Office Visit (Established, Moderate-High) Cost in Washington
Office o/p est mod 30 min
Washington Average Cost (2026)
+7.7% vs national avgAverage across 2 Medicare localities in Washington
National Average
State Ranking
Cost by Region in Washington
| Region | Office Rate |
|---|---|
| seattle (king cnty) | $153.12 |
| rest of washington | $138.86 |
Get exact pricing for your ZIP code
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About Office Visit (Established, Moderate-High) Costs in Washington
The average Medicare reimbursement for office visit (established, moderate-high) in Washington is $145.99 for an office setting and $87.74 in a hospital. This is about 8% higher than the national average of $135.61.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Washington, that would be roughly $29 for an office visit or $18 in a hospital setting.
Private insurance plans in Washington typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $190 and $292.
Without insurance, you may be able to negotiate a cash discount. Many providers in Washington will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Office Visit (Established, Moderate-High)
Compare Insurance Plans
Uninsured? Comparing marketplace plans in Washington could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →Other Procedures in Washington
Office Visit (Established, Moderate-High) Cost by State
Office Visit (Established, Moderate-High) in Washington: Frequently Asked Questions
How much does office visit (established, moderate-high) cost in Washington?
The average 2026 Medicare rate for office visit (established, moderate-high) (CPT 99214) in Washington is $145.99 in an office setting and $87.74 in a hospital. Private insurance typically pays $190 to $292, and self-pay cash prices often run $117 to $219.
Is office visit (established, moderate-high) cheaper in Washington than the national average?
Washington is about 8% higher than the national average of $135.61. Across all states, Washington ranks #44 of 49 for this procedure. The cheapest state is Arkansas ($123.92) and the most expensive is Alaska ($169.92).
What will I pay out of pocket for office visit (established, moderate-high) in Washington with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Washington that is roughly $29 for an office visit or $18 in a hospital setting.
How can I save on office visit (established, moderate-high) in Washington?
Ask providers for a cash or self-pay price before scheduling; many in Washington reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.