HealthBench AIOverviewSubmit a result
English-language medical knowledge questions

MedQA-English

Published results on the English MedQA (USMLE-style) test set. The USMLE-style view shows the identical cohorts; they are one evaluation, not two.

Latest available model results

13 models with scores

Checked Oct 24, 2026. One entry per model version from reviewed 2026 reports or undated current sources; historical cohorts are excluded. Sources are selected by publication recency. Entries are shown highest reported score first within each metric type. No model is pinned or promoted.

Latest available evidence does not mean the latest model release. Publication dates, inference settings and metrics remain visible. Scores from different runs are not directly comparable. No automatic live refresh.

Accuracy · high to low · different evaluation protocols remain non-comparable

GPT-5

OpenAI
96.0%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 independent preprint (Jul 12, 2026)

1,273 MedQA questions, zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Independent preprint, not a company endorsement.

Claude Fable 5 refused 17.4% of questions; its 96.6 scored-subset accuracy excludes refusals and is not used for ranking.

arXiv 2607.10849v1, Table 2 ↗

Claude Opus 4.8

Anthropic
95.0%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 independent preprint (Jul 12, 2026)

1,273 MedQA questions, zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Independent preprint, not a company endorsement.

Claude Fable 5 refused 17.4% of questions; its 96.6 scored-subset accuracy excludes refusals and is not used for ranking.

arXiv 2607.10849v1, Table 2 ↗

Claude Opus 4.6

Anthropic
94.3%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 independent preprint (Jul 12, 2026)

1,273 MedQA questions, zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Independent preprint, not a company endorsement.

Claude Fable 5 refused 17.4% of questions; its 96.6 scored-subset accuracy excludes refusals and is not used for ranking.

arXiv 2607.10849v1, Table 2 ↗

o3

OpenAI
93.3%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Gemini 2.5 Pro

Google
92.6%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Gemini 2.5 Flash

Google
92.0%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

DeepSeek R1

DeepSeek
90.1%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

MedGemma 27B (test-time scaling)

Google
87.7%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

GPT-4o

OpenAI
86.5%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Claude Fable 5

Anthropic
79.7%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 independent preprint (Jul 12, 2026)

17.4% refusal rate; scored-subset 96.6 not ranked

1,273 MedQA questions, zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Independent preprint, not a company endorsement.

Claude Fable 5 refused 17.4% of questions; its 96.6 scored-subset accuracy excludes refusals and is not used for ranking.

arXiv 2607.10849v1, Table 2 ↗

Gemma 3 27B

Google
74.9%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

MedGemma 4B

Google
64.4%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Gemma 3 4B

Google
50.7%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 (Apr 6, 2026)

MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Recent releases — score not yet verified

No public MedQA-English score verified in our reviewed sources for these exact versions. This is a research gap, not a zero or proof that no result exists. Older model scores are never substituted.

GPT-6.1 Sol · Not verified GPT-6 Astra · Not verified GPT-6 Sol · Not verified GPT-6 Luna · Not verified Claude Sonnet 5.5 · Not verified Claude Opus 5.5 · Not verified Claude Haiku 5.5 · Not verified Claude Fable 5.1 · Not verified Gemini 4 Argon · Not verified Gemini 3.8 Flash · Not verified Grok 4.7 · Not verified GLM-5.3 · Not verified DeepSeek V4.1 Flash · Not verified Kimi K3.1 Pro · Not verified Muse Wonder Full · Not verified

Model-release references: Artificial Analysis (Oct 19) ↗Artificial Analysis (Oct 23) ↗

Compare models within one evaluation

Ranking

Accuracy (%)
  1. 1o3 OpenAI93.3%
  2. 2Gemini 2.5 Pro Google92.6%
  3. 3Gemini 2.5 Flash Google92.0%
  4. 4DeepSeek R1 DeepSeek90.1%
  5. 5MedGemma 27B (test-time scaling) Google87.7%
  6. 6GPT-4o OpenAI86.5%
  7. 7Gemma 3 27B Google74.9%
  8. 8MedGemma 4B Google64.4%
  9. 9Gemma 3 4B Google50.7%

Official · official vendor report9 rows

Source: MedGemma technical report v4, Table 3 · Source date: Apr 6, 2026 · Verified:

Metric: Accuracy (%). Protocol: MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

  • Vendor report; setups follow Google’s own runs.

