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      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001668330</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
      </filerInfo>
    </headerData>
    <formData>
      <issuerInfo>
        <issuerCik>0001360604</issuerCik>
        <issuerName>Healthcare Realty Trust Inc</issuerName>
        <secFileNumber>001-35568</secFileNumber>
        <issuerAddress>
          <com:street1>3310 WEST END AVENUE,  SUITE 700</com:street1>
          <com:city>NASHVILLE</com:city>
          <com:stateOrCountry>TN</com:stateOrCountry>
          <com:zipCode>37203</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>615-269-8175</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Douglas J Christopher</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Fidelity Brokerage Services LLC</name>
          <address>
            <com:street1>245 Summer Street</com:street1>
            <com:city>Boston</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>02110</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>144831</noOfUnitsSold>
        <aggregateMarketValue>2609854.00</aggregateMarketValue>
        <noOfUnitsOutstanding>363030249</noOfUnitsOutstanding>
        <approxSaleDate>10/18/2024</approxSaleDate>
        <securitiesExchangeName>NYSE</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>10/09/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Award</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>127971</amountOfSecuritiesAcquired>
        <paymentDate>10/09/2024</paymentDate>
        <natureOfPayment>Compensation</natureOfPayment>
      </securitiesToBeSold>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>10/16/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Award</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>16860</amountOfSecuritiesAcquired>
        <paymentDate>10/16/2024</paymentDate>
        <natureOfPayment>Compensation</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>James C. Douglas</name>
          <address>
            <com:street1>3310 West End Ave, Suite 700  </com:street1>
            <com:city>Nashville</com:city>
            <com:stateOrCountry>TN</com:stateOrCountry>
            <com:zipCode>37203</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Healthcare Realty Trust</securitiesClassTitle>
        <saleDate>10/02/2024</saleDate>
        <amountOfSecuritiesSold>4852</amountOfSecuritiesSold>
        <grossProceeds>85154.87</grossProceeds>
      </securitiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>James C. Douglas</name>
          <address>
            <com:street1>3310 West End Ave, Suite 700</com:street1>
            <com:city>Nashville</com:city>
            <com:stateOrCountry>TN</com:stateOrCountry>
            <com:zipCode>37203</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Healthcare Realty Trust</securitiesClassTitle>
        <saleDate>10/08/2024</saleDate>
        <amountOfSecuritiesSold>15890</amountOfSecuritiesSold>
        <grossProceeds>271987.84</grossProceeds>
      </securitiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>James C. Douglas</name>
          <address>
            <com:street1>3310 West End Ave, Suite 700</com:street1>
            <com:city>Nashville</com:city>
            <com:stateOrCountry>TN</com:stateOrCountry>
            <com:zipCode>37203</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Healthcare Realty Trust</securitiesClassTitle>
        <saleDate>10/11/2024</saleDate>
        <amountOfSecuritiesSold>12500</amountOfSecuritiesSold>
        <grossProceeds>215230.84</grossProceeds>
      </securitiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>James C. Douglas</name>
          <address>
            <com:street1>3310 West End Ave, Suite 700</com:street1>
            <com:city>Nashville</com:city>
            <com:stateOrCountry>TN</com:stateOrCountry>
            <com:zipCode>37203</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Healthcare Realty Trust</securitiesClassTitle>
        <saleDate>10/15/2024</saleDate>
        <amountOfSecuritiesSold>12485</amountOfSecuritiesSold>
        <grossProceeds>221987.92</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>10/18/2024</noticeDate>
        <signature>/s/ Heather Foxworth as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Douglas J Christopher</signature>
      </noticeSignature>
    </formData>
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text: 144
  0001668330
  XXXXXXXX
  LIVE
  0001360604
  Healthcare Realty Trust Inc
  001-35568
  3310 WEST END AVENUE,  SUITE 700
  NASHVILLE
  TN
  37203
  615-269-8175
  Douglas J Christopher
  Officer
  Common
  Fidelity Brokerage Services LLC
  245 Summer Street
  Boston
  MA
  02110
  144831
  2609854.00
  363030249
  10/18/2024
  NYSE
  Common
  10/09/2024
  Stock Award
  Issuer
  N
  127971
  10/09/2024
  Compensation
  Common
  10/16/2024
  Stock Award
  Issuer
  N
  16860
  10/16/2024
  Compensation
  N
  James C. Douglas
  3310 West End Ave, Suite 700
  Nashville
  TN
  37203
  Healthcare Realty Trust
  10/02/2024
  4852
  85154.87
  James C. Douglas
  3310 West End Ave, Suite 700
  Nashville
  TN
  37203
  Healthcare Realty Trust
  10/08/2024
  15890
  271987.84
  James C. Douglas
  3310 West End Ave, Suite 700
  Nashville
  TN
  37203
  Healthcare Realty Trust
  10/11/2024
  12500
  215230.84
  James C. Douglas
  3310 West End Ave, Suite 700
  Nashville
  TN
  37203
  Healthcare Realty Trust
  10/15/2024
  12485
  221987.92
  10/18/2024
  /s/ Heather Foxworth as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Douglas J Christopher