Blue Cross Blue Shield employer health plans in Oregon
Who Blue Cross Blue Shield insures among Oregon employers and what those plans pay in premium and broker compensation, and what the Blue Cross Blue Shield network pays hospitals.
Blue Cross Blue Shield employer health plans in Oregon at a glance
What the data shows
Blue Cross Blue Shield insures 142 employer health plans in Oregon (23% of 623 insured large plans), 3rd of 7 carrier groups; Kaiser Permanente (218) hold more.
Blue Cross Blue Shield has grown 7% in Oregon since 2020, from 133 plans.
Most of these plans cover 100–499 people (80 plans); 7 cover 1,000 or more.
Median premium per person covered was $7,416, 1% below the Oregon all-carrier median of $7,482. Benefit design and group mix differ, so this is not a price comparison.
78% of these plans reported broker or agent pay on their Blue Cross Blue Shield contracts; where paid, the median was 3.2% of premium (middle half 2.0%–3.9%).
At Oregon hospitals, Blue Cross Blue Shield's commercial rates run higher than other carriers' at the same hospital for 6 of 14 services; a hip or knee replacement stay has a median rate of $37,922 across 17 hospitals.
Blue Cross Blue Shield plans in Oregon, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 133 | 62,447 | 20% | $6,292 |
| 2021 | 134 | 46,815 | 20% | $6,727 |
| 2022 | 126 | 41,100 | 20% | $7,195 |
| 2023 | 134 | 40,722 | 21% | $7,322 |
| 2024 | 142 | 1,044,923 | 23% | $7,416 |
| 2025 (partial) | 99 | 28,489 | 23% | $7,791 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 36 | 25% |
| 100–499 | 80 | 56% |
| 500–999 | 18 | 13% |
| 1,000–4,999 | 6 | 4% |
| 5,000 or more | 1 | 1% |
Premiums and broker pay
| Measure | Blue Cross Blue Shield | All carriers, Oregon |
|---|---|---|
| Median premium per person covered | $7,416 | $7,482 |
| Premium per person, middle half | $5,902–$9,981 | $5,654–$9,520 |
| Plans reporting broker or agent pay | 78% | 80% |
| Median broker pay, % of premium | 3.2% | 3.0% |
| Broker pay, middle half | 2.0%–3.9% | 2.2%–3.8% |
| Median broker pay per person covered | $236 | $222 |
Industries
Blue Cross Blue Shield's Oregon employer clients are concentrated in manufacturing (38 plans) and health care and social assistance (20), followed by professional and technical services (20).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 38 | 27% |
| Health care and social assistance | 20 | 14% |
| Professional and technical services | 20 | 14% |
| Retail trade | 12 | 8% |
| Construction | 9 | 6% |
| Transportation and warehousing | 9 | 6% |
Blue Cross Blue Shield employer clients in Oregon
137 employers in Oregon have a Blue Cross Blue Shield major-medical contract, 7 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 Blue Cross Blue Shield Prospect List for Oregon →
What the Blue Cross Blue Shield network pays hospitals in Oregon
Blue Cross Blue Shield commercial rates are on record at 28 Oregon hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Blue Cross Blue Shield's rate is higher than the other carriers' median for 6 of 14 services and lower for 7. For Hip or knee replacement (hospital stay), the rate runs from $24,775 to $65,074 across 17 hospitals.
This page shows 3 of the 14 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 | $37,922 | $24,775–$65,074 | Lower | – |
| C-section delivery (hospital stay) | 17 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 17 | Locked | Locked | About the same | Locked |
| MRI, lower back | 12 | $942 | $919–$1,173 | Higher | $1,283 |
| MRI, knee | 13 | Locked | Locked | Higher | Locked |
| CT, head | 12 | Locked | Locked | Higher | Locked |
| CT, abdomen and pelvis | 12 | Locked | Locked | Higher | Locked |
| Colonoscopy, diagnostic | 15 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 13 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 14 | Locked | Locked | Lower | Locked |
| Cataract surgery | 13 | Locked | Locked | Lower | Locked |
| Gallbladder removal, laparoscopic | 14 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 14 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 13 | $1,489 | $817–$1,858 | Higher | $790 |
Hospitals with the most published Blue Cross Blue Shield rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Chi Mercy Medical Center | $36,063 | Locked | Locked | Locked | Locked | Locked |
| Legacy Emanuel Medical Center | $37,922 | Locked | Locked | Locked | Locked | Locked |
| Legacy Good Samaritan Medical Center | $37,922 | Locked | Locked | Locked | Locked | Locked |
| Legacy Meridian Park Medical Center | $37,922 | Locked | Locked | Locked | Locked | Locked |
| Legacy Mount Hood Medical Center | $37,922 | Locked | Locked | Locked | Locked | Locked |
| Legacy Silverton Hospital | $30,736 | Locked | Locked | Locked | Locked | Locked |
| Providence Medford Medical Center | $47,352 | Locked | Locked | Locked | Locked | Locked |
| Providence Milwaukie Hospital | $47,960 | Locked | Locked | Locked | Locked | Locked |
| Providence Portland Medical Center | $47,960 | Locked | Locked | Locked | Locked | Locked |
| Providence St Vincent Medical Center | $47,960 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 9%, fee schedules 65%, per diem 1%, percent of billed charges 17%, other 9% of Blue Cross Blue Shield's published commercial rates for these services in Oregon.
Employers: see all 14 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 Oregon
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 227 | 36% | $7,748 | 3.0% |
| Kaiser Permanente | 218 | 35% | $8,091 | 2.8% |
| Blue Cross Blue Shield | 142 | 23% | $7,416 | 3.2% |
| UnitedHealthcare | 81 | 13% | $6,301 | 3.1% |
| Cigna | 43 | 7% | $3,322 | 8.6% |
| Aetna | 25 | 4% | $5,649 | 3.2% |
| Anthem (Elevance Health) | 2 | 0% | $4,767 | 3.2% |
Blue Cross Blue Shield in other states
FAQ
How many Oregon employers have Blue Cross Blue Shield health insurance?
142 employer health plans in Oregon reported a Blue Cross Blue Shield major-medical contract in their 2024 filings, covering 1,044,923 persons. Self-funded plans that Blue Cross Blue Shield only administers are not counted.
What is Blue Cross Blue Shield's share of the Oregon insured employer market?
23% of insured large employer health plans, 3rd of 7 carrier groups by plan count.
How much do brokers earn on Blue Cross Blue Shield plans in Oregon?
Where broker or agent pay was reported, the median was 3.2% of premium (3.0% across all carriers in Oregon).
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 142 Oregon employer health plans with a Blue Cross Blue Shield major-medical contract in their 2024 filings. Self-funded plans that Blue Cross Blue Shield only administers are not counted here.
- Premium and broker figures: 126 contracts with 20+ persons covered and a reported premium; broker percentages use the 110 contracts that reported broker or agent pay.
- Hospital prices: Blue Cross Blue Shield commercial rates at Oregon hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.