A 1,000-example challenging subset of HealthBench (5,000 conversations). Cohorts differ in scoring: some are length-adjusted, some raw, so each is shown separately.
Latest available model results
22 models with scores
Checked Oct 24, 2026. One entry per model version from reviewed 2026 reports or undated current sources; historical cohorts are excluded. Sources are selected by publication recency. Entries are shown highest reported score first within each metric type. No model is pinned or promoted.
Latest available evidence does not mean the latest model release. Publication dates, inference settings and metrics remain visible. Scores from different runs are not directly comparable. No automatic live refresh.
Length-adjusted scores · high to low · different evaluation protocols remain non-comparable
GPT-6 Astra
OpenAI
36.6Length-adjusted rubric score (0–100)
Official · official vendor reportSep 2026 (card amendment Sep 9, 2026)View source ↗
Evaluation details & limitations
OpenAI GPT-6 Astra system card, Table 6 (Sep 2026)
OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Official · official vendor reportSep 2026 (card amendment Sep 9, 2026)View source ↗
Evaluation details & limitations
OpenAI GPT-6 Astra system card, Table 6 (Sep 2026)
OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Official · official vendor reportSep 2026 (card amendment Sep 9, 2026)View source ↗
Evaluation details & limitations
OpenAI GPT-6 Astra system card, Table 6 (Sep 2026)
OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Official · official vendor reportSep 2026 (card amendment Sep 9, 2026)View source ↗
Evaluation details & limitations
OpenAI GPT-6 Astra system card, Table 6 (Sep 2026)
OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Official · official vendor reportSep 2026 (card amendment Sep 9, 2026)View source ↗
Evaluation details & limitations
OpenAI GPT-6 Astra system card, Table 6 (Sep 2026)
OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Self-test 2026-09-05; raw 46.381. Arithmetic checked only. 3988.38 mean full-response characters.
1,000 tasks per configuration, GPT-4.1 grades supplied by submitter. All task IDs and rubric weights matched to the official Hard release. Full reply text, including safety banners, used for character counts.
Submitted self-evaluation; arithmetic and rubric joins checked, NOT independently evaluated. Grader verdicts were not independently reassessed.
Post-hoc formula: raw percentage points − 3.92 × (Python len(response_text) − 2000) / 500. This does not make the run an official OpenAI evaluation.
Ultra: 199 recorded length fields differ from full text. Recomputed full-text mean 3,988.38 characters, not recorded mean 3,868.706.
95% task-bootstrap interval, 10,000 resamples. Not run-to-run or grader uncertainty; not a clinical validation.
Raw / reported scores — no length adjustment established · high to low · different evaluation protocols remain non-comparable
Baichuan M3
Baichuan
44.4Reported HealthBench Hard score (0–100)
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportUndated; checked Oct 24, 2026View source ↗
Evaluation details & limitations
Meta Muse Spark evaluation methodology (raw, cross-vendor)
1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportUndated; checked Oct 24, 2026View source ↗
Evaluation details & limitations
Meta Muse Spark evaluation methodology (raw, cross-vendor)
1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportUndated; checked Oct 24, 2026View source ↗
Evaluation details & limitations
Meta Muse Spark evaluation methodology (raw, cross-vendor)
1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Official · official vendor reportUndated; checked Oct 24, 2026View source ↗
Evaluation details & limitations
Meta Muse Spark evaluation methodology (raw, cross-vendor)
1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Official · official vendor reportUndated; checked Oct 24, 2026View source ↗
Evaluation details & limitations
Meta Muse Spark evaluation methodology (raw, cross-vendor)
1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Official · official vendor reportFeb 2026 (arXiv v1)View source ↗
Evaluation details & limitations
Baichuan M3 original report, §4.2.1 (Feb 2026)
Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
No public HealthBench Hard score verified in our reviewed sources for these exact versions. This is a research gap, not a zero or proof that no result exists. Older model scores are never substituted.
