# Health Gorilla vs Medplum (slim)

> Medplum scores 68.7 (B) to Health Gorilla's 59.3 (C) for patient record retrieval. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/health-gorilla-vs-medplum.md (~2,350 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/health-gorilla-vs-medplum.json · canonical https://www.anchorterminal.com/compare/health-gorilla-vs-medplum
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

Medplum scores 68.7 (B) on agent readiness against Health Gorilla's 59.3 (C), and leads in every scored category. Both do patient record retrieval.

- Health Gorilla: C 59.3, rank #583 of 1076 · https://www.anchorterminal.com/tools/health-gorilla.min.md
- Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md
- Health Gorilla, 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.
- Medplum, good for An agent working inside a digital health company's own FHIR store, reading and writing patients, observations and appointments under a BAA. Ahead on Reliability, 75 against 58; Security & auth, 74 against 66; Payments & pricing, 25 against 5; Maintenance & community, 93 against 63; Transparency & trust, 72 against 61. Also A hosted endpoint, with nothing to install; Open source.

| Category | Health Gorilla | Medplum |
| --- | --- | --- |
| Reliability (16%) | 58 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 80 | 82 |
| Agent ergonomics (13%) | 72 | 73 |
| Security & auth (14%) | 66 | 74 |
| Payments & pricing (10%) | 5 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 63 | 93 |
| Transparency & trust (7%) | 61 | 72 |

| Fact (where they differ) | Health Gorilla | Medplum |
| --- | --- | --- |
| Vendor | Health Gorilla, Inc. | Orangebot, Inc. (dba Medplum) |
| Hosted endpoint | no (local only) | `https://api.medplum.com/mcp/stream` |
| Transports | HTTP | HTTP, Streamable HTTP, SSE (legacy) |
| Pricing | Paid | Freemium |
| Licence | Proprietary service under Health Gorilla's API Terms of Use (updated 22 January 2026), with a signed licence agreement required before production | Apache 2.0 for the server, SDKs and apps in medplum/medplum. The hosted service at api.medplum.com runs under Medplum's terms of service |
| Tools exposed | none | 3 |
| Read-only variant documented | no | yes |
| MCP registry | not listed | `com.medplum/mcp` |
| Last release | 2026-10-14 | 2026-10-08 |
| Terms last updated | no date given | 2023-04-11 |
| Privacy policy last updated | 2024-08-30 | 2022-04-05 |
| Terms restrict benchmarking | yes | not found in the text |
| Arbitration or class-action waiver | not found in the text | yes |
| Popularity | none | 2.7k stars, 270k npm/wk |