A Bill of Quantities (BOQ) is a core document used during the tendering phase of a construction project. It provides...
Hospital Estimating Services
ACON Engineering is one of the trusted hospital estimating firms in the US. For over 15 years, our team has priced healthcare projects for developers, contractors, and hospital systems across the country. We bring that experience to the buildings that are hardest to estimate.
★★★★★ 4.9 from 312 reviews
● 9,800 plans estimated
● Reply within 4 business hours
● Built for GCs, subs, developers
Get a free, no obligation estimate
Your plans stay private. We sign NDAs on request. No sales spam, ever.
Trusted by 400 plus contractors and developers across the United States
Built for the Hardest Buildings in Construction
Hospital estimating takes more than a standard takeoff. The mechanical, electrical and plumbing run 25 to 35 percent of the cost, twice what an office carries. Medical gas, infection-control HVAC and backup power all sit inside that. The work has to meet healthcare codes like FGI and NFPA 99, and it faces a stricter review than most projects. Acon Engineering has priced these systems and read these codes for years. That experience is what keeps a hospital budget accurate from the first estimate to the final cost.
Hospital Projects We Estimate
Estimates cover new hospitals, surgical suites, imaging, MEP, renovations, and outpatient facilities. You get a clear number to plan and build with.
New Hospital Construction Estimating
A new hospital is taken off in full, the clinical spaces, the support areas, and the site work. Materials, labor, and equipment are priced per bed and per square foot. Developers get a complete budget that accounts for the systems and codes a hospital carries.
Operating Room Estimating
Operating rooms carry sterile corridors, surgical booms and specialized lighting. These spaces are priced with the structure, the finishes and the systems they need. Contractors get a real number on the rooms that cost the most per square foot.
Radiology Suite Estimating
Imaging suites need radiation and RF shielding built into the walls. The shielding, the equipment tie-ins and the room structure are priced from the plans. Owners get a number that reflects what an MRI or CT room actually costs for construction and installation requirements.
Healthcare MEP Estimating
MEP is the biggest line on a hospital budget. The medical gas, the infection-control HVAC and the backup power are taken off and priced in full. Contractors get the system costs that decide whether the estimate holds.
Hospital Renovation Estimating
A renovation works around a building that stays open. The demolition, the phasing and the code updates are priced from the plans. Hospital systems get a clear cost for adding space without closing the doors.
Specialty Facility Estimating
An outpatient center carries hospital-grade systems in a smaller footprint. The clinical spaces, the MEP, and the finishes are priced to the codes these buildings follow. Developers get a number built for healthcare, not standard commercial.
What We Deliver With Your Hospital Estimate
The estimate lists the quantities by trade, with the MEP broken out and the cost shown per bed and per square foot. Materials, labor and equipment come priced in an editable Excel file, organized by CSI division. A marked-up plan and a clear list of inclusions and exclusions come with it.
Want the full PDF in your inbox?
Get 3 redacted full sample sets covering takeoff, estimate, and schedule. No call required.
Our 4 Step Hospital Estimating Process
The process is simple, and you stay in the loop at each step. You work with estimators who know healthcare construction.
01
Send Your Plans
Upload the drawings and specs. Our team reviews the scope and sends you a quote.
02
Takeoff by System and Trade
The clinical spaces, the MEP, and the structure are measured from the plans. The work is sorted by trade and CSI division.
03
Pricing
Materials, labor, and equipment are priced to local rates. The MEP and the specialized rooms are costed to healthcare standards.
04
Review and Delivery
A senior estimator checks the numbers, then we deliver your estimate in Excel within 24 to 72 hours.
The Software We Use for Hospital Estimates
Takeoffs run in PlanSwift and Bluebeam. Pricing comes from RSMeans and current local rates. These tools keep the quantities accurate on the systems that carry most of a hospital budget.
Why Healthcare Contractors Trust Our Estimates
A hospital budget answers to a developer, a lender, and a review board. An accurate number keeps the project funded and cleared to build.
MEP Priced in Full
The mechanical, electrical, and plumbing carry most of a hospital cost. The medical gas, HVAC, and power are taken off in full, so the biggest line on the budget is right.
