Harborview Medical Center Expansion Costs Swell 70% to $3B, Far Outrunning Seattle’s $1.74B Voter-Approved Bond

King County staff told the County Council that the estimated cost of renovating and expanding Harborview Medical Center on Seattle's First Hill has climbed to about $3 billion, leaving a gap of roughly $1.26 billion over the 2020 bond and pushing the new 14-story inpatient tower to a 2032 opening at the earliest.