# Medplum vs Metriport Medical API (slim)

> Medplum scores 68.7 (B) to Metriport Medical's 50.1 (D) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/medplum-vs-metriport.md (~2,450 tokens) · this version ~730 tokens · JSON https://www.anchorterminal.com/compare/medplum-vs-metriport.json · canonical https://www.anchorterminal.com/compare/medplum-vs-metriport
- 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 Metriport Medical API's 50.1 (D), and leads in every scored category. Both do fhir servers.

- Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md
- Metriport Medical API: D 50.1, rank #833 of 1076 · https://www.anchorterminal.com/tools/metriport.min.md
- 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 45; Schema & documentation, 82 against 65; Security & auth, 74 against 41; Payments & pricing, 25 against 5; Maintenance & community, 93 against 74; Transparency & trust, 72 against 56. Also A hosted endpoint, with nothing to install.
- Metriport Medical API, good for US care providers and digital health companies that need a patient's network records as FHIR with webhooks.

| Category | Medplum | Metriport Medical API |
| --- | --- | --- |
| Reliability (16%) | 75 | 45 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 82 | 65 |
| Agent ergonomics (13%) | 73 | 70 |
| Security & auth (14%) | 74 | 41 |
| Payments & pricing (10%) | 25 | 5 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 93 | 74 |
| Transparency & trust (7%) | 72 | 56 |

| Fact (where they differ) | Medplum | Metriport Medical API |
| --- | --- | --- |
| Vendor | Orangebot, Inc. (dba Medplum) | Metriport Inc. |
| Hosted endpoint | `https://api.medplum.com/mcp/stream` | no (local only) |
| Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP |
| Auth | OAuth | API key |
| Pricing | Freemium | Paid |
| Licence | 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 | Proprietary hosted service under Metriport's terms of use. The source in metriport/metriport is AGPLv3, with an enterprise directory under its own licence, and the @metriport/api-sdk package on npm is MIT |
| Tools exposed | 3 | none |
| Read-only variant documented | yes | no |
| MCP registry | `com.medplum/mcp` | not listed |
| Last release | 2026-10-08 | 2026-09-28 |
| Terms last updated | 2023-04-11 | 2024-01-01 |
| Privacy policy last updated | 2022-04-05 | 2023-02-21 |
| Terms restrict automated access | not found in the text | yes |
| Terms restrict benchmarking | not found in the text | yes |
| Popularity | 2.7k stars, 270k npm/wk | 793 stars, 28k npm/wk |