Head to head · FHIR servers · October 2026 research run
Aidbox vs Health Gorilla
Aidbox scores 64.2 (B) on agent readiness against Health Gorilla's 59.3 (C), and leads in 5 of 7 scored categories. Health Gorilla leads on transparency & trust. Both do fhir servers.
Best health record and wellness data APIs for AI agents · All 63 health comparisons
Which one, for what
Aidbox B
Best for An organisation building its own clinical data repository, EHR or payer platform on FHIR, where an agent works against that store.
Ahead on
- Agent ergonomics, 79 against 72
- Security & auth, 74 against 66
- Payments & pricing, 25 against 5
- Maintenance & community, 80 against 63
Watch for
No built-in rate limiting or brute-force protection, by the vendor's hardening page
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
- Transparency & trust, 61 against 45
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 | Aidbox | Health Gorilla | Edge |
|---|---|---|---|---|
| Reliability | 16%20 | 59 | 58 | Aidbox +1 |
| Performance | 10%pending | pending | pending | not scored in this run |
| Schema & documentation | 13%16.2 | 77 | 80 | Health Gorilla +3 |
| Agent ergonomics | 13%16.2 | 79 | 72 | Aidbox +7 |
| Security & auth | 14%17.5 | 74 | 66 | Aidbox +8 |
| Payments & pricing | 10%12.5 | 25 | 5 | Aidbox +20 |
| Task success | 10%pending | pending | pending | not scored in this run |
| Maintenance & community | 7%8.8 | 80 | 63 | Aidbox +17 |
| Transparency & trust | 7%8.8 | 45 | 61 | Health Gorilla +16 |
| Negative events | ≤15 | 0 | 0 | |
| Total | B 64.2/100 | C 59.3/100 |
Facts side by side
| Fact | Aidbox | Health Gorilla |
|---|---|---|
| Kind | HTTP API | HTTP API |
| Vendor | Health Samurai, Inc. | Health Gorilla, Inc. |
| Hosted endpoint | no (local only) | no (local only) |
| Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP |
| Auth | OAuth | OAuth |
| Pricing | Freemium | Paid |
| x402 | no | no |
| Licence | Proprietary. Aidbox runs from Health Samurai's Docker images under a free development licence (no PHI) or a paid production licence. Examples and the Python SDK on GitHub are MIT | Proprietary service under Health Gorilla's API Terms of Use (updated 22 January 2026), with a signed licence agreement required before production |
| Tools exposed | 9 | none |
| Read-only variant documented | no | no |
| llms.txt | yes | yes |
| Last release | 2026-10-08 | 2026-10-14 |
| Terms last updated | no document linked | no date given |
| Privacy policy last updated | 2021-06-10 | 2024-08-30 |
| Customer content may train models | not found in the text | |
| Terms restrict automated access | not found in the text | |
| Terms restrict benchmarking | yes | |
| Terms or service can change without notice | yes | |
| Arbitration or class-action waiver | not found in the text |
Verdicts
Aidbox
Graded on the FHIR REST API of an Aidbox instance the owner runs. Monthly releases, two-year LTS lines, SMART on FHIR, AccessPolicy rules and AuditEvent logging are documented, and a free development licence needs no sales call. Aidbox has no rate limiting of its own, its MCP module is alpha, and no terms of service were found on the website.
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
Aidbox
- Ask the operator for a Client with an AccessPolicy limited to the task. Don't rely on the public MCP policy, which the docs mark unsafe
- Use
If-None-Existon creates and conditional update on identifiers so retries don't duplicate records - Use
_elementsand_countto keep responses small, and follow the Bundle's paging links - Throttle yourself. Aidbox applies no rate limit, so a burst lands on the customer's database
- Don't load real patient data into an instance on a development licence
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, Aidbox or Health Gorilla?
Aidbox scores 64.2 (B) on agent readiness against Health Gorilla's 59.3 (C), and leads in 5 of 7 scored categories. Health Gorilla leads on transparency & trust.
Do Aidbox and Health Gorilla need an API key?
Both use an OAuth sign-in.
Can an agent call Aidbox and Health Gorilla without installing anything?
No hosted endpoint is listed for Aidbox. No hosted endpoint is listed for Health Gorilla.
Other comparisons with Aidbox or Health Gorilla
- Aidbox vs Medblocks
- Aidbox vs Medplum
- Aidbox vs Metriport Medical API
- Aidbox vs Particle Health
- Aidbox vs Redox
- Aidbox vs ROOK
- Aidbox vs Terra API
- Aidbox vs Zus Health
- Health Gorilla vs ROOK
- Health Gorilla vs Terra API
- 1upHealth vs Aidbox
- 1upHealth vs Health Gorilla
- Health Gorilla vs Medblocks
- Health Gorilla vs Medplum
- Health Gorilla vs Metriport Medical API
- Health Gorilla vs Particle Health
- Health Gorilla vs Redox
- Health Gorilla vs Zus Health
- Aidbox vs Validic Inform
- Health Gorilla vs Validic Inform
Machine-readable
- This page as Markdown
/compare/aidbox-vs-health-gorilla.md· slim.min.md· JSON.json(or sendAccept: text/markdown) - Each listing in full
/api/v1/tools/aidbox.json·/api/v1/tools/health-gorilla.json - From a terminal
anchor compare aidbox health-gorilla(the CLI) - Over MCP
compare_tools {"a": "aidbox", "b": "health-gorilla"}at/mcp, no key