Ranking

Top payers by spend

Ranked by estimated total negotiated dollars (rate volume × median paid), descending. Figures cover shoppable procedures (DRGs) only.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Payer	Est. total $ (volume×median)	Median paid (shoppable)	p25	p75	Hospitals	Rate volume

Aetna	$7,463,972,940	$10,284	$1,901	$23,903	247	725,785
Prime Health Services	$6,746,690,341	$20,184	$12,887	$35,405	70	334,259
UnitedHealthcare	$6,550,087,166	$10,411	$2,431	$23,876	267	629,147
Cigna Healthcare	$3,719,312,808	$11,394	$1,781	$25,828	209	326,417
Humana	$3,318,102,862	$11,388	$5,480	$21,508	203	291,380
Blue Cross Blue Shield Association	$2,752,305,302	$7,820	$1,532	$26,566	93	351,959
Molina Healthcare	$2,611,250,111	$11,507	$5,605	$22,318	124	226,934
Anthem (Elevance Health)	$2,043,003,080	$9,732	$2,050	$22,947	87	209,919
Galaxy Health Network	$1,731,735,199	$32,164	$19,079	$56,365	63	53,840
Health Net	$1,664,678,343	$17,150	$9,015	$33,658	24	97,068
TRICARE	$1,545,901,852	$15,203	$9,065	$27,007	117	101,684
MultiPlan	$1,540,597,360	$23,981	$13,169	$37,664	76	64,242
Centene	$1,170,531,903	$12,570	$6,038	$24,248	68	93,119
CareSource	$1,151,127,404	$10,324	$4,671	$22,140	56	111,501
WellCare Health Plans	$1,093,825,245	$11,205	$5,546	$20,254	94	97,621
Provider Network of America (PNOA)	$946,420,916	$17,885	$11,872	$30,011	65	52,916
Highmark BCBS	$938,521,603	$14,714	$4,983	$30,073	19	63,784
Sentara Health Plans	$929,021,625	$16,853	$8,876	$28,241	19	55,125
Zing Health Consolidator, Inc	$896,288,951	$15,446	$10,321	$25,956	21	58,029
Medicare (Generic)	$848,200,669	$13,706	$8,607	$22,742	59	61,884
UPMC Health Plan	$813,959,698	$12,848	$4,644	$26,313	28	63,355
Anthem BCBS of Wisconsin	$788,720,468	$35,120	$8,432	$65,638	4	22,458
HealthPartners	$729,953,786	$14,517	$6,928	$25,282	33	50,283
Medica	$723,726,566	$8,607	$3,121	$21,533	27	84,082
Gold Kidney Health Plan	$692,206,915	$16,409	$11,016	$26,132	17	42,185
CURATIVE	$649,570,321	$20,286	$13,407	$32,095	14	32,021
AvMed	$643,952,619	$6,601	$1,920	$20,236	21	97,547
Blue Shield of California	$641,932,032	$16,296	$9,554	$30,936	22	39,392
AmeriHealth Caritas	$628,864,067	$9,310	$4,389	$18,875	43	67,546
Buckeye Health Plan	$612,498,145	$12,923	$7,485	$23,482	20	47,395
MultiPlan / PHCS Network	$552,187,200	$1,700	$1,700	$1,700	75	324,816
BCBS of Minnesota	$536,567,481	$16,460	$8,607	$35,908	8	32,598
Security Health Plan of Wisconsin	$525,335,482	$12,808	$6,397	$28,456	14	41,017
Independence BCBS	$503,698,220	$17,504	$9,945	$30,929	8	28,777
BLUE CARE NETWORK OF MICHIGAN	$502,585,776	$26,592	$16,738	$45,271	6	18,900
Devoted Health	$496,183,924	$12,699	$7,616	$20,670	49	39,074
Centers for Medicare & Medicaid Services	$471,548,714	$13,291	$8,673	$21,524	3	35,480
Sanford Health	$449,327,728	$19,216	$11,763	$30,984	16	23,383
CarePlus (Encounters)	$440,095,819	$15,076	$9,841	$24,603	16	29,192
Sunshine Health	$432,547,654	$7,440	$3,024	$15,555	22	58,135
HEALTHSMART BENEFIT SOLUTIONS	$429,674,979	$2,130	$2,041	$2,220	64	201,678
EMPLOYER DIRECT HEALTHCARE	$404,584,944	$19,985	$13,399	$31,574	28	20,244
United Behavioral Health (Optum)	$380,323,548	$10,087	$6,220	$18,346	28	37,705
Anthem Blue Cross CA	$377,502,922	$13,990	$7,966	$24,505	12	26,984
Geisinger Health Plan	$369,593,642	$20,732	$9,977	$41,449	10	17,827
HAP (Health Alliance Plan)	$362,268,372	$14,543	$9,637	$23,659	7	24,910
Kaiser Permanente	$346,347,204	$16,142	$8,873	$31,141	15	21,456
Superior HealthPlan	$335,860,074	$14,880	$7,647	$28,746	11	22,572
Oscar Health	$329,536,213	$12,458	$3,957	$23,471	36	26,451
