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Surgeon in blue scrubs touching a tablet beside a da Vinci surgical robot console
Photo: MarketScreener

Intuitive Surgical Stock Drops 13% After Hours on Pricing Cuts

SEC / Intuitive Surgical2 min read6 sources

Why is Intuitive Surgical stock down today?

Intuitive Surgical (ISRG) stock fell 13% in after-hours trading Tuesday, then pared losses to about 3% near $427 on Wednesday, after da Vinci price cuts overshadowed its Q3 earnings beat.

Key numbers

Q3 revenue$3.05B+22% YoY
Adjusted EPS$3.00vs $2.40 a year ago
Instrument revenue per procedure3%–5% loweronce fully in place
Antitrust settlement charge$450M$0.99 per share after tax
Stock move after hours Oct 20-13%pared to -2.6% by midday Oct 21 (per [3])
da Vinci 5 placements315vs 240 a year ago

What happened

Intuitive Surgical (ISRG) stock fell 13% in after-hours trading Tuesday, then pared losses to about 3% near $427 on Wednesday, after da Vinci price cuts overshadowed its Q3 earnings beat. Adjusted earnings were $3.00 per share and sales hit $3.05 billion, up 22% from a year ago and above analyst forecasts. Intuitive also plans to cut prices on da Vinci instruments, which could lower what it earns per surgery by 3% to 5% over time. It also booked a $450 million charge to settle an antitrust lawsuit.

Why it matters

Intuitive Surgical (ISRG) makes the da Vinci surgical robots, and it earns steady, repeat revenue from the instruments used in each operation. Lower instrument prices mean less money per surgery, even if cheaper pricing leads hospitals to use the robots more often. The stock sits about 29% below its 52-week high of $603.88, so investors are watching whether extra surgeries make up the difference.

Who this affects

Marketmixed
Medium impact
Investors weigh a strong quarter against lower future profit per surgery.
Companybearish
Medium impact
Intuitive earns less per surgery, but may gain more volume.
Competitorsneutral
Low impact
Rivals may face tougher price comparisons; effect still unclear.
Industrymixed
Low impact
Hospitals may pay less per robotic surgery, a plus for buyers.

Intuitive Surgical vs Medtronic, Stryker

Intuitive SurgicalISRG$151B38x
MedtronicMDT~$122B~14x
StrykerSYK~$114B~18x

As of 2026-10-21

How we got here

  1. Intuitive reports Q3 results; shares fall about 13% in after-hours trading

  2. Shares indicated down 7.5% pre-market at $404.99 as pricing cuts sink in

  3. Shares pare losses to $426.70, down 2.6%, by 12:42 PM EDT

What to watch

  • Q4 results, tentatively set for late January, for a first look at pricing effects2027-01-26
  • Whether U.S. da Vinci procedure growth, only 10% in Q3, picks up againQ4 2026

Educational content only. Not investment advice.

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