67trust / 100

Calc Alvarado

by magent in Other

x402 APIFailing, checked 30 min ago

Alvarado 1986 MANTRELS score from caller-assigned findings, temperature, WBC, and neutrophil percent (max 10). Bands 0-4, 5-6, and 7-10. Deterministic published score with citation; not a diagnosis or operating-room protocol. magent does not examine the abdomen.

POST

https://api.magentlab.com/api/calc/alvarado

Price: $0.007; per call in USDC
Uptime: 88.9%; last 30 days
Response time: 153 ms; 560 ms slowest 5%
Last check: Failed; 30 min ago, next in 30 min

Run a free test call How to call it

Reliability

All checks passedSome failedAll failedNot checked

Latest check failed 30 min ago: Timed out

Status and outage history · Atom feed · Watch with other listings

How to call it

POST https://api.magentlab.com/api/calc/alvarado

Each call costs $0.007 in USDC on Base, paid with the request over x402.

Run a free test callOne unpaid request, the way an agent sends it. You see the payment challenge it gets back. Nothing is charged.

Example request

From the listing.

POST https://api.magentlab.com/api/calc/alvarado
content-type: application/json

{
  "items": [
    {
      "anorexia": false,
      "migration": false,
      "nausea_vomiting": false,
      "neutrophil_percent": 60,
      "rebound": false,
      "rlq_tenderness": false,
      "temperature_c": 37,
      "wbc_k_ul": 8,
      "wbc_ul": 8000
    },
    {
      "anorexia": false,
      "migration": false,
      "nausea_vomiting": false,
      "neutrophil_percent": 60,
      "rebound": false,
      "rlq_tenderness": false,
      "temperature_c": 37,
      "wbc_k_ul": 8,
      "wbc_ul": 8000
    }
  ]
}

Parameters

Parameter	Type	Required	Description
`items`	array of object	Yes

Example response

The provider's example. We can't check it without paying.

Example response, 132 lines

{
  "count": 2,
  "items": [
    {
      "alvarado_band": "0-4",
      "citation": {
        "authors": "Alvarado A",
        "doi": "10.1016/S0196-0644(86)80993-3",
        "id": "alvarado-1986",
        "source": "Ann Emerg Med. 1986;15(5):557-564",
        "title": "A practical score for the early diagnosis of acute appendicitis"
      },
      "components": [
        {
          "factor": "migration",
          "points": 0,
          "present": false
        },
        {
          "factor": "anorexia",
          "points": 0,
          "present": false
        },
        {
          "factor": "nausea_vomiting",
          "points": 0,
          "present": false
        },
        {
          "factor": "rlq_tenderness",
          "points": 0,
          "present": false
        },
        {
          "factor": "rebound",
          "points": 0,
          "present": false
        },
        {
          "factor": "temperature_c",
          "points": 0,
          "present": false,
          "value": 37
        },
        {
          "factor": "leukocytosis",
          "points": 0,
          "present": false,
          "value": 8000
        },
        {
          "factor": "left_shift",
          "points": 0,
          "present": false,
          "value": 60
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "formula": "alvarado",
      "formula_expression": "Alvarado (MANTRELS) = migration + anorexia + nausea_vomiting + 2*rlq_tenderness + rebound + (temperature_c >= 37.3) + 2*(wbc_ul > 10000) + (neutrophil_percent > 75); max 10; bands 0-4 / 5-6 / 7-10",
      "max_score": 10,
      "neutrophil_percent": 60,
      "score": 0,
      "temperature_c": 37,
      "wbc_ul": 8000
    },
    {
      "alvarado_band": "0-4",
      "citation": {
        "authors": "Alvarado A",
        "doi": "10.1016/S0196-0644(86)80993-3",
        "id": "alvarado-1986",
        "source": "Ann Emerg Med. 1986;15(5):557-564",
        "title": "A practical score for the early diagnosis of acute appendicitis"
      },
      "components": [
        {
          "factor": "migration",
          "points": 0,
          "present": false
        },
        {
          "factor": "anorexia",
          "points": 0,
          "present": false
        },
        {
          "factor": "nausea_vomiting",
          "points": 0,
          "present": false
        },
        {
          "factor": "rlq_tenderness",
          "points": 0,
          "present": false
        },
        {
          "factor": "rebound",
          "points": 0,
          "present": false
        },
        {
          "factor": "temperature_c",
          "points": 0,
          "present": false,
          "value": 37
        },
        {
          "factor": "leukocytosis",
          "points": 0,
          "present": false,
          "value": 8000
        },
        {
          "factor": "left_shift",
          "points": 0,
          "present": false,
          "value": 60
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "formula": "alvarado",
      "formula_expression": "Alvarado (MANTRELS) = migration + anorexia + nausea_vomiting + 2*rlq_tenderness + rebound + (temperature_c >= 37.3) + 2*(wbc_ul > 10000) + (neutrophil_percent > 75); max 10; bands 0-4 / 5-6 / 7-10",
      "max_score": 10,
      "neutrophil_percent": 60,
      "score": 0,
      "temperature_c": 37,
      "wbc_ul": 8000
    }
  ],
  "path": "/api/calc/alvarado"
}

Call it from code

The curl command shows the payment challenge. The JavaScript and Python versions pay and call, and never pay more than $0.007.

curl: see the payment challenge

# bash or zsh: see the payment challenge. Nothing is charged.
curl -sS -g -i -X POST 'https://api.magentlab.com/api/calc/alvarado' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"anorexia":false,"migration":false,"nausea_vomiting":false,"neutrophil_percent":60,"rebound":false,"rlq_tenderness":false,"temperature_c":37,"wbc_k_ul":8,"wbc_ul":8000},{"anorexia":false,"migration":false,"nausea_vomiting":false,"neutrophil_percent":60,"rebound":false,"rlq_tenderness":false,"temperature_c":37,"wbc_k_ul":8,"wbc_ul":8000}]}'

