Methodist Hospital Hill Country Imaging in Fredericksburg, TX

The Methodist Hospital Hill Country Imaging facility at 1020 S State HWY 16 in Fredericksburg has passed its final TDLR accessibility inspection. This renovation project, registered with the Texas Department of Licensing and Regulation in January 2026, is officially complete following a construction window that began in March 2026 and concluded with a final inspection in August 2026.

Methodist Healthcare System of San Antonio LTD LLP owns the property, which underwent a 1,600 sq ft alteration. The estimated cost for this renovation was $968,037, resulting in a cost of $605 per square foot. The work was designed by Stephen J Kramer Architecture + Design, with Andy S Castillo serving as the registered accessibility specialist for the filing.

Project Scale and County Context

This project is privately funded on private land for private use. Within Gillespie County, the estimated cost sits above the median of $300,000 for renovation and alteration filings. The scheduled build window of 133 days was shorter than the county median of 182 days. The per-square-foot cost of $605 is above the county median of $99, reflecting the specific scope of the imaging facility renovation.

Methodist Healthcare System of San Antonio LTD LLP has six other TDLR-registered projects totaling $6,218,700 across the San Antonio area and surrounding regions. These include facilities in San Antonio, Balcones Heights, and Live Oak. The design firm, Stephen J Kramer Architecture + Design, has handled six other registered projects totaling $12,225,000, including work in San Antonio, Live Oak, and Schertz.

The facility is located in ZIP code 78264, which has a population of about 11,702 people. The median household income in this area is $60,245, and the median owner-occupied home value is $134,300. Gillespie County recorded an unemployment rate of 3.5 percent in July 2026. The construction status is Inspection Complete, confirming the physical work is finished.