Cost governance that never needs to see the content
Clinical documentation and intake agents run on text that cannot leave its boundary casually. That rules out a whole class of cost tooling: anything that works by capturing prompts and completions is adding a second store of exactly the material the rest of the stack is built to contain.
What a provider dashboard leaves you with
01
Observability tools that log request bodies put clinical text somewhere new, which is a governance question before it is a cost one.
02
Per-department attribution is impossible from one shared credential, so cost lands on IT rather than the service that incurred it.
03
A proxy or gateway in the call path becomes something else that has to be reviewed, and something else that can fail.
What Capsera does about it
- Prompts and completions are never stored
- Capsera measures cost and identity. It does not need the content of a call to attribute or to block one.
- No proxy, no gateway
- The SDK patches the provider libraries in-process at init. Nothing new sits in the network path between your application and the provider.
- Fail-open by design
- If Capsera is unavailable, your calls still go through. The governance layer is never the reason a clinical workflow stops.
The number this is judged on
Spend per department, per service line
None of this is assumed. We scanned 133 public agent repositories and found a cost defect in most of the ones making live model calls.
Read the method and limitationsimport capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")
on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()
assert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",
for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):
)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:
model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropic
def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)
for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02
from anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(
)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:
if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")
on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()
assert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",
for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):
)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:
model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropic
def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)
for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02
from anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(
)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:
if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")
on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()
assert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",
for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):
)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:
model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropic
def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)
for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02
from anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)# checked before the callcapsera.budget(monthly=500,on_exceed="block",)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(
)with capsera.agent("summarizer"):client = Anthropic()resp = client.messages.create(model="claude-sonnet-4-6",max_tokens=1024,)# no proxy, no gatewayassert resp.usage.cost < 0.02if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:
if capsera.over_budget():raise BudgetExceeded()@capsera.track()def extract(doc):return chain(doc)# cheaper route, same outputcapsera.route(prefer="cost")spend = capsera.usage(group_by="agent",window="30d",)for a, cost in spend:print(a, f"${cost:.2f}")# fails open, alwayscapsera.flush()for task in queue:run(task)log("run complete")import capserafrom anthropic import Anthropiccapsera.init(agent="reasoning_agent",run_id=ctx.run_id,)
Govern the spend without touching the record.
Stop runaway agents before they become runaway invoices.