ONC · Chemo drugs · modeled

Cisplatin IV dose

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Wholesaler — generic · Old platinum. Cheap to buy, still billed like a specialty visit add-on.

What the hospital pays (acquisition)$22

Cash$280

Medicaid$44

Medicare$55

Insured$640

Medicaid

$44

Medicare

$55

Cash

$280

Insured

$640

Insured path is $360 (129%) above cash. Hospital buy $22 vs insured $640.

Payers: modeled — see evidence.