GPT-5.4 mini vs MedGemma 4B IT

    Comparison

    As of August 30, 2026, MedGemma 4B IT is 99% cheaper per million tokens than GPT-5.4 mini. GPT-5.4 mini is $0.75 / $4.50 per million input/output tokens versus MedGemma 4B IT at $0.02 / $0.04. Sources: https://developers.openai.com/api/docs/pricing and https://ai.google.dev/gemini-api/docs/pricing

    Sources: OpenAI API pricing (https://developers.openai.com/api/docs/pricing); Gemini API pricing (https://ai.google.dev/gemini-api/docs/pricing)

    GPT-5.4 mini

    OpenAI

    $5.25blended / 1M

    Input

    $0.75

    Output

    $4.50

    400K ctx|Proprietary
    99%
    cheaper
    Better value

    MedGemma 4B IT

    Google

    $0.06blended / 1M

    Input

    $0.02

    Output

    $0.04

    32.8K ctx|Open Source
    Save $5.19 per million tokens by choosing MedGemma 4B IT over GPT-5.4 mini.

    GPT-5.4 mini vs MedGemma 4B IT comparison

    Token pricing, specs, and benchmarks side by side

    Metric
    GPT-5.4 mini
    MedGemma 4B IT
    Provider
    Provider
    OpenAI
    Google
    License
    Proprietary
    Open Source
    Release Date
    2026-03-17
    2025-05-20
    Pricing (per 1M tokens)
    Input Price+3650%
    $0.75
    $0.02
    Output Price+11150%
    $4.50
    $0.04
    Blended (1M + 1M)
    $5.25
    $0.06
    Model Details
    Context Window
    400K
    32.8K
    Max Output Tokens
    128K
    N/A
    Knowledge Cutoff
    2025-08-31
    N/A
    Throughput
    N/A
    N/A
    Benchmarks
    28.2%
    88%
    24.3%
    49.9%
    1402.17
    28.6%
    18.9%
    72.1%
    42.9%
    57.7%
    76.6%
    28.3%
    88.9%
    79.3%
    24.6%
    48.1%
    60.9%
    10%
    71.8%
    45.4%
    6.4%
    18.8%
    88.9%
    84.5%
    33.6%
    69.8%
    50.8%
    62.3%
    71.2%
    49.9%

    Verdict

    GPT-5.4 mini vs MedGemma 4B IT: the bottom line

    Both models are closely matched on benchmarks. MedGemma 4B IT has the pricing advantage, making it the better value unless GPT-5.4 mini's specific capabilities are critical to your workflow.

    GPT-5.4 mini vs MedGemma 4B IT FAQ

    Which is cheaper, GPT-5.4 mini or MedGemma 4B IT?

    As of August 30, 2026, MedGemma 4B IT is 99% cheaper on blended LLM API pricing. MedGemma 4B IT costs $0.02 per million input tokens and $0.04 per million output tokens ($0.06 blended 1M-in + 1M-out). GPT-5.4 mini costs $0.75 / $4.50 per million tokens ($5.25 blended). Sources: https://developers.openai.com/api/docs/pricing and https://ai.google.dev/gemini-api/docs/pricing. The cheapest LLM for your app still depends on how many output tokens you generate.

    How much does GPT-5.4 mini vs MedGemma 4B IT cost per million tokens?

    GPT-5.4 mini OpenAI API pricing is $0.75 input and $4.50 output per million tokens via OpenAI. MedGemma 4B IT Gemini API pricing is $0.02 input and $0.04 output per million tokens via Google. Use those four numbers, not ChatGPT Plus or Claude Pro subscription prices, when you are comparing APIs.

    Which is better for coding, GPT-5.4 mini or MedGemma 4B IT?

    GPT-5.4 mini has a published SWE-bench Verified score of 73%. MedGemma 4B IT does not have that eval on this page yet.

    What is the context window for GPT-5.4 mini vs MedGemma 4B IT?

    GPT-5.4 mini supports a 400K token context window, while MedGemma 4B IT supports 33K tokens. GPT-5.4 mini offers a larger context window. Filling a larger window bills more input tokens, so the cheaper-per-million model can still cost more on long documents.

    Which model performs better on benchmarks, GPT-5.4 mini or MedGemma 4B IT?

    Shared benchmark scores for GPT-5.4 mini and MedGemma 4B IT are still limited. Check the comparison table for the evals each model has published. Check the comparison table for GPQA Diamond, SWE-bench, MMLU, HLE, and the other evals we track. Token price and benchmark score together are the usual LLM comparison, not either number alone.

    Is GPT-5.4 mini or MedGemma 4B IT better for production use?

    Both GPT-5.4 mini and MedGemma 4B IT are production API models. For cost-sensitive production traffic, MedGemma 4B IT has better economics on the blended 1M-in + 1M-out scale. For maximum capability, weight the benchmark table for your domain. Many production stacks route cheap models for drafts and a frontier model for the hard turn, which is usually cheaper than sending everything to the expensive API.

    Can I switch between GPT-5.4 mini and MedGemma 4B IT in my app?

    Yes. Call GPT-5.4 mini through OpenAI and MedGemma 4B IT through Google with separate API keys, or through a gateway that already wraps both. Keep prompts in tokens, not characters, when you estimate the invoice. AnotherWrapper templates can swap providers without rewriting auth and billing.

    How accurate is this GPT-5.4 mini vs MedGemma 4B IT pricing data?

    List rates are the latest published OpenAI API pricing and Gemini API pricing, quoted per million tokens. Official rate sheets: https://developers.openai.com/api/docs/pricing and https://ai.google.dev/gemini-api/docs/pricing. Prompt caching, batch APIs, and committed-use discounts can change the invoice. Benchmark scores are from official publications and independent evals, updated as new numbers land.

    What is the output token limit for GPT-5.4 mini and MedGemma 4B IT?

    GPT-5.4 mini supports up to 128K output tokens per request, while MedGemma 4B IT supports up to an unspecified number of output tokens. Output tokens are usually the expensive half of API pricing, so a higher max output cap is a capability, not a discount.

    Which model has better throughput, GPT-5.4 mini or MedGemma 4B IT?

    Neither GPT-5.4 mini nor MedGemma 4B IT has published throughput data on this page yet. Throughput (tokens per second) and time-to-first-token are why two models with the same per-million-token price can still feel different in chat and agents.

    How do I switch the models in this GPT-5.4 mini vs MedGemma 4B IT comparison?

    Use the model pickers at the top of this LLM comparison. Search any model in the index and the URL updates. Open GPT-5.4 mini or MedGemma 4B IT from the sidebar for the single-model API pricing page, or go back to the LLM pricing table to sort by cheapest blended cost.

    GPT-5.4 mini vs MedGemma 4B IT pricing

    This comparison covers API pricing, context window, throughput, and benchmark scores. GPT-5.4 mini costs $0.75/M input and $4.50/M output. MedGemma 4B IT costs $0.02/M input and $0.04/M output.

    Rank both on the LLM leaderboard, SWE-bench, and Humanity's Last Exam.

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