Claude Sonnet 5.5 · Not verified Claude Opus 5.5 · Not verified Claude Haiku 5.5 · Not verified Claude Fable 5.1 · Not verified Gemini 4 Argon · Not verified Gemini 3.8 Flash · Not verified Grok 4.7 · Not verified GLM-5.3 · Not verified DeepSeek V4.1 Flash · Not verified Kimi K3.1 Pro · Not verified Muse Wonder Full · Not verified
Metric: Raw HealthBench Hard score (0–100). Protocol: 1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Vendor comparison prepared by Meta.
Direct answer
In Meta’s Muse Spark evaluation methodology (undated; checked Oct 24, 2026), Muse Spark Thinking has the highest raw HealthBench Hard score at 42.8, followed by GPT-5.4 Xhigh at 40.1; Gemini 3.1 Pro High scored 20.6 and Claude Opus 4.6 Max 14.8.
Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.
Results in selected cohort
5 rows
5 results
HealthBench Hard: Meta Muse Spark evaluation methodology (raw, cross-vendor)
7 cohorts, 35 result rows, 29 distinct model names. Many models appear in more than one cohort; rows are not unique models. Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.
Meta Muse Spark evaluation methodology (raw, cross-vendor) · Raw HealthBench Hard score (0–100) · default
Metric: Raw HealthBench Hard score (0–100). Protocol: 1,000 HealthBench Hard prompts graded by a GPT-4.1 judge, highest available reasoning setting. Per Meta, competitor figures use the most favourable of self-reported or Meta-run internal API results.
Publication date is not printed on the source.
Claude and Gemini entries are the exact versions Meta listed (Claude Opus 4.6 Max, Gemini 3.1 Pro High), not the newest releases.
Vendor comparison prepared by Meta.
In Meta’s Muse Spark evaluation methodology (undated; checked Oct 24, 2026), Muse Spark Thinking has the highest raw HealthBench Hard score at 42.8, followed by GPT-5.4 Xhigh at 40.1; Gemini 3.1 Pro High scored 20.6 and Claude Opus 4.6 Max 14.8.
Metric: Length-adjusted rubric score (0–100). Protocol: OpenAI-run comparison. Per 500 characters above 2,000, subtract 3.92 points; below 2,000, add the same amount.
Not comparable with unadjusted Hard scores.
OpenAI notes that comparison versions can differ from launch versions. Publication date is not printed in the retrieved page.
In the latest verified OpenAI GPT-6.1 Sol addendum, Table 7, GPT-6 Astra scores 36.6 and GPT-6.1 Sol scores 36.2 on length-adjusted HealthBench Hard. This is a vendor-run comparison, not a global ranking.
Metric: Length-adjusted rubric score (0–100). Protocol: OpenAI-run HealthBench Hard evaluation reported in Table 6. Subtract 3.92 points per 500 characters above 2,000; add the same amount for shorter responses.
Length-adjusted scores are NOT comparable with the raw HealthBench Hard scores in the other cohorts.
Vendor-reported; only OpenAI models are listed.
In the OpenAI GPT-6 Astra system card (Table 6, Sep 2026), GPT-6 Astra has the highest length-adjusted HealthBench Hard score at 36.6, followed by GPT-5.6 Sol at 33.1. This cohort uses a length penalty and is not comparable with raw Hard scores.
GPT-6 Astra (OpenAI): 36.6
GPT-5.6 Sol (OpenAI): 33.1
GPT-5.6 Terra (OpenAI): 32.7
GPT-5.6 Luna (OpenAI): 32.0
GPT-5.5 (OpenAI): 31.5
OpenAI GPT-OSS evaluation chart (Aug 2025, historical) · Raw HealthBench Hard score (0–100)
Metric: Raw HealthBench Hard score (0–100). Protocol: Values transcribed from OpenAI’s public GPT-OSS evaluation chart; may carry small transcription error.
Historical cohort retained for reference.
