How Much Does It Cost to Build a Hospital in Pakistan? (2026 Cost Per Bed)

Building a hospital in Pakistan in 2026 typically costs about PKR 4.5 to 12 million per bed for construction, finishing and MEP, excluding land and medical equipment. A mid-level 50-bed private hospital therefore needs roughly PKR 300 to 400 million for the building, and a 100-bed hospital about PKR 600 to 800 million. ICU-heavy and specialist hospitals cost more. Small clinics are usually budgeted per square foot instead of per bed. This guide breaks down the cost by facility size, explains where the money goes, and lists the decisions that change the budget most.

Indicative planning estimates as of October 2026. Hospital costs vary widely with specialty mix, city, MEP specification and imported equipment, so every project needs its own feasibility study and BOQ.

Hospital Construction Cost Per Bed (2026)

Estimated Cost by Facility Size

Bed-based figures use the mid-level range of PKR 6 to 8 million per bed. A rural facility can come in lower, and a hospital with several ICUs, a cath lab or radiotherapy bunkers will be higher.

Where the Money Goes

Specialised areas such as operation theatres, ICUs and radiology can add 15 to 30 percent to the cost of the zones where they sit. Medical equipment is normally budgeted separately unless the project is let as a full turnkey contract including equipment.

Factors That Change Hospital Construction Cost

1. Specialty mix: a maternity or general hospital costs far less per bed than a cardiac or oncology centre.
2. Number of OTs and ICU beds: each modular OT and ICU bed carries heavy HVAC, gas and power requirements.
3. HVAC strategy: split units, VRF, or a central chilled-water plant with air-handling units and HEPA filtration.
4. Regulatory standards: Punjab Healthcare Commission minimum service delivery standards, fire safety and, for some projects, international guidelines such as FGI or JCI.
5. Site and structure: basements, poor soil, height and seismic zone.
6. New build or conversion: converting an existing building can save on structure but often costs more in MEP and compliance work.
7. Delivery method: design-build turnkey contracts reduce coordination gaps between architects, MEP designers and contractors.

Planning Steps Before You Build

Our guide on planning and building a modern hospital in Lahore covers these stages in more detail.

ACCO’s Hospital Construction Experience

Ahmed Construction Company (ACCO) plans, designs and builds healthcare facilities across Pakistan. Our hospital work includes LDMC, MCH Islamkot, and projects at King Edward Medical University / Mayo Hospital and UOL Hospital Lahore. We offer hospital design and construction, MEP and firefighting systems and hospital interiors under one team. See our hospital projects or request a feasibility estimate.

Frequently Asked Questions

How much does it cost to build a 100-bed hospital in Pakistan?

For a mid-level private hospital, roughly PKR 600 to 800 million for the building, finishes and MEP in 2026, excluding land and medical equipment. Tertiary or ICU-heavy hospitals cost more.

What is the cost of building a small clinic in Pakistan?

A fully finished clinic of 2,000 to 4,000 sq ft typically costs about PKR 6,000 to 9,000 per sq ft depending on HVAC, procedure rooms and finishes, excluding land and equipment.

What is hospital construction cost per square foot?

It depends on specialty and systems. As a rough guide, complete hospital buildings in Pakistan range from about PKR 6,000 to over 11,000 per sq ft excluding equipment, with OT, ICU and imaging zones at the top of that range.

Is medical equipment included in hospital construction cost?

Usually not. Equipment is budgeted separately unless the contract is a full turnkey package that includes procurement and installation of medical equipment.

How long does it take to build a hospital?

A 50 to 100 bed hospital typically takes 18 to 30 months from design start to commissioning, depending on approvals, basements, MEP complexity and funding flow.