Direct answer

In Google’s MedGemma technical report v4 (Apr 6, 2026), o3 has the highest MedQA four-option accuracy at 93.3%, followed by Gemini 2.5 Pro at 92.6%.

Format
Multiple choice
Language
English (USMLE-style)
Metric
Accuracy (%)
Source date
Apr 6, 2026
Last checked
Oct 24, 2026

Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.

Results in selected cohort

9 rows
9 results
MedQA-English: Google MedGemma technical report v4 (Apr 6, 2026)
RankModelOrganizationScoreMetricSource dateNotesSource
01o3OpenAI93.3%Accuracy (%)Apr 6, 2026—Source
02Gemini 2.5 ProGoogle92.6%Accuracy (%)Apr 6, 2026—Source
03Gemini 2.5 FlashGoogle92.0%Accuracy (%)Apr 6, 2026—Source
04DeepSeek R1DeepSeek90.1%Accuracy (%)Apr 6, 2026—Source
05MedGemma 27B (test-time scaling)Google87.7%Accuracy (%)Apr 6, 2026—Source
06GPT-4oOpenAI86.5%Accuracy (%)Apr 6, 2026—Source
07Gemma 3 27BGoogle74.9%Accuracy (%)Apr 6, 2026—Source
08MedGemma 4BGoogle64.4%Accuracy (%)Apr 6, 2026—Source
09Gemma 3 4BGoogle50.7%Accuracy (%)Apr 6, 2026—Source

All evaluation cohorts

6 cohorts, 47 result rows, 47 distinct model names. Many models appear in more than one cohort; rows are not unique models. Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.

Google MedGemma technical report v4 (Apr 6, 2026) · Accuracy (%) · default

Official · official vendor report9 rows

Source: MedGemma technical report v4, Table 3 · Source date: Apr 6, 2026 · Verified:

Metric: Accuracy (%). Protocol: MedQA four-option, 1,273 items. Google-run evaluations as reported in the MedGemma report; MedGemma 27B uses test-time scaling.

  • Vendor report; setups follow Google’s own runs.

In Google’s MedGemma technical report v4 (Apr 6, 2026), o3 has the highest MedQA four-option accuracy at 93.3%, followed by Gemini 2.5 Pro at 92.6%.

  1. o3 (OpenAI): 93.3%
  2. Gemini 2.5 Pro (Google): 92.6%
  3. Gemini 2.5 Flash (Google): 92.0%
  4. DeepSeek R1 (DeepSeek): 90.1%
  5. MedGemma 27B (test-time scaling) (Google): 87.7%
  6. GPT-4o (OpenAI): 86.5%
  7. Gemma 3 27B (Google): 74.9%
  8. MedGemma 4B (Google): 64.4%
  9. Gemma 3 4B (Google): 50.7%
arXiv 2607.10849v1 independent preprint (Jul 12, 2026) · Raw accuracy (refusals counted wrong, %)

independent preprint4 rows

Source: arXiv 2607.10849v1, Table 2 · Source date: Jul 12, 2026 · Verified:

Metric: Raw accuracy (refusals counted wrong, %). Protocol: 1,273 MedQA questions, zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

  • Independent preprint, not a company endorsement.
  • Claude Fable 5 refused 17.4% of questions; its 96.6 scored-subset accuracy excludes refusals and is not used for ranking.

In the independent preprint arXiv 2607.10849v1 (Jul 12, 2026), GPT-5 has the highest raw MedQA accuracy at 96.0%, followed by Claude Opus 4.8 at 95.0%. Raw accuracy counts refusals as incorrect.

