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).
Sources
- Matthews, San Antonio Medical Office Q2 2026 (Jul 21 2026)
- Community Impact, Building Boerne: Baptist site work begins (Dec 19 2025)