Healthcare
We do takeoffs and priced estimates for hospitals, surgery centers, clinics, and medical offices, with each room, department, and phase broken out. GCs, MEP subs, health systems, and suppliers across the US send us their drawings.
Project types we estimate
What you get on every job
Nationwide coverage
Client feedback
Reviews from contractors and subcontractors who send us their bid estimates, takeoffs, and shop drawings.
Review summary: Bart needed shop drawings on a tight schedule. The team discussed the project the same day, delivered drawings within a week, and completed minor revisions the following day. He praised their understanding of the scope, quick responses and progress updates.
Bart, BTW Enterprises, INC.
Read reviewReview summary: Ludin appreciated the professional team, their patience and guidance, and recommended BidAccurate for takeoff and shop drawing projects.
Ludin Pierre
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Healthcare estimating support
BidAccurate provides healthcare construction estimating services for hospitals, surgery centers, clinics, and medical office buildings across the US. We work from your architectural, structural, MEP, medical gas, and equipment drawings, along with the specs and room data sheets. You get quantity takeoffs and priced estimates for the whole project, or just the trades you bid.
Healthcare work packs a lot of MEP into each SF. Much of it is renovation inside a building that never closes, and the owner often buys the expensive equipment. We set up the estimate so you can follow the departments, the phases, and who furnishes what.
What makes healthcare different
Hospital budgets usually go wrong behind the walls and above the ceiling. Temporary measures that keep patients safe add up too, and so does equipment nobody priced because everyone assumed the owner had it.
Renovations happen next to patients. Infection control (ICRA) barriers, negative air machines, interim life safety measures, after-hours shutdowns, and phase-by-phase moves all cost money. Very little of it shows up as a line on the drawings.
How we handle it
We read the phasing plans and ICRA notes and price temporary partitions, anterooms, and protection by phase. If the documents leave the ICRA class or phasing open, we list our assumption so you can adjust it.
Oxygen, medical air, vacuum, and sometimes nitrous oxide or nitrogen run to outlets in nearly every clinical room. Zone valve boxes, alarm panels, and source equipment sit on top of that.
How we handle it
We count outlets by gas type and room, and measure piping in LF by size. Valves, alarms, and manifolds are counted separately from the regular domestic water and sanitary work.
Hospitals split the electrical system into normal power and an essential electrical system with separate branches, fed by generators and transfer switches. A patient room can have outlets on two or three different sources.
How we handle it
We take off devices, panels, and feeders by system and branch as the drawings show them. Generators, ATS units, and paralleling gear get their own section.
Imaging rooms need lead-lined drywall and doors for X-ray and CT, and RF shielding for MRI. The equipment often needs reinforced slabs, structural supports, or ceiling-mounted frames.
How we handle it
We measure shielded wall area in SF by lead thickness when the physicist's report or drawings give it. Equipment supports and slab changes are taken off from the structural sheets.
The owner usually buys imaging systems, surgical lights, equipment booms, sterilizers, and casework-mounted gear. You still owe the blocking, rough-in, supports, and connections.
How we handle it
We tag each item as OFCI, OFOI, or CFCI from the equipment list and drawings. Install and rough-in labor stay in your number when the material doesn't.
Exam rooms and patient rooms look alike, yet headwall layouts, handwashing sinks, nurse call devices, and finishes change by department. Averaging one room type across the whole floor misses those changes.
How we handle it
We take off each room type by department from the plans, enlarged plans, and room data sheets, then extend by count. Corridors, support rooms, and nurse stations are measured on their own.
A new patient tower and a two-room clinic refresh both count as healthcare. The phasing, MEP load, and paperwork are very different.
New acute care hospitals, patient towers, and additions tied into an existing campus. Expect heavy MEP, an essential electrical system, and work across several departments.
Core and shell buildings with physician suites, often built for a health system or a developer. Tenant fit-outs usually follow as separate packages.
Outpatient surgery facilities with operating and procedure rooms, pre-op and recovery bays, and sterile processing. The HVAC and medical gas density is close to a hospital's.
Freestanding and in-line clinics, urgent care, and specialty practices. Smaller buildings, but each exam room still needs sinks, devices, and casework.
Department refreshes, unit conversions, and infrastructure upgrades inside a working hospital. Phasing, demolition, and infection control drive a large share of the cost.
MRI, CT, and X-ray rooms, clinical labs, and pharmacy cleanrooms. These rooms have shielding, special exhaust, or pressure requirements that general areas don't.
Send the drawings, specs, phasing plan, equipment list, and your bid date. We'll review the set and come back with the scope, trades, and a delivery date.
Request Your Healthcare EstimateAsk for the whole project or only your trades. Quantities come split by room, department, and phase either way.
Program, design, bid, and build
Healthcare programs shift as departments get added, equipment gets picked, and phasing gets worked out with the staff. We revise the estimate each time and note what changed.
Stage 1 · Feasibility
An early number built from the department list, gross SF, and the assumptions you approve. Owners use it for a certificate of need filing or a board vote.
Stage 2 · Design
We update quantities as room data sheets, MEP layouts, and equipment lists fill in, and show which departments moved.
Stage 3 · Bidding
Full takeoffs and priced estimates from the CDs, set up by phase, department, or bid package.
Stage 4 · Value engineering
Side-by-side pricing for finishes, systems, or phasing options that you or the design team put forward.
Stage 5 · Construction
Revised quantities for addenda, ASIs, and change orders, so you can check the cost change against the original.
A med gas sub wants outlet counts by room. A health system wants a number to check the GMP against. We build the breakdown around the one you need.
General contractors
A trade-by-trade number split by phase or department, plus temporary ICRA and phasing costs on their own lines.
MEP and specialty subs
Med gas outlets, devices, fixtures, and LF of pipe and conduit by room, department, and floor.
Health systems and developers
An independent estimate to check against the CM's GMP or the GC's bid.
Suppliers
Counts for doors, hardware, casework, fixtures, and flooring that you can quote from.
In-house estimators
Extra takeoff help when a hospital bid lands during a busy month. We deliver in a format your team can check.
Surgery, imaging, and patient floors each carry their own totals. If the owner drops a phase, you can see what comes out.
ICRA barriers, temporary partitions, and phasing costs sit on separate lines instead of hiding inside general conditions.
Every major equipment item is marked owner-furnished or contractor-furnished, with rough-in and supports priced either way.
Every outlet count and LF of pipe ties back to a color-coded markup on the plans.
The same team also handles takeoffs, BIM, shop drawings, drafting, and permit sets for healthcare work.
Material, labor, and equipment pricing for a full healthcare project.
Quantities by trade, room, and department for your hospital or clinic bid.
3D models for coordinating ductwork, med gas, and structure in packed hospital ceilings.
Steel, millwork, and equipment support shop drawings for healthcare work.
Drawing sets for permit submittal on clinics, medical offices, and renovations.
Plans, enlarged room plans, and elevations drafted to your office standards.
Estimating for other building types we work on.
Partner with experienced construction professionals to deliver your project on time along with in budget.
