Radon Mitigation in Medical Lake, WA
Unlike most of the West Plains, Medical Lake has old crystalline rock at the surface, set among three lakes with no visible inlet or outlet. In the census tract covering most of ZIP 99022, 37.8% of reported radon tests reached the EPA action level. The town's houses range from streets along the lakeshore to homes rebuilt after the 2023 Gray Fire.
Or call (509) 278-2215
48-hour test from $195 · Systems from $1,295 · Post-mitigation test included

How it works in Medical Lake
- STEP 1Test
A 48-hour continuous monitor in your lowest living level, under closed-house conditions. Report the same day it comes out.
- STEP 2Look and quote
We check the foundation, run a suction test and plan the pipe route for Medical Lake winters. You get a fixed price in writing.
- STEP 3Install
Most systems take one day: suction point, sealing, fan, manometer and the electrical permit.
- STEP 4Re-test
A post-mitigation test at least 24 hours after the fan starts shows the new number. The guarantee is below 4.0 pCi/L.
Radon mitigation cost in Medical Lake
Avista supplies electricity to Medical Lake and the surrounding area, according to the city's draft comprehensive plan, so a fan here runs at Avista's Washington rate. Because the ground shifts from gravel to basalt to damp lakeside soil, a pressure-field test before the quote shows how far suction will reach. A house with a crawl space next to a basement may need suction under both.
Starting prices include the electrical permit and the post-mitigation test. Bold: systems common in Medical Lake homes. Estimate your system →
- Spokane County Minor Home Repair (run by SNAP) (radon not named, ask): Repairs of immediate health and safety hazards for lower-income owners outside Spokane city limits. 509-456-7627
- USDA Section 504 Home Repair (radon not named, ask): 1% loans up to $40,000, and grants up to $10,000 for owners 62 or older, for very low incomes in eligible rural areas. Medical Lake lies inside USDA's eligible area. Check your address. 509-381-6722
for a typical 60-watt fan running around the clock. Energy charge only, at 2026 residential rates.
A 20-watt fan costs about a third of that, a 90-watt fan half again as much.
Getting a reliable number in Medical Lake
If your house was rebuilt after the fire, test once you have lived in it through a cold stretch; the code's radon features prepare a house for a fan but measure nothing. In older homes near the lakes, put the test on the lowest floor you actually live on, in winter, with the house closed.
Free kits from the state Department of Health are limited and take 8 to 10 weeks to arrive. The Spokane Regional Clean Air Agency points residents to do-it-yourself kits at local hardware stores, and National Radon Program Services, run by Kansas State University under an EPA agreement, sells short-term kits for $20 and long-term kits for $30.
Homes outside the city system that rely on private wells should follow the health district's advice to test well water for uranium and arsenic; about 13 percent of the county's residents drew on their own water supply in 2010. EPA asks for a fix at 4.0 pCi/L or higher and suggests considering one between 2 and 4.
Permits and local rules in Medical Lake
Medical Lake issues its own building permits but not electrical ones; those come from Washington L&I. L&I's fee for a house, effective July 2026, is $78.80 and covers up to four circuits.10
Spokane County is on the state's list of high radon potential counties, so houses built or rebuilt here follow Appendix F. The same rule bars unvented crawl spaces in these counties.3
The seller disclosure form used across Washington (Form 17) names radon gas in its environmental question. Sellers answer from what they know, so a test report on file helps.11
About 25–30 minutes from our shop.
Medical Lake at a glance
Area figures describe the neighborhood, not your home. Only a test tells you your number. Sources are listed at the end of this page.
Old rock at the surface around Medical Lake
Across most of the West Plains, ancient metasedimentary rock and younger plutonic rock lie buried under Columbia River basalt. Around Medical Lake the Missoula floods stripped the loess and basalt away, so the old rock stands in the open. Fancher Butte and Booth Hill are metasedimentary rock, while Olsen Hill, Riddle Hill and the upland between Medical Lake and West Medical Lake are intrusive rock.
