# 1upHealth vs Terra API (slim)

> Terra scores 65.9 (B) to 1upHealth's 46.8 (D) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/1uphealth-vs-terra.md (~2,300 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/1uphealth-vs-terra.json · canonical https://www.anchorterminal.com/compare/1uphealth-vs-terra
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

Terra API scores 65.9 (B) on agent readiness against 1upHealth's 46.8 (D), and leads in 5 of 7 scored categories. 1upHealth leads on transparency & trust. Both do fhir servers.

- 1upHealth: D 46.8, rank #903 of 1076 · https://www.anchorterminal.com/tools/1uphealth.min.md
- Terra API: B 65.9, rank #327 of 1076 · https://www.anchorterminal.com/tools/terra.min.md
- 1upHealth, 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 Transparency & trust, 72 against 56.
- Terra API, good for A fitness, wellness, insurance or research product whose users connect consumer wearables and apps, and an agent that needs to read one user's sleep, activity or body data through MCP. Ahead on Reliability, 67 against 52; Schema & documentation, 89 against 50; Agent ergonomics, 78 against 32; Maintenance & community, 75 against 37. Also A hosted endpoint, with nothing to install.

| Category | 1upHealth | Terra API |
| --- | --- | --- |
| Reliability (16%) | 52 | 67 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 50 | 89 |
| Agent ergonomics (13%) | 32 | 78 |
| Security & auth (14%) | 63 | 65 |
| Payments & pricing (10%) | 20 | 20 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 37 | 75 |
| Transparency & trust (7%) | 72 | 56 |

| Fact (where they differ) | 1upHealth | Terra API |
| --- | --- | --- |
| Vendor | 1upHealth, Inc. | Terra Enabling Developers Inc. |
| Hosted endpoint | no (local only) | `https://access.tryterra.co/api/v2/mcp/<user_id>` |
| Transports | HTTP | HTTP, Streamable HTTP |
| Auth | OAuth | OAuth or key |
| Pricing | Paid | Pay per use |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Proprietary service under Terra's terms of service. The OpenAPI specs repository is Apache 2.0 |
| Tools exposed | none | 6 |
| Last release | none | 2026-10-13 |
| Terms last updated | no date given | 2026-05-01 |
| Privacy policy last updated | 2026-06-25 | 2023-04-20 |
| Terms or service can change without notice | not found in the text | yes |
| Arbitration or class-action waiver | not found in the text | yes |
| Popularity | none | 13k npm/wk, 11k PyPI/wk |