Refractory metal oxides such as titanium dioxide (TiO2), tantalum oxide (Ta2O5), and niobium oxide (Nb2O5) coated-titanium and its alloys for medical applications have recently gained significant attention due to their remarkable properties, including high hardness, strong chemical inertness, and excellent biocompatibility. However, comparative studies among them remain scarce. In this study, thin films of Ta2O5, Nb2O5, and TiO2 were deposited on Ti6Al4V titanium alloy using radio frequency sputtering technology. Their properties were comparably evaluated through a series of tests, including scratching, nanoindentation, friction and wear, potentiodynamic polarization, and cell cultivation experiments. The results revealed that all three coatings, with a thickness of approximately 2.6–2.8 μm, exhibited an amorphous columnar growth pattern with dense surfaces resembling cauliflower. The bonding force of the TiO2 coating exceeds 50 N, which is 26.2 times and 14.5 times greater than that of Ta2O5 and Nb2O5, respectively. Furthermore, all coated samples demonstrate superior wear resistance, corrosion resistance, and biocompatibility compared to bare Ti6Al4V. Among the coatings, TiO2 showed the best performance, followed by Ta2O5, while Nb2O5 exhibited the least favorable performance. These findings revealed the performance differences among the three ceramic coatings on Ti6Al4V samples and offer valuable insights for further research and the selection of coatings to enhance the properties of Ti6Al4V titanium alloy for biomedical applications.