Intuitive Surgical, Inc. · ISRG · FY2026 Q3 · Calendar Q4 2026

Intuitive Surgical: Strong Q3 growth, with pricing and policy risks ahead

The supplied analysis supports a constructive operating thesis: procedure growth, da Vinci 5 and SP adoption, Ion expansion, and new AI and imaging capabilities provide multiple growth drivers. The case is balanced by pricing pressure, China policy, reimbursement uncertainty, competition, and execution risk.

Reported After market closeNASDAQHealthcare $154.74B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $3.00 Consensus $2.65
EPS surprise +13.2% Reported versus consensus
Reported revenue $3.05B Consensus $2.91B
Revenue surprise +4.9% Reported versus consensus

Market reaction

event-close to next-session close
Stock move -3.6% Event window
SPY move +0.2% Same window
Abnormal move -3.7% Stock minus SPY
Volume 0.6× Versus trailing sessions
Subsequent drift 0.0% Up to 20 sessions
ISRGSPY benchmark

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Transcript intelligence

What changed

Compared with the prior-quarter analysis, the current quarter added stronger reported growth and broader global placement momentum, while highlighting pricing actions, a $450 million settlement, new regulatory clearances, and the planned Penang manufacturing facility. Management also narrowed its 2026 guidance ranges while maintaining guidance.

Guidance delta

Management maintained 2026 guidance while narrowing its ranges, according to the supplied analysis.

Key takeaways

  • Q3 revenue grew 22% to more than $3 billion, while total procedures increased 15%.
  • da Vinci 5 and SP adoption, Ion expansion, and global placements supported the quarter.
  • Pricing actions are intended to broaden benign-surgery adoption but may reduce instruments-and-accessories revenue per procedure by 3% to 5%.
  • AI, imaging, new Ion capabilities, and manufacturing expansion provide additional avenues for growth.
  • China policy, reimbursement changes, competitive pressure, and settlement-related cash outflows remain important risks.

Management priorities

  • Expand da Vinci 5 and SP adoption, including in ambulatory surgery centers.
  • Broaden Ion through new reimbursement, ROSE, and endobronchial-ultrasound programs.
  • Advance AI-enabled visualization and digital surgical features.
  • Pursue additional SP clearances and expand manufacturing capacity in Malaysia.
  • Use pricing and market-access initiatives to increase procedure adoption.

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Earnings History

Estimate Beat Miss Match
ISRG REVENUE earnings history estimate and actual scatter chart 9 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $2B Q4 '23 actual $2B, beat Q1 '24 estimate $2B Q1 '24 actual $2B, beat Q2 '24 estimate $2B Q2 '24 actual $2B, beat Q2 '25 estimate $2B Q2 '25 actual $2B, beat Q3 '25 estimate $2B Q3 '25 actual $3B, beat Q4 '25 estimate $3B Q4 '25 actual $3B, beat Q1 '26 estimate $3B Q1 '26 actual $3B, beat Q2 '26 estimate $3B Q2 '26 actual $3B, beat Q3 '26 estimate $3B Q3 '26 actual $3B, beat Q4 '26 estimate $3B Q1 '27 estimate $3B Q2 '27 estimate $3B Q3 '27 estimate $3B
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Analyst Consensus ?

ConsensusBuy57 ratings
Bullish4070.2%
Neutral1221.0%
Bearish58.8%

Analyst 52W Price Targets

$429.55Current
$270Low
$476.03Average
$750High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 21, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
BTIG Buy BuyMaintainOct 12, 2026
Oppenheimer Outperform PerformUpgradeAug 12, 2026
HSBC Hold BuyDowngradeJul 30, 2026
Wells Fargo Overweight OverweightMaintainJul 17, 2026
TD Cowen Buy BuyMaintainJul 17, 2026
Show 52 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $429.54. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Mizuho SecuritiesAnalyst unavailable$415$427.64 -3.4%Oct 13, 2026
BTIGAnalyst unavailable$454$425.1 +5.7%Oct 12, 2026
BarclaysAnalyst unavailable$485$404.76 +12.9%Oct 6, 2026
HSBCAnalyst unavailable$391$353.1 -9.0%Jul 30, 2026
UBSPriya Sachdeva$500$356.83 +16.4%Jul 28, 2026
See 108 more

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Company context

Snapshot as of publication

Intuitive Surgical, Inc. is a leading medical technology firm dedicated to advancing patient care by developing, producing, and commercializing sophisticated tools. These innovations empower medical professionals to deliver superior, accessible, and less-invasive treatment options to patients both within the United States and across international markets. Its flagship offering, the da Vinci Surgical System, facilitates intricate operations through a minimally disruptive approach.…

Historical context

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Sources

  1. Earnings call transcript and parsed analysis · 2026-10-21T14:03:56.080976+00:00
  2. FN2 earnings calendar · 2026-10-21T01:23:14.182042+00:00
  3. Polygon adjusted daily market bars · 2026-10-21T14:10:44.166919+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-21T14:10:44.164140+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-10-21. For educational purposes only; not investment advice.