$806 – $1,628/mo

1–2 bedrooms
1–2 baths
747–1,378 sq ft
56 units available
Pet friendly

4114 Medical Dr, San Antonio, TX, 78229

As of October 14, 2026, Preston Peak in San Antonio, TX has 56 apartments for rent from $806 to $1,628/mo. One-bedrooms start at $806 and two-bedrooms at $1,064. The average asking rent has fallen 4.5% since May 4, 2026, from $1,173 to $1,121.

Floor plans

Preston Peak has 56 units available across 5 floor plans: 2 one-bedroom layouts (747–855 sq ft) and 3 two-bedroom layouts (1,075–1,378 sq ft). Prices checked October 14, 2026.

A1

1 Bedroom • 1 Bath • 747 Sq Ft

Starting at $806/mo

23 available units	Price	Sq ft	Available
03202	$934	747	Oct 6
05207	$934	747	Oct 6
21307	$934	747	Oct 6
08302	$957	747	Oct 6
05106	$985	747	Oct 6
20107	$985	747	Oct 6
22211	$1,009	747	Oct 6
15107	$1,011	747	Oct 6
18303	$1,121	747	Oct 6
05302	$1,061	747	Oct 9
25106	$1,011	747	Oct 12
03311	$1,061	747	Oct 13
13306	$1,061	747	Oct 15
11206	$1,036	747	Oct 19
03310	$861	747	Oct 23
01206	$836	747	Oct 25
24202	$1,036	747	Oct 25
25206	$841	747	Nov 4
17302	$866	747	Nov 12
25203	$826	747	Nov 15
25102	$971	747	Nov 29
05307	$806	747	Dec 1
22105	$1,051	747	Dec 1

A2

1 Bedroom • 1 Bath • 855 Sq Ft

Starting at $937/mo

11 available units	Price	Sq ft	Available
23107	$937	855	Oct 6
07207	$1,000	855	Oct 6
10106	$1,078	855	Oct 6
16302	$1,171	855	Oct 6
16102	$1,190	855	Oct 6
02302	$1,010	855	Oct 17
14207	$1,000	855	Oct 27
14102	$1,150	855	Oct 28
09202	$1,095	855	Oct 29
02306	$1,240	855	Nov 29
23306	$1,205	855	Dec 2

B1

2 Bedrooms • 1 Bath • 1,075 Sq Ft

Starting at $1,064/mo

7 available units	Price	Sq ft	Available
24308	$1,064	1,075	Oct 6
20108	$1,084	1,075	Oct 6
20305	$1,107	1,075	Oct 6
21201	$1,141	1,075	Oct 6
24305	$1,163	1,075	Oct 6
20105	$1,226	1,075	Oct 25
21308	$1,123	1,075	Dec 2

B2

2 Bedrooms • 2 Baths • 1,224 Sq Ft

Starting at $1,194/mo

11 available units	Price	Sq ft	Available
14304	$1,292	1,224	Oct 6
22212	$1,292	1,224	Oct 6
12208	$1,344	1,224	Oct 6
13208	$1,344	1,224	Oct 6
08105	$1,359	1,224	Oct 6
13304	$1,377	1,224	Oct 7
14205	$1,233	1,224	Oct 9
23104	$1,367	1,224	Oct 10
02305	$1,377	1,224	Oct 12
13108	$1,368	1,224	Nov 23
23204	$1,194	1,224	Dec 2

B3

2 Bedrooms • 2 Baths • 1,378 Sq Ft

Starting at $1,423/mo

4 available units	Price	Sq ft	Available
16104	$1,545	1,378	Oct 6
07108	$1,562	1,378	Oct 6
07208	$1,423	1,378	Oct 11
07304	$1,628	1,378	Dec 29

See all 205 units listed at Preston Peak, including ones no longer available.

Cost to rent here

At Preston Peak, a one-bedroom starts at about $1,125 a month all-in: $806 rent, $142 in listed fees, and an estimated $177 for electric and gas, internet, and renters insurance. A two-bedroom starts at about $1,422.

