# Medplum vs Zus Health (slim)

> Medplum scores 68.7 (B) to Zus Health's 56.6 (C) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/medplum-vs-zus-health.md (~2,350 tokens) · this version ~730 tokens · JSON https://www.anchorterminal.com/compare/medplum-vs-zus-health.json · canonical https://www.anchorterminal.com/compare/medplum-vs-zus-health
- 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 Zus Health's 56.6 (C), 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
- Zus Health: C 56.6, rank #669 of 1076 · https://www.anchorterminal.com/tools/zus-health.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 66; Schema & documentation, 82 against 77; Agent ergonomics, 73 against 67; Security & auth, 74 against 49; Payments & pricing, 25 against 5; Maintenance & community, 93 against 64; Transparency & trust, 72 against 59. Also A hosted endpoint, with nothing to install; Open source.
- Zus Health, good for US care organisations and digital health builders that want a shared, continuously refreshed patient profile in FHIR with EHR embedding.

| Category | Medplum | Zus Health |
| --- | --- | --- |
| Reliability (16%) | 75 | 66 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 82 | 77 |
| Agent ergonomics (13%) | 73 | 67 |
| Security & auth (14%) | 74 | 49 |
| Payments & pricing (10%) | 25 | 5 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 93 | 64 |
| Transparency & trust (7%) | 72 | 59 |

| Fact (where they differ) | Medplum | Zus Health |
| --- | --- | --- |
| Vendor | Orangebot, Inc. (dba Medplum) | Zus Health, Inc. |
| Hosted endpoint | `https://api.medplum.com/mcp/stream` | no (local only) |
| Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP |
| 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 service under the Zus Builder Terms of Service (last updated 11 March 2025), the Developer Sandbox Terms and the Zus Business Associate Addendum |
| Tools exposed | 3 | none |
| Read-only variant documented | yes | no |
| MCP registry | `com.medplum/mcp` | not listed |
| Last release | 2026-10-08 | 2026-10-14 |
| Terms last updated | 2023-04-11 | 2025-03-11 |
| Privacy policy last updated | 2022-04-05 | 2026-06-24 |
| Terms or service can change without notice | yes | not found in the text |
| Arbitration or class-action waiver | yes | not found in the text |
| Popularity | 2.7k stars, 270k npm/wk | none |