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Condensed Financial Information of Registrant - Condensed Statements of Operations (Details) - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Expenses:      
Selling, general and administrative expenses $ 11,589 $ 9,601 $ 9,380
Legal settlement 0 1,250 0
Other income (expense):      
Investment and other income 1,279 819 480
Gain on divestiture 772 88 104
Debt extinguishment 30 (125) (61)
Interest expense (665) (665) (728)
Income tax benefit 760 477 979
Net earnings 1,202 1,336 1,794
Loss attributable to noncontrolling interests 0 11 14
Net earnings attributable to Centene Corporation $ 1,202 $ 1,347 $ 1,808
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 2.09 $ 2.31 $ 3.17
Diluted earnings per common share (in usd per share) $ 2.07 $ 2.28 $ 3.12
Parent Company      
Expenses:      
Selling, general and administrative expenses $ 21 $ 9 $ 13
Contingent consideration 0 0 (1)
Legal settlement 33 1,116 0
Other income (expense):      
Investment and other income 55 38 5
Gain on divestiture 13 118 104
Debt extinguishment 14 (125) (61)
Interest expense (643) (641) (723)
(Loss) before income taxes (615) (1,735) (687)
Income tax benefit (208) (308) (331)
Net (loss) before equity in subsidiaries (407) (1,427) (356)
Equity in earnings from subsidiaries 1,609 2,763 2,150
Net earnings 1,202 1,336 1,794
Loss attributable to noncontrolling interests 0 11 14
Net earnings attributable to Centene Corporation $ 1,202 $ 1,347 $ 1,808
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 2.09 $ 2.31 $ 3.17
Diluted earnings per common share (in usd per share) $ 2.07 $ 2.28 $ 3.12