Medical office cosmetic refresh
$125/SF
$25,000 minimum
Paint / flooring / finish refresh in a clinic setting.
Real Standards · 2026
Medical & Dental Build-Out Cost in DFW
Published per-SF and per-room standards for clinic work — including the after-hours phasing that keeps a practice seeing patients while it is built.
Cosmetic
$125/SF
clinic refresh
Basic clinic
$225/SF
exam + admin TI
Standard
$325/SF
clinic remodel
Per exam room
$14,500 per room
basic conversion
5.0 Google$2M GL + $2M Umbrella1-Year Workmanship WarrantyAll Trades Under One ContractCustom, Limited-Volume Builder
Whole-Suite Standards
Cosmetic refresh to heavy medical.
Basic clinic TI
$225/SF
$75,000 minimum
Basic exam / admin clinic buildout.
Standard clinic remodel
$325/SF
$100,000 minimum
Occupied clinic remodel baseline.
Heavy medical TI
$475/SF
$175,000 minimum
Heavy medical buildout allowance.
Room-by-Room
Priced per exam room, because that is how practices grow.
Most clinic work we run is not a gut. It is two rooms this quarter and three the next, scheduled around a full book. These are the standards for that.
Vanilla shell exam-room refresh
$8,500 per room
Paint / patch / basic refresh.
Exam-room conversion (basic)
$14,500 per room
Convert / refresh room as basic exam / office.
Exam room with cabinets + sink
$24,500 per room
Cabinet, sink, finish allowance.
All i30 Builders full-project prices include normal mobilization, ordinary protection of adjacent areas, labor, standard materials listed in the scope, project coordination, normal cleanup, and a one-year workmanship warranty on the listed scope. Health-department and city inspection cycles, medical gas and dental compressed air, lead-lined assemblies, fire / life-safety modifications, and landlord-imposed fees are typically separate line items called out explicitly in the scope.
What Drives the Final Number
Up and down, the honest answer.
Pushes price up
- Working after hours around a full patient schedule (occupied-clinic multiplier)
- Infection-control containment and nightly reset for next-day patient care
- Specialty MEP: medical gas, dental compressed air and vacuum, lab fume hoods
- Lead-lined walls and door frames for imaging rooms
- Health-department and city inspection cycles stacked on the build schedule
- Sterile-area finishes and medical-grade vinyl base
- Fire / life-safety rework when the layout changes egress
Keeps price down
- Cosmetic refresh where the layout and systems are sound
- Vacant suite with no patient-care protection or nightly reset
- Keeping plumbing and casework where they already are
- Second-generation medical space with exam rooms already in place
- Phasing by block so one wing stays open while another is built
- Standard finish package rather than specified premium millwork
Common Cost Questions
Frequently asked
How much does a medical office build-out cost in DFW?
Medical office cosmetic refresh: $125/SF ($25,000 min). Basic clinic TI: $225/SF ($75,000 min). Standard clinic remodel: $325/SF ($100,000 min). Heavy medical TI: $475/SF ($175,000 min). All-in pricing, labor, materials, permits, inspections, project management, one-year workmanship warranty. Landlord fees and FF&E are typically separate line items.
Can you price a single exam room instead of the whole suite?
Yes. Vanilla shell exam-room refresh: $8,500 per room. Basic exam-room conversion: $14,500 per room. Exam room with cabinets and sink: $24,500 per room. Per-room pricing is how most of our clinic work actually gets scoped, because practices expand a few rooms at a time rather than gutting a floor.
Can you work while the practice stays open?
Yes, and it is most of what we do in clinics. We phase the work after hours, clean up and reset every night, and hand the space back ready for the next business day. On a recent Mansfield medical office we rebuilt the front desk and check-in area entirely on that schedule, and the suite never closed a business day. Occupied work carries a multiplier because of the nightly protection, containment, and reset, and it is called out in the scope rather than buried in the rate.
Why is medical more expensive than a standard office TI?
Specialty MEP and inspection cycles. Medical needs medical-grade vinyl base, infection-control containment during an occupied build, sometimes med-gas or dental compressed air, and health-department approval rounds. A standard office build carries none of that, so pricing clinic work at office rates would understate the project significantly.
Is the price you quote the final price?
Yes, written scope, locked at signing. Change orders only happen if you request a scope change, and they are priced and approved in writing before work proceeds. Hidden conditions (failed MEP behind walls, mold, code corrections unrelated to your scope) are excluded by default and surfaced as change orders if discovered.
What's included in the per-SF price?
All i30 Builders full-project prices include normal mobilization, ordinary protection of adjacent areas, labor, standard materials listed in the scope, project coordination, normal cleanup, and a one-year workmanship warranty on the listed scope.
Recent Work
A look at what we build.
Get a written clinic quote
Tell us the suite size, how many rooms, whether you stay open during the work, and your target date. Free site visit; written scope back within 5 business days.