TMED vs VTI
T. Rowe Price Health Care ETF vs Vanguard Morningstar Total Stock Market ETF
Which is better, TMED or VTI?
Large Cap Value against Large Cap Blend.
VTI has a lower expense ratio. TMED led over 1Y and the full window.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | TMED | VTI |
|---|---|---|
| Expense Ratio | 0.44% | 0.03%Best |
| AUM | $33M | $666.9B |
| Dividend Yield | 0.46% | 1.03% |
| Holdings | 108 | 3,543 |
| YTD Return | +13.87%Best | +12.57% |
| 1Y Return | +29.28%Best | +17.22% |
| 3Y Return (annualized) | - | +20.87% |
| 5Y Return (annualized) | - | +11.86% |
| Volatility (annualized) | 15.4% | 11.8%Best |
| Max Drawdown | -11.1% | -8.9%Best |
| $10,000 over 1.2 years | $13,365Best | $12,729 |
| Fund Family | T.Rowe Price | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Value | Large Cap Blend |
| Inception | Jun 11, 2025 | May 24, 2001 |
Not shown on this pair: Top 10 Weight.
Volatility and max drawdown, and the $10,000 over 1.2 years row, are measured over the window both funds cover: Jun 12, 2025 to Sep 11, 2026 (1.2 years).
TMED vs VTI growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view covers the 1.2 years both funds cover.
TMED vs VTI Performance
T. Rowe Price Health Care ETF (TMED) is an ETF from T.Rowe Price and Vanguard Morningstar Total Stock Market ETF (VTI) is an ETF from Vanguard (US). Over the past year TMED returned +29.28% while VTI returned +17.22%. Year to date, TMED is up 13.87% versus a gain of 12.57% for VTI.
Past performance does not guarantee future results.
Risk: Volatility and Drawdowns
TMED has been the more volatile fund, with annualized monthly volatility of 15.4% compared with 11.8% for VTI. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -11.1% for TMED and -8.9% for VTI. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.44. They move together some of the time, and apart the rest.
Fees and Cost Over Time
TMED charges 0.44% per year while VTI charges 0.03%. On a $10,000 position that is $44 vs $3 annually, a gap of $41 per year that compounds over a long holding period. On income, TMED currently yields 0.46% against 1.03% for VTI.
Holdings Overlap
At least 85.4% of TMED's money is in holdings VTI also owns.
Stated as a floor: for VTI, our book for it covers 90.6% of that fund, so a holding it does not list is one we cannot count as shared. The real figure is this or higher.
Most of TMED is already inside VTI. Owning both mostly buys the same companies twice.
67 positions in common, counted across the 97 positions we hold weights for in TMED and 2,787 in VTI, against full books of 108 and 3,543.
Top Shared Holdings
| Stock | Weight in TMED | Weight in VTI | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 16.48% | 1.40% | 15.08% |
| UNHUnitedhealth Group Inc. | 5.74% | 0.52% | 5.22% |
| ALNYAlnylam Pharmaceuticals Inc. | 4.79% | 0.06% | 4.73% |
| TMOThermo Fisher Scientific Inc | 4.37% | 0.26% | 4.11% |
| CORCencora, Inc. | 3.29% | 0.07% | 3.22% |
| GILDGilead Sciences Inc | 3.08% | 0.22% | 2.86% |
| DHRDanaher Corp. | 2.94% | 0.17% | 2.77% |
| PODDInsulet Corp | 2.98% | 0.01% | 2.97% |
| AAgilent Tech In 3.2 10/22 | 2.68% | 0.05% | 2.63% |
| DYNDynegy | 2.64% | 0.00% | 2.64% |
85.4% of TMED is already inside VTI.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, TMED or VTI?
TMED has an expense ratio of 0.44% while VTI charges 0.03%. VTI is the cheaper option, by $41 a year on a $10,000 investment.
Which performed better, TMED or VTI?
Over the past year TMED returned +29.28% vs +17.22% for VTI, so TMED leads on 1-year performance. Over the longest common window we track (1 years), TMED annualized +27.34% vs +22.27% for VTI. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, TMED or VTI?
TMED has been the more volatile fund at 15.4% annualized versus 11.8% for VTI. Worst drawdown: TMED -11.1% vs VTI -8.9%.
Should I hold both TMED and VTI?
TMED and VTI have a monthly-return correlation of 0.44, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
What is the holdings overlap between TMED and VTI?
At least 85.4% of TMED's money is in holdings VTI also owns. Our book for VTI is partial, so the real figure is this or higher. They hold 67 positions in common, counted across the 97 positions we hold weights for in TMED and 2,787 in VTI.
Which pays a higher dividend, TMED or VTI?
TMED yields 0.46% while VTI yields 1.03%, so VTI currently pays the higher dividend yield.
Is VTI better than TMED?
VTI has a lower expense ratio. TMED led over 1Y and the full window. Which one suits a particular account depends on what it is for. This is information, not a recommendation.