Intuitive Surgical (MIL:1ISRG) Cyclically Adjusted PB Ratio: 10.33 (As of Sep. 15, 2026) — 31% Below Median

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MIL:1ISRG Intuitive Surgical Inc MIL:1ISRG
74 GF Score
Price €324.15
GF Value €562.93
Valuation Significantly Undervalued
! 1 Warning Sign
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What is Intuitive Surgical Cyclically Adjusted PB Ratio?

Intuitive Surgical MIL:1ISRG +2.35% 74 Cyclically Adjusted PB Ratio is 10.33 as of Sep. 15, 2026, which is 31% below its 10-year median of 14.98. GuruFocus rates MIL:1ISRG with a GF Score™ of 74/100 and a GF Value™ of €562.93 (Significantly Undervalued). The stock has 1 warning sign investors should review. Among 513 Medical Devices & Instruments companies, Intuitive Surgical ranks worse than 94.54% on this metric.

As of today (2026-09-15), Intuitive Surgical's current share price is €324.15. Intuitive Surgical's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 was €31.39. Intuitive Surgical's Cyclically Adjusted PB Ratio for today is 10.33.

The historical rank and industry rank for Intuitive Surgical's Cyclically Adjusted PB Ratio or its related term are showing as below:

MIL:1ISRG' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 8.57   Med: 14.98   Max: 21.23
Current: 10.55

During the past years, Intuitive Surgical's highest Cyclically Adjusted PB Ratio was 21.23. The lowest was 8.57. And the median was 14.98.

MIL:1ISRG's Cyclically Adjusted PB Ratio is ranked worse than
94.54% of 513 companies
in the Medical Devices & Instruments industry
Industry Median: 1.8 vs MIL:1ISRG: 10.55

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

Intuitive Surgical's adjusted book value per share data for the three months ended in Jun. 2026 was €45.223. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is €31.39 for the trailing ten years ended in Jun. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


Intuitive Surgical  (MIL:1ISRG) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


Intuitive Surgical Cyclically Adjusted PB Ratio Related Terms


Intuitive Surgical Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for Intuitive Surgical's Cyclically Adjusted PB Ratio can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Intuitive Surgical Cyclically Adjusted PB Ratio Chart

Intuitive Surgical Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 0.00 0.00 13.19 18.66 15.93

Intuitive Surgical Quarterly Data
Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
Cyclically Adjusted PB Ratio Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 16.54 13.28 16.68 13.10 11.35

MIL:1ISRG vs BDX, RMD, MDLN: Cyclically Adjusted PB Ratio Comparison

For the Medical Instruments & Supplies subindustry, Intuitive Surgical's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Intuitive Surgical Cyclically Adjusted PB Ratio vs Medical Devices & Instruments Industry

For the Medical Devices & Instruments industry and Healthcare sector, Intuitive Surgical's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Intuitive Surgical's Cyclically Adjusted PB Ratio falls into.


MIL:1ISRG
74GF Score
Intuitive Surgical Inc MIL:1ISRG
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
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Intuitive Surgical Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

Intuitive Surgical's Cyclically Adjusted PB Ratio for today is calculated as

Cyclically Adjusted PB Ratio=Share Price/ Cyclically Adjusted Book per Share
=324.15/31.389
=10.33

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Intuitive Surgical's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 is calculated as:

For example, Intuitive Surgical's adjusted Book Value per Share data for the three months ended in Jun. 2026 was:

Adj_Book=Book Value per Share/CPI of Jun. 2026 (Change)*Current CPI (Jun. 2026)
=45.223/333.9520*333.9520
=45.223

Current CPI (Jun. 2026) = 333.9520.

Intuitive Surgical Quarterly Data

Book Value per Share CPI Adj_Book
201609 14.158 241.428 19.584
201612 15.687 241.432 21.698
201703 11.652 243.801 15.961
201706 11.875 244.955 16.189
201709 12.487 246.819 16.895
201712 11.817 246.524 16.008
201803 13.172 249.554 17.627
201806 14.737 251.989 19.530
201809 15.803 252.439 20.906
201812 17.031 251.233 22.638
201903 18.111 254.202 23.793
201906 18.496 256.143 24.115
201909 20.570 256.759 26.754
201912 21.209 256.974 27.562
202003 22.225 258.115 28.755
202006 22.237 257.797 28.806
202009 22.466 260.280 28.825
202012 22.589 260.474 28.961
202103 24.410 264.877 30.776
202106 25.763 271.696 31.666
202109 27.681 274.310 33.700
202112 29.439 278.802 35.262
202203 30.443 287.504 35.361
202206 32.364 296.311 36.475
202209 33.440 296.808 37.625
202212 29.750 296.797 33.474
202303 29.668 301.836 32.825
202306 31.205 305.109 34.155
202309 33.872 307.789 36.751
202312 34.425 306.746 37.478
202403 36.667 312.332 39.205
202406 38.857 314.175 41.303
202409 39.437 315.301 41.770
202412 44.764 315.605 47.366
202503 44.448 319.799 46.415
202506 42.674 322.561 44.181
202509 40.868 324.800 42.020
202512 43.021 324.054 44.335
202603 43.095 330.213 43.583
202606 45.223 333.952 45.223

