Helping you find the right health care price
Everyone wants to make informed decisions about their health and find quality options that fit their budget. When you use your HealthPartners insurance, we can help you understand provider costs, estimate your out-of-pocket expenses and more. So the next time you see your doctor, you can focus more on your health and think less about what you’ll pay.
Our tools are available if you have any medical insurance plan with us (except Medicare or Medical Assistance).
3 things to keep in mind when comparing health care costs
Health care is different than other products and services. That’s because there isn’t always a set cost for everyone, and it can be hard to predict exactly what kind of care you’ll need before you get it. Even if you have insurance, these and several other factors impact what you’ll finally pay out of pocket.
We recommend keeping the below three things in mind when considering your health care options:
1. Whether your provider is in your plan’s network
One of the easiest ways to save money on your care is by going to an in-network provider. That’s because we’ve pre-negotiated reduced prices with these hospitals, clinics and pharmacies to help our members save money.
The easiest way to find an in-network provider or
During an emergency, you might not have time to pick an in-network provider. But don’t worry – emergency care (no matter where you get it in the United States) is always covered at in-network levels. For follow-up care after an emergency, be sure to use in-network providers for the best coverage.
2. Where (and from whom) you get care and prescriptions
Even if they’re all in network, different providers may charge different rates for the same service or the same medicine. Those rates can also be influenced by where you get care or fill a prescription – for example, you may pay less when you visit the doctor’s office versus the emergency room, or when you have outpatient surgery at a specialty center versus inpatient surgery at a hospital.
If you have time, shopping around before your appointment, procedure, test or pharmacy visit is the best way to estimate costs and decide where to go. Most HealthPartners members can
3. Your provider’s cost and quality ratings
Cost isn’t the only reason to shop around for health care – it’s just as important to consider provider quality to prevent complications that may require more treatment in the future. You also want to be sure you’re getting the right value for your money.
When available, you’ll see cost and quality ratings on a four-star scale when you
More health care price transparency resources
Machine-readable files (for health care industry professionals)
The
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 formats that are 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.
| Network | Markets | National Wrap? | Network file |
|---|---|---|---|
| Open Access | All | Yes* | |
| HP Select | Minnesota small group, large group, individual | Yes (small group, large group)* No (individual) | |
| TieredChoice | Minnesota small group, large group | Yes* | |
| Robin Select | NE Wisconsin small group, large group, individual | No | |
| Robin Focused | NE Wisconsin small group, large group | Yes* | |
| Robin Oak | NE Wisconsin individual | No | |
| Achieve | Minnesota large group | Yes* | |
| Achieve SE | Minnesota small group | Yes* | |
| Peak | Minnesota individual | No | |
| Cornerstone | Minnesota small group, large group, individual | Yes (small group, large group)* No (individual) |
A single employer may offer multiple networks. Employer names are repeated where applicable.
| Network | Employers | National wrap? | Network file |
|---|---|---|---|
| Coborn’s | Coborn’s | Yes* | |
| Essentia | Butler Machinery Capstone Classical Academy Carr's Tree Service Choice Financial Christianson Companies Cloverdale Foods East River's Edge Eventide Fargo Public School District FMI JDS Moline d/b/a Service Master by Moline Johnson Laffen Galloway Ltd d/b/a JLG Architects Northern Plains Laboratory Peterson Farms Seed SKL d/b/a Home Heating, Plumbing & Air Conditioning Small Wonders Preschool & Child Care Center Tellwell Western State Agency | Depends on plan* | |
| Essentia – ND | Butler Machinery Cloverdale Foods | Yes* | |
| MercyOne Tier 1 | Academy Roofing & Sheet Metal Accel Holdings BubbaDSM d/b/a Bubba Southern Comforts Connectify HR Dr Greg J McCarthy d/b/a Siouxland Podiatry Associates Forge Financial And Management Grey Dog Media Hickory Hill Farms Iowa City Reunion Kline Electric Midwest Growth Advisors II Northeast Iowa Area Agency On Aging Petroblend Prairie Lakes Church Precision Millwright Specialists Primary Health Care Siouxland Women's Health Care Tama County TKCO d/b/a Express Employment Professionals of Cedar Rapids Young Parents Network | Depends on plan* | |
| Monument Health Caregiver | Monument Health | Depends on plan* | |
| Northern School District Trust | Bayfield School District CESA 12 Crandon School District Hurley Schools Prentice School District School District of Ashland Solon Springs School District South Shore School District Washburn School DistrictWinter School District | Yes* | |
| Olivia – New Business | Southern Minnesota Beet Sugar Cooperative | Yes* | |
| Spencer – Mahaska | Academy Roofing & Sheet Metal BubbaDSM d/b/a Bubba Southern Comforts Midwest Growth Advisors II Northeast Iowa Area Agency On Aging | Depends on plan* | |
| Spencer Hospital (IA) | Spencer Hospital (IA) | Yes* | |
| State of Minnesota | State of Minnesota (SEGIP/PEIP) | No | |
| State of WI ETF | State of Wisconsin | No | |
| Trinity | Butler Machinery Cloverdale Foods Dakota Fence Company dba DFC | Yes* | |
| UIHC Tier 1 | Accel Holdings BGM Community School District Bob Brown Chevrolet City of Marshalltown Compass Memorial Healthcare Forge Financial And Management Consulting Hawarden Regional Healthcare Hickory Hill Farms Innovative Injection Technologies (i2Tech) Marshall County Midwest Growth Advisors II Northeast Iowa Area Agency On Aging Petroblend Prairie Lakes Church Primary Health Care Schuster Siouxland Women's Health Care Summit Agricultural Group Tama County Total Component Solutions University of Iowa Center for Advancement Wartburg College Waterloo Community School District Young Parents Network | Depends on plan* | |
| UIHC Tier 2 | Academy Roofing & Sheet Metal BubbaDSM d/b/a Bubba Southern Comforts Connectify HR Dental Prosthetic Services DGR Engineering Dr Greg J McCarthy d/b/a Siouxland Podiatry Associates Earlham Community School District Grey Dog Media Iowa City Reunion Kline Electric Precision Millwright Specialists Story Construction TKCO d/b/a Express Employment Professionals of Cedar Rapids VGM Group | Depends on plan* | |
| VGM Group | VGM Group | Yes* | |
| Waterloo Community School District | Waterloo Community School District | No |
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.