Kaiser Permanente employer health plans in Oregon
Who Kaiser Permanente insures among Oregon employers and what those plans pay in premium and broker compensation, and what the Kaiser Permanente network pays hospitals.
Kaiser Permanente employer health plans in Oregon at a glance
What the data shows
Kaiser Permanente insures 218 employer health plans in Oregon (35% of 623 insured large plans), 2nd of 7 carrier groups; regional insurers hold more.
The Kaiser Permanente book in Oregon has held steady since 2020 (224 plans then).
Most of these plans cover 100–499 people (118 plans); 14 cover 1,000 or more.
Median premium per person covered was $8,091, 8% above the Oregon all-carrier median of $7,482. Benefit design and group mix differ, so this is not a price comparison.
79% of these plans reported broker or agent pay on their Kaiser Permanente contracts; where paid, the median was 2.8% of premium (middle half 1.4%–3.2%).
At Oregon hospitals, Kaiser Permanente's commercial rates run higher than other carriers' at the same hospital for 1 of 14 services; a hip or knee replacement stay has a median rate of $36,636 across 7 hospitals.
Kaiser Permanente plans in Oregon, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 224 | 86,772 | 34% | $6,256 |
| 2021 | 244 | 89,256 | 37% | $6,564 |
| 2022 | 225 | 85,304 | 35% | $6,779 |
| 2023 | 232 | 80,761 | 36% | $7,243 |
| 2024 | 218 | 74,349 | 35% | $8,091 |
| 2025 (partial) | 137 | 59,749 | 32% | $7,241 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 61 | 28% |
| 100–499 | 118 | 54% |
| 500–999 | 24 | 11% |
| 1,000–4,999 | 13 | 6% |
| 5,000 or more | 1 | 0% |
Premiums and broker pay
| Measure | Kaiser Permanente | All carriers, Oregon |
|---|---|---|
| Median premium per person covered | $8,091 | $7,482 |
| Premium per person, middle half | $6,726–$9,266 | $5,654–$9,520 |
| Plans reporting broker or agent pay | 79% | 80% |
| Median broker pay, % of premium | 2.8% | 3.0% |
| Broker pay, middle half | 1.4%–3.2% | 2.2%–3.8% |
| Median broker pay per person covered | $204 | $222 |
Industries
Kaiser Permanente's Oregon employer clients are concentrated in health care and social assistance (57 plans) and manufacturing (42), followed by professional and technical services (21).
| Industry | Plans | Share |
|---|---|---|
| Health care and social assistance | 57 | 26% |
| Manufacturing | 42 | 19% |
| Professional and technical services | 21 | 10% |
| Other services | 19 | 9% |
| Construction | 14 | 6% |
| Retail trade | 10 | 5% |
Kaiser Permanente employer clients in Oregon
207 employers in Oregon have a Kaiser Permanente major-medical contract, 14 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Kaiser Permanente Prospect List for Oregon →
What the Kaiser Permanente network pays hospitals in Oregon
Kaiser Permanente commercial rates are on record at 10 Oregon hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Kaiser Permanente's rate is higher than the other carriers' median for 1 of 14 services and lower for 13. For Emergency visit, level 4, the rate runs from $89 to $937 across 6 hospitals.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 7 | $36,636 | $16,223–$46,100 | Lower | – |
| MRI, lower back | 5 | $530 | $530–$536 | Lower | – |
| Emergency visit, level 4 | 6 | $928 | $89–$937 | Lower | – |
Hospital-by-hospital Kaiser Permanente rates for Oregon are in the Plan Cost Benchmark; this page shows them once 15 or more hospitals' files include them.
How the contracts are written: case rates 9%, fee schedules 82%, per diem 0%, percent of billed charges 4%, other 5% of Kaiser Permanente's published commercial rates for these services in Oregon.
Employers: request hospital prices near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Oregon
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 227 | 36% | $7,748 | 3.0% |
| Kaiser Permanente | 218 | 35% | $8,091 | 2.8% |
| Blue Cross Blue Shield | 142 | 23% | $7,416 | 3.2% |
| UnitedHealthcare | 81 | 13% | $6,301 | 3.1% |
| Cigna | 43 | 7% | $3,322 | 8.6% |
| Aetna | 25 | 4% | $5,649 | 3.2% |
| Anthem (Elevance Health) | 2 | 0% | $4,767 | 3.2% |
Kaiser Permanente in other states
FAQ
How many Oregon employers have Kaiser Permanente health insurance?
218 employer health plans in Oregon reported a Kaiser Permanente major-medical contract in their 2024 filings, covering 74,349 persons. Self-funded plans that Kaiser Permanente only administers are not counted.
What is Kaiser Permanente's share of the Oregon insured employer market?
35% of insured large employer health plans, 2nd of 7 carrier groups by plan count.
How much do brokers earn on Kaiser Permanente plans in Oregon?
Where broker or agent pay was reported, the median was 2.8% of premium (3.0% across all carriers in Oregon).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 218 Oregon employer health plans with a Kaiser Permanente major-medical contract in their 2024 filings. Self-funded plans that Kaiser Permanente only administers are not counted here.
- Premium and broker figures: 200 contracts with 20+ persons covered and a reported premium; broker percentages use the 171 contracts that reported broker or agent pay.
- Hospital prices: Kaiser Permanente commercial rates at Oregon hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.