ISRG vs LLY: Which Is the Better Buy?

Side-by-side comparison of Intuitive Surgical, Inc. and Eli Lilly and Company β€” fair value, conviction, valuation metrics, and QuantHub research signals. Updated 2026-04-22.
Intuitive Surgical, Inc. Β· Healthcare
$451.29
+130.4% upside to fair value
Grade B High Quality
VS
Eli Lilly and Company Β· Healthcare
$939.47
+71.1% upside to fair value
High Conviction Grade A
QuantHub Verdict
ISRG has more upside to fair value (+130.4%). LLY trades at a lower forward P/E (27.4x). These are model outputs β€” not personalized investment advice. See all research β†’
Valuation & Fundamentals
Metric ISRG LLY
Current Price $451.29 $939.47
Fair Value Estimate $1,039.74 $1,607.00
Upside to Fair Value +130.4% +71.1%
Market Cap $160.3B $887.6B
Forward P/E 53.8x 27.4x
EV / EBITDA 40.5x 35.8x
Price / Sales 15.2x 14.8x
Price / FCF 64.3x 107.6x
Revenue Growth YoY +23.0% +44.7%
Gross Margin 66.3% 83.8%
Operating Margin 30.5% 45.6%
Return on Equity 17.0% 77.8%
Dividend Yield 0% 0.56%
FCF Yield 1.55% 0.93%
Analyst Consensus Strong Buy Strong Buy
Investment Thesis
ISRG β€” Intuitive Surgical, Inc.
Intuitive Surgical, Inc. is a leading healthcare company specializing in robotic-assisted surgery through its flagship da Vinci system, which has established a durable competitive moat with approximately 10,000 systems installed globally and nearly 17 million procedures performed by the end of 2024. The company benefits from a high-quality business model characterized by 85% recurring revenue, st…
LLY β€” Eli Lilly and Company
Eli Lilly remains the dominant GLP-1 franchise holder with Mounjaro and Zepbound generating $36.5B combined in 2025 on 45% total revenue growth to $65.2B. The company guided $80-83B for 2026, well above prior Street consensus, and launched Foundayo (oral GLP-1, FDA approved April 2026) with $1.5B pre-built inventory. At $939 the stock trades at 14.8x P/S, right at its 5-year median, and 27.4x for…
Accumulation Zones
Metric ISRG LLY
Zone Low $779.81 $1,205.00
Zone High $883.78 $1,366.00
In Buy Zone? Yes Yes
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