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Castle Biosciences (CSTL)
NASDAQ:CSTL
US Market
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Castle Biosciences (CSTL) Price & Analysis

460 Followers

CSTL Stock Chart & Stats

$25.05
-$0.86(-2.67%)
At close: 4:00 PM EST
$25.05
-$0.86(-2.67%)

Bulls Say, Bears Say

Bulls Say
Commercial Test Volume GrowthSustained high single‑digit to mid‑double digit core volume growth indicates durable clinical adoption of DecisionDx and related assays. Higher, repeatable test volumes strengthen revenue visibility, improve per‑test economics through scale, and underpin multi‑year revenue growth assumptions.
Portfolio & Regulatory ProgressProgress toward an FDA submission and expanding clinical evidence (DecisionDx, TissueCypher, Advanced ADTx validation) represent structural drivers: regulatory clearance and peer‑reviewed utility increase clinician adoption, payer acceptance, and long‑term addressable market expansion.
Strong Balance Sheet & LiquidityA conservative balance sheet with substantial cash and low leverage (debt/equity <0.08) gives durable financial flexibility to fund commercialization, R&D, and potential M&A without near‑term refinancing risk, supporting multi‑period execution despite profit cyclicality.
Bears Say
Profitability VolatilityEarnings have swung from profitability to losses, with adjusted EBITDA still negative and margins compressed versus prior years. Persistent volatility makes sustainable operating leverage uncertain and means management must convert volume growth into consistent margin recovery to deliver durable profits.
Reimbursement & SCC UncertaintyThe business depends on third‑party payor coverage; unresolved LCD timing and contractor silence create structural revenue timing risk. Until formal Medicare coverage decisions arrive, realized reimbursement per test and adoption in certain clinical segments remain uncertain, affecting multi‑period revenue realization.
Free Cash Flow Pressure & Margin HeadwindsSharp FCF deterioration reflects heavier spending, working capital and capacity investments that compress margin conversion of operating cash flow. Sustained elevated investments, higher cost of sales and depreciation can pressure gross and operating margins until scale benefits fully materialize.

Castle Biosciences News

CSTL FAQ

What was Castle Biosciences’s price range in the past 12 months?
Castle Biosciences lowest stock price was $14.59 and its highest was $44.28 in the past 12 months.
    What is Castle Biosciences’s market cap?
    Castle Biosciences’s market cap is $597.80M.
      When is Castle Biosciences’s upcoming earnings report date?
      Castle Biosciences’s upcoming earnings report date is Aug 10, 2026 which is in 68 days.
        How were Castle Biosciences’s earnings last quarter?
        Castle Biosciences released its earnings results on May 06, 2026. The company reported -$0.49 earnings per share for the quarter, the consensus estimate of -$0.49 by $0.
          Is Castle Biosciences overvalued?
          According to Wall Street analysts Castle Biosciences’s price is currently Undervalued. Get more investment ideas with TipRanks Premium
            Does Castle Biosciences pay dividends?
            Castle Biosciences does not currently pay dividends.
            What is Castle Biosciences’s EPS estimate?
            Castle Biosciences’s EPS estimate is -0.4.
              How many shares outstanding does Castle Biosciences have?
              Castle Biosciences has 30,329,952 shares outstanding.
                What happened to Castle Biosciences’s price movement after its last earnings report?
                Castle Biosciences reported an EPS of -$0.49 in its last earnings report, expectations of -$0.49. Following the earnings report the stock price went down -22.263%.
                  Which hedge fund is a major shareholder of Castle Biosciences?
                  Currently, no hedge funds are holding shares in CSTL
                  What is the TipRanks Smart Score and how is it calculated?
                  Smart Score combines eight research factors - such as analyst recommendations, hedge fund trends, and technical indicators - to measure a stock’s outlook. These signals are unified into a single score that reflects bullish or bearish momentum. See detailed methodology

                    Company Description

                    Castle Biosciences

                    Castle Biosciences, Inc., a commercial-stage diagnostics company, focuses to provide diagnostic and prognostic testing services for dermatological cancers. Its lead product is DecisionDx-Melanoma, a multi-gene expression profile (GEP) test to identify the risk of metastasis for patients diagnosed with invasive cutaneous melanoma. The company also offers DecisionDx-UM test, a proprietary GEP test that predicts the risk of metastasis for patients with uveal melanoma, a rare eye cancer; DecisionDx-SCC, a proprietary 40-gene expression profile test that uses an individual patient's tumor biology to predict individual risk of squamous cell carcinoma metastasis for patients with one or more risk factors; and DecisionDx DiffDx-Melanoma and myPath Melanoma, a proprietary GEP test to diagnose suspicious pigmented lesions. It offers test services through physicians and their patients. The company was founded in 2007 and is headquartered in Friendswood, Texas.

                    Castle Biosciences (CSTL) Earnings & Revenues

                    CSTL Company Deck

                    CSTL Earnings Call

                    Q1 2026
                    0:00 / 0:00
                    Earnings Call Sentiment|Positive
                    The call communicated strong commercial momentum across core products—notably DecisionDx‑Melanoma and TissueCypher—with significant year‑over‑year test volume growth (36% core volumes; 58% TissueCypher) and an uplifted full‑year revenue guide. Profitability metrics improved versus prior year (narrower net loss, improved adjusted EBITDA) and the balance sheet remains solid with ~$261.7M in cash and marketable securities. Key negatives are an adjusted gross margin decline versus the prior comparable period, continued negative adjusted EBITDA (albeit improved), operating cash use in Q1, ongoing reimbursement and timing uncertainty for DecisionDx‑SCC and for broad commercialization of Advanced ADTx, and higher operating costs tied to growth and capacity investments. On balance, the positive commercial traction, raised guidance, improving profitability trends, and healthy liquidity outweigh the remaining execution and reimbursement risks.View all CSTL earnings summaries

                    CSTL Stock 12 Month Forecast

                    Average Price Target

                    $42.83
                    ▲(70.99% Upside)
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