Amerigroup	$318,472,239	$8,697	$1,350	$19,871	31	36,618
MBS (Formerly MedCost Benefit Services)	$317,768,772	$20,221	$10,534	$37,308	12	15,715
Virginia Health Network	$311,977,270	$31,405	$20,498	$54,944	5	9,934
Simply Healthcare Plans	$310,377,475	$9,859	$5,425	$17,409	22	31,481
ALIGN SENIOR CARE (FL)	$303,369,493	$8,037	$2,090	$21,526	15	37,745
AMERIHEALTH NEW JERSEY (NON-HMO)	$296,621,898	$11,222	$2,907	$20,679	13	26,431
EVOLUTIONS HEALTHCARE SYSTEMS	$263,567,107	$22,729	$14,668	$37,475	7	11,596
BRAND NEW DAY (FFS)	$256,295,319	$16,441	$10,421	$27,071	13	15,589
Dean Health Plan (a Medica company)	$255,685,750	$26,373	$14,043	$44,054	4	9,695
Medi-Cal	$248,999,980	$12,386	$6,672	$22,263	15	20,103
Local Initiative Health Authority for LA County	$246,635,605	$13,969	$8,140	$23,428	5	17,656
WPS HEALTH INSURANCE	$244,272,951	$25,822	$15,068	$45,837	10	9,460
VA / CHAMPVA	$234,291,222	$13,113	$8,594	$21,484	24	17,867
Alignment Healthcare USA, LLC	$232,153,045	$12,936	$5,603	$21,332	20	17,946
Medicaid (Generic)	$221,501,557	$10,808	$5,890	$20,987	15	20,495
Imperial Health Plan of California	$217,416,827	$16,770	$11,044	$26,700	15	12,965
Clear Spring Health	$216,376,083	$11,448	$2,708	$21,151	23	18,900
BCBS of Florida (Florida Blue)	$215,130,209	$16,746	$10,487	$29,980	5	12,847
Midlands Choice	$211,187,227	$19,622	$2,508	$34,245	12	10,763
MODA HEALTH - ODS MEDICAL	$209,235,847	$40,015	$22,100	$67,434	3	5,229
Horizon BCBS of NJ	$206,791,341	$16,765	$9,544	$31,908	5	12,335
MDwise	$199,270,427	$22,413	$12,687	$40,924	5	8,891
Meridian Health Plan of Illinois	$192,822,503	$3,011	$1,500	$13,494	32	64,030
PHCS (Private Healthcare Systems)	$189,878,271	$20,532	$12,620	$37,398	22	9,248
CORVEL	$188,703,707	$12,847	$6,349	$23,482	21	14,689
Custom Design Benefits, Inc.	$181,792,401	$21,779	$14,045	$34,765	13	8,347
MCLAREN HEALTH PLAN (MHP) COMMERCIAL	$173,280,856	$9,187	$5,422	$15,207	7	18,862
Three Rivers Provider Network	$171,560,630	$19,103	$12,694	$31,974	10	8,981
The Health Plan of West Virginia, Inc.	$165,172,975	$1,745	$1,745	$1,874	19	94,655
BCBS of Texas	$164,506,058	$15,351	$9,118	$29,780	7	10,716
BCBS of Hawaii (HMSA)	$164,190,974	$22,849	$10,896	$44,157	5	7,186
UMR (UnitedHealthcare TPA)	$163,199,902	$26,886	$15,884	$46,144	12	6,070
Fallon Health	$159,361,928	$17,108	$10,531	$28,055	6	9,315
AIDS Healthcare Foundation	$155,933,524	$14,057	$8,171	$23,588	4	11,093
Medical Mutual of Ohio	$150,021,184	$2,588	$2,588	$9,357	17	57,968
BCBS of North Dakota	$149,096,857	$4,753	$3,421	$54,288	8	31,369
INLAND EMPIRE HEALTH PLAN	$145,204,404	$17,139	$9,567	$29,983	3	8,472
VAYA HEALTH	$143,761,630	$15,795	$10,013	$26,564	4	9,102
Clover Health	$139,985,661	$16,168	$10,617	$26,281	9	8,658
Itasca County	$138,706,668	$14,876	$8,189	$26,745	7	9,324
Sagamore Health Network	$135,639,283	$24,711	$16,042	$37,547	6	5,489
Naphcare Inc	$135,219,908	$1,951	$1,951	$9,946	76	69,308
WellMed Medical Management (UHC subsidiary)	$132,842,393	$13,359	$9,097	$20,876	11	9,944
Evernorth Health Services	$127,146,474	$19,406	$9,517	$38,093	12	6,552
Provider Partners Health Plan (PPHP)	$126,276,440	$12,395	$5,145	$20,155	15	10,188
VA COMMUNITY CARE NETWORK	$125,567,878	$13,864	$9,113	$22,269	17	9,057
CALOPTIMA	$124,504,030	$13,183	$7,249	$23,343	5	9,444
MHN (Managed Health Network)	$122,641,392	$14,642	$8,846	$22,857	9	8,376
PGBA TRIWEST VA CCN	$118,799,242	$13,935	$9,404	$21,891	13	8,525
Harvard Pilgrim Health Care	$117,688,885	$16,416	$7,304	$33,646	11	7,169
Paramount Health Care	$114,670,046	$10,633	$6,064	$19,586	12	10,784