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

What does a Cyclically Adjusted PB Ratio of 10.33 mean?
Intuitive Surgical (MIL:1ISRG) has a Cyclically Adjusted PB Ratio of 10.33 as of Sep. 15, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Intuitive Surgical and its competitors. This is 31% below median its historical median of 14.98. Over the past decade, Intuitive Surgical's Cyclically Adjusted PB Ratio has ranged from 8.57 to 21.23. According to the industry distribution chart, Intuitive Surgical ranks #485 out of 513 companies in the Medical Devices & Instruments industry, placing it in the top 94.5%.
Is Intuitive Surgical's Cyclically Adjusted PB Ratio too high?
Intuitive Surgical's current Cyclically Adjusted PB Ratio of 10.33 is 31% below median its 10-year median of 14.98. Over the past 10 years, this metric has ranged from a low of 8.57 to a high of 21.23. The Medical Devices & Instruments industry median Cyclically Adjusted PB Ratio is 1.80. Intuitive Surgical's value of 10.33 is 473.9% above this industry median. Based on the distribution chart, Intuitive Surgical ranks #485 out of 513 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Intuitive Surgical has a GF Score™ of 74/100 and is considered Significantly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Intuitive Surgical's Cyclically Adjusted PB Ratio compare to BDX and RMD?
According to the Medical Devices & Instruments industry distribution chart, Intuitive Surgical ranks #485 out of 513 companies for Cyclically Adjusted PB Ratio. This places Intuitive Surgical in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.80. Intuitive Surgical's value of 10.33 is 473.9% above this benchmark. Historically, Intuitive Surgical's own Cyclically Adjusted PB Ratio has ranged from 8.57 to 21.23 over the past decade. While the company's 10-year median is 14.98 vs. the industry median of 1.80, Intuitive Surgical has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Medical Devices & Instruments company?
The median Cyclically Adjusted PB Ratio among Medical Devices & Instruments companies is 1.80, based on 513 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Intuitive Surgical's current Cyclically Adjusted PB Ratio of 10.33 is 473.9% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Intuitive Surgical and its competitors. For the Medical Devices & Instruments industry, the median Cyclically Adjusted PB Ratio is 1.80 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Intuitive Surgical's current Cyclically Adjusted PB Ratio is 10.33, which is 31% below median its own 10-year median of 14.98. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Intuitive Surgical stock overvalued right now?
Based on GuruFocus' analysis, Intuitive Surgical (MIL:1ISRG) is currently considered Significantly Undervalued. The stock's GF Value™ is €562.93, compared to a current price of €324.15 — trading 42.4% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 10.33, which is 31% below median its 10-year median of 14.98 and 473.9% above the Medical Devices & Instruments industry median of 1.80. Intuitive Surgical's overall GF Score™ is 74/100 with 1 warning sign to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Intuitive Surgical (MIL:1ISRG), the current Cyclically Adjusted PB Ratio is 10.33 as of Sep. 15, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Intuitive Surgical (MIL:1ISRG) Overvalued in 2026?

Based on GuruFocus' analysis, Intuitive Surgical stock appears to be undervalued. The current stock price of €324.15 is trading 42.4% below its estimated GF Value™ of €562.93. GuruFocus considers Intuitive Surgical to be Significantly Undervalued.

Key valuation signals for MIL:1ISRG:

  • Cyclically Adjusted PB Ratio: 10.33 (31% below median its 10-year median of 14.98)
  • GF Value™: €562.93 vs. price of €324.15 (42.4% below fair value)
  • GF Score™: 74/100 with 1 warning sign
  • Industry Position: 473.9% above the Medical Devices & Instruments median (#485 of 513)

No single metric tells the full story. See the MIL:1ISRG stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Intuitive Surgical Business Description

Address 1020 Kifer Road, Sunnyvale, CA, USA, 94086
Intuitive develops, produces, and markets a robotic system for assisting minimally invasive surgery. It also provides the instrumentation, disposable accessories, and warranty services for the system. The company has placed more than 10,000 da Vinci systems in hospitals worldwide, with more than 6,000 installations in the US and a growing number in emerging markets.
74GF Score

Get the complete analysis for MIL:1ISRG

Cyclically Adjusted PB Ratio is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

€324.15
Price
€562.93
GF Value