IDR Fees

Federal IDR fee guide

Federal IDR administrative fee.

The Federal IDR administrative fee is the government fee attached to Federal Independent Dispute Resolution participation. It is separate from the certified IDR entity fee.

Important: This is a general information site about Federal IDR fees under the No Surprises Act. It is not legal, billing, coding, tax, or compliance advice. Always check the current CMS and Federal IDR portal instructions before filing or paying fees.

Administrative fee in plain English

The administrative fee is not the arbitrator or certified IDR entity fee. It is the government administrative charge associated with the Federal IDR process. For disputes initiated on or after June 11, 2026, that amount is $15 per party per dispute.

Who should care about it?

Providers, facilities, air ambulance providers, health plans, issuers, billing companies, IDR vendors, and law firms all need to account for the administrative fee when deciding whether to move a dispute forward.

What the fee does not include

Related IDR fee guides

Current Federal IDR fees

Administrative fees, certified IDR entity fees, and what changed in 2026.

Federal IDR administrative fee

What the government administrative fee is, who pays it, and when it matters.

Certified IDR entity fees

The separate fee paid to the certified IDR entity that decides the dispute.

Who pays IDR fees?

How payment responsibility works and what happens when one side prevails.

Batching and IDR fees

Why batching can change the economics of filing Federal IDR disputes.

IDR fee examples

Simple scenarios for estimating administrative and entity fee exposure.

Refunds and settlements

What to consider when parties settle or ask whether IDR fees are refundable.

Official resources

Use official sources for current Federal IDR fee amounts, certified IDR entity fees, portal instructions, deadlines, and dispute rules. This site is informational and may not reflect every later CMS update.

Managing fees is only one part of the IDR workflow

Federal IDR fees affect dispute economics, but teams also need to track open negotiation windows, initiation deadlines, certified IDR entity selection, evidence, offers, determinations, and payment follow-up.

For teams handling recurring IDR volume, see IDR claims processing automation.

FAQ

What are IDR fees?

IDR fees are the costs associated with using the Federal Independent Dispute Resolution process under the No Surprises Act. They include a government administrative fee and a separate certified IDR entity fee.

What is the current Federal IDR administrative fee?

The Federal IDR administrative fee is $15 per party per dispute for disputes initiated on or after June 11, 2026, according to the 2026 Federal IDR operations rule summarized by CMS-related guidance.

Is the administrative fee the only IDR fee?

No. The certified IDR entity fee is separate and can be a larger part of the per-dispute cost analysis.