Alternatives
CloudSitus vs AWS Bedrock — picking your jurisdiction.
Bedrock ships a mature, hyperscaler-grade BAA under the AWS umbrella. CloudSitus ships an OpenAI-compatible API with per-request residency and a Swiss/EU-resident PHI tier (with HIPAA BAA coverage available via its Azure routes). The decision is rarely either/or — here is the honest framing.
At a glance
Side-by-side, on the dimensions a security review asks about.
Bedrock is the AWS-managed model marketplace; CloudSitus is a stateless gateway. The rows below compare what each one actually ships today — not what either roadmap might bring.
Drop-in OpenAI API shape
- AWS Bedrock
- No:Bedrock has its own SDK and request shape. OpenAI clients do not work as-is.
- CloudSitus
- Yes:Yes — swap base_url to https://cloudsitus.com/api/v1 and the OpenAI SDK works.
HIPAA BAA program
- AWS Bedrock
- Yes:BAA covered under the standard AWS BAA at the account level.
- CloudSitus
- Partly:HIPAA BAA coverage via Azure routes — in the US, OCR, speech-to-text and text-to-speech only; US chat, vision and embeddings PHI are not available. Infomaniak & Scaleway PHI routes are nFADP/GDPR (DPA), not HIPAA.
Data residency model
- AWS Bedrock
- Partly:AWS Region-scoped: chosen per account/endpoint. Not per request.
- CloudSitus
- Yes:X-Region header pins each request to a jurisdiction at the edge.
PHI vs general gate per call
- AWS Bedrock
- No:Not enforced per request. You set the boundary in your own code.
- CloudSitus
- Yes:X-PHI: true filters to PHI-eligible routes; refused (403) if none.
Audit headers on every response
- AWS Bedrock
- No:CloudTrail at the account level; nothing on the response itself.
- CloudSitus
- Yes:x-phi-tier, x-phi-routed, x-phi-attempts on every call.
Where the proxy sits
- AWS Bedrock
- Partly:AWS-operated, US-headquartered. CLOUD Act applies.
- CloudSitus
- Yes:PHI pins to region-resident providers (CH: Infomaniak/Azure; EU: Scaleway/Azure; US: Azure). Swiss/EU data law.
Sub-processor transparency
- AWS Bedrock
- Partly:Per-model terms inside the AWS BAA umbrella.
- CloudSitus
- Yes:Named PHI sub-processors per region (Infomaniak, Scaleway, Azure) under reviewed DPAs / BAA.
Pricing model
- AWS Bedrock
- Yes:Per-model token pricing plus AWS account billing.
- CloudSitus
- Yes:Per-model token pricing from prepaid credits. No subscription, no seats.
Procurement on-ramp
- AWS Bedrock
- Partly:Requires an AWS account, IAM, and BAA acceptance.
- CloudSitus
- Yes:Self-serve key in minutes. Stripe billing, no account negotiation.
Fair caveat: AWS Bedrock covers HIPAA broadly at the account level under the standard AWS BAA, across its full model lineup. CloudSitus's HIPAA coverage is narrower — it rides the Azure routes for specific modalities. CloudSitus's edge is per-request residency and a Swiss/EU-resident PHI tier — useful when AWS's jurisdictional surface is the constraint, not when it is acceptable.
When to pick each
Jurisdiction first — model second.
The choice between Bedrock and CloudSitus is mostly about where you need the data to sit and under whose law. Models, pricing, and SDK ergonomics are secondary — both stacks can carry the workload.
Pick AWS Bedrock when…
- You are already on AWS, have an account-level BAA, and want everything under one bill.
- A US-region-scoped BAA satisfies your data residency and procurement constraints.
- You can absorb the Bedrock SDK (or its OpenAI-compat adapter) into your stack.
Pick CloudSitus when…
- You need data resident outside the US (Switzerland, EU) under nFADP/GDPR DPAs, not under the AWS BAA umbrella.
- Per-request residency matters — the same key serves CH, EU, and US traffic without account juggling.
- You want a single drop-in OpenAI base URL across providers and a hard PHI vs general gate per call.
Hybrid pattern
- Route US-resident PHI to Bedrock under your AWS BAA — that posture is mature and well-understood.
- Route CH or EU-resident PHI to CloudSitus (X-PHI: true) — it pins to a region-resident PHI-eligible provider.
- Use CloudSitus's OpenAI shape as the unified client surface; the router picks the right backend.
FAQ
Questions a procurement team will ask.
Is CloudSitus HIPAA-compliant today?
Why pick a Swiss/EU-resident gateway over the AWS BAA?
Is Bedrock OpenAI-compatible?
Can I use AWS Bedrock and CloudSitus together?
How does per-request residency differ from picking an AWS Region?
Next step
Read the posture before you file the questionnaire.
The compliance page lists what is earned, what is in progress, and where the sub-processor sits. The signup page gives you a key you can paste into the OpenAI SDK in under a minute.
Prepaid credits from $10 · No subscription · No data retained