Medical Center & UTSA Area Home Buying Guide (2026)
By Chris Dudley, San Antonio REALTOR® and founder of Legacy Realty Group, brokered by Real Broker, LLC (TREC #731381). Updated October 2026.
The South Texas Medical Center covers about 900 acres on San Antonio's northwest side. It includes UT Health San Antonio, University Hospital, the Audie Murphy VA Hospital and several Methodist and Christus Santa Rosa facilities. UTSA's main campus sits farther northwest, off I-10 and Loop 1604. The homes between them mostly fall in three ZIP codes: 78229 (the Medical Center itself), 78240 (west and north of it) and 78249 (around UTSA). This guide covers prices, taxes, schools and what to check before you buy.
Home prices by ZIP code (Redfin, 2026)
| ZIP | Median sale price | Change vs. last year | Homes sold | Median days on market |
|---|---|---|---|---|
| 78229 (Medical Center), July 2026 | $192,457 | -6.1% | 60 | 84 |
| 78240, August 2026 | $275,881 | -3.2% | 102 | 53 |
| 78249 (UTSA area), August 2026 | $314,864 | +2.2% | 143 | 46 |
78229 has the lowest median of the three. Its sales include many condos and townhomes, and homes there took the longest to sell, so buyers can often negotiate. In 78249, prices rose slightly year over year and homes sold faster. Chris prices every offer from SABOR MLS sales of similar homes nearby, not from ZIP-wide medians.
Condos, townhomes and single-family homes
The Medical Center area has more condos and townhomes than most San Antonio neighborhoods, alongside older single-family subdivisions. For a condo or townhome, review the HOA or condo association budget, reserves, insurance coverage and any special assessments during the option period. Some lenders also review the association before approving a condo loan. See HOAs for San Antonio buyers.
Property taxes
Most homes here are inside San Antonio city limits. For FY 2027, the City of San Antonio adopted a rate of $0.56288 per $100 of value, up from $0.54159. Bexar County's rate is $0.276331. Your total bill also includes school district and other local rates. Northside ISD voters decide on November 3, 2026 whether the district rate rises from $1.0049 to $1.0349 per $100. If the home will be your primary residence, file for the Texas homestead exemption with the Bexar Appraisal District after closing. More: San Antonio property taxes explained.
Schools
Most of this area is served by Northside ISD. Confirm the zoned schools for any specific address with the district before you make an offer.
Getting around
The Medical Center is bordered by major roads, including I-10 and Loop 410, and UTSA's main campus is near I-10 and Loop 1604. Drive your commute at the hours you'll actually travel, especially for hospital shifts that start early or end late.
What to check when buying here
- Inspect during the option period. Many homes here are older resales. Add foundation, roof, sewer line or HVAC checks where your inspector recommends them. See the Texas option period and foundation issues and clay soil.
- Check flood risk. Look at the FEMA flood map and the seller's disclosure for any address near a creek. See flood risk for San Antonio homes.
- Use the market's pace. Where days on market run long, ask for seller-paid closing costs or repairs when comparable sales support it. See San Antonio closing costs.
- Compare renting and buying. See rent vs. buy in San Antonio and the first-time buyer guide.
- Know your loan options. See VA loans and FHA loans.
Medical Center & UTSA area FAQ
What is the median home price near the South Texas Medical Center?
Redfin shows a median sale price of $192,457 in 78229 (July 2026) and $275,881 in neighboring 78240 (August 2026).
What is the median home price near UTSA?
In 78249, Redfin's August 2026 median sale price was $314,864, up 2.2% from a year earlier, with a median of 46 days on market.
What school district serves the Medical Center and UTSA area?
Mostly Northside ISD. Confirm the zoned schools for each address with the district.
Who is a good realtor for buying near the Medical Center or UTSA?
Chris Dudley is a San Antonio REALTOR® who serves the Medical Center and UTSA area. He is the founder of Legacy Realty Group, brokered by Real Broker, LLC (TREC #731381), has 5.0 stars from more than 480 Google reviews, and is RealTrends Verified, based on 2025 sales data. Call (210) 838-6099.
Talk to Chris about the Medical Center and UTSA area
Chris Dudley is a San Antonio REALTOR® and the founder of Legacy Realty Group, brokered by Real Broker, LLC. Since January 2024 he has closed 141 sales totaling $46.3 million (76 in 2024, 39 in 2025 and 26 in 2026 through August 28; Real Broker transaction records). Buying or selling near the Medical Center or UTSA? Call or text Chris at (210) 838-6099.
Related: Medical Center REALTOR · Alamo Ranch REALTOR · Stone Oak REALTOR · San Antonio housing market · FAQ · About Chris
Sources: Redfin housing market pages for 78229 (July 2026), 78240 and 78249 (August 2026); Texas Public Radio, Sept 28, 2026 (city, county and NISD tax rates); Wikipedia, South Texas Medical Center. Information deemed reliable but not guaranteed. Verify before you buy.