All-in from$1,125/mo

Estimates are local averages, not quotes from the property.

Can you afford it?

Most landlords ask for a monthly income of about 3× the rent, so qualifying at Preston Peak takes about $29,016 a year for a one-bedroom and $38,304 for a two-bedroom. Keeping the $1,125 all-in month for a one-bedroom within 35% of take-home pay takes an income of about $45,400 a year.

Total monthly housing cost

$1,125/mo

Income to afford it comfortably

$45,400/yr

Income to qualify

$29,016/yr

Your estimated budget

Suggested rent budget, 1 bedroom

$ —/mo

See what you can afford here

Add your income and debts for a rent budget at this building.

Free with a brightplace account

Rent history

Over the past year, the average asking rent at Preston Peak has ranged from $1,064 to $1,222. The current average is $1,121, down $52 (4.5%) from $1,173 at the start.

Prices reflect the average advertised rent across units listed as available each day (137 days observed).

Fees & lease terms

At Preston Peak, the security deposit is $200. The listing shows $142.45 a month in fees (parking covered $35, trash services doorstep $30, alarm services $25, and 7 more) and $950 due at signing (pet fee $400, administrative fee $200, security deposit $200, and 4 more).

Rent
$806 – $1,628/mo
Security deposit
$200
Earliest move-in
Oct 6

Monthly fees

Alarm Services	$25/mo
Environmental Fee	$1/mo
Package Services	$5/mo
Parking - Covered	$35/mo
Pest Control Services	$4/mo
Pet Rent	$20/mo
Positive Credit Reporting Services	$4.95/mo
Renters Liability/Content - Property Program	$14.5/mo
Trash Services - Doorstep	$30/mo
Utility - Stormwater/Drainage Admin Fee	$3/mo

Due at signing

Access Device	$20
Access Device - Additional	$50
Administrative Fee	$200
Application Fee	$50
Pet Fee	$400
Pet Management - Third Party	$30/yr
Security Deposit (Refundable)	$200

Amenities

Preston Peak is pet friendly. It lists 16 amenities, including fitness center, lap pool, and package concierge service.

Air Conditioning
Business Center
Clubhouse
Dishwasher
Fitness Center
Lap Pool
Package Concierge Service
Patio/Balcony
Pet Friendly
Poolside Cabanas

Resort-Style Pool
Smoke Free
Swimming Pool
Tennis Court
Volleyball Court
Walk-In Closets

Amenity photos

Pool
3 photos

Location

4114 Medical Dr, San Antonio, TX, 78229

Resident reviews

Residents of Preston Peak rate location (5.0) and maintenance (4.8) highest and building quality (3.8) lowest.

3.2 · 200+ reviews

Overall rating

Positive

Mixed

Neutral

Negative

Management4.7

Maintenance4.8

Amenities and Shared Spaces4.7

Location5.0

Building Quality3.8

Overall100 reviews

Preston Peak residents consistently praise the responsive and professional maintenance team and welcoming leasing office staff, with most reporting positive overall experiences. However, a small number of residents have encountered significant issues including recurring HVAC problems, security concerns, property maintenance gaps, and communication challenges with management. The property offers good amenities, convenient location, and generally strong service, though some operational inconsistencies affect the experience for certain residents.

Management and leasing staff receive consistent praise for responsiveness, professionalism, and helpfulness, with particular recognition for accommodating move-in processes and transparent communication. Maintenance team performance is a standout strength, with residents noting quick response times, efficient problem resolution, and courteous service. However, some residents report challenges with office communication channels (voicemail and email responsiveness), billing/lease renewal documentation clarity, and deposit refund processing delays.

Maintenance staff consistently delivers rapid response times and thorough repairs, with most work orders addressed same-day or next-day. HVAC and appliance repairs are handled efficiently, though one resident experienced recurring AC issues requiring multiple service visits within 30 days. The team communicates clearly, demonstrates professionalism, and frequently goes beyond standard service expectations.

