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OpenAI

MedGemma 27B vs GPT-5.3 Codex

A detailed comparison of pricing, benchmarks, and capabilities

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Key Takeaways

MedGemma 27B wins:

  • Cheaper input tokens
  • Cheaper output tokens

GPT-5.3 Codex wins:

  • Larger context window
  • Faster response time
  • Higher intelligence benchmark
  • Better at coding
  • Supports vision
  • Has reasoning mode
  • Supports tool calls
Price Advantage
MedGemma 27B
Benchmark Advantage
GPT-5.3 Codex
Context Window
GPT-5.3 Codex
Speed
GPT-5.3 Codex

Pricing Comparison

Benchmark Comparison

Context & Performance

Capabilities

Feature Comparison

FeatureMedGemma 27BGPT-5.3 Codex
Vision (Image Input)
Tool/Function Calls
Reasoning Mode
Audio Input
Audio Output
PDF Input
Prompt Caching
Web Search

License & Release

PropertyMedGemma 27BGPT-5.3 Codex
LicenseOpen SourceProprietary
AuthorGoogleOpenAI
ReleasedUnknownFeb 2026

MedGemma 27B Modalities

Input
Output

GPT-5.3 Codex Modalities

Input
textimage
Output
text

Frequently Asked Questions

MedGemma 27B has cheaper input pricing at $0.90/M tokens. MedGemma 27B has cheaper output pricing at $0.90/M tokens.
MedGemma 27B has a 8,192 token context window, while GPT-5.3 Codex has a 400,000 token context window.
MedGemma 27B does not support vision. GPT-5.3 Codex supports vision.