Skip to main content

Transparency in Coverage

The Transparency in Coverage rule from the U.S. Departments of Health and Human Services, Labor, and Treasury requires health insurance issuers offering non-grandfathered health insurance coverage in the individual and group markets and group health plans to publicly disclose price information for covered items and services.

Please note:

  • For price information on specific procedures or services, eligible members should use our cost estimators. The provider rates in the files below are not specific to a member’s benefit plan out-of-pocket cost.
  • The files below are very large and in a JSON file format that’s impractical for direct consumer use. The goal of the Transparency in Coverage rule is to give researchers and third-party developers the comprehensive data they need to create solutions that help people understand the costs associated with health care, make better price comparisons and choose the care that’s right for them.

In-network provider-negotiated payment rates between plans and providers

These files include applicable in-network rates for certain HealthPartners networks, including rates from contracted network partners. Posted rates include negotiated rates, claims-derived amounts for providers who are reimbursed on a discount from billed charges and underlying fee schedule rates where reimbursement is based on another methodology.

Download table of contents (ZIP)

Network Markets National wrap? Network file
Open Access All Yes* Download now (ZIP)
HP Select Minnesota small group, large group, individual Yes (small group, large group)*

No (individual)
Download now (ZIP)
TieredChoice Minnesota small group, large group Yes* Download now (ZIP)
Robin Select NE Wisconsin small group, large group, individual No Download now (ZIP)
Robin Focused NE Wisconsin small group, large group Yes* Download now (ZIP)
Robin Oak NE Wisconsin individual No Download now (ZIP)
Achieve Minnesota large group Yes* Download now (ZIP)
Achieve SE Minnesota small group Yes* Download now (ZIP)
Peak Minnesota individual No Download now (ZIP)
Cornerstone Minnesota small group, large group, individual Yes (small group, large group)*

No (individual)
Download now (ZIP)

*Download national wrap files

A single employer may offer multiple networks. Employer names are repeated where applicable.

Network Employer National wrap? Network file
Coborn’s Coborn’s Yes* Download now (ZIP)
Essentia Capstone Classical Academy

Carr's Tree Service

Choice Bank

Christianson Companies

East River's Edge

Epic Management

Eventide

Fargo Public School District

FMI

JDS Moline dba Service Master by Moline

Johnson Laffen Galloway Ltd dba JLG Architects

Northern Plains Laboratory

Ohnstad Twichell

Peterson Farms Seed

Pillager School District

RD Staffing

SKL dba Home Heating, Plumbing & Air Conditioning

Small Wonders Preschool & Child Care Center

Swan Machine

Tellwell

Verndale ISD 818

Wallwork Truck Center

Western State Agency
Depends on plan* Download now (ZIP)
Essentia – ND Butler Machinery

Cloverdale Foods
Yes* Download now (ZIP)
Iowa Specialty Hospital Iowa Specialty Hospital Yes* Download now (ZIP)
Mahaska County Hospital Mahaska County Hospital Yes* Download now (ZIP)
MercyOne Tier 1 Academy Roofing & Sheet Metal

Accel Holdings

Ames Therapy & Consulting

Art's Way Manufacturing

Bergland And Cram Architects

Boys & Girls Home of Sioux City

Boys & Girls Residential Treatment Center

BubbaDSM dba Bubba Southern Comforts

Center For Siouxland

CF Financial dba Corporate Farmer

City of Tripoli

Connectify HR

DICA Marketing

Dr Greg J McCarthy dba Siouxland Podiatry Associates

E Ryan Steen & Associates

Family Services

Fiberutilities Group

First Reformed Church of Maurice

FM Controls

Forge Financial And Management

Greenwood Drug

Grey Dog Media

GSTC Logistics

Hickory Hill Farms

Hiway Truck Equipment

HS Occupational Wellness

Iowa City Reunion

Iowa Family Services

Iowa Municipal Insurance

JCG Land Services

Kline Electric

Laird, Heiny, McManigal, Winga, Duffy & Stambaugh

Le Mars Truck & Trailer

Life-Line Emergency Vehicles

M & W Hydraulics

Martin Brothers Distributing

Martinson Construction

Midwest Growth Partners

Mr Gutter

Nichols Rise & Company

Northeast Iowa Area Agency On Aging

Northland Products

Pella Regional Health Center

Petroblend

Prairie Lakes Church

Precision Millwright Specialists

Primary Health Care

Qualified Plan Consultants

R Perry Construction

Rock River Eye Care

Scottish Rite Park

Siouxland Women's Health Care

Tama County

The West Liberty Telephone

TKCO dba Express Employment Professionals of Cedar Rapids

United Community Services

Ver Hoef Automotive

Vetter's

Vision Electric

White Transfer & Storage

Young Parents Network

Zeutenhorst Financial
Depends on plan* Download now (ZIP)
Monument Health Caregiver Monument Health Depends on plan* Download now (ZIP)
Northern School District Trust Bayfield School District