Elsewhere basalt lies just below the surface, breaking through the topsoil in places and forming shallow basins in others. Soils follow the landforms: deep, well-drained ground on the uplands, formed in flood gravel, loess and volcanic ash, and soils from well drained to poorly drained around the shores. A thin sand-and-gravel aquifer near the surface rises and falls quickly with the weather. Ground conditions can change within a single neighborhood.
The census tract covering most of ZIP 99022 shows 37.8% of reported tests at or above 4.0 pCi/L, from 37 high results, while Spokane County as a whole stands at 47.0%. That tract holds nearly two-thirds of the ZIP's homes, so part of the area falls outside it. The U.S. Geological Survey calls the region's basalt generally low in uranium, but the state's radon data stop at the census tract and don't sort homes by rock type.
of reported results reached the action level in the main census tract of ZIP 990226
Medical Lake homes, from spa days to rebuilds
By the late 1870s spas, bathhouses, hotels and resorts lined the lake. The town incorporated in 1890, Eastern State Hospital was built the next year, and an electric interurban ran to Spokane from 1905 until about 1922. When the Army Air Corps depot that became Fairchild Air Force Base arrived early in World War II, the population doubled between 1940 and 1950.
Most housing is detached houses: the city's 2024 inventory counted 1,291 of them, 71 percent, plus 331 units in plexes of two to six and 204 apartments. Census survey numbers for a town this small carry very wide margins, so read the chart as a rough sketch; it suggests a large share of homes are older than 1980 and few were built after 2010. Growth is slow, with room for about 293 more units over 20 years.
On August 18, 2023, the Gray Fire burned 10,085 acres and destroyed 240 homes, 56 of them inside city limits, so part of today's housing is new. Those rebuilds fall under the current Spokane County code with its radon control methods; most older homes around them were built before those rules. Population counts here include residents of state institutions such as Eastern State Hospital, about 570 people in group quarters, while the housing figures leave them out.
Share of homes by year built. Source 4.
Medical Lake questions
Is Medical Lake higher or lower than the county average?
A little lower on paper: 37.8% of reported tests in the main census tract against 47.0% countywide. Because the tract misses about a third of the ZIP's homes, treat the figure as rough.
We rebuilt after the Gray Fire. Do we still need a radon test?
You do. A new house built to Spokane County's code has radon-resistant features, but only a measurement shows whether they keep the level down.
Does Medical Lake's building department handle the fan permit?
No, the city sends electrical permits to Washington L&I, and the $78.80 state fee for a house is already counted in the system price.
How much does a fan add to a Medical Lake power bill?
Avista serves the town, and at its October 2026 Washington rate a 60-watt fan comes to about $76 a year.
Does the old rock around the lake raise radon?
The state's radon data are reported by census tract and don't separate homes on the metamorphic and intrusive hills from those on basalt. A test in your own house is the way to find out.
ZIP codes: 99022
Sources for Medical Lake (17)
- Washington Tracking Network (WA Dept. of Health): Radon test results by county, 1990–2020
- City of Medical Lake: Comprehensive Plan 2046, Draft Part 1 (February 2026)
- Washington Administrative Code 51-51-60101: Appendix F, radon control methods
- U.S. Census Bureau: American Community Survey 2020–2024, Medical Lake city (tables B25034, B26001)
- City of Medical Lake: Shoreline Master Program, 2021 periodic update
- Washington Tracking Network (WA Dept. of Health): Radon test results by census tract, all years
- U.S. Geological Survey: Geologic Radon Potential of EPA Region 10, Washington chapter (Open-File Report 93-292-J)
- Avista Utilities: Calculating your residential electric bill, Washington (effective October 1, 2026)
- City of Medical Lake: Building Department
- Washington L&I: Residential electrical fee worksheet, July 2026
- Revised Code of Washington 64.06.020: Seller disclosure statement
- Washington State Department of Health: Radon
- Spokane Regional Clean Air Agency: It's National Radon Action Month (January 2026)
- National Radon Program Services (Kansas State University): Radon test kits
- Spokane Regional Health District: Drinking water (private wells)
- U.S. Geological Survey: Estimated use of water in the United States, county-level data for 2010
- U.S. EPA: What is EPA's action level for radon?
Find your number in Medical Lake.
48-hour test from $195. Mitigation from $1,295 with the post-test included.

