MedGemma
MedGemma is worth evaluating for agents, vision, and json / tool use when its provider route and context window match the workload.
Use it for
- Teams evaluating agents, vision, and json / tool use
- Buyers comparing 1 tracked provider route
Do not use it for
- Workloads where another current model has stronger sourced task evidence
- Family
- Gemma 3
- Released
- 2024-07-01
- Parameters
- 4B
- Architecture
- Decoder Only
- Specialization
- general
- Openness
- Proprietary
- License
- ProprietaryCommercial use: conditional
- Training
- Pretrained
Cheapest of 1 route · GCP Vertex AI
About
MedGemma is Google DeepMind's Gemma 3 model with multimodal text and image input. It was released 2024-07-01.
MedGemma is a proprietary model in the Gemma 3 family. The structured metadata tracks multimodal input, function calling, tool use, and structured outputs. This page tracks provider routes through GCP Vertex AI, with the cheapest tracked route listed at free input and free output per 1M tokens. No headline benchmark score is tracked for MedGemma yet.
Top use-case fit: coding, agents, and build tasks
Agents
Included by capability and metadata signals in the decision map.
Vision
Included by capability and metadata signals in the decision map.
JSON / Tool use
Included by capability and metadata signals in the decision map.
Provider price ladder
Compare API pricing across 1 providers for input and output tokens, batch, and cached reads when available.
| Provider | Input / 1M | Output / 1M | Route |
|---|---|---|---|
| GCP Vertex AI | Free | Free | Serverless |
Available via routers & gateways(13)
LiteLLM
GatewayOpen-source Python SDK and proxy server that unifies 100+ LLM APIs behind a single OpenAI-compatible interface, with load balancing, cost tracking, and configurable failover.
OpenRouter
HybridUnified hybrid gateway to 400+ models from 60+ providers via a single OpenAI-compatible API, with optional auto-routing that selects the best model per prompt.
Portkey
GatewayProduction AI gateway routing to 1,600+ LLMs with failover, load balancing, semantic caching, and guardrails; Apache 2.0 core is fully self-hostable with the complete feature set.
AIRouter
RouterCommercial LLM router that analyzes incoming requests and routes to the optimal model for cost/quality/latency via a drop-in OpenAI-compatible API, with a privacy-preserving embedding mode that avoids sending prompt content.
Helicone
GatewayObservability-first AI gateway with routing, caching, rate limiting, and request tracing; Apache 2.0 open-source core with a managed hosted tier for logging and analytics.
Kong AI Gateway
GatewayMulti-LLM AI gateway built on Kong Gateway 3.x, adding semantic routing, load balancing, guardrails, and MCP traffic analytics as plugins over Kong's existing API management platform.
Capabilities
Benchmark peer barsfor Agents
No task-mapped benchmark peers are available for this model yet.
Migration checks
No linked migration route is available for this model yet.
Rankings & picks(1)
Frequently asked questions
How much does MedGemma cost?
MedGemma is available at $0/1M input tokens through GCP Vertex AI.
When was MedGemma released?
MedGemma was released on 2024-07-01.
Which providers offer MedGemma?
MedGemma is available from 1 provider: GCP Vertex AI.
Cheapest of 1 route · GCP Vertex AI