CESA 12

Crandon School District

Hurley Schools

Mellen School District

Prentice School District

School District of Ashland

Solon Springs School District

South Shore School District

Washburn School District

Winter School District
Yes* Download now (ZIP)
Olivia – New Business Southern Minnesota Sugar Beet Cooperative Yes* Download now (ZIP)
Prestage Farms Prestage Farms Yes* Download now (ZIP)
Spencer – Mahaska Academy Roofing & Sheet Metal

Art's Way Manufacturing

Boys & Girls Home of Sioux City

Boys & Girls Residential Treatment Center

BubbaDSM dba Bubba Southern Comforts

E Ryan Steen & Associates

Family Services

JCG Land Services

M & W Hydraulics

Midwest Growth Advisors II

Northeast Iowa Area Agency On Aging

Pella Regional Health Center

Rock River Eye Care

Scottish Rite Park

United Community Services

Vetter's

White Transfer & Storage
Depends on plan* Download now (ZIP)
Spencer Hospital (IA) Spencer Hospital (IA) Yes* Download now (ZIP)
State of Minnesota State of Minnesota (SEGIP/PEIP) No Download now (ZIP)
State of WI ETF State of Wisconsin No Download now (ZIP)
Trinity Butler Machinery

Cloverdale Foods
Yes* Download now (ZIP)
UIHC Tier 1 Accel Holdings

Ames Therapy & Consulting

Art's Way Manufacturing

Bergland And Cram Architects

BGM School District

Bob Brown Chevrolet

Boys & Girls Home of Sioux City

Boys & Girls Residential Treatment Center

Center For Siouxland

City of Marshalltown

Compass Memorial Healthcare

Family Services

First Reformed Church of Maurice

FM Controls

Forge Financial And Management Consulting

Greater Regional Health Medical Center

Greenwood Drug

GSTC Logistics

Hawarden Regional Healthcare

Henning Companies

Hickory Hill Farms

Hiway Truck Equipment

HS Occupational Wellness

Innovative Injection Technologies (i2Tech)

Iowa Municipal Insurance

Iowa Specialty Hospital

JCG Land Services

Laird, Heiny, McManigal, Winga, Duffy & Stambaugh

Le Mars Truck & Trailer

Life-Line Emergency Vehicles

M & W Hydraulics

Marshall County

Martinson Construction

Midwest Growth Advisors II

Mr Gutter

Nichols Rise & Company

Northeast Iowa Area Agency On Aging

Northland Products

Northwest Iowa Mental Health

OPN Architects

Pella Regional Health Center

Petroblend

Prairie Lakes Church

Primary Health Care

R & R Realty Group

Rock River Eye Care

Schuster

Scottish Rite Park

Sioux City Truck Sales

Siouxland Women's Health Care

Summit Agricultural Group

Tama County

TDT CPAs and Advisors

The West Liberty Telephone

The Wittern Group

Total Component Solutions

Union County Iowa

United Community Services

University of Iowa Center for Advancement

Ver Hoef Automotive

Vetter's

Wartburg College

Waterloo Community School District

Wayne County Hospital

Worldwide Integrated Supply Chain Solutions

Young Parents Network

Zeutenhorst Financial
Depends on plan* Download now (ZIP)
UIHC Tier 2 2nd Adventure Group

Academy Roofing & Sheet Metal

BubbaDSM dba Bubba Southern Comforts

CDI

CF Financial dba Corporate Farmer

City of Tripoli

Connectify HR

Cook Plumbing

Dental Prosthetic Services

DGR Engineering

DICA Marketing

Dr Greg J McCarthy dba Siouxland Podiatry Associates

E Ryan Steen & Associates

Earlham Community School District

Express Employment Professionals of Cedar Rapids

Fiberutilities Group

Grey Dog Media

Iowa City Reunion

Kingsgate Insurance

Kline Electric

Martin Brothers Distributing

Precision Millwright Specialists

Prestage Farms

Qualified Plan Consultants

R Perry Construction

Spencer Hospital

Story Construction

VGM Group

Vision Electric

West Central Valley Community School District

White Transfer & Storage
Depends on plan* Download now (ZIP)
VGM Group VGM Group Yes* Download now (ZIP)
Waterloo Community School District Waterloo Community School District No Download now (ZIP)

*Download national wrap files

Allowed amounts for services provided by out-of-network (non-contracted) providers

This file includes historical payments to, and billed charges from, non-contracted providers. Rates are displayed only for providers with 20 or more claims to HealthPartners during the previous three-month reporting period.

Download now (JSON)

Back to top