# Metriport Medical API vs Terra API (slim)

> Terra scores 65.9 (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/metriport-vs-terra.md (~2,450 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/metriport-vs-terra.json · canonical https://www.anchorterminal.com/compare/metriport-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 Metriport Medical API's 50.1 (D), and leads in 6 of 7 scored categories. Both do fhir servers.

- Metriport Medical API: D 50.1, rank #833 of 1076 · https://www.anchorterminal.com/tools/metriport.min.md
- Terra API: B 65.9, rank #327 of 1076 · https://www.anchorterminal.com/tools/terra.min.md
- Metriport Medical API, good for US care providers and digital health companies that need a patient's network records as FHIR with webhooks. Also Open source.
- 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 45; Schema & documentation, 89 against 65; Agent ergonomics, 78 against 70; Security & auth, 65 against 41; Payments & pricing, 20 against 5. Also A hosted endpoint, with nothing to install.

| Category | Metriport Medical API | Terra API |
| --- | --- | --- |
| Reliability (16%) | 45 | 67 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 65 | 89 |
| Agent ergonomics (13%) | 70 | 78 |
| Security & auth (14%) | 41 | 65 |
| Payments & pricing (10%) | 5 | 20 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 74 | 75 |
| Transparency & trust (7%) | 56 | 56 |

| Fact (where they differ) | Metriport Medical API | Terra API |
| --- | --- | --- |
| Vendor | Metriport Inc. | Terra Enabling Developers Inc. |
| Hosted endpoint | no (local only) | `https://access.tryterra.co/api/v2/mcp/<user_id>` |
| Transports | HTTP | HTTP, Streamable HTTP |
| Auth | API key | OAuth or key |
| Pricing | Paid | Pay per use |
| Licence | 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 | Proprietary service under Terra's terms of service. The OpenAPI specs repository is Apache 2.0 |
| Tools exposed | none | 6 |
| Last release | 2026-09-28 | 2026-10-13 |
| Terms last updated | 2024-01-01 | 2026-05-01 |
| Privacy policy last updated | 2023-02-21 | 2023-04-20 |
| Terms restrict automated access | yes | not found in the text |
| Popularity | 793 stars, 28k npm/wk | 13k npm/wk, 11k PyPI/wk |