Head to head · Patient record retrieval · October 2026 research run
1upHealth vs Health Gorilla
Health Gorilla scores 59.3 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 5 of 7 scored categories. 1upHealth leads on payments & pricing and transparency & trust. Both do patient record retrieval.
Best health record and wellness data APIs for AI agents · All 63 health comparisons
Which one, for what
Best for Consumer and care apps that read a member's health plan claims and clinical data under the CMS rules, and payers meeting those rules.
Ahead on
- Payments & pricing, 20 against 5
- Transparency & trust, 72 against 61
Watch for
No rate limits, 429 handling or error formats documented
Best for US providers, labs and digital health companies that need network record retrieval and lab ordering through one FHIR API with a QHIN behind it.
Ahead on
- Reliability, 58 against 52
- Schema & documentation, 80 against 50
- Agent ergonomics, 72 against 32
- Maintenance & community, 63 against 37
Watch for
No public prices. Fees are set case by case and the sandbox is requested by form
Score by category
| Category | Weight this run | 1upHealth | Health Gorilla | Edge |
|---|---|---|---|---|
| Reliability | 16%20 | 52 | 58 | Health Gorilla +6 |
| Performance | 10%pending | pending | pending | not scored in this run |
| Schema & documentation | 13%16.2 | 50 | 80 | Health Gorilla +30 |
| Agent ergonomics | 13%16.2 | 32 | 72 | Health Gorilla +40 |
| Security & auth | 14%17.5 | 63 | 66 | Health Gorilla +3 |
| Payments & pricing | 10%12.5 | 20 | 5 | 1upHealth +15 |
| Task success | 10%pending | pending | pending | not scored in this run |
| Maintenance & community | 7%8.8 | 37 | 63 | Health Gorilla +26 |
| Transparency & trust | 7%8.8 | 72 | 61 | 1upHealth +11 |
| Negative events | ≤15 | 0 | 0 | |
| Total | D 46.8/100 | C 59.3/100 |
Facts side by side
| Fact | 1upHealth | Health Gorilla |
|---|---|---|
| Kind | HTTP API | HTTP API |
| Vendor | 1upHealth, Inc. | Health Gorilla, Inc. |
| Hosted endpoint | no (local only) | no (local only) |
| Transports | HTTP | HTTP |
| Auth | OAuth | OAuth |
| Pricing | Paid | Paid |
| x402 | no | no |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Proprietary service under Health Gorilla's API Terms of Use (updated 22 January 2026), with a signed licence agreement required before production |
| Read-only variant documented | no | no |
| llms.txt | yes | yes |
| Last release | none | 2026-10-14 |
| Terms last updated | no date given | no date given |
| Privacy policy last updated | 2026-06-25 | 2024-08-30 |
| Customer content may train models | not found in the text | not found in the text |
| Terms restrict automated access | not found in the text | not found in the text |
| Terms restrict benchmarking | yes | yes |
| Terms or service can change without notice | not found in the text | yes |
| Arbitration or class-action waiver | not found in the text | not found in the text |
Verdicts
1upHealth
Self-serve Dev Portal sandbox clients and a demo health plan let an app test the CMS Patient Access, Provider Access and Payer-to-Payer FHIR APIs, backed by HITRUST and SOC 2 Type 2. No rate limits, error formats or dated releases are documented, and the Patient Access OAuth step needs the member in a browser.
Health Gorilla
A TEFCA QHIN with a FHIR R4 API, OpenAPI fragments on every reference page, idempotency keys on POST and dated weekly release notes. Access is sales-led, with case-by-case fees, a sandbox by request and no published rate limit numbers, and the API terms allow access to be cut at any time.
Before you call either
1upHealth
- Hand the Patient Access sign-in to the member, who must authorise in the health plan's auth app
- Exchange the authorisation code within five minutes, and refresh before the 15-minute token expires
- Email payer-patient-access@1up.health with the client ID to get the app synced to the demo environment
- Expect only claims and coverage resources from some payers, and read /r4/metadata first
Health Gorilla
- Send a fresh UUID in
HG-Idempotency-Keyon every POST and reuse it only when retrying the same payload - Poll async operations no sooner than the
Retry-Aftervalue and treat 454 as an expired result - Follow
link.relation=nextin Bundles rather than building offsets yourself - Expect mocked Patient360 data in sandbox unless network connectivity is enabled for the tenant
- Log
X-HG-Request-Idfrom each response for support cases
Questions
Which is better for AI agents, 1upHealth or Health Gorilla?
Health Gorilla scores 59.3 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 5 of 7 scored categories. 1upHealth leads on payments & pricing and transparency & trust.
Do 1upHealth and Health Gorilla need an API key?
Both use an OAuth sign-in.
Can an agent call 1upHealth and Health Gorilla without installing anything?
No hosted endpoint is listed for 1upHealth. No hosted endpoint is listed for Health Gorilla.
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Machine-readable
- This page as Markdown
/compare/1uphealth-vs-health-gorilla.md· slim.min.md· JSON.json(or sendAccept: text/markdown) - Each listing in full
/api/v1/tools/1uphealth.json·/api/v1/tools/health-gorilla.json - From a terminal
anchor compare 1uphealth health-gorilla(the CLI) - Over MCP
compare_tools {"a": "1uphealth", "b": "health-gorilla"}at/mcp, no key