# x402 v2 sends the challenge base64-encoded in the PAYMENT-REQUIRED header (v1 sends it in the body).
# To read the header:
curl -sS -g -o /dev/null -D - -X POST 'https://api.magentlab.com/api/calc/alvarado' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"anorexia":false,"migration":false,"nausea_vomiting":false,"neutrophil_percent":60,"rebound":false,"rlq_tenderness":false,"temperature_c":37,"wbc_k_ul":8,"wbc_ul":8000},{"anorexia":false,"migration":false,"nausea_vomiting":false,"neutrophil_percent":60,"rebound":false,"rlq_tenderness":false,"temperature_c":37,"wbc_k_ul":8,"wbc_ul":8000}]}' \
  | grep -i '^payment-required:' | cut -d' ' -f2 | tr -d '\r' | base64 --decode

JavaScript: pay and call

// npm i @x402/fetch @x402/evm viem
import { wrapFetchWithPayment, x402Client } from "@x402/fetch";
import { registerExactEvmScheme } from "@x402/evm/exact/client";
import { privateKeyToAccount } from "viem/accounts";

// Pays at most $0.007 per call.
const client = new x402Client().setSpendControls({ maxAmountPerPayment: "$0.007" });
registerExactEvmScheme(client, { signer: privateKeyToAccount(process.env.EVM_PRIVATE_KEY) });
const pay = wrapFetchWithPayment(fetch, client);

// Not sure it's safe to pay? ToolVet checks it first for $0.005. Pay for that from a separate
// client: this one is capped at $0.007 per payment. GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Falvarado&method=POST
const res = await pay("https://api.magentlab.com/api/calc/alvarado", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "anorexia": false,
        "migration": false,
        "nausea_vomiting": false,
        "neutrophil_percent": 60,
        "rebound": false,
        "rlq_tenderness": false,
        "temperature_c": 37,
        "wbc_k_ul": 8,
        "wbc_ul": 8000
      },
      {
        "anorexia": false,
        "migration": false,
        "nausea_vomiting": false,
        "neutrophil_percent": 60,
        "rebound": false,
        "rlq_tenderness": false,
        "temperature_c": 37,
        "wbc_k_ul": 8,
        "wbc_ul": 8000
      }
    ]
  }),
});
console.log(res.status, await res.text());

Python: pay and call

# pip install "x402[requests,evm]"
import os
from eth_account import Account
from x402 import x402ClientSync
from x402.http.clients import x402_requests
from x402.mechanisms.evm import EthAccountSigner
from x402.mechanisms.evm.exact.register import register_exact_evm_client

# Pays at most $0.007 per call.
client = x402ClientSync().set_spend_controls({"max_amount_per_payment": "$0.007"})
register_exact_evm_client(client, EthAccountSigner(Account.from_key(os.environ["EVM_PRIVATE_KEY"])))

with x402_requests(client) as session:
    res = session.post(
        "https://api.magentlab.com/api/calc/alvarado",
        json={
            "items": [
                {
                    "anorexia": False,
                    "migration": False,
                    "nausea_vomiting": False,
                    "neutrophil_percent": 60,
                    "rebound": False,
                    "rlq_tenderness": False,
                    "temperature_c": 37,
                    "wbc_k_ul": 8,
                    "wbc_ul": 8000,
                },
                {
                    "anorexia": False,
                    "migration": False,
                    "nausea_vomiting": False,
                    "neutrophil_percent": 60,
                    "rebound": False,
                    "rlq_tenderness": False,
                    "temperature_c": 37,
                    "wbc_k_ul": 8,
                    "wbc_ul": 8000,
                },
            ],
        },
    )
    print(res.status_code, res.text)

Security scan

1 finding

Charges more than its listed price in payment
Listed at $0.005, charges $0.007

Recent checks

When	Result	HTTP	Time	Price
30 min ago	Timed out	-	-	-
6 h ago	Timed out	-	-	-
11 h ago	Timed out	-	-	-
16 h ago	Timed out	-	-	-
21 h ago	Passed	402	2.4 s	$0.007

Show 10 older checks

25 h ago	Passed	402	560 ms	$0.007
30 h ago	Passed	402	242 ms	$0.007
35 h ago	Passed	402	269 ms	$0.007
39 h ago	Passed	402	372 ms	$0.007
44 h ago	Passed	402	237 ms	$0.007
2 days ago	Passed	402	230 ms	$0.007
2 days ago	Passed	402	237 ms	$0.007
2 days ago	Passed	402	140 ms	$0.007
3 days ago	Passed	402	146 ms	$0.007
3 days ago	Passed	402	278 ms	$0.007

History

11 Oct 2026	Price changed from $0.005 to $0.007

Trust score 67/ 100

Availability (30-day uptime)		27 / 30
Valid x402 challenge		15 / 15
Response time		10 / 10
Real paying agents (30 days)		5 / 15
Charges what it lists		0 / 10
Security scan		10 / 10
Verified owner		0 / 10

How the score works

Payment terms

Price: $0.007 per call
Listed at: $0.005 (charges more)
Token: USDC
Networks: Base
Pays to: 0x836B…9Ee2

Real usage

Paying agents: 2 in 30 days
Paid calls: 5 in 30 days
Last paid call: 5 days ago

Source: x402 Bazaar settlement data.

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Trust score

[![ToolVet trust score](https://toolvet.app/badge/calc-alvarado.svg)](https://toolvet.app/s/calc-alvarado)