Hospital construction cost per sq ft in Toronto
General and acute care hospitals in the Greater Toronto Area, hard cost only.
Short answer (November 2026): Hospital construction in the GTA costs $1,030–$1,620 per sq ft in hard costs, before soft costs, contingency and HST (Altus Group 2026 Canadian Cost Guide). For example, a general or acute care hospital of 500,000 sq ft comes to $515.0M – $810.0M in hard cost.
A general or acute care hospital of 500,000 sq ft
| Hard cost (500,000 × $1,030–$1,620) | $515.0M – $810.0M |
| Soft costs at 20% | $103.0M – $162.0M |
| Contingency at 10% | $61.8M – $97.2M |
| Indicative total | $679.8M – $1.07B |
Included: the building above grade, including foundations.
Not included: GST/HST, site development, parking, land and financing. Soft costs and contingency above are illustrative assumptions; change them in the calculator.
Source: Altus Group, 2026 Canadian Cost Guide (GTA hard costs, CAD per sq ft), used with permission. Ranges are indicative; your site, scope and procurement route will move the number. See all 17 building types →
Why hospitals cost this much, and what two Ontario projects show: our hospital cost guide.