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 |
|---|---|---|---|
| Sanford Wheaton | Wheaton, MN | $1,639.80 | $8.70 – $32.36 |
| HCA HOUSTON NORTHWEST | SPRING, TX | $1,658.71 | $12.58 – $50.95 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $1,739.63 | $5.74 – $1,422.00 |
| Waldo County General Hospital | Belfast, ME | $1,741.98 | $5.73 – $570.08 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,814.00 | $11.61 – $32.95 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,824.66 | $5.73 – $219.07 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $1,849.32 | $10.55 – $34.97 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $1,849.32 | $10.55 – $34.97 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $1,849.32 | $10.55 – $34.97 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $1,849.32 | $10.55 – $34.97 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,949.30 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,949.30 | $22.88 – $62.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $1,949.30 | $24.31 – $52.19 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $1,949.30 | $32.17 – $33.60 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $1,949.30 | not published |
| Community Hospital San Bernardino | San Bernardino, CA | $2,028.90 | $9.24 – $5,189.00 |
| Dickenson Community Hospital | CLINTWOOD, VA | $2,040.02 | $8.91 – $94.88 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $2,040.02 | $8.91 – $94.88 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $2,124.73 | $7.34 – $81.83 |
| Orange County Anaheim Medical Center | Anaheim, CA | $2,126.46 | $5.20 – $5.20 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $2,126.46 | $5.20 – $5.20 |
| Downey Medical Center | Downey, CA | $2,126.46 | $5.20 – $5.20 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $2,126.46 | $5.20 – $5.20 |
| Riverside Medical Center | RIVERSIDE, CA | $2,126.46 | $5.20 – $5.20 |
| South Bay Medical Center | HARBOR CITY, CA | $2,126.46 | $5.20 – $5.20 |
| San Marcos Medical Center | SAN MARCOS, CA | $2,126.46 | $5.20 – $5.20 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $2,126.46 | $5.20 – $5.20 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $2,126.46 | $5.20 – $5.20 |
| Panorama Medical Center | PANORAMA CITY, CA | $2,126.46 | $5.20 – $5.20 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $2,126.46 | $5.20 – $5.20 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $2,126.46 | $5.20 – $5.20 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $2,126.46 | $5.20 – $5.20 |
| St. Clare Hospital | Lakewood, WA | $2,136.91 | $2,965.43 – $4,448.14 |
| St. Bernardine Medical Center | San Bernardino, CA | $2,157.18 | $9.24 – $2,641.22 |
| UPMC Cole | Coudersport, PA | $2,229.60 | $5.06 – $384.80 |
| St. Anthony Hospital | Gig Harbor, WA | $2,254.84 | $2,965.43 – $4,448.14 |
| St. Anne Hospital | Burien, WA | $2,263.79 | $2,550.27 – $5,337.77 |
| Redwood City Medical Center | Redwood City, CA | $2,290.03 | $5.20 – $5.20 |
| Oakland Medical Center | Oakland, CA | $2,290.03 | $5.20 – $5.20 |
| Sacramento Medical Center | SACRAMENTO, CA | $2,290.03 | $5.20 – $5.20 |
| San Leandro Medical Center | SAN LEANDRO, CA | $2,290.03 | $5.20 – $5.20 |
| Santa Clara Medical Center | SANTA CLARA, CA | $2,290.03 | $5.20 – $5.20 |
| San Rafael Medical Center | SAN RAFAEL, CA | $2,290.03 | $5.20 – $5.20 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $2,290.03 | $5.20 – $5.20 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $2,290.03 | $5.20 – $5.20 |
| South Sacramento Medical Center | SACRAMENTO, CA | $2,290.03 | $5.20 – $5.20 |
| Vacaville Medical Center | VACAVILLE, CA | $2,290.03 | $5.20 – $5.20 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $2,290.03 | $5.20 – $5.20 |
| Vallejo Medical Center | VALLEJO, CA | $2,290.03 | $5.20 – $5.20 |
| Antioch Medical Center | ANTIOCH, CA | $2,290.03 | $5.20 – $5.20 |
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