MedGemma 4B IT vs Phi 4

    Comparison

    As of August 30, 2026, MedGemma 4B IT is 71% cheaper per million tokens than Phi 4. MedGemma 4B IT is $0.02 / $0.04 per million input/output tokens versus Phi 4 at $0.07 / $0.14. Sources: https://ai.google.dev/gemini-api/docs/pricing and https://azure.microsoft.com/en-us/pricing/details/cognitive-services/openai-service/

    Sources: Gemini API pricing (https://ai.google.dev/gemini-api/docs/pricing); Microsoft pricing (https://azure.microsoft.com/en-us/pricing/details/cognitive-services/openai-service/)

    Better value

    MedGemma 4B IT

    Google

    $0.06blended / 1M

    Input

    $0.02

    Output

    $0.04

    32.8K ctx|Open Source
    71%
    cheaper

    Phi 4

    Microsoft

    $0.21blended / 1M

    Input

    $0.07

    Output

    $0.14

    16K ctx|Open Source
    Save $0.15 per million tokens by choosing MedGemma 4B IT over Phi 4.

    MedGemma 4B IT vs Phi 4 comparison

    Token pricing, specs, and benchmarks side by side

    Metric
    MedGemma 4B IT
    Phi 4
    Provider
    Provider
    Google
    Microsoft
    License
    Open Source
    Open Source
    Release Date
    2025-05-20
    2024-12-12
    Pricing (per 1M tokens)
    Input Price-71%
    $0.02
    $0.07
    Output Price-71%
    $0.04
    $0.14
    Blended (1M + 1M)
    $0.06
    $0.21
    Model Details
    Context Window
    32.8K
    16K
    Max Output Tokens
    N/A
    16K
    Knowledge Cutoff
    N/A
    2024-06-01
    Throughput
    N/A
    33 tok/s
    Benchmarks
    56.1%
    56.1%
    63%
    13.8%
    28.8%
    84.8%
    82.6%
    80.4%
    75.4%
    48.1%
    71.8%
    75.5%
    47.6%
    18.8%
    80.6%
    88.9%
    70.4%
    69.8%
    56.2%
    62.3%
    49.9%

    Verdict

    MedGemma 4B IT vs Phi 4: the bottom line

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

    MedGemma 4B IT vs Phi 4 FAQ

    Which is cheaper, MedGemma 4B IT or Phi 4?

    As of August 30, 2026, MedGemma 4B IT is 71% 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). Phi 4 costs $0.07 / $0.14 per million tokens ($0.21 blended). Sources: https://ai.google.dev/gemini-api/docs/pricing and https://azure.microsoft.com/en-us/pricing/details/cognitive-services/openai-service/. The cheapest LLM for your app still depends on how many output tokens you generate.

    How much does MedGemma 4B IT vs Phi 4 cost per million tokens?

    MedGemma 4B IT Gemini API pricing is $0.02 input and $0.04 output per million tokens via Google. Phi 4 Microsoft API pricing is $0.07 input and $0.14 output per million tokens via Microsoft. Use those four numbers, not ChatGPT Plus or Claude Pro subscription prices, when you are comparing APIs.

    Which is better for coding, MedGemma 4B IT or Phi 4?

    Phi 4 has a published HumanEval score of 82.6%. MedGemma 4B IT does not have that eval on this page yet.

    What is the context window for MedGemma 4B IT vs Phi 4?

    MedGemma 4B IT supports a 33K token context window, while Phi 4 supports 16K tokens. MedGemma 4B IT 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, MedGemma 4B IT or Phi 4?

    Shared benchmark scores for MedGemma 4B IT and Phi 4 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 MedGemma 4B IT or Phi 4 better for production use?

    Both MedGemma 4B IT and Phi 4 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 MedGemma 4B IT and Phi 4 in my app?

    Yes. Call MedGemma 4B IT through Google and Phi 4 through Microsoft 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 MedGemma 4B IT vs Phi 4 pricing data?

    List rates are the latest published Gemini API pricing and Microsoft API pricing, quoted per million tokens. Official rate sheets: https://ai.google.dev/gemini-api/docs/pricing and https://azure.microsoft.com/en-us/pricing/details/cognitive-services/openai-service/. 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 MedGemma 4B IT and Phi 4?

    MedGemma 4B IT supports up to an unspecified number of output tokens per request, while Phi 4 supports up to 16K 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, MedGemma 4B IT or Phi 4?

    Phi 4 has a measured throughput of approximately 33 tokens/second. Throughput data for MedGemma 4B IT is not yet available. 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 MedGemma 4B IT vs Phi 4 comparison?

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

    MedGemma 4B IT vs Phi 4 pricing

    This comparison covers API pricing, context window, throughput, and benchmark scores. MedGemma 4B IT costs $0.02/M input and $0.04/M output. Phi 4 costs $0.07/M input and $0.14/M output.

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

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