# Aidbox vs Terra API (slim)

> Terra scores 65.9 (B) to Aidbox's 64.2 (B) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/aidbox-vs-terra.md (~2,350 tokens) · this version ~780 tokens · JSON https://www.anchorterminal.com/compare/aidbox-vs-terra.json · canonical https://www.anchorterminal.com/compare/aidbox-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 Aidbox's 64.2 (B), and leads in 3 of 7 scored categories. Aidbox leads on security & auth, payments & pricing and maintenance & community. Both do fhir servers.

- Aidbox: B 64.2, rank #385 of 1076 · https://www.anchorterminal.com/tools/aidbox.min.md
- Terra API: B 65.9, rank #327 of 1076 · https://www.anchorterminal.com/tools/terra.min.md
- Aidbox, good for An organisation building its own clinical data repository, EHR or payer platform on FHIR, where an agent works against that store. Ahead on Security & auth, 74 against 65; Payments & pricing, 25 against 20; Maintenance & community, 80 against 75.
- 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 59; Schema & documentation, 89 against 77; Transparency & trust, 56 against 45. Also A hosted endpoint, with nothing to install.

| Category | Aidbox | Terra API |
| --- | --- | --- |
| Reliability (16%) | 59 | 67 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 77 | 89 |
| Agent ergonomics (13%) | 79 | 78 |
| Security & auth (14%) | 74 | 65 |
| Payments & pricing (10%) | 25 | 20 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 80 | 75 |
| Transparency & trust (7%) | 45 | 56 |

| Fact (where they differ) | Aidbox | Terra API |
| --- | --- | --- |
| Vendor | Health Samurai, Inc. | Terra Enabling Developers Inc. |
| Hosted endpoint | no (local only) | `https://access.tryterra.co/api/v2/mcp/<user_id>` |
| Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP, Streamable HTTP |
| Auth | OAuth | OAuth or key |
| Pricing | Freemium | Pay per use |
| 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 Terra's terms of service. The OpenAPI specs repository is Apache 2.0 |
| Tools exposed | 9 | 6 |
| Last release | 2026-10-08 | 2026-10-13 |
| Terms last updated | no document linked | 2026-05-01 |
| Privacy policy last updated | 2021-06-10 | 2023-04-20 |
| 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 |  | yes |
| Popularity | none | 13k npm/wk, 11k PyPI/wk |