This tool should be used only as a guide to determine estimated charges for health care services in the Kaiser Foundation Health Plan of the Northwest region. This tool shows estimated charges for some commonly used medical services-such as office visits, lab tests, X-rays, and prescription medicines-when provided at participating or select facilities by participating or select providers. When care or services are received from a PPO or nonparticipating provider at a PPO or nonparticipating facility, the charges may be different.
These charges are not specific to the plan coverage that you are considering. The amount of charges paid out-of-pocket will depend on the selected plan coverage and whether or not the provider is a participating or select provider. For Added Choice plans, the selected plan coverage may also include coverage for services at different levels of charges. Existing members can request an estimate of fees for common health services based on their current health plan at kp.org/memberestimates.
For Added Choice members, this tool does not provide estimates for services provided by nonparticipating and PPO providers or facilities.
The charges are updated on a calendar year basis. These estimated member charges are published as of , and are subject to change without notice. Prescription drug charges are published on a quarterly basis and are subject to change without notice.
The information that is entered into this tool cannot be linked directly to you. Any data that you input into the tool or the calculated results are not stored on our system.
We do not guarantee the accuracy of any particular charge, as these charges do not include the charges of unanticipated or unplanned treatment. As part of the office visit, additional procedures, tests, follow-up visits, etc. may be required to properly treat a condition. This may increase financial liability and should be considered when estimating charges.
The information displayed in this tool is not an indication of a covered benefit. Refer to the selected Evidence of Coverage or Agreement to determine what benefits are covered under the plan.
Membership Services is available to answer your questions 8 a.m. to 6 p.m., Monday through Friday.