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Intuitive Surgical Inc (ISRG) Fair Value & Analysis

Healthcare · US · Market cap $141B · ISIN US46120E6023

What is Intuitive Surgical Inc really worth?

IS Intuitive Surgical Inc logo Intuitive Surgical Inc ISRG · US
Price$369.83
Fair Value$150.04
Upside−59.4%
Quality72/100

A solid business, but trading 146% above our fair value of $150.04.

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Strengths

Healthy Growth (revenue 5y +18.2 %/yr)
Highly profitable · 28.2% net margin
Low debt · generates free cash flow
Wide moat 90/100

Risks

!Mixed vs. peers (7/14)
Evidence: High Range $107.93 – $225.47

Fair value as of: Aug 29, 2026

From 26 valuation models · updated 7 days ago

Share price +0.4% over the past month.

What runs behind every stock

69 individual criteria per stock, every one traceable See the method →

What matters now

  • A high-quality business (quality 72/100), yet the market already pays well above fair value. Quality at a full price, with little margin of safety.
  • The price sits above even our optimistic bull case ($225.47). The favourable scenario is already priced in.
  • A fairly wide model range ($107.93 to $225.47) leaves room in how you read the outcome.

Price vs Fair Value (5 years)

$610.45 $183.06 Fair Value $150.04 Jun 2021 Sep 2026

White line = price, green steps = our fair value per fiscal year, dashed = 300-day average. As of Aug 29, 2026.

How to read this chart

60‑month range $183.06 – $610.45 · fair‑value band $107.93 – $225.47 · the $369.83 price screens above the $150.04 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). Dashed = 300-day average. As of Aug 29, 2026.

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Analysis

Intuitive Surgical Inc (ISRG) currently trades at $369.83, while our model-based Fair Value estimate is $150.04, implying the stock looks roughly 146.5% overvalued today. The Quality Score stands at 72/100 (solid quality), in the Healthcare sector. Bull case: the Growth Earnings group reads highest at a median of $224.07 per share, and 1 of the 26 models we run sit above the $369.83 price. Bear case: the Asset-Based group reads lowest at $33.72, and 25 of the 26 models stay below the price. Evidence for this calculation is high.

Over the trailing twelve months, Intuitive Surgical Inc generated revenue of $10.6B at a net margin of 28.2%. Revenue grew 23.0% year over year. It earns a return on equity of 17.2%. The balance sheet holds a net cash position of $3.1B. Fundamentals as of Aug 29, 2026

Our scenario range runs from $107.93 (bear case) to $225.47 (bull case); at $369.83, the current price sits above that range. Bear and bull are the same models run on conservative and optimistic assumptions (margins, growth, valuation multiples), so a plausible valuation range, not a price target. The share trades about 39% below its 52-week high, currently below its 200-day average. For context, the median of 10 Healthcare peers we cover trades at −45% fair-value upside, at −59%, ISRG screens richer than that median.

Fair Value models

This estimate rests on fiscal year 2025 figures, and about 8 months have passed since. In that time the company retained roughly $5.58 per share, which is 3.7 % of the fair value. The fair value deliberately does not add this in: the models value reported figures, not a projection.

Each model estimates fair value its own way; the Fair Value above is the evidence-weighted, family-balanced blend. Evidence (0–100) measures how completely this model’s inputs are available: well-fed models carry more weight in the blend. The spread across models is intentional, each one stresses a different value driver; dividend models, for instance, come out structurally low when payout is small. Every input is real reported data, nothing guessed.

Model Bear Bear = the cautious scenario: the same model computed with conservative anchors (lower growth, margins and valuation multiples). Together with Bull it frames a plausible valuation range, not a price target.BaseBull Bull = the optimistic scenario: the same model computed with favourable anchors (higher growth, margins and valuation multiples). Together with Bear it frames a plausible valuation range, not a price target. Evidence
Highest evidence
FCF DCF $119.53 $195.76 $411.93 75
EPV $77.03 $88.28 $98.12 74
Growth DCF $114.57 $216.60 $410.15 74
All 26 models by family
DCF Models
FCF DCF $119.53 $195.76 $411.93 75
Owner Earnings $141.73 $309.23 $659.76 71
5Y Revenue Exit $85.49 $145.34 $259.05 70
5Y EBITDA Exit $116.03 $211.71 $383.58 72
5Y P/E Exit $134.05 $270.77 $446.41 68
10Y Revenue Exit $92.91 $168.93 $259.24 65
10Y EBITDA Exit $116.80 $226.33 $424.08 65
10Y P/E Exit $129.47 $260.21 $484.42 60
Earnings-Based
Graham-Dodd $54.84 $380.21 $533.44 63
Lynch FV $112.11 $160.15 $208.20 61
PEG = 1.0 $112.11 $160.15 $208.20 57
EPV $77.03 $88.28 $98.12 74
Dividend Discount
Gordon GGM $0.2100 $0.4300 $0.6800 66
DDM Multi-Stage $0.2100 $0.3600 $0.4500 67
Multiples
P/E Multiple $133.06 $177.41 $221.76 63
P/S Multiple $74.60 $99.46 $124.33 58
P/B Multiple $102.82 $137.09 $171.36 55
EV/EBIT $115.55 $150.90 $186.24 66
EV/EBITDA $116.91 $152.71 $188.51 67
EV/Revenue $69.19 $94.76 $120.34 54
Asset-Based
NCAV (Graham) $25.16 $33.72 $50.33 54
Growth DCF
Growth DCF $114.57 $216.60 $410.15 74
Rev-Margin DCF $85.49 $152.72 $252.49 70
Economic Profit
Residual Income $53.91 $75.62 $307.99 64
ROIC Compounder $93.05 $134.44 $174.60 71
Growth Earnings
Growth-Adj P/E $156.85 $224.07 $291.29 67

