Zoledronic acid 4 mg/5 ml intravenous solution cost at US hospitals
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION · HCPCS J3489
$23.64
lowest cash price
$432.92
national median
$4,582.80
highest cash price
661
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $23.64–$4,582.80 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,368.63) → Sep 1, 2026 ($254.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $360.48 | $360.48 | $360.48 |
| Arizona | 4 | $189.21 | $940.95 | $2,963.82 |
| Arkansas | 8 | $182.25 | $362.70 | $1,289.00 |
| California | 74 | $31.92 | $2,126.46 | $4,555.20 |
| Colorado | 12 | $329.15 | $936.82 | $936.82 |
| Florida | 73 | $44.47 | $507.65 | $3,831.00 |
| Georgia | 24 | $358.24 | $374.59 | $1,470.00 |
| Hawaii | 2 | $376.32 | $376.32 | $3,067.01 |
| Illinois | 36 | $32.21 | $298.55 | $2,409.40 |
| Indiana | 24 | $69.19 | $171.40 | $458.32 |
| Iowa | 31 | $43.00 | $285.00 | $1,949.30 |
| Kansas | 6 | $679.59 | $679.59 | $682.50 |
| Kentucky | 18 | $96.48 | $232.53 | $952.20 |
| Louisiana | 4 | $497.58 | $497.58 | $497.58 |
| Maine | 7 | $615.87 | $1,269.27 | $1,741.98 |
| Maryland | 2 | $52.80 | $52.80 | $52.80 |
| Michigan | 16 | $39.13 | $51.71 | $57.31 |
| Minnesota | 19 | $108.24 | $496.58 | $2,457.77 |
| Mississippi | 8 | $243.00 | $291.60 | $2,302.52 |
| Missouri | 18 | $252.52 | $458.25 | $853.12 |
| Montana | 1 | $588.62 | $588.62 | $588.62 |
| Nebraska | 8 | $28.44 | $576.24 | $1,166.20 |
| Nevada | 3 | $541.00 | $599.06 | $754.76 |
| New Hampshire | 1 | $1,824.66 | $1,824.66 | $1,824.66 |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New York | 13 | $1,069.60 | $1,069.60 | $1,069.60 |
| North Carolina | 14 | $220.37 | $2,421.40 | $2,421.40 |
| North Dakota | 4 | $462.96 | $1,459.12 | $3,654.70 |
| Ohio | 66 | $54.60 | $154.21 | $837.00 |
| Oklahoma | 10 | $180.26 | $295.81 | $687.37 |
| Oregon | 13 | $324.14 | $2,812.00 | $3,815.95 |
| Pennsylvania | 29 | $58.60 | $802.20 | $4,582.80 |
| South Carolina | 10 | $137.76 | $157.44 | $540.00 |
| South Dakota | 6 | $94.88 | $200.00 | $517.60 |
| Tennessee | 32 | $23.64 | $477.60 | $4,110.08 |
| Texas | 106 | $24.00 | $2,356.38 | $3,595.90 |
| Virginia | 31 | $26.57 | $165.00 | $2,040.02 |
| Washington | 26 | $41.84 | $607.54 | $3,326.12 |
| West Virginia | 14 | $55.80 | $87.79 | $2,842.20 |
| Wisconsin | 32 | $29.95 | $95.14 | $1,441.42 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas River Park | McMinnville, TN | $23.64 | $6.99 – $52.71 |
| Ascension Saint Thomas Midtown | Nashville, TN | $23.64 | $6.99 – $30.75 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $23.64 | $6.99 – $30.75 |
| HCA HOUSTON WEST | HOUSTON, TX | $24.00 | $12.58 – $50.95 |
| Inova Alexandria Hospital | Alexandria, VA | $26.57 | $7.06 – $31.81 |
| Inova Fairfax Hospital | Falls Church, VA | $26.57 | $7.06 – $31.81 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $26.57 | $7.06 – $31.81 |
| Inova Loudoun Hospital | Leesburg, VA | $26.57 | $7.06 – $31.81 |
| Inova Mount Vernon Hospital | Alexandria, VA | $26.57 | $7.06 – $31.81 |
| CHI Health St. Mary's | Nebraska City, NE | $28.44 | $0.05 – $0.23 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $29.95 | $5.77 – $20.36 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | $30.19 | $12.58 – $50.95 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $31.92 | $5.06 – $336.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $32.21 | $9.45 – $1,003.68 |
| HCA HOUSTON PEARLAND | Pearland, TX | $32.28 | $12.58 – $50.95 |
| Aurora Medical Center Summit | Summit, WI | $32.30 | $5.77 – $20.36 |
| Aurora Medical Center Grafton | Grafton, WI | $33.22 | $5.77 – $20.36 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | $33.24 | $7.34 – $81.83 |
| Aurora West Allis Medical Center | West Allis, WI | $33.54 | $5.77 – $20.36 |
| Aurora Medical Center Burlington | Burlington, WI | $34.79 | $5.77 – $20.36 |
| Advocate Christ Medical Center | Oak Lawn, IL | $37.89 | $9.45 – $974.09 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $38.02 | $8.38 – $8.38 |
| Henry Ford Rochester Hospital | Rochester, MI | $39.13 | $10.26 – $15.02 |
| Aurora Medical Center Washington County | Hartford, WI | $40.73 | $5.77 – $20.36 |
| MultiCare Allenmore Hospital | Tacoma, WA | $41.84 | not published |
| MercyOne Dubuque Medical Center | Dubuque, IA | $43.00 | $15.35 – $43.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $43.00 | $16.25 – $48.40 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $44.36 | $11.57 – $11.57 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $44.36 | $11.57 – $12.75 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $44.36 | $11.57 – $11.57 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $44.36 | $11.57 – $11.57 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $44.47 | $8.40 – $11.61 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $46.00 | not published |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $46.32 | $8.40 – $12.26 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $49.20 | $5.73 – $29.57 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $49.52 | $5.73 – $29.02 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | $49.88 | $29.95 – $30.88 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | $49.88 | $29.95 – $66.39 |
| Henry Ford St John Hospital | Detroit, MI | $51.71 | $18.39 – $18.39 |
| UPMC Western Maryland | Cumberland, MD | $52.80 | $13.00 – $13.00 |
| Parkview Bryan Hospital | Bryan, OH | $54.60 | not published |
| Parkview Montpelier Hospital | Montpelier, OH | $54.60 | not published |
| Barnesville Hospital | Barnesville, OH | $55.80 | $8.00 – $8.00 |
| Weirton Medical Center | Weirton, WV | $55.80 | not published |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | $56.00 | $29.95 – $92.64 |
| Henry Ford Warren Hospital | Warren, MI | $57.31 | $18.39 – $18.39 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $57.81 | $23.29 – $50.95 |
| Jackson General Hospital | Ripley, WV | $57.90 | $8.00 – $8.00 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $58.60 | $15.37 – $133.28 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $66.00 | $13.83 – $589.51 |
Related drugs procedures
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- Abciximab injection from $354.77
- Abobotulinumtoxina from $51.15
- Acetaminophen 10 mg/ml soln 100 ml glass cont from $3.00
- Acetazolamide 500 mg solution for injection from $6.30
- Acetylcysteine 200 mg/ml (20 %) intravenous solution from $12.60