Assisted Living Visit, New Patient, High Complexity

Washington rates for HCPCS 99328

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place that provides housing and personal care rather than skilled nursing. This is the highest level, used when the patient is unstable or has serious conditions that interact, so the assessment and the decisions are extensive.

Rates data updated October 2026.

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $407

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $223.87	Facility	None	$162.18	$194.98	$223.87
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $416.87	Facility	None	$295.12	$346.74	$416.87