As of July 2026, these are the insurance plans we accept:

First Choice Health Network (plans administered by)

  • HMA
  • ILWU
  • Kaiser PPO/Options plans
  • Lifewise Health Plan of WA
  • Premera Blue Cross (Blue card programs)
  • Regence Blue Shield

** We do not accept any DSHS plans: CHPW, Molina, Amerigroup etc.…... Tricare or Medicare/Med advantage Plans.

Administrative charges:

  • Prior Auth charges (for extensive paperwork): $50
  • Paperwork charges (letters for employers, HSA type accounts, FMLA, etc.): $50

 

CASH PAY SERVICE FEES 

New cash pricing effective: Sept. 8th 2026

  • NEW patient menopausal hormone/gynecological consultation: $475
    NEW patient gynecological annual examination: $475

  • ESTABLISHED patient follow-up on hormones/problems (in office or telemedicine)
    Follow-up under 15min:   $200
    Follow-up b/w 15-29min: $300
    Follow-up b/w 30-44min: $400
    Follow-up b/w 45-60min: $450
    ESTABLISHED annual gynecological examination: $400

For cash paying services, payment is due at time of service.

 

FOR INSURANCE AND CASH PAY PATIENTS: OTHER CASH PAY SERVICES OFFERED

PRICING is as follows:

  • Patient portal questions requiring Dr. Esser to refer to your chart, send prescriptions, or perform research to answer your question will be charged:

    5-10mins = $60

    11-20mins = $80

    21+mins = $100
  • All blood draws are a $40.00 nonrefundable fee.
  • Weight Loss Appointments are not covered by insurance: initial consultation is $250, follow-up appointments range from $150-$180. (Presently, I am unable to take on new weight loss patients)

These fees cannot be billed to your insurance and are expected to be paid in full within 30 days from your first statement.

I understand that if I fail to pay the balance on my account this may result in a bad debt on my account which will require payment in full prior to scheduling any further appointments or could result in the account being forwarded to an outside collection agency and permanent dismissal from the practice.  If this happens, I understand I will be responsible for all costs of collections, including but not limited to interest, rebilling fees, court costs, attorney fees, and collection agency costs.

The office offers telemedicine appointments.