  1. GPT-5 (OpenAI): 96.0%
  2. Claude Opus 4.8 (Anthropic): 95.0%
  3. Claude Opus 4.6 (Anthropic): 94.3%
  4. Claude Fable 5 (Anthropic): 79.7% — 17.4% refusal rate; scored-subset 96.6 not ranked
Microsoft Medprompt paper, Table 1 (Nov 2023) · Accuracy (%)

Official · official vendor report4 rows

Source: Microsoft Medprompt paper (arXiv 2311.16452), Table 1 · Source date: Nov 2023 · Verified:

Metric: Accuracy (%). Protocol: MedQA four-option. Standard Medprompt: 5-shot, 5-way choice-shuffle ensemble (not the enhanced 20-shot, 11-ensemble 90.6 variant).

  • Med-PaLM 2 and Flan-PaLM values are cited in the table from prior papers.

In Microsoft’s Medprompt paper (Nov 2023), GPT-4 with Medprompt reported 90.2% accuracy on MedQA four-option, ahead of Med-PaLM 2 (choose best) at 86.5%.

  1. GPT-4 (Medprompt) (Microsoft / OpenAI): 90.2%
  2. Med-PaLM 2 (choose best) (Google Research): 86.5% — Cited from prior paper
  3. GPT-4 (5-shot) (Microsoft / OpenAI): 81.4%
  4. Flan-PaLM 540B (choose best) (Google Research): 67.6% — Cited from prior paper
Med-PaLM 2 paper (2023, historical) · MedQA (USMLE) accuracy (%)

Official · official vendor report4 rows

Source: Med-PaLM 2 research paper · Source date: 2023 · Verified:

Metric: MedQA (USMLE) accuracy (%). Protocol: Scores reported in the Med-PaLM 2 paper for MedQA USMLE-style questions.

  • Historical cohort retained for reference.

In the 2023 Med-PaLM 2 paper, Med-PaLM 2 reported 86.5% accuracy on MedQA (USMLE-style), with GPT-4 base at 86.1%.

  1. Med-PaLM 2 (Google Research): 86.5%
  2. GPT-4 base (Microsoft / OpenAI): 86.1%
  3. Med-PaLM (Google Research): 67.2%
  4. GPT-3.5 (OpenAI): 60.2%
BioMistral author report — SFT / 3-shot (2024) · Accuracy (%)

Official · official vendor report11 rows

Source: BioMistral authors’ repository, Supervised Fine-tuning Benchmark · Source date: 2024 report; repository snapshot checked Oct 24, 2026 · Verified:

Original BioMistral paper

Metric: Accuracy (%). Protocol: MedQA four-option, author-reported supervised fine-tuning evaluation, 3-shot averaged across 3 seeds. GPT-3.5 Turbo is a no-SFT baseline.

  • Original model-author report, not an independent replication.
  • SFT, ensembles and merged models are distinct configurations, not extra base models.
  • PubMedQA split details are not specified in the repository table; do not assume equivalence to another report’s 500-question run.

The BioMistral author table reports GPT-3.5 Turbo 1106 (3-shot, no SFT) at 57.71% and BioMistral 7B DARE (SFT) at 51.1% on MedQA four-option. Training and inference configurations differ.

  1. GPT-3.5 Turbo 1106 (3-shot, no SFT) (OpenAI): 57.71% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  2. BioMistral 7B DARE (SFT) (BioMistral research team): 51.1% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  3. BioMistral 7B SLERP (SFT) (BioMistral research team): 50.8% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  4. BioMistral 7B (SFT) (BioMistral research team): 50.6% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  5. BioMistral 7B Ensemble (SFT) (BioMistral research team): 50.6% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  6. BioMistral 7B TIES (SFT) (BioMistral research team): 49.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  7. BioMedGPT-LM 7B (SFT) (BioMedGPT research team): 42.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  8. Mistral 7B Instruct (SFT) (Mistral AI): 42.0% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  9. MediTron 7B (SFT) (EPFL / collaborators): 41.6% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  10. MedAlpaca 7B (SFT) (MedAlpaca research team): 40.1% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  11. PMC-LLaMA 7B (SFT) (PMC-LLaMA research team): 25.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
OpenBioLLM author model card — mixed reported protocols · Accuracy (%)

