WallStSmart

Castle Biosciences Inc (CSTL) Stock Analysis — PE Ratio, PS Ratio, Intrinsic Value & 2030 Price Target

Castle Biosciences Inc stock (CSTL) is currently trading at $25.27. Castle Biosciences Inc PS ratio (Price-to-Sales) is 2.16. Analyst consensus price target for CSTL is $48.50. WallStSmart rates CSTL as Sell.

  • CSTL PE ratio analysis and historical PE chart
  • CSTL PS ratio (Price-to-Sales) history and trend
  • CSTL intrinsic value — DCF, Graham Number, EPV models
  • CSTL stock price prediction 2025 2026 2027 2028 2029 2030
  • CSTL fair value vs current price
  • CSTL insider transactions and insider buying
  • Is CSTL undervalued or overvalued?
  • Castle Biosciences Inc financial analysis — revenue, earnings, cash flow
  • CSTL Piotroski F-Score and Altman Z-Score
  • CSTL analyst price target and Smart Rating
CSTL

Castle Biosciences Inc

NASDAQHEALTHCARE
$25.27
$0.08 (-0.32%)
52W$14.59
$44.28
Target$48.50+91.9%

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WallStSmart

Smart Analysis

Castle Biosciences Inc (CSTL) · 9 metrics scored

Smart Score

31
out of 100
Grade: F
Avoid
Investment Rating

Category Performance

WallStSmart pulls financial metrics like revenue growth, profit margins, and valuation ratios and scores each one from 0 to 10 based on how strong or weak it is. Those 10 scores are grouped into 4 categories: Growth, Profitability, Valuation, and Quality — which form the 4 axes of the spider chart you see. The categories are then combined into a final score out of 100, but not equally. Growth and Profitability together count for 60% of the total, because a fast-growing profitable business matters more than just a cheap one. That final number maps to a rating (Strong Buy, Buy, Hold, Avoid) and a letter grade, giving you one clear Stock Rating.

Investment Thesis

Strong fundamentals in price/book, institutional own.. Concerns around return on equity and operating margin. Significant fundamental concerns warrant caution or avoidance.

Castle Biosciences Inc (CSTL) Key Strengths (2)

Avg Score: 9.0/10
Institutional Own.Quality
93.31%10/10

93.31% of shares held by major funds and institutions

Price/BookValuation
1.588/10

Trading at 1.58x book value, attractively priced

Supporting Valuation Data

EV/Revenue
1.396
Undervalued
CSTL Target Price
$48.5
45% Upside

Castle Biosciences Inc (CSTL) Areas to Watch (7)

Avg Score: 1.9/10
Return on EquityProfitability
-5.21%0/10

Company is destroying shareholder value

Operating MarginProfitability
-4.40%0/10

Losing money on operations

EPS GrowthGrowth
-51.60%0/10

Earnings declining -51.60%, profits shrinking

Profit MarginProfitability
-7.02%0/10

Company is losing money with a negative profit margin

Revenue GrowthGrowth
0.80%2/10

Revenue growing slowly at 0.80% annually

Market CapQuality
$743M5/10

Small-cap company with higher risk but more growth potential

Price/SalesValuation
2.166/10

Revenue is fairly priced at 2.16x sales

Castle Biosciences Inc (CSTL) Detailed Analysis Report

Overall Assessment

This company scores 31/100 in our Smart Analysis, earning a F grade. Out of 9 metrics analyzed, 2 register as strengths (avg 9.0/10) while 7 fall into concern territory (avg 1.9/10). The category breakdown reveals uneven performance, with some areas requiring attention.

The Bull Case

The strongest argument centers on Institutional Own., Price/Book. Valuation metrics including Price/Book (1.58) suggest the stock is attractively priced.

