2
*
Depending on your plan, these services may be preventive and covered at no cost or at a copay. For more information, see your Evidence of
Coverage or Summary Plan Description.
These estimated fees are valid starting January 1, 2023, and may change without notice.
The fees shown are for professional services only and do not include fees for facility or other services. The amount you’re actually charged
may be different depending on the care you get, the type of facility you visit, your plan details, and whether you’ve reached your deductible.
Your actual costs may vary
These are just sample fees. Members can get an estimate based on their plan details at kp.org.
2023 Kaiser Permanente estimated fees Northwest
SERVICE ESTIMATED FEES
Office visits
New patient visit, level 2 $167
New patient visit, level 3 $255
New patient visit, level 4 $380
New patient visit, level 5 (high severity) $502
Established patient visit, level 1 (low severity) $54
Established patient visit, level 2 $130
Established patient visit, level 3 $208
Established patient visit, level 4 $293
Established patient visit, level 5 (high severity) $412
Office visits (preventive)
Well-baby office visit, new patient (under 1 year)* $251
Well-child office visit, new patient (1 to 4 years)* $262
Well-child office visit, new patient (5 to 11 years)* $272
Well-child office visit, new patient (12 to 17 years)* $308
Well-adult office visit, new patient (18 to 39 years)* $299
Well-adult office visit, new patient (40 to 64 years)* $345
Well-adult office visit, new patient (65 and older)* $373
Well-baby office visit, established patient (under 1 year)* $227
Well-child office visit, established patient (1 to 4 years)* $241
Well-child office visit, established patient (5 to 11 years)* $240
Well-child office visit, established patient (12 to 17 years)* $262
Well-adult office visit, established patient (18 to 39 years)* $268
Well-adult office visit, established patient (40 to 64 years)* $287
Well-adult office visit, established patient (65 and older)* $309
Specialist consultations
Specialist visit, long $405
Specialist visit, short $198
Specialist visit, typical $272