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Answer · San Antonio & Hill Country commercial real estate

What is the medical office vacancy rate in San Antonio?

In July 2026 Matthews reported 12.27% medical office vacancy in the San Antonio metro, asking rent of $29.99/SF and 80,128 SF under construction.

Q2 2026 data · Reviewed by Zachary A. Stovall, TREC #691174 · Last updated November 5, 2026

The details

  • Vacancy 12.27%, asking rent $29.99/SF, 80,128 SF under construction (Matthews, Jul 2026).
  • Demand is concentrated along Loop 1604 and I-10, in Far West/Westover Hills and Far Northwest.
  • In Boerne, Baptist Health System's first acute-care hospital plus a medical office building, on 23 acres at I-10 and SH-46, was scheduled to begin construction in 2026 with no completion date announced (Community Impact, Dec 2025).

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