🇵🇼 Palau · Construction cost guide · Updated 2026
How much does it cost to build a clinic in Palau?
Building a clinic in Palau typically costs $316,200 to $632,400 in construction cost — roughly $1,054–$2,108 per square metre over 300 m² of floor area. That excludes land, professional fees and statutory charges.
Palau is a mid-cost construction market — it ranks 52 of 200 countries on our construction cost index, at about 62% of United States build costs. This page prices a clinic — primary-care clinic: consulting rooms, treatment room, waiting area, dispensary, ablutions — at 300 m² of gross floor area, then breaks the cost down element by element so you can see where the money actually goes. Costs are quoted in USD for comparability; the local currency in Palau is USD ($), and a bill of quantities generated from your own drawings is priced in USD using the SMM7 standard.
What is being priced
The figures on this page price a clinic in Palau at 300 m² of gross floor area over 1 storey, specified as primary-care clinic: consulting rooms, treatment room, waiting area, dispensary, ablutions. Construction cost only — land, professional fees, statutory charges, utility connections and loose furniture are all excluded, and together commonly add another 15–30%.
Cost by specification level
| Specification | Construction cost (USD) |
|---|---|
| Basic / low-cost finish | $227,664 – $455,328 |
| Standard finish | $316,200 – $632,400 |
| Premium finish | $458,490 – $916,980 |
Where the money goes
Elemental split of construction cost for a clinic of this type. Percentages are concept-stage cost-planning proportions; the ranges below apply them to the totals above.
| Element | Share | Cost (USD) |
|---|---|---|
Substructure & foundations Excavation, strip footings, hardcore, blinding, DPC and ground slab. | 15% | $47,430 – $94,860 |
Walling & superstructure Masonry, lintels, ring beam and any suspended floor. | 22% | $69,564 – $139,128 |
Roofing Trusses or rafters, covering, ceilings, fascia and rainwater goods. | 14% | $44,268 – $88,536 |
Internal finishes Plaster, screed, floor and wall tiling, ceilings and painting. | 18% | $56,916 – $113,832 |
Joinery & fittings Doors, windows, cupboards, worktops and ironmongery. | 9% | $28,458 – $56,916 |
Services (plumbing & electrical) Wiring, distribution board, fittings, water reticulation, sanitaryware and drainage. | 14% | $44,268 – $88,536 |
External works & preliminaries Site setup, supervision, paths, boundary works and connections. | 8% | $25,296 – $50,592 |
Get the real number for your own plans
A benchmark tells you the ballpark. Upload your dimensioned drawings and get an itemised, source-cited bill of quantities priced in USD ($), measured to the SMM7 standard Palau professionals use.
Price my Palau projectBuilding clinics in Palau — frequently asked
How much does it cost to build a clinic in Palau?
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Building a clinic in Palau typically costs $316,200 to $632,400 in construction cost — roughly $1,054–$2,108 per square metre over 300 m² of floor area. That excludes land, professional fees and statutory charges. At a basic specification the same building lands nearer $227,664–$455,328; at a premium specification, $458,490–$916,980.
What is the cost per square metre in Palau?
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About $1,054–$2,108 per m² for this building type at a standard finish. Per-m² rates rise with storey height (frame, cores and cranage) and with specification, and fall on simple single-storey plans.
What is the biggest cost item?
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Walling & superstructure — about 22% of construction cost, or $69,564–$139,128 on this build. Masonry, lintels, ring beam and any suspended floor.
Does this include land, fees and furniture?
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No. These are construction costs only — materials, labour, plant and site preliminaries. Land, statutory approvals, professional fees, connections, landscaping and loose furniture are all additional, and together commonly add 15–30% on top.
How do I get an accurate figure for my own plans in Palau?
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Benchmarks give you the ballpark; a measured bill of quantities gives you the number. Upload your dimensioned floor plans to Enormous Buildings and get an itemised, source-cited BoQ in USD in the SMM7 format that Palau quantity surveyors and lenders expect — free to preview.
Why do build costs vary so much between countries?
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Three things dominate: labour cost, how much of the material basket is imported, and the code requirements the building must satisfy. Palau sits at index 62 against the United States at 100, which is why the figures above differ from what you'd see quoted for the same building elsewhere.