Anthem (Elevance Health) employer health plans in Ohio
Who Anthem (Elevance Health) insures among Ohio employers and what those plans pay in premium and broker compensation, and what the Anthem (Elevance Health) network pays hospitals.
Anthem (Elevance Health) employer health plans in Ohio at a glance
What the data shows
Anthem (Elevance Health) insures 395 employer health plans in Ohio (28% of 1,408 insured large plans), 2nd of 8 carrier groups; regional insurers hold more.
Anthem (Elevance Health) has shrunk 17% in Ohio since 2020, from 477 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (294 plans); 21 cover 1,000 or more.
Median premium per person covered was $6,059, 8% below the Ohio all-carrier median of $6,598. Benefit design and group mix differ, so this is not a price comparison.
90% of these plans reported broker or agent pay on their Anthem (Elevance Health) contracts; where paid, the median was 3.0% of premium (middle half 2.2%–4.4%).
At Ohio hospitals, Anthem (Elevance Health)'s commercial rates run higher than other carriers' at the same hospital for 3 of 16 services; a hip or knee replacement stay has a median rate of $25,168 across 17 hospitals.
Anthem (Elevance Health) plans in Ohio, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 477 | 166,764 | 30% | $5,822 |
| 2021 | 481 | 184,175 | 33% | $5,887 |
| 2022 | 462 | 216,563 | 32% | $5,656 |
| 2023 | 419 | 178,690 | 29% | $5,717 |
| 2024 | 395 | 169,708 | 28% | $6,059 |
| 2025 (partial) | 298 | 173,347 | 31% | $6,529 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 45 | 11% |
| 100–499 | 294 | 74% |
| 500–999 | 34 | 9% |
| 1,000–4,999 | 18 | 5% |
| 5,000 or more | 3 | 1% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, Ohio |
|---|---|---|
| Median premium per person covered | $6,059 | $6,598 |
| Premium per person, middle half | $4,574–$8,254 | $3,981–$10,071 |
| Plans reporting broker or agent pay | 90% | 80% |
| Median broker pay, % of premium | 3.0% | 3.6% |
| Broker pay, middle half | 2.2%–4.4% | 2.4%–5.2% |
| Median broker pay per person covered | $195 | $233 |
Industries
Anthem (Elevance Health)'s Ohio employer clients are concentrated in manufacturing (97 plans) and professional and technical services (66), followed by health care and social assistance (41).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 97 | 25% |
| Professional and technical services | 66 | 17% |
| Health care and social assistance | 41 | 10% |
| Construction | 28 | 7% |
| Finance and insurance | 26 | 7% |
| Wholesale trade | 25 | 6% |
Anthem (Elevance Health) employer clients in Ohio
373 employers in Ohio have a Anthem (Elevance Health) major-medical contract, 21 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Anthem (Elevance Health) Prospect List for Ohio →
What the Anthem (Elevance Health) network pays hospitals in Ohio
Anthem (Elevance Health) commercial rates are on record at 30 Ohio hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Anthem (Elevance Health)'s rate is higher than the other carriers' median for 3 of 16 services and lower for 13. For MRI, lower back, the rate runs from $245 to $1,912 across 13 hospitals.
This page shows 3 of the 16 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 17 | $25,168 | $19,096–$38,695 | Higher | – |
| C-section delivery (hospital stay) | 15 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 16 | Locked | Locked | Lower | Locked |
| MRI, lower back | 13 | $1,065 | $245–$1,912 | Lower | $2,266 |
| MRI, knee | 11 | Locked | Locked | Lower | Locked |
| CT, head | 13 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 13 | Locked | Locked | Lower | Locked |
| Screening mammogram | 16 | Locked | Locked | Lower | Locked |
| Colonoscopy, diagnostic | 13 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 13 | Locked | Locked | Higher | Locked |
| Knee arthroscopy | 14 | Locked | Locked | Lower | Locked |
| Cataract surgery | 15 | Locked | Locked | Lower | Locked |
| Gallbladder removal, laparoscopic | 14 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 17 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 11 | $840 | $357–$1,940 | Lower | $1,334 |
| Comprehensive metabolic panel | 16 | Locked | Locked | Lower | Locked |
Hospitals with the most published Anthem (Elevance Health) rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Adena Regional Medical Center | $38,695 | Locked | Locked | Locked | Locked | Locked |
| Ashtabula County Medical Center | $18,908 | Locked | Locked | Locked | Locked | Locked |
| Surgical Hospital At Southwoods | $29,740 | Locked | Locked | Locked | Locked | Locked |
| Trinity Medical Center East | $20,927 | Locked | Locked | Locked | Locked | Locked |
| Uh Ahuja Medical Center | $23,880 | Locked | Locked | Locked | Locked | Locked |
| Uh Beachwood Medical Center | $21,000 | Locked | Locked | Locked | Locked | Locked |
| Uh Elyria Medical Center | $27,140 | Locked | Locked | Locked | Locked | Locked |
| Uh Parma Medical Center | $19,096 | Locked | Locked | Locked | Locked | Locked |
| Uh Portage Medical Center | $25,220 | Locked | Locked | Locked | Locked | Locked |
| Uh Tripoint Medical Center | $19,185 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 21%, fee schedules 18%, per diem 1%, percent of billed charges 39%, other 21% of Anthem (Elevance Health)'s published commercial rates for these services in Ohio.
Employers: see all 16 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Ohio
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 486 | 35% | $9,434 | 4.0% |
| Anthem (Elevance Health) | 395 | 28% | $6,059 | 3.0% |
| UnitedHealthcare | 254 | 18% | $6,059 | 3.3% |
| Cigna | 182 | 13% | $4,365 | 5.0% |
| Aetna | 108 | 8% | $5,877 | 1.4% |
| Kaiser Permanente | 72 | 5% | $9,657 | 3.4% |
| Blue Cross Blue Shield | 56 | 4% | $6,144 | 4.4% |
| Humana | 20 | 1% | $2,090 | 4.7% |
Anthem (Elevance Health) in other states
FAQ
How many Ohio employers have Anthem (Elevance Health) health insurance?
395 employer health plans in Ohio reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 169,708 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the Ohio insured employer market?
28% of insured large employer health plans, 2nd of 8 carrier groups by plan count.
How much do brokers earn on Anthem (Elevance Health) plans in Ohio?
Where broker or agent pay was reported, the median was 3.0% of premium (3.6% across all carriers in Ohio).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 395 Ohio employer health plans with a Anthem (Elevance Health) major-medical contract in their 2024 filings. Self-funded plans that Anthem (Elevance Health) only administers are not counted here.
- Premium and broker figures: 376 contracts with 20+ persons covered and a reported premium; broker percentages use the 350 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at Ohio hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.