Castle Biosciences, Inc.

NasdaqGM:CSTL Stock Report

Market Cap: US$796.8m

Castle Biosciences Valuation

Is CSTL undervalued compared to its fair value, analyst forecasts and its price relative to the market?

Valuation Score

3/6

Valuation Score 3/6

  • Below Fair Value

  • Significantly Below Fair Value

  • Price-To-Earnings vs Peers

  • Price-To-Earnings vs Industry

  • Price-To-Earnings vs Fair Ratio

  • Analyst Forecast

Share Price vs Fair Value

What is the Fair Price of CSTL when looking at its future cash flows? For this estimate we use a Discounted Cash Flow model.

Below Fair Value: CSTL ($28.88) is trading below our estimate of fair value ($93.32)

Significantly Below Fair Value: CSTL is trading below fair value by more than 20%.


Key Valuation Metric

Which metric is best to use when looking at relative valuation for CSTL?

Key metric: As CSTL is profitable we use its Price-To-Earnings Ratio for relative valuation analysis.

The above table shows the Price to Earnings ratio for CSTL. This is calculated by dividing CSTL's market cap by their current earnings.
What is CSTL's PE Ratio?
PE Ratio133.1x
EarningsUS$6.08m
Market CapUS$796.81m

Price to Earnings Ratio vs Peers

How does CSTL's PE Ratio compare to its peers?

The above table shows the PE ratio for CSTL vs its peers. Here we also display the market cap and forecasted growth for additional consideration.
CompanyForward PEEstimated GrowthMarket Cap
Peer Average27x
DCGO DocGo
13.6x-50.7%US$418.4m
PNTG Pennant Group
49.5x30.0%US$1.1b
SBC SBC Medical Group Holdings
12.3xn/aUS$639.1m
VMD Viemed Healthcare
32.5x32.5%US$332.5m
CSTL Castle Biosciences
133.1x-42.4%US$796.8m

Price-To-Earnings vs Peers: CSTL is expensive based on its Price-To-Earnings Ratio (133.1x) compared to the peer average (27x).


Price to Earnings Ratio vs Industry

How does CSTL's PE Ratio compare vs other companies in the US Healthcare Industry?

3 CompaniesPrice / EarningsEstimated GrowthMarket Cap
NEUE NeueHealth
1.5xn/aUS$40.85m
IDXG Interpace Biosciences
2.4xn/aUS$11.79m
FZMD Fuse Medical
1.4xn/aUS$4.22m
No more companies available in this PE range
CSTL 133.1xIndustry Avg. 25.8xNo. of Companies12PE01632486480+
3 CompaniesEstimated GrowthMarket Cap
No more companies

Price-To-Earnings vs Industry: CSTL is expensive based on its Price-To-Earnings Ratio (133.1x) compared to the US Healthcare industry average (25.8x).


Price to Earnings Ratio vs Fair Ratio

What is CSTL's PE Ratio compared to its Fair PE Ratio? This is the expected PE Ratio taking into account the company's forecast earnings growth, profit margins and other risk factors.

CSTL PE Ratio vs Fair Ratio.
Fair Ratio
Current PE Ratio133.1x
Fair PE Ratio9.6x

Price-To-Earnings vs Fair Ratio: CSTL is expensive based on its Price-To-Earnings Ratio (133.1x) compared to the estimated Fair Price-To-Earnings Ratio (9.6x).


Analyst Price Targets

What is the analyst 12-month forecast and do we have any statistical confidence in the consensus price target?

The above table shows the analyst CSTL forecast and predictions for the stock price in 12 month’s time.
DateShare PriceAverage 1Y Price TargetDispersionHighLow1Y Actual priceAnalysts
CurrentUS$28.88
US$41.56
+43.9%
9.8%US$50.00US$36.00n/a9
Nov ’25US$33.15
US$37.33
+12.6%
13.5%US$45.00US$28.00n/a9
Oct ’25US$28.09
US$35.56
+26.6%
12.2%US$45.00US$28.00n/a9
Sep ’25US$29.67
US$35.56
+19.8%
12.2%US$45.00US$28.00n/a9
Aug ’25US$23.04
US$34.33
+49.0%
9.6%US$40.00US$28.00n/a9
Jul ’25US$21.19
US$34.33
+62.0%
9.6%US$40.00US$28.00n/a9
Jun ’25US$23.26
US$34.33
+47.6%
9.6%US$40.00US$28.00n/a9
May ’25US$22.02
US$33.11
+50.4%
9.2%US$37.00US$28.00n/a9
Apr ’25US$22.25
US$33.11
+48.8%
9.2%US$37.00US$28.00n/a9
Mar ’25US$19.94
US$32.63
+63.6%
8.8%US$37.00US$28.00n/a8
Feb ’25US$23.68
US$31.67
+33.7%
12.5%US$37.00US$25.00n/a9
Jan ’25US$21.58
US$31.56
+46.2%
12.7%US$37.00US$25.00n/a9
Dec ’24US$19.97
US$33.00
+65.2%
12.9%US$40.00US$25.00n/a8
Nov ’24US$15.70
US$33.00
+110.2%
12.9%US$40.00US$25.00US$33.158
Oct ’24US$16.89
US$33.00
+95.4%
12.9%US$40.00US$25.00US$28.098
Sep ’24US$19.66
US$33.00
+67.9%
12.9%US$40.00US$25.00US$29.678
Aug ’24US$16.72
US$33.63
+101.1%
13.1%US$40.00US$25.00US$23.048
Jul ’24US$13.72
US$33.63
+145.1%
13.1%US$40.00US$25.00US$21.198
Jun ’24US$21.05
US$44.50
+111.4%
19.0%US$60.00US$35.00US$23.268
May ’24US$22.75
US$44.63
+96.2%
16.6%US$60.00US$38.00US$22.028
Apr ’24US$22.72
US$45.88
+101.9%
16.1%US$60.00US$38.00US$22.258
Mar ’24US$22.86
US$46.38
+102.9%
15.7%US$60.00US$38.00US$19.948
Feb ’24US$27.52
US$49.63
+80.3%
16.5%US$63.00US$40.00US$23.688
Jan ’24US$23.54
US$48.86
+107.5%
17.8%US$63.00US$40.00US$21.587
Dec ’23US$24.05
US$48.86
+103.1%
17.8%US$63.00US$40.00US$19.977
Nov ’23US$25.82
US$49.86
+93.1%
16.3%US$63.00US$40.00US$15.707

Analyst Forecast: Target price is more than 20% higher than the current share price and analysts are within a statistically confident range of agreement.


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