Widest divergence: Growth Earnings ($224.07) versus Dividend Discount ($0.3600). Highest evidence: FCF DCF (75).

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Key figures & financial health

P/E ratio 44.8
P/S ratio 12.7 P/E × margin
EPS (TTM) $8.25 price ÷ EPS = P/E 44.8
Net margin 28.4% FY2025
Return on equity 17.2% TTM
Return on assets (EBIT) 12.8% avg 5y
More key figures
Profitability
Operating margin 30.9% TTM
Growth
Revenue (TTM) $10.6B TTM
Revenue growth (YoY) +23.0% 3y avg +17.4%
EPS growth (YoY) +18.8%
Balance sheet & cash flow
Free cash flow $2.5B FY2025
Net cash $3.1B FY2025

Figures from reported company fundamentals · as of Aug 29, 2026. TTM = trailing twelve months.

Quality Score breakdown

Overall quality 72/100

Of which business quality 71 · Market factors (momentum, volatility) 22

Profitability 66
Margins and returns on capital today
Quality Growth 66
Are margins and returns improving?
Cashflow 79
Earnings quality: real cash, not paper profit
Fin. Strength 82
Balance sheet, leverage, solvency risk
Investment 37
Disciplined investing over empire-building
Low Volatility 39
Calm price path (market factor)
Momentum 19
Price trend over the last 3–12 months (market factor)
52W Momentum 8
Distance to the 52-week high (market factor)
Net Issuance 80
Buybacks instead of dilution

Non-valuation factor families (profitability, growth, cashflow, financial strength, momentum …), each academically grounded. Valuation itself sits in the Fair Value and is deliberately excluded here to avoid double-counting.

All values are scores from 0 to 100 (100 = best against fixed, research-based bands), not percentages. The three market factors (momentum, 52-week proximity, low volatility) are displayed but carry zero weight in the headline number: market sentiment is not a business property.

About the company

Intuitive Surgical, Inc. develops, manufactures, and markets products that enable physicians and healthcare providers to enhance the quality of and access to minimally invasive care in the United States and internationally.

Full company description

Intuitive Surgical, Inc. develops, manufactures, and markets products that enable physicians and healthcare providers to enhance the quality of and access to minimally invasive care in the United States and internationally. It offers the da Vinci Surgical System that enables surgical procedures using a minimally invasive approach; and Ion endoluminal system, which extends its commercial offerings beyond surgery into diagnostic endoluminal procedures enabling minimally invasive biopsies in the lung. The company also provides a suite of stapling, energy, and core instrumentation for its multi-port da Vinci surgical systems; progressive learning pathways to support the use of its technology; infrastructure of customer service and support specialists, a complement of services to its customers, including installation, repair, maintenance, 24/7 technical support, and proactive system health monitoring; and integrated digital capabilities providing connected offerings, streamlining performance for hospitals with program-enhancing insights. It sells its products through direct sales organizations, such as capital and clinical sales teams. Intuitive Surgical, Inc. was incorporated in 1995 and is headquartered in Sunnyvale, California.

Company description, as reported by the company or data provider.

Revenue & earnings trend

FY2021 – FY2025 · reported fiscal years

Intuitive Surgical Inc reported revenue of $10.1B in FY2025 versus $5.7B in FY2021, a compound +15.2%/yr. Reported net income was $2.9B in FY2025, compounding +13.8%/yr from FY2021.

