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The is really a very general question. I have been doing hospital design and construction for over 30 years. Presently I am managing several medical project for USC in California. It depends on several factors: Country, State or City location, governing agency approving project, size, number of beds, modalities or services offered, specialty hospital or full service hospital. Here is a good link which expands on this list.Hospital Construction Costs | ProEstThe cost of building a hospital is not just the cost of construction. You have other factors to consider. The pie chart below helps graphically breakdown the categories:Here is a link looking at hospital cost in general2016 Hospital Construction SurveyBelow is the range of costs to build a hospital per square foot in 12 large U.S. cities, ranked from most to least expensive.Please note that some of the costs are equal so there are more than 11 cities listed.1. Honolulu: $475 to $760 per square foot2. New York City: $475 to $7003. Los Angeles: $470 to $7004. San Francisco: $450 to $6505. Boston: $400 to $6505. Washington. D.C.: $400 to $6506. Chicago: $360 to $6307. Portland, Ore.: $380 to $5258. Seattle: $385 to $5309. Phoenix: $350 to $50010. Denver: $370 to $45511. Las Vegas: $285 to $45512 US cities ranked by cost per square foot to build a hospital: The most expensive U.S. city to build a hospital in is Honolulu, according to a report by Rider Levett Bucknall. In fact, the cost per square foot to build a hospital in Honolulu is about 60 percent higher than in Las Vegas, which has the lowest per square foot hospital construction costs of any city on the list.If you notice, the spread is huge in the numbers listed above. Again, many factors go into the final cost. Click on the highlighted paragraph to read the articleAbove is an artist's rendering of the exterior of the planned 153-bed, 428,700-square-foot Comox Valley Hospital in Courtenay that is to cost $331.7 million. This is approximately $2.1 million dollars per bed.“ Cost per bed” is another way to figure out hospital construction costs. I know in California an initial high level budget would use a budget of $1 million to $1.5 million. Any project under a million is considered economical for a new hospital.They may never become the rule, but billion-dollar hospitals are no longer that exceptional—especially in California and Texas.Pushed by higher construction costs in general and state regulations that mandate hospitals must not only be able to withstand earthquakes, they need to remain open for business after their communities have been reduced to rubble, California has four separate billion-dollar hospital construction projects in the works. Deep in the heart of Texas, two military hospitals and a safety net replacement project have price tags that have hurdled over the billion-dollar barrier or are close to that edge.Three other billion-dollar babies are pediatric hospitals spread evenly across the country in California, Illinois and Pennsylvania. Here is the link for this article written back in 2010Just add nine zeroesRural hospitals are going through a “reinvention” and costs for them are increasing as well. Price range for these facilities would rouhgly range $275/ sq.ft to $400 /sq.ft. Here is a link to another article.HCD Magwww.architectusinc.com