# 1upHealth vs Health Gorilla

> Health Gorilla scores 59.3 (C) to 1upHealth's 46.8 (D) for patient record retrieval. Prices, MCP, x402, uptime and agent notes side by side.

- Canonical: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla
- Markdown: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla.md (~2,250 tokens)
- Slim: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla.min.md (~580 tokens, same facts, less prose, for token-sensitive contexts)
- JSON: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla.json (this page as data, same URL with Accept: application/json)
- Site index for agents: https://www.anchorterminal.com/llms.txt (full text: https://www.anchorterminal.com/llms-full.txt)
- API: https://www.anchorterminal.com/api/v1/index.json
- Updated: 2026-10-14

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.

- 1upHealth: grade D, 46.8/100, rank #903 of 1076. Markdown https://www.anchorterminal.com/tools/1uphealth.md · JSON https://www.anchorterminal.com/api/v1/tools/1uphealth.json
- Health Gorilla: grade C, 59.3/100, rank #583 of 1076. Markdown https://www.anchorterminal.com/tools/health-gorilla.md · JSON https://www.anchorterminal.com/api/v1/tools/health-gorilla.json
- Best health record and wellness data APIs for AI agents: https://www.anchorterminal.com/best/health-data/index.md
- All 63 health comparisons: https://www.anchorterminal.com/compare/health-data/index.md

## Which one, for what

### 1upHealth (D)

Good 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

### Health Gorilla (C)

Good 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 | 1upHealth | Health Gorilla | Edge |
| --- | --- | --- | --- | --- |
| Reliability | 16% (20 this run) | 52 | 58 | Health Gorilla +6 |
| Performance | 10%, pending | pending | pending | not scored in this run |
| Schema & documentation | 13% (16.2 this run) | 50 | 80 | Health Gorilla +30 |
| Agent ergonomics | 13% (16.2 this run) | 32 | 72 | Health Gorilla +40 |
| Security & auth | 14% (17.5 this run) | 63 | 66 | Health Gorilla +3 |
| Payments & pricing | 10% (12.5 this run) | 20 | 5 | 1upHealth +15 |
| Task success | 10%, pending | pending | pending | not scored in this run |
| Maintenance & community | 7% (8.8 this run) | 37 | 63 | Health Gorilla +26 |
| Transparency & trust | 7% (8.8 this run) | 72 | 61 | 1upHealth +11 |
| Negative events | ≤15 | 0 | 0 | |
| **Total** | | **46.8 · D** | **59.3 · C** | |

## 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

1. Hand the Patient Access sign-in to the member, who must authorise in the health plan's auth app
2. Exchange the authorisation code within five minutes, and refresh before the 15-minute token expires
3. Email payer-patient-access@1up.health with the client ID to get the app synced to the demo environment
4. Expect only claims and coverage resources from some payers, and read /r4/metadata first

### Health Gorilla

1. Send a fresh UUID in `HG-Idempotency-Key` on every POST and reuse it only when retrying the same payload
2. Poll async operations no sooner than the `Retry-After` value and treat 454 as an expired result
3. Follow `link.relation=next` in Bundles rather than building offsets yourself
4. Expect mocked Patient360 data in sandbox unless network connectivity is enabled for the tenant
5. Log `X-HG-Request-Id` from 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.


## For agents

- This comparison as JSON: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla.json, and with the fewest tokens: https://www.anchorterminal.com/compare/1uphealth-vs-health-gorilla.min.md
- Over MCP at https://www.anchorterminal.com/mcp (no key): `compare_tools {"a": "1uphealth", "b": "health-gorilla"}`. From a terminal: `anchor compare 1uphealth health-gorilla`
- Each listing in full: https://www.anchorterminal.com/api/v1/tools/1uphealth.json and https://www.anchorterminal.com/api/v1/tools/health-gorilla.json

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