UnitedHealth Group CEO Stephen Hemsley topped the list of the highest-paid payer CEOs in 2025 — and it wasn’t by a small margin.

The caveat is, as Mr. Hemsley stepped back into the C-suite in 2025, his compensation package included a one-time $60 million equity award. Former CEO Andrew Witty trailed Mr. Hemsley in the overall ranking.

CEOs at Elevance Health, CVS Health and Humana saw pay bumps from 2024.

Here are the highest-paid CEOs, in order:

1. Stephen Hemsley, UnitedHealth Group

Salary: $596,154

Option awards: $60,000,024

Other compensation: $341,884

Total: $60,938,062

2. Andrew Witty, UnitedHealth Group (former CEO)

Salary: $903,846

Stock awards: $17,250,591

Option awards: $5,750,048

Other compensation: $694,887

Total: $24,599,372

3. David Cordani, Cigna Group

Salary: $1,600,000

Stock awards: $13,929,161

Option awards: $3,400,019

Non-equity incentive plan compensation: $3,200,000

Change in pension value and deferred compensation: $97,562

Other compensation: $639,392

Total compensation: $22,866,134

4. Gail Boudreaux, Elevance Health

Salary: $1,600,000

Stock awards: $13,440,277

Option awards: $4,199,765

Non-equity incentive plan compensation: $2,788,000

Other compensation: $574,272

Total compensation: $22,582,314

5. David Joyner, CVS Health

Salary: $1,500,000

Stock awards: $14,499,931

Non-equity incentive plan compensation: $4,695,900

Other compensation: $453,609

Total: $21,214,084

6. Sarah London, Centene

Salary: $1,473,077

Stock awards: $15,537,733

Non-equity incentive plan compensation: $2,109,446

Other compensation: $386,042

Total compensation: $19,506,298

7. Jim Rechtin, Humana

Salary: $1,348,558

Stock Awards: $13,868,141

Non-Equity Incentive Plan: $3,034,740

Other Compensation: $505,636

Total: $18,757,075

8. Joseph Zubretsky, Molina Healthcare

Salary: $1,600,000

Stock awards: $16,199,988

Other compensation: $540,795

Total compensation: $18,340,783

Editor’s note: This list only reflects the compensation categories each person received.

The post Highest-paid payer CEOs in 2025 appeared first on Becker's Hospital Review | Healthcare News & Analysis.