ISRG vs MRK: Which Is the Better Buy?

Side-by-side comparison of Intuitive Surgical, Inc. and Merck & Co., Inc. 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
Merck & Co., Inc. Β· Healthcare
$119.07
-4.0% upside to fair value
Grade D High Quality
QuantHub Verdict
ISRG has more upside to fair value (+130.4%). MRK trades at a lower forward P/E (16.2x). These are model outputs β€” not personalized investment advice. See all research β†’
Valuation & Fundamentals
Metric ISRG MRK
Current Price $451.29 $119.07
Fair Value Estimate $1,039.74 $114.30
Upside to Fair Value +130.4% -4.0%
Market Cap $160.3B $294.4B
Forward P/E 53.8x 16.2x
EV / EBITDA 40.5x 12.6x
Price / Sales 15.2x 4.5x
Price / FCF 64.3x 23.8x
Revenue Growth YoY +23.0% +5.0%
Gross Margin 66.3% 81.5%
Operating Margin 30.5% 41.2%
Return on Equity 17.0% 36.2%
Dividend Yield 0% 0%
FCF Yield 1.55% 4.2%
Analyst Consensus Strong Buy Hold
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…
MRK β€” Merck & Co., Inc.
Merck & Co., Inc. is a leading global healthcare company specializing in pharmaceuticals, particularly oncology and vaccines. The company benefits from a strong business quality characterized by a durable competitive moat, high gross margins of 81.5%, and a robust return on equity of 36.2%. Despite these strengths, the stock is currently fairly valued but slightly overvalued by 4% relative to its…
Accumulation Zones
Metric ISRG MRK
Zone Low $779.81 $85.72
Zone High $883.78 $97.16
In Buy Zone? Yes No
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