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MedGemma 4B IT vs Qwen2.5 VL 72B Instruct

Comparing MedGemma 4B IT and Qwen2.5 VL 72B Instruct across benchmarks, pricing, and capabilities.

Google · Alibaba Cloud / Qwen Team · Updated for 2026

Which is better?

MedGemma 4B IT and Qwen2.5 VL 72B Instruct trade strengths across price, capabilities, and technical limits. The better choice depends on the workload.

Based on current benchmark, pricing, and model metadata for 2026.

Choose MedGemma 4B IT

  • you want the most recent training data — it shipped May 2025

Choose Qwen2.5 VL 72B Instruct

  • you are already invested in the Alibaba Cloud / Qwen Team ecosystem

At a glance

The differences that matter most.

MedGemma 4B IT
Google
Qwen2.5 VL 72B Instruct
Alibaba Cloud / Qwen Team
Benchmark wins
—
—
Input price
— / M
— / M
Output price
— / M
— / M
Context window
—
—
Released
May 2025
Jan 2025
License
Health AI Developer Foundations terms of use
tongyi-qianwen

Performance Benchmarks

Comparative analysis across standard metrics

No common benchmarks found

MedGemma 4B IT and Qwen2.5 VL 72B Instructdon't have any common benchmark datasets to compare. They may have been evaluated on different testing suites.

Arena Performance

Playground indexes and blind preference scores

Model Size

Parameter count comparison

67.7B diff

Qwen2.5 VL 72B Instruct has 67.7B more parameters than MedGemma 4B IT, making it 1574.4% larger.

Google
MedGemma 4B IT
4.3Bparameters
Alibaba Cloud / Qwen Team
Qwen2.5 VL 72B Instruct
72.0Bparameters
4.3B
MedGemma 4B IT
72.0B
Qwen2.5 VL 72B Instruct

Input Capabilities

Supported data types and modalities

Both MedGemma 4B IT and Qwen2.5 VL 72B Instruct support multimodal inputs.

They are both capable of processing various types of data, offering versatility in application.

MedGemma 4B IT

Text
Images
Audio
Video

Qwen2.5 VL 72B Instruct

Text
Images
Audio
Video

License

Usage and distribution terms

MedGemma 4B IT is licensed under Health AI Developer Foundations terms of use, while Qwen2.5 VL 72B Instruct uses tongyi-qianwen.

License differences may affect how you can use these models in commercial or open-source projects.

MedGemma 4B IT

Health AI Developer Foundations terms of use

Open weights

Qwen2.5 VL 72B Instruct

tongyi-qianwen

Open weights

Release Timeline

When each model was launched

MedGemma 4B IT was released on 2025-05-20, while Qwen2.5 VL 72B Instruct was released on 2025-01-26.

MedGemma 4B IT is 4 months newer than Qwen2.5 VL 72B Instruct.

MedGemma 4B IT

May 20, 2025

1.3 years ago

3mo newer
Qwen2.5 VL 72B Instruct

Jan 26, 2025

1.6 years ago

Knowledge Cutoff

When training data ends

Neither model specifies a knowledge cutoff date.

Unable to compare the recency of their training data.

No cutoff dates available

Outputs Comparison

Notice missing or incorrect data?Start an Issue discussion→

Judge for yourself.

Run your own prompts against MedGemma 4B IT and Qwen2.5 VL 72B Instruct side-by-side, then vote on the output you prefer.

MedGemma 4B IT
✓ Preferred
Qwen2.5 VL 72B Instruct
Open in Playground

FAQ

Common questions about MedGemma 4B IT vs Qwen2.5 VL 72B Instruct.

Which is better, MedGemma 4B IT or Qwen2.5 VL 72B Instruct?

MedGemma 4B IT (Google) and Qwen2.5 VL 72B Instruct (Alibaba Cloud / Qwen Team) each have strengths in different areas. Compare their benchmark scores, pricing, context windows, and capabilities above to determine which fits your needs.

How does MedGemma 4B IT compare to Qwen2.5 VL 72B Instruct in benchmarks?

MedGemma 4B IT scores MIMIC CXR: 88.9%, DermMCQA: 71.8%, PathMCQA: 69.8%, SlakeVQA: 62.3%, VQA-Rad: 49.9%. Qwen2.5 VL 72B Instruct scores DocVQA: 96.4%, Android Control Low_EM: 93.7%, ChartQA: 89.5%, OCRBench: 88.5%, AI2D: 88.4%.

What are the main differences between MedGemma 4B IT and Qwen2.5 VL 72B Instruct?

Key differences include licensing (Health AI Developer Foundations terms of use vs tongyi-qianwen). See the full comparison above for benchmark-by-benchmark results.

Who makes MedGemma 4B IT and Qwen2.5 VL 72B Instruct?

MedGemma 4B IT is developed by Google and Qwen2.5 VL 72B Instruct is developed by Alibaba Cloud / Qwen Team.

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