HealthBench Hard

OpenAI logoGPT-6 Astra on HealthBench Hard

rank 2 of 16 · updated September 8, 2026via GPT-6 Astra System Card

On the 16-model HealthBench Hard board, GPT-6 Astra holds rank 2 with a score of 0.363. OpenAI's September 2026 flagship, the first of the GPT-6 line, priced at $10 per million input tokens with a 1.05M context window. HealthBench Hard tests models on the 1,000 health conversations the frontier found hardest, with each response judged against its conversation's physician-written rubric and scored between 0 and 1.

Score and API facts

rank2 of 16
score0.363
sourceGPT-6 Astra System Card (p. 19, sec. 6.1 (Table 6 cell, column 'gpt-6 Astra': 36.3 (37.8, 2192))), vendor-reported
configurationlength-adjusted, max reasoning effort (37.8 unadjusted, 2,192 mean response chars); GPT-6 Astra system card Table 6, column 'gpt-6 Astra'.
labOpenAI
context window1.05M tokens
API price per 1M tokens$10.00 in / $50.00 out
licenseproprietary
released2026-09-03

Where it sits

Muse Spark tops the board at 0.428, which puts GPT-6 Astra 0.065 off the lead. One place down is GPT-5 at 0.347. Rows on this board are compiled from published documents, so a gap between two models is exact only when both numbers came from the same document under the same settings; the sources page shows which document each row came from.

What does GPT-6 Astra score on HealthBench Hard?

As of September 8, 2026, GPT-6 Astra scores 0.363 on HealthBench Hard, 2 of 16 models on the board. The number is read from the GPT-6 Astra System Card (p. 19, sec. 6.1 (Table 6 cell, column 'gpt-6 Astra': 36.3 (37.8, 2192))), vendor-reported.

What does GPT-6 Astra cost per million tokens?

OpenAI lists GPT-6 Astra at $10.00 per million input tokens and $50.00 per million output tokens.

Head to head

The pairings that earned a full page are linked below; the rest of the differences live in the score-difference matrix.

How numbers are read from their documents is on the methodology page, the document for this row is on the sources page, and how the subset was selected is on the benchmark page. The full ranking is on the leaderboard.