Nivolumab (Opdivo) dose

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Specialty distributor / 340B

What the hospital pays (acquisition)$9,800

Cash$12,800

Medicaid$9,000

Medicare$10,500

Insured$15,000

Medicaid

$9,000

Medicare

$10,500

Cash

$12,800

Insured

$15,000

Insured path is $2,200 (17%) above cash. Hospital buy $9,800 vs insured $15,000.

Payers: modeled — see evidence.