# Metriport Medical API vs Zus Health (slim)

> Zus Health scores 56.6 (C) to Metriport Medical's 50.1 (D) for patient record retrieval. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/metriport-vs-zus-health.md (~2,400 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/metriport-vs-zus-health.json · canonical https://www.anchorterminal.com/compare/metriport-vs-zus-health
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

Zus Health scores 56.6 (C) on agent readiness against Metriport Medical API's 50.1 (D), and leads in 4 of 7 scored categories. Metriport Medical API leads on maintenance & community. Both do patient record retrieval.

- Metriport Medical API: D 50.1, rank #833 of 1076 · https://www.anchorterminal.com/tools/metriport.min.md
- Zus Health: C 56.6, rank #669 of 1076 · https://www.anchorterminal.com/tools/zus-health.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. Ahead on Maintenance & community, 74 against 64. Also 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. Ahead on Reliability, 66 against 45; Schema & documentation, 77 against 65; Security & auth, 49 against 41.

| Category | Metriport Medical API | Zus Health |
| --- | --- | --- |
| Reliability (16%) | 45 | 66 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 65 | 77 |
| Agent ergonomics (13%) | 70 | 67 |
| Security & auth (14%) | 41 | 49 |
| Payments & pricing (10%) | 5 | 5 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 74 | 64 |
| Transparency & trust (7%) | 56 | 59 |

| Fact (where they differ) | Metriport Medical API | Zus Health |
| --- | --- | --- |
| Vendor | Metriport Inc. | Zus Health, Inc. |
| Auth | API key | OAuth |
| 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 the Zus Builder Terms of Service (last updated 11 March 2025), the Developer Sandbox Terms and the Zus Business Associate Addendum |
| Last release | 2026-09-28 | 2026-10-14 |
| Terms last updated | 2024-01-01 | 2025-03-11 |
| Privacy policy last updated | 2023-02-21 | 2026-06-24 |
| Terms restrict automated access | yes | not found in the text |
| Terms restrict benchmarking | yes | not found in the text |
| 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 | 793 stars, 28k npm/wk | none |