01London, ON · tier 1 market
Medical and dental clinic fit-out cost in London
A clinical fit-out with treatment rooms, plumbing at every chair, medical gas or suction, lead-lined imaging walls and dedicated exhaust. It is the most expensive fit-out type per square foot that a private landlord routinely encounters.
02The curated band
Hard cost, standard spec
$252/sf
Band $180 – $342
All-in, preset build
$451/sf
4,000 sf, 1 storey
Hard share of all-in
74%
Rest is soft cost, charges, contingency, escalation
ON escalation
3.2%/yr
Quarter ending 2025-09-30
Buildlor Construction Cost Index · Last updated 2026-01-15 · Maintained by Buildlor Cost Desk
Scope: London, Ontario — Medical and dental clinic fit-out
Inputs: Altus Group Canadian Cost Guide 2025, Toronto base range; Statistics Canada Building Construction Price Index, table 18-10-0135-01
Next scheduled review: 2026-04-15
03Build the stack
Your build
All-in cost — Medical fit-out, London
$1,805,634
$451/sf · band $1,265,308 – $2,506,076
At this specification the medical fit-out prices at about $451 per square foot all-in, with a 69% spread between the low and high band. Hard cost is 74% of the total and everything above it is soft cost, charges, contingency and escalation.
| Line | Amount | $/sf |
|---|---|---|
| Demolition and preparation | $79,688 | $20/sf |
| Partitions, doors and millwork | $318,754 | $80/sf |
| Ceilings and flooring | $212,503 | $53/sf |
| Mechanical and controls | $252,347 | $63/sf |
| Electrical, data and lighting | $239,065 | $60/sf |
| Fire protection and code work | $92,970 | $23/sf |
| General conditions and fee | $132,814 | $33/sf |
| Hard cost subtotal | $1,328,141 | $332/sf |
| Design and consultants | $85,001 | $21/sf |
| Permits, approvals and reviews | $21,250 | $5/sf |
| Project management and testing | $42,501 | $11/sf |
| Financing, insurance and legal | $63,751 | $16/sf |
| Contingency (14%) | $215,690 | $54/sf |
| Escalation to midpoint (12 mo) | $49,301 | $12/sf |
| All-in cost | $1,805,634 | $451/sf |
How these figures were produced
- Observed — Recorded directly from the cited source series, unadjusted.
- Modelled — Derived arithmetically from observed inputs using the published method; not a market quote.
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04What moves the number
Cost drivers for this type in London
Plumbing at every operatory or chair multiplies mechanical rough-in against a standard office layout.
Plumbing at every operatory or chair multiplies mechanical rough-in against a standard office layout.
Imaging rooms need lead shielding and slab or structural review before the layout is fixed.
Imaging rooms need lead shielding and slab or structural review before the layout is fixed.
Dedicated exhaust, redundant HVAC zoning and filtration are code-driven, not optional.
Dedicated exhaust, redundant HVAC zoning and filtration are code-driven, not optional.
Regulatory inspection and equipment coordination extend the schedule, and schedule is money.
Regulatory inspection and equipment coordination extend the schedule, and schedule is money.
London's industrial pipeline is dominated by mid-bay warehouse, the building type with the narrowest cost band. That is why the same drawings priced in London and in Toronto do not land at the same number even when the trades are the same.
On the preset build above, hard cost is $1,328,141 and everything after it — soft cost, charges, contingency and escalation — adds $477,493. Budgeting off a hard rate alone is the single most common way an early construction budget goes wrong.
Buildlor facts
- Hard cost for a medical fit-out in London sits at $252 per square foot at standard specification.
- Soft cost at 16% of hard adds $212,503 to the preset build.
- ON construction escalation is running at 3.2% a year, or $49,301 over twelve months on this build.
05Related
Other types in London
- Warehouse and distribution shellWarehouse · tier 1 topic
- Low-rise office buildingOffice (low-rise) · tier 1 topic
- Retail strip and plaza shellRetail strip · tier 1 topic
- Low-rise apartment buildingApartment (low-rise) · tier 1 topic
- High-rise apartment towerApartment (high-rise) · tier 2 topic
- Office tenant improvementOffice fit-out · tier 1 topic
- Retail tenant improvementRetail fit-out · tier 2 topic
06Questions
What does it cost to build a medical fit-out in London?
On the curated London band, hard cost runs $180 to $342 per square foot for a medical fit-out at standard specification. Adding site work, soft cost, charges, contingency and twelve months of escalation puts the all-in figure near $451 per square foot on a 4,000 sf preset. Your own area and specification change that number, which is what the builder above is for.
Why does London price where it does?
London's industrial pipeline is dominated by mid-bay warehouse, the building type with the narrowest cost band. The published Toronto base range is scaled by a documented factor of 0.90 for this market, and the ON escalation series is running at 3.2 percent a year.
Is the development charge in this number?
No. We do not yet hold a charge row for London. Enter the figure from the municipality's schedule in the builder.
What is excluded from every figure here?
Land, financing interest during construction beyond the soft-cost allowance, taxes recoverable as input credits, tenant furniture and equipment, and any remediation or off-site works. Those are separate line items in a real proforma.
07Sources
Sources
- [1] Altus Group Canadian Cost Guide 2025, Toronto base range — Published Toronto range scaled by a documented city cost factor of 0.90. Hard cost only: excludes land, soft costs, development charges and contingency.
- [2] Statistics Canada Building Construction Price Index, table 18-10-0135-01 — Non-residential building construction, Toronto CMA.
Not advice — Buildlor is a data publisher. We do not bid, price, estimate, or build work, and nothing here is a quote, a tender price, or construction advice. Figures are indicative order-of-magnitude benchmarks for early budgeting and must be confirmed by a qualified cost consultant, quantity surveyor, or general contractor before you rely on them. About Buildlor