TMED vs VXUS
T. Rowe Price Health Care ETF vs Vanguard Total International Stock ETF
Which is better, TMED or VXUS?
Large Cap Value against Large Cap Blend.
VXUS 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 | VXUS |
|---|---|---|
| Expense Ratio | 0.44% | 0.05%Best |
| AUM | $33M | $158.1B |
| Dividend Yield | 0.46% | 2.51% |
| Holdings | 108 | 8,747 |
| YTD Return | +13.87% | +14.48%Best |
| 1Y Return | +29.28%Best | +22.28% |
| 3Y Return (annualized) | - | +20.00% |
| 5Y Return (annualized) | - | +8.91% |
| Volatility (annualized) | 15.4% | 12.9%Best |
| Max Drawdown | -11.1%Best | -11.3% |
| $10,000 over 1.2 years | $13,365Best | $12,979 |
| Fund Family | T.Rowe Price | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Value | Large Cap Blend |
| Inception | Jun 11, 2025 | Jan 26, 2011 |
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 VXUS 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 VXUS Performance
T. Rowe Price Health Care ETF (TMED) is an ETF from T.Rowe Price and Vanguard Total International Stock ETF (VXUS) is an ETF from Vanguard (US). Over the past year TMED returned +29.28% while VXUS returned +22.28%. Year to date, TMED is up 13.87% versus a gain of 14.48% for VXUS.
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 12.9% for VXUS. 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 -11.3% for VXUS. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.48. They move together some of the time, and apart the rest.
Fees and Cost Over Time
TMED charges 0.44% per year while VXUS charges 0.05%. On a $10,000 position that is $44 vs $5 annually, a gap of $39 per year that compounds over a long holding period. On income, TMED currently yields 0.46% against 2.51% for VXUS.
Holdings Overlap
At least 0.6% of TMED's money is in holdings VXUS also owns.
Stated as a floor: for VXUS, our book for it covers 87.7% of that fund, so a holding it does not list is one we cannot count as shared. The real figure is this or higher.
We cannot see either book well enough to say how much of this pair is duplicated.
3 positions in common, counted across the 97 positions we hold weights for in TMED and 8,091 in VXUS, against full books of 108 and 8,747.
You are not choosing between two funds in isolation.
Whichever of TMED and VXUS you pick has to sit alongside everything else you own. Add the rest and see what the combination actually holds.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, TMED or VXUS?
TMED has an expense ratio of 0.44% while VXUS charges 0.05%. VXUS is the cheaper option, by $39 a year on a $10,000 investment.
Which performed better, TMED or VXUS?
Over the past year TMED returned +29.28% vs +22.28% for VXUS, so TMED leads on 1-year performance. Over the longest common window we track (1 years), TMED annualized +27.34% vs +24.27% for VXUS. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, TMED or VXUS?
TMED has been the more volatile fund at 15.4% annualized versus 12.9% for VXUS. Worst drawdown: TMED -11.1% vs VXUS -11.3%.
Should I hold both TMED and VXUS?
TMED and VXUS have a monthly-return correlation of 0.48, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
Which pays a higher dividend, TMED or VXUS?
TMED yields 0.46% while VXUS yields 2.51%, so VXUS currently pays the higher dividend yield.
Is VXUS better than TMED?
VXUS 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.