Code Aware Estimates
Hospital work meets FGI and NFPA 99, and it faces a stricter review. The estimate reflects the code requirements, so the number holds when the board checks it.
Cost Breakdowns
Hospitals are measured two ways, per bed and per square foot. The cost is shown both ways, so the budget can be sized to the beds and the space the project needs.
Specialized Rooms Priced Right
Operating rooms and imaging suites cost far more than standard space. The shielding, the booms, and the sterile work are priced in, so the costly rooms are not underbid.
Built for Phased Work
Most hospital projects build around an open facility. The cost is broken out by phase, so the work is bid in the stages a running hospital allows.
Fewer Change Orders
A missed system shows up as a change order later. The full scope is caught at the estimate stage, so the budget stays closer to the final cost.
Calculate Your Hospital Takeoff Cost in 30 Seconds
Use our quick tool to get an estimated price for your hospital estimating services. This gives you a fast baseline before you request an official quote from our team.
Step 1 · Choose Your Project Type
Pick the work you want priced. We cover new hospitals, surgical suites, imaging suites and outpatient facilities.
Step 2 · Set Your Facility Size
Enter the bed count or the total square footage. Facility size sets the scope, so this gives us the scale of the estimate.
Step 3 · Select Your Required Scope
Pick what you need quantified. We cover the clinical spaces, the MEP, the medical gas and the specialized rooms your project needs.
Estimated fee
$1,250
Turnaround · 3 business days
Final fee depends on plan complexity. No charge until you approve.
Hospital Estimating Services Pricing
The rates match how you work. Pay a flat fee per project, or set up ongoing support, with no hidden costs. Get a single hospital takeoff, or keep an estimator on call for your whole pipeline.
Single Project
For a contractor who needs one hospital estimate for a specific bid.
From $750
- One complete hospital takeoff
- MEP and cost per bed breakdown included
- 3 business day turnaround
- One round of revisions
- PDF and Excel deliverables
Bid partner
Firms that bid on several projects a month and need steady support.
$2,495 / mo
- Up to 6 projects per month
- 24 hour rush option included
- Two rounds of revisions
- Dedicated project lead
- Procore and Dropbox sync
Enterprise
For large teams that bid heavy volume and need a dedicated estimator.
Custom
- Unlimited projects
- SLA backed turnaround
- Custom format and templates
- Quarterly business reviews
Zero risk start. Not happy with your first deliverable? You pay nothing, full stop.
Trusted by Contractors and Developers Nationwide
Builders, developers, and subs across the United States.
ACON Engineering is great to work with. The team is hardworking, professional, and takes pride in their work. They respond quickly, communicate clearly, and keep every project moving smoothly from start to finish.
Acon Engineering is a trustworthy and professional firm. They consistently deliver on time and are excellent to work with throughout the process. Their estimates are clear, organized, and supported by detailed documentation.
It was a pleasure working with them. The team was professional, responsive, and easy to communicate with throughout the project. Their service was reliable, efficient, and delivered exactly what was promised.
Frequently Asked Questions (FAQs)
The systems drive it. The mechanical, electrical, and plumbing run 25 to 35 percent of the cost, twice that of a normal building. Medical gas, infection-control HVAC, and backup power all sit inside that number.
Yes. Hospital work follows FGI Guidelines, NFPA 99, and ASHRAE 170, and it faces a stricter review than most projects. The estimate reflects these requirements, so the number holds when the board checks it.
Yes. The medical gas piping is priced as certified hospital-grade work. The radiation and RF shielding for imaging suites is measured and costed from your plans, so the specialized rooms are not underbid.
The estimate covers operating rooms, imaging and radiology suites, emergency departments, ICUs, patient rooms, labs and pharmacies. The site work, the finishes and the full MEP are priced with them.
You get a full quantity takeoff with the MEP broken out and the cost shown per bed and per square foot. Materials, labor, and equipment are itemized in editable Excel, organized by CSI division, with a marked-up plan and a clear list of inclusions and exclusions.
Get Your Hospital Estimate
Send us your plans and tell us the bed count and scope. You get a full takeoff with the MEP broken out and the cost shown per bed and per square foot, ready for your developer and lender.
Insights
Field tested guides for builders who bid.
Long form playbooks our clients use to sharpen pricing, win more jobs, and protect margin.
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