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) |
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) |
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.