Official · official vendor report15 rows

Source: OpenBioLLM 70B author model card, evaluation table · Source date: Undated evaluation table; checked Oct 24, 2026 · Verified:

Metric: Accuracy (%). Protocol: MedQA four-option column transcribed from the original model card. Comparator prompting/training protocols vary; this table is not a controlled head-to-head evaluation.

  • Original model-author claims, not independent verification.
  • The card does not give a uniform sampling protocol or exact PubMedQA split for every row. Comparators may reproduce earlier reports.
  • No Gemini 1.0 variant or GPT-4 snapshot is inferred. Precision is preserved as reported, not an uncertainty estimate.

The OpenBioLLM author card reports OpenBioLLM 70B at 78.162% and OpenBioLLM 8B at 58.993% on MedQA four-option. Its comparator table uses mixed protocols and should not be read as a controlled ranking.

  1. Med-PaLM 2 (5-shot) (Google Research): 79.7% — Author-card table; comparator protocols vary and are not independently reproduced here.
  2. GPT-4 (OpenBioLLM table) (OpenAI): 78.87% — Author-card table; comparator protocols vary and are not independently reproduced here.
  3. OpenBioLLM 70B (OpenBioLLM research team): 78.162% — Author-card table; comparator protocols vary and are not independently reproduced here.
  4. Med-PaLM 1 (Flan-PaLM, 5-shot) (Google Research): 67.6% — Author-card table; comparator protocols vary and are not independently reproduced here.
  5. OpenBioLLM 8B (OpenBioLLM research team): 58.993% — Author-card table; comparator protocols vary and are not independently reproduced here.
  6. Gemini 1.0 (Google): 58.0% — Author-card table; comparator protocols vary and are not independently reproduced here.
  7. GPT-3.5 Turbo 1106 (OpenAI): 57.71% — Author-card table; comparator protocols vary and are not independently reproduced here.
  8. Meditron 70B (EPFL / collaborators): 57.1% — Author-card table; comparator protocols vary and are not independently reproduced here.
  9. Apollo 7B (Apollo research team): 55.22% — Author-card table; comparator protocols vary and are not independently reproduced here.
  10. Mistral 7B v0.1 (Mistral AI): 50.82% — Author-card table; comparator protocols vary and are not independently reproduced here.
  11. BioMistral 7B (BioMistral research team): 50.6% — Author-card table; comparator protocols vary and are not independently reproduced here.
  12. Gemma 7B (Google): 47.21% — Author-card table; comparator protocols vary and are not independently reproduced here.
  13. MedAlpaca 7B (MedAlpaca research team): 41.71% — Author-card table; comparator protocols vary and are not independently reproduced here.
  14. AlpaCare Llama2 7B (AlpaCare research team): 29.77% — Author-card table; comparator protocols vary and are not independently reproduced here.
  15. ClinicalGPT (ClinicalGPT research team): 26.08% — Author-card table; comparator protocols vary and are not independently reproduced here.

Definition

MedQA is a multiple-choice medical question answering dataset collected from professional medical board exams. The English portion is drawn from United States Medical Licensing Examination (USMLE) style questions.

Each cohort keeps its own prompting protocol. The USMLE-style page on this index shows the identical cohorts because it is the same dataset.

Source and date

Default cohort: MedGemma technical report v4, Table 3 (Apr 6, 2026; last checked Oct 24, 2026). Cohorts are never combined and nothing updates automatically. MedQA-English and model names belong to their respective owners; REAGEN, Inc. is not affiliated with them.

Related: USMLE-style definition

Other benchmarks

Have a sourced MedQA-English result not listed here? Apply to the index.