Growth Quality 100/100
Revenue growth appears healthy and is supported by profitability and cash-flow quality.
Latest Revenue (FY 2025)
$10.1B
Latest YoY
+20.5%
Avg. revenue growth/yr (3Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+17.4%
Avg. revenue growth/yr (5Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+18.2%
Avg. revenue growth/yr (26Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+30.4%
Value creation/yr (5Y) Earnings growth per share (CAGR 5 years) plus dividend yield: value created per share and year.
+15.4% (15.4 + 0.0)
Revenue +15.2%/yr
FY21 $5.7B
FY22 $6.2B
FY23 $7.1B
FY24 $8.4B
FY25 $10.1B
Net income +13.8%/yr
FY21 $1.7B
FY22 $1.3B
FY23 $1.8B
FY24 $2.3B
FY25 $2.9B
Character of growth · EPS growth decomposed (2014-2025) +16.1 % p.a.
Revenue per share +14.5 %

of which total revenue +15.1 % · buybacks/dilution −0.5 %

EBIT margin −1.2 %
Tax rate +1.7 %
Residual (interest, one-offs) +0.9 %

Annual growth per factor. These are factors, not summands: multiplied they give the EPS growth rate, added they do not quite. Start and end points are 3-year averages (details on hover).

ISRG screens 146% overvalued. Compare with EssilorLuxottica Société anonyme →

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Cite: Fair Value Calculator (2026). "Intuitive Surgical Inc Fair Value". https://www.fairvalue-calculator.com/stock/ISRG

Recent news

External third-party headlines (Yahoo Finance, Reuters and others), not an editorial selection.

Peer Group

Medical Instruments & Supplies · 194 stocks

How this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.

Quality Score 72 · Top 25%
Fair Value upside −59% · Bottom 25%
Return on equity (TTM) 17% · Top 25%
Return on assets 10% · Top 25%
Net margin (TTM) 28% · Top 25%
Operating margin (TTM) 31% · Top 25%
Revenue growth 23% · Top 25%

Valuation Multiples vs Medical Instruments & Supplies median · lower = cheaper

P/E (TTM) 44.8× · Pricier than median
P/B 7.92× · Pricier than 75% of peers
P/S (TTM) 13.35× · Pricier than 75% of peers
P/FCF 56.7× · Pricier than 75% of peers
EV/EBITDA 35.5× · Pricier than 75% of peers
PEG 2.13× · Pricier than median

Strength profile in five axes (Snowflake)

Five quick dimensions, each 0 to 100: VALUE (fair-value potential), FUTURE (revenue growth), PAST (return on equity), HEALTH (low debt), DIVIDEND (yield). Green = this stock, grey = typical sector peer.

VALUEFUTUREPASTHEALTHDIVIDEND
This stock
VALUEFUTUREPASTHEALTHDIVIDEND
Sector peers
VALUE0 · sector 0
FUTURE100 · sector 29
PAST69 · sector 26
HEALTH100 · sector 96
DIVIDEND0 · sector 30

VALUE 0: the price sits above our fair-value range.

Insider activity: 42/100

Values & ESG

Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.

None of the checked exposures detected

Similar stocks

10 more Medical Instruments & Supplies stocks, each showing price versus our Fair Value estimate (as of Aug 29, 2026).

Stock Price Fair Value vs Fair Value
EssilorLuxottica Société anonyme EL €160.35 €94.93 −41%
Medline Inc MDLN $36.59 $30.15 −18%
Becton, Dickinson and Company BDX $187.12 $100.46 −46%
Alcon Inc ALC $72.23 $39.78 −45%
ResMed Inc RMD A$33.19 A$26.23 −21%
West Pharmaceutical Services, Inc WST $337.47 $141.58 −58%
Sartorius Stedim Biotech S.A DIM €197.70 €48.88 −75%
Straumann Holding STMN CHF 97.38 CHF 47.31 −51%
Sartorius Aktiengesellschaft SRT3 €253.50 €63.30 −75%
Coloplast A/S COLOB kr 435.80 kr 382.22 −12%

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Frequently asked questions

Is Intuitive Surgical Inc (ISRG) overvalued or undervalued?
As of Aug 29, 2026, our model estimates a fair value of $150.04 versus a price of $369.83, about −59% upside (overvalued).
What is the fair value of ISRG?
Our model-based fair value for Intuitive Surgical Inc is $150.04 (as of Aug 29, 2026), built from audited fundamentals. The current price: $369.83.
What is the quality score of ISRG?
Intuitive Surgical Inc has a Quality Score of 72/100. It measures business quality (profitability, growth, cash flow, balance-sheet strength, investment discipline, share issuance). Market factors such as price momentum and volatility do not enter the number; they are shown separately in the detail view.
What is the revenue of Intuitive Surgical Inc (ISRG)?
Intuitive Surgical Inc reported trailing-twelve-month revenue of about $10.6B (latest available figure, as of Aug 29, 2026).
What is the net profit margin of ISRG?
The net profit margin of Intuitive Surgical Inc is about 28.2%, meaning it keeps roughly 28.2% of revenue as net income. Based on the latest reported figures.
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