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 |
|---|---|---|---|
| Morgan County ARH Hospital | Liberty, KY | $952.20 | $6.14 – $6.14 |
| ARH Our Lady of the Way Hospital | Martin, KY | $952.20 | $6.14 – $6.14 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $952.20 | $6.14 – $30.88 |
| Hazard ARH Regional Medical Center | Hazard, KY | $952.20 | $6.14 – $6.14 |
| Barbourville ARH Hospital | Barbourville, KY | $952.20 | $6.14 – $6.14 |
| Paintsville ARH Hospital | Paintsville, KY | $952.20 | $5.99 – $5.99 |
| Kadlec Regional Medical Center | Richland, WA | $971.44 | $6.95 – $22.99 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $972.00 | $6.47 – $6.47 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $985.00 | $15.24 – $29.95 |
| Adventhealth Lake Wales | Lake Wales, FL | $1,022.16 | not published |
| Methodist Charlton Medical Center | Dallas, TX | $1,054.62 | $64.53 – $64.53 |
| UPMC Chautauqua | Jamestown, NY | $1,069.60 | $5.06 – $111.60 |
| UPMC Northwest | Seneca, PA | $1,069.60 | $0.70 – $333.99 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $1,080.00 | $61.96 – $156.50 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $1,080.00 | $59.81 – $156.50 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $1,080.00 | $36.78 – $156.50 |
| MercyOne Elkader Medical Center | Elkader, IA | $1,080.00 | $80.55 – $163.57 |
| MercyOne Clinton Medical Center | Clinton, IA | $1,081.00 | $12.17 – $43.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $1,099.86 | $9.32 – $102.54 |
| Adventhealth Redmond | Rome, GA | $1,107.02 | $8.10 – $8.10 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $1,124.62 | $18.94 – $634.46 |
| Adventhealth Murray | Po Box 1406, GA | $1,143.49 | not published |
| Adventhealth Gordon | Calhoun, GA | $1,143.49 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $1,146.95 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $1,150.45 | not published |
| CHI Health Plainview | Plainview, NE | $1,152.48 | $60.70 – $134.75 |
| CHI Health Schuyler | Schuyler, NE | $1,166.20 | $21.32 – $112.66 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $1,174.00 | $13.46 – $27.79 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | $1,218.28 | $29.95 – $66.39 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $1,245.32 | $8.10 – $30.88 |
| Pen Bay Medical Center | Rockport, ME | $1,269.27 | $5.73 – $688.07 |
| Northridge Hospital Medical Center | Northridge, CA | $1,273.08 | $9.24 – $2,269.00 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $1,289.00 | $10.87 – $239.30 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $1,313.72 | not published |
| St. John's Camarillo Hospital | Camarillo, CA | $1,314.00 | $9.24 – $900.00 |
| Franklin Memorial Hospital | Farmington, ME | $1,368.63 | $5.73 – $357.37 |
| UPMC Altoona | Altoona, PA | $1,393.80 | $3.19 – $157.22 |
| Abbott Northwestern Hospital | MN 55407, MN | $1,396.86 | $9.69 – $12.87 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $1,396.86 | $9.69 – $12.87 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $1,396.86 | $9.69 – $15.45 |
| Adventhealth Durand | Durand, WI | $1,441.42 | not published |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $1,448.37 | $11.20 – $544.97 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $1,459.12 | $10.52 – $39.12 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $1,460.39 | $10.55 – $34.97 |
| Emory Hospital Perry | Perry, GA | $1,470.00 | not published |
| Emory Hospital Warner Robins | Warner Robins, GA | $1,470.00 | not published |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $1,499.04 | $10.00 – $30.88 |
| UPMC Jameson | New Castle, PA | $1,516.20 | $3.19 – $159.99 |
| California Hospital Medical Center | Los Angeles, CA | $1,562.19 | $8.57 – $2,544.59 |
| Stephens Memorial Hospital | Norway, ME | $1,577.35 | $5.73 – $239.65 |
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
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- Acetylcysteine 200 mg/ml (20 %) intravenous solution from $12.60