The Bear Case

The primary concerns are Return on Equity, Operating Margin, EPS Growth. Some valuation metrics including Price/Sales (2.16) suggest expensive pricing. Growth concerns include Revenue Growth at 0.80%, EPS Growth at -51.60%, which may limit upside. Profitability pressure is visible in Return on Equity at -5.21%, Operating Margin at -4.40%, Profit Margin at -7.02%.

Key Dynamics to Monitor

Three factors to monitor going forward. First, whether Return on Equity improves, as this is the primary drag on the overall score. Second, margin trajectory, with Return on Equity at -5.21% needing improvement to support the investment thesis. Third, growth sustainability, with Revenue Growth at 0.80% needing to reaccelerate.

Risk Considerations

Based on the metric profile, this is a higher risk investment. There are more areas of concern than strength, warranting a more conservative position size. Investors should size positions according to their risk tolerance and maintain diversification.

Bottom Line

Fundamental challenges outweigh strengths at current levels. Return on Equity and Operating Margin are the primary drags. Consider waiting for meaningful improvement before committing capital.

Disclaimer: Smart Analysis is a scoring system developed by WallStSmart Team. Scores update daily using multi-model valuation framework. Always conduct your own research and consult with financial advisors before making investment decisions.

CSTL Price-to-Sales(PS) Ratio Chart

Historical valuation based on market cap ÷ trailing 12-month revenue

CSTL's Price-to-Sales ratio of 2.16x trades at a deep discount to its historical average of 12.05x (9th percentile). The current valuation is 95% below its historical high of 43.54x set in Dec 2019, and 54% above its historical low of 1.4x in May 2025. Over the past 12 months, the PS ratio has expanded from ~1.8x, reflecting growing market expectations outpacing revenue growth.

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WallStSmart Analysis Synopsis

Data-driven financial summary for Castle Biosciences Inc (CSTL) · HEALTHCAREDIAGNOSTICS & RESEARCH

The Big Picture

Castle Biosciences Inc is in a turnaround phase, with management focused on restoring profitability. Revenue reached 344M with 1% growth year-over-year. The company is currently unprofitable, posting a -7.0% profit margin.

Key Findings

Cash Flow Positive

Generating 20M in free cash flow and 27M in operating cash flow. Earnings are translating into actual cash generation.

Low Leverage

Debt-to-equity ratio of 0.08 indicates a conservative balance sheet with 86M in cash.

Operating at a Loss

The company is unprofitable with a -7.0% profit margin. The path to breakeven will be the key catalyst.

What to Watch Next

Sector dynamics: monitor DIAGNOSTICS & RESEARCH industry trends, competitive moves, and regulatory changes that could impact Castle Biosciences Inc.

Bottom Line

Castle Biosciences Inc is in turnaround mode. The path to profitability remains the critical question. Speculative investors may see opportunity in the recovery story, but conservative investors should wait for consistent positive earnings before committing capital.

This synopsis is generated from publicly available financial data. It is not financial advice. Always conduct your own research and consult a qualified financial advisor before making investment decisions.

Insider Transactions

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About Castle Biosciences Inc(CSTL)

Exchange

NASDAQ

Sector

HEALTHCARE

Industry

DIAGNOSTICS & RESEARCH

Country

USA

Castle Biosciences Inc. is a pioneering company in the diagnostics sector, focused on transforming patient care through its innovative gene-expression profiling tests, particularly in skin cancer. Its leading product, DecisionDx®-Melanoma, plays a crucial role in the management of melanoma by providing vital insights into risk stratification and guiding treatment decisions based on gene expression analysis. Committed to advancing precision medicine, the company leverages its proprietary technology to develop additional assays that address significant clinical needs. With a strong emphasis on research and development and a promising pipeline, Castle Biosciences is well-positioned for sustainable growth while enhancing clinical outcomes and delivering value to shareholders in the dynamic oncology market.

Visit Castle Biosciences Inc (CSTL) Website
505 S. FRIENDSWOOD DRIVE, FRIENDSWOOD, TX, UNITED STATES, 77546