17 providers · us-east list, itemized · snapshot 2026-10-18 · open under CC-BY-4.0 · provenance record →

The ranking

Production HA — cheapest first, disqualifications shown

100 GB · 4 vCPU · 100% duty · HA required. A provider that can't meet the workload's required capabilities is struck through — cheaper doesn't count if it can't run the job.

17 providers
Provider Total / mo Status
Xata serverless $166 excluded — HA not offered at list price; PITR window not published; HIPAA not at list price
Ubicloud PostgreSQL flat-tier $312 excluded — no HIPAA
TigerData (ex-Timescale) flat-tier $418 excluded — HIPAA not at list price
Google Cloud SQL (PostgreSQL) cheapest that qualifies provisioned $434 qualifies
Supabase bundled-dx $459 excluded — no automatic failover; PITR add-on only; HIPAA not at list price
Amazon RDS for PostgreSQL provisioned $514 qualifies
DigitalOcean Managed Postgres flat-tier $543 excluded — no HIPAA
Azure Database for PostgreSQL (Flexible Server) provisioned $546 qualifies
Crunchy Bridge provisioned $580 excluded — PITR window not published
PlanetScale Postgres flat-tier $606 excluded — HIPAA not at list price
Neon serverless $674 qualifies
Heroku Postgres flat-tier $750 excluded — HIPAA not at list price
Amazon Aurora (PostgreSQL) provisioned $819 qualifies
Fly.io Managed Postgres flat-tier $990 excluded — PITR window not published; HIPAA not at list price
Render Postgres flat-tier $1,051 qualifies
Databricks Lakebase serverless $1,314 excluded — HIPAA not at list price
Aurora Serverless v2 (PostgreSQL) serverless $1,394 qualifies

The cheapest listing (Xata, $166) is excluded — HA not offered at list price; PITR window not published; HIPAA not at list price. The cheapest that actually qualifies is Google Cloud SQL (PostgreSQL) at $434, 161% above the disqualified leader.

Verdict: for regulated production HA, the cheapest Postgres that can actually run the workload is Google Cloud SQL, with Amazon RDS about 18% behind. The cheapest rows overall all fail at least one requirement, and several popular independent services are among them.

Why the cheap rows are disqualified

This workload needs three things at once: automatic failover if a data-center zone goes down, point-in-time recovery of at least a week, and HIPAA eligibility on the plan you’re paying for. Miss one and the price doesn’t matter.

The lowest total belongs to Xata, which doesn’t list HA on its managed pricing and offers a BAA only for bring-your-own-cloud deployments. Ubicloud has no HIPAA offering. TigerData’s HIPAA support is Enterprise-only, at a price it doesn’t publish. Supabase sells point-in-time recovery as an add-on, offers HIPAA only on its Team plan, and has no automatic failover on Pro. DigitalOcean’s managed databases aren’t on its HIPAA-covered product list. PlanetScale will sign a BAA only with Business support, Enterprise or startup pricing. Heroku’s HIPAA plans are limited to Teams and Enterprise customers, and Databricks Lakebase needs an enterprise security add-on. Crunchy Bridge and Fly.io don’t publish how many days of point-in-time recovery they keep.

The real floor

Set those aside and Cloud SQL is cheapest, then RDS and Azure, all on standard on-demand pricing. Aurora costs nearly twice what Cloud SQL does here, because its instance classes pair 8 GB of memory with each vCPU, so a 4-vCPU need buys a 32 GB instance, and its HA reader is a second one.

Neon qualifies differently. It keeps no standby server: data is replicated across three zones, and if a zone fails, the database restarts elsewhere, which Neon says takes one to ten minutes. That makes its HA free, but HIPAA requires the Scale plan at about double Neon’s usual compute rate, so it lands mid-table. Whether a restart of up to ten minutes is acceptable is a question about your application, not your bill.

What this means

  • Don’t shop this workload on price alone. The cheapest rows fail a hard requirement.
  • Cloud SQL or RDS is the pick for regulated HA on price. If you’re already on one cloud, the gap is small enough that the cloud you use should decide.
  • Check how failover works, not just whether it exists. A running standby and a restart are both “HA” on a pricing page; they behave differently when a zone fails.

If your production isn’t regulated, the disqualifications lift and the cheaper independent services are back on the table. State your requirements first, then read the price.

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17 providers, itemized (compute + storage + HA), anchor-tested against each vendor's published price, with a full provenance record on file. The snapshot is open under CC-BY-4.0 · compiled 2026-10-18.

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