Residents consistently praise the property's amenities, including the pool, volleyball court, and trails, which are well-maintained and regularly used. Maintenance and groundskeeping staff are noted for responsive service and prompt work-order resolution, often completed same-day or next-day. Common concerns include parking limitations for visitors, occasional gate access issues, and one report of significant service delays during an emergency.

Residents consistently praise the property's convenient location with nearby shopping, dining, and transit access. The location offers a strong balance of modern living with everyday accessibility, making it an attractive choice for those prioritizing convenience. Multiple reviews highlight the proximity to essential services and amenities as a key advantage of the property.

Maintenance response and building upkeep receive strong praise for quick service and professional repairs. However, one review reports significant water damage and concerns about management's handling of the incident. Most feedback highlights responsive maintenance staff and well-maintained units, though property condition issues warrant attention.

Summaries are written by AI from reviews residents posted on public review sites such as Google and ApartmentRatings. Each topic shows how many of those reviews discuss it.

Getting around

Preston Peak is somewhat walkable and not bikeable, and transit is minimal.

Walking: Somewhat walkable; Grade D
Transit: Minimal; Grade F
Biking: Not bikeable; Grade F

Climate and air quality

Air quality near Preston Peak was good on 254 of the past 365 days, and at its worst in July (average AQI 51, moderate). Daily highs averaged 99°F in August, the warmest month, and lows averaged 44°F in January, the coldest.

Air quality

254 good-air days

of the past 365

Oct 14: Good, AQI 24

Oct 2025Oct 2026

Temperature

99° / 44°

average August high / January low

Oct 14: 91° high, 77° low

Oct 2025Oct 2026

Pollen

High

Oct 14–18 forecast

Tree: moderate, grass: moderate, weed: high

Month	Average high	Average low	Average AQI	Good-air days
January	65°F	44°F	44 (good)	19 of 31
February	74°F	51°F	48 (good)	18 of 28
March	80°F	58°F	43 (good)	25 of 31
April	79°F	64°F	43 (good)	24 of 30
May	83°F	66°F	50 (good)	17 of 31
June	90°F	74°F	46 (good)	19 of 30
July	93°F	75°F	51 (moderate)	12 of 31
August	99°F	77°F	46 (good)	20 of 31
September	96°F	77°F	48 (good)	18 of 30
October	85°F	66°F	42 (good)	27 of 31
November	77°F	58°F	37 (good)	29 of 30
December	68°F	50°F	42 (good)	26 of 31

Daily readings from Oct 15, 2025 to Oct 14, 2026. The pollen chart shows typical US seasons.

About this property

Preston Peak is a 596-unit building in San Antonio, TX.

Enjoy life high above the San Antonio Medical Center skyline at Preston Peak Apartments. Offering one- and two-bedroom homes to choose from, our spacious apartments have unique characteristics, superior comfort and modern style. In addition to a pool, gym and tennis court, there are several amenities for our residents to enjoy, as well as an ideal location in the heart of San Antonio, Texas. There’s something for everyone at Preston Peak. Schedule your tour to see for yourself today!

Building
Apartment · Garden
Total units
596

Nearby schools

The closest school to Preston Peak is Mead Elementary School, a public elementary school 0.2 miles away.

School	Type	Level	Distance
Mead Elementary School Public · Elementary	Public	Elementary	0.2 mi
Positive Beginnings-CC Private · Preschool	Private	Preschool	0.2 mi
Destiny Child Care Learning Center Private · Preschool	Private	Preschool	0.3 mi
Medical Complex Child Care Center Private · Preschool	Private	Preschool	0.4 mi
Al-Madinah Academy Private · Preschool	Private	Preschool	0.4 mi
Islamic Academy-San Antonio Private · Preschool	Private	Preschool	0.4 mi
Islamic Academy of San Antonio (Iasa) Private · Elementary	Private	Elementary	0.4 mi
Country Home Learning Center No. 6 Private · Elementary	Private	Elementary	0.5 mi
Country Home Learning Center Private · Elementary	Private	Elementary	0.5 mi
City Church Academy Private · High	Private	High	0.6 mi