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CMS RVU26D · Effective 2026-10-01

99215 Medicare reimbursement rates in Washington

Compare 99215 physician payment amounts across CMS localities, including office and facility settings.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 99215 in Washington?

Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$196.80–$216.63

2 of 2 localities have a supported rate.

Lowest: Rest Of Washington

Highest: Seattle (King Cnty)

A spread of $19.83 per service.

Facility setting

$126.45–$134.67

2 of 2 localities have a supported rate.

Lowest: Rest Of Washington

Highest: Seattle (King Cnty)

A spread of $8.22 per service.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 99215 in your payment locality →

Compare 99215 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

Rest Of Washington →
Office / nonfacility
$196.80
Facility
$126.45
Seattle (King Cnty) →
Office / nonfacility
$216.63
Facility
$134.67

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Primary care

Compare office and outpatient evaluation-and-management base rates.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 99215PPRRVU2026_Oct_nonQPP.csv, line 13,017 (RVU26D)

13,01499212,,Office o/p est sf 10 min,A,,0.70,1.02,,0.17,,0.06,1.78,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01599213,,Office o/p est low 20 min,A,,1.30,1.46,,0.33,,0.09,2.85,1.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01699214,,Office o/p est mod 30 min,A,,1.92,2.00,,0.47,,0.14,4.06,2.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01799215,,Office o/p est hi 40 min,A,,2.80,2.75,,0.75,,0.21,5.76,3.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01899221,,1st hosp ip/obs sf/low 40,A,,1.63,0.41,NA,0.41,,0.19,2.23,2.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,01999222,,1st hosp ip/obs moderate 55,A,,2.60,0.67,NA,0.67,,0.23,3.50,3.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

13,02099223,,1st hosp ip/obs high 75,A,,3.50,0.90,NA,0.90,,0.28,4.68,4.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

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99215 Medicare reimbursement rates in Washington

What does Medicare pay for 99215 in Washington?

Office / nonfacility

Facility setting

Compare 99215 by payment locality

Rest Of Washington →

Seattle (King Cnty) →

Need rates for a whole code list?

Primary care

Where these rates come from