In the August 2025 OpenAI GPT-OSS evaluation chart, o3 had the highest listed HealthBench Hard score at 31.6, followed by gpt-oss-120b at 30.0.
o3 (OpenAI): 31.6
gpt-oss-120b (OpenAI): 30.0
o4-mini (OpenAI): 17.5
gpt-oss-20b (OpenAI): 10.8
o1 (OpenAI): 7.9
o3-mini (OpenAI): 4.0
gpt-4o (OpenAI): 0.0
Baichuan M3 original report, §4.2.1 (Feb 2026) · Reported HealthBench Hard score (0–100)
Metric: Reported HealthBench Hard score (0–100). Protocol: Baichuan-run HealthBench Hard evaluation. Eight scores transcribed from Figure 7, middle panel; top three also stated in section 4.2.1. Not HealthBench Total or HealthBench-Hallu.
Model-author preprint; not independent validation.
Judge, sampling and length-adjustment parity with other vendors are not established by the cited results passage. Keep this comparison separate.
44.4 exceeds Muse Spark’s 42.8 numerically, but comes from a different evaluator. No cross-report global champion is inferred.
Baichuan’s M3 report lists Baichuan M3 at 44.4, GPT-5.2 High at 42.0 and AntAngelMed at 39.6 on HealthBench Hard. These are Baichuan-reported results, not part of Meta’s Muse Spark comparison.
Metric: Post-hoc length-adjusted score (0–100). Protocol: 1,000 tasks per configuration, GPT-4.1 grades supplied by submitter. All task IDs and rubric weights matched to the official Hard release. Full reply text, including safety banners, used for character counts.
Submitted self-evaluation; arithmetic and rubric joins checked, NOT independently evaluated. Grader verdicts were not independently reassessed.
Post-hoc formula: raw percentage points − 3.92 × (Python len(response_text) − 2000) / 500. This does not make the run an official OpenAI evaluation.
Ultra: 199 recorded length fields differ from full text. Recomputed full-text mean 3,988.38 characters, not recorded mean 3,868.706.
95% task-bootstrap interval, 10,000 resamples. Not run-to-run or grader uncertainty; not a clinical validation.
Applying the stated length adjustment to submitted Nox Orion 1.4 Ultra outputs gives 30.792 (95% task-bootstrap interval 28.965–32.577). This is a post-hoc calculation, not an independently evaluated score.
Nox Orion 1.4 Ultra (Nox): 30.792 — Self-test 2026-09-05; raw 46.381. Arithmetic checked only. 3988.38 mean full-response characters.
Nox Orion 1.4 — raw self-test (Sep 2026) · Raw HealthBench Hard score (0–100)
Metric: Raw HealthBench Hard score (0–100). Protocol: 1,000 tasks per configuration, GPT-4.1 grades supplied by submitter. All task IDs and rubric weights matched to the official Hard release. Full reply text, including safety banners, used for character counts.
Submitted self-evaluation; arithmetic and rubric joins checked, NOT independently evaluated. Grader verdicts were not independently reassessed.
Original raw metric retained; not mixed with length-adjusted scores.
Ultra: 199 recorded length fields differ from full text. Recomputed full-text mean 3,988.38 characters, not recorded mean 3,868.706.
95% task-bootstrap interval, 10,000 resamples. Not run-to-run or grader uncertainty; not a clinical validation.
The supplied Nox Orion 1.4 Ultra grades reproduce a raw score of 46.381 across 1,000 tasks. Arithmetic was checked against official rubric weights; answer quality was not independently regraded.
HealthBench is an OpenAI benchmark of 5,000 multi-turn health conversations graded against physician-written rubrics. HealthBench Hard is a 1,000-example subset selected because frontier models found those conversations difficult.
Rubric criteria reward accurate, context-aware and appropriately cautious responses. Recent reports may apply a length adjustment that lowers scores for longer answers and raises scores for shorter answers relative to 2,000 characters; length-adjusted and raw Hard scores are not comparable.
Source and date
Default cohort: Meta Muse Spark eval methodology (Undated; checked Oct 24, 2026; last checked Oct 24, 2026). Cohorts are never combined and nothing updates automatically. HealthBench Hard and model names belong to their respective owners; REAGEN, Inc. is not affiliated with them.