So you'll have to figure out how to run/scale the model inference. Cloud GPU instances are generally very expensive, and once you start needing to horizontally scale it'll get messy fast.
At least at the moment it's expensive, especially if it's either very light usage or very intensive usage - you either need just a few seconds of compute occasionally, or lots of compute all the time requiring scaling.
The "lucky" ones in this scenario are small-medium businesses that can use one or a few cards on-site for their traffic. Even then when you take the cost of an A100 + maintaining it, etc. OpenAI's offering still looks attractive.
I know there's a few services that try to provide an api similar to what openai has, and some software to self orchestrate it, I'm curious how those compare...