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Quest Diagnostics is a mature, highly cash-generative leader in the US diagnostic testing market. Its robust national network provides durable scale advantages, supporting consistent free cash flow generation and a reliable, growing dividend. With an implied ~19.4x forward P/E, DGX is positioned as a defensive healthcare compounding asset. Fair value range: low $185, high $268, with mid-point at $226.
Stock analysis

DGX fair value $185–$268

By StockMarketAgent.AI team· supervised by
已分析: 2026-05-13已更新: 下次更新: 2026-08-13Methodology v2.5Review: automatedArchetype: Mature dividend
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股价
$190.18
▲ +35.84 (+18.85%)
公允价值
$226
$185–$268
评级
买入
confidence 88/100
上行空间
+18.9%
upside to fair value
安全边际
$192.12
MoS level · 15%
市值
$21.1B
P/E fwd 16.3

§1 执行摘要

  • Fair value range established at $184.66 to $267.84, with a midpoint of $226.02.
  • High OCF to Net Income conversion (1.9x) indicates strong core cash generation.
  • Scale efficiencies largely offset structural PAMA reimbursement cuts.
  • Composite valuation anchored by Free Cash Flow to Firm (40%) and Forward Earnings (40%).
Fair value
$226
Margin of safety
+15.9%
Confidence
88/100
Moat
6.5/10

Educational research only - not investment advice, an offer, or a trade instruction. Confirm current data and do your own due diligence before acting.

$190.18Price
Low $184.66
Mid $226.02
High $267.84

Quest Diagnostics is a mature, highly cash-generative leader in the US diagnostic testing market. Its robust national network provides durable scale advantages, supporting consistent free cash flow generation and a reliable, growing dividend. With an implied ~19.4x forward P/E, DGX is positioned as a defensive healthcare compounding asset.

  • Scale Advantage
    Unmatched national laboratory network lowers per-test processing costs.
  • Switching Costs
    Deep integration with hospital IT systems and payer networks.
  • Bull thesis
    Valuation: Shares are undervalued, supported by a $226.02 composite midpoint tightly aligned with the $223.25 internal valuation cross-checks.

§2 看空情景

A combined scenario of PAMA reimbursement cuts and labor inflation tests the margin structure. The model withstands moderate pressure given scale efficiencies, but operating margins structurally compressing below 13.0% would invalidate the current valuation.

该论点可能失败的方式

Severe PAMA Reimbursement Reset

· Low

Aggressive legislative changes to PAMA cause unexpected, steep cuts to clinical lab fee schedules, significantly compressing gross margins.

FV impact
-20%
Trigger
1-3 Years

Accelerated Hospital In-sourcing

· Medium

Technological advancements enable hospitals to profitably internalize testing, shrinking the addressable outsourced laboratory market.

FV impact
-15%
Trigger
3-5 Years

Margin Collapse from Labor Inflation

· Medium

Persistent wage inflation for specialized lab technicians outpaces pricing power, structurally shifting operating margins below 13.0%.

FV impact
-10%
Trigger
1-2 Years
需关注的早期预警信号
指标当前触发阈值
OCF/NI conversion ratio dropping below 1.5x.MonitorDeterioration versus the report thesis
Operating margins structurally compressing below 13.0%.MonitorDeterioration versus the report thesis
Loss of major national payer contracts.MonitorDeterioration versus the report thesis
Declining volume in high-margin esoteric testing segments.MonitorDeterioration versus the report thesis
Capital expenditure requirements materially exceeding historical ratios.MonitorDeterioration versus the report thesis

§3 财务历史

损益表 — 最近六期

项目2021-12-312022-12-312023-12-312024-12-312025-12-31Trend
营业收入$10.79B$9.88B-8.4%$9.25B-6.4%$9.87B+6.7%$11.04B+11.9%+0.6%
毛利$4.21B$3.43B$3.05B$3.24B$3.67B-3.4%
营业利润$2.38B$1.43B$1.26B$1.35B$1.56B-10.1%
净利润$2.00B$946.0M-52.7%$854.0M-9.7%$871.0M+2.0%$992.0M+13.9%-16.0%
每股收益(摊薄)$15.55$7.97$7.49$7.69$8.75-13.4%
EBITDA$3.16B$1.82B$1.73B$1.89B$2.17B-9.0%
研发
销售管理费用$1.73B$1.87B$1.64B$1.77B$1.97B+3.3%

质量评分

OCF / 净利润
1.9×
>1 表示盈利质量高
会计质量门槛
Fail
经行业调整门槛
ROIC
9.2%
投入资本回报率
个人订阅用户 — §4 及之后还有 11 个章节

阅读完整分析 — 还有 11 个章节。

Competitive moat, industry cycle, peer comparison, intrinsic valuation, sensitivity, scenarios, earnings decision tree, position management, investor perspectives, scorecard, and final recommendation.

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FAQ

DGX — frequently asked questions

  1. Based on our latest analysis, DGX looks meaningfully undervalued. The current price is $190 versus a composite fair-value midpoint of $226 (range $185–$268), which implies roughly 18.9% upside to the midpoint.
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