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 |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Hospital Frisco | Frisco, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Hospital Rockwall | Rockwall, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $2,591.99 | $8.81 – $8.81 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $2,591.99 | $13.82 – $13.82 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $2,591.99 | $13.82 – $13.82 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | $2,613.00 | $29.95 – $92.64 |
| St. Elizabeth Hospital | Enumclaw, WA | $2,619.71 | $8.25 – $5,337.77 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $2,757.85 | $5.46 – $104.01 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $2,757.85 | $5.46 – $35.06 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $2,757.85 | $5.46 – $35.06 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | $2,803.00 | $29.95 – $92.64 |
| Providence St Vincent Medical Center | Portland, OR | $2,812.00 | $5.72 – $16.80 |
| West Virginia University Hospitals | Morgantown, WV | $2,842.20 | $5.08 – $8.38 |
| Chandler Regional Medical Center | Chandler, AZ | $2,963.82 | $5.74 – $3,213.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | $2,972.00 | $29.95 – $50.95 |
| Moanalua Medical Center | HONOLULU, HI | $3,067.01 | $5.20 – $5.20 |
| UPMC Horizon-Greenville | Greenville, PA | $3,207.00 | $3.19 – $327.96 |
| UPMC Mercy | Pittsburgh, PA | $3,207.00 | $0.77 – $157.22 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $3,260.79 | $23.29 – $50.95 |
| St. Michael Medical Center | Silverdale, WA | $3,271.98 | $11.45 – $5,337.77 |
| Providence St Joseph Hospital | Chewelah, WA | $3,326.12 | not published |
| St Jude Medical Center | Fullerton, CA | $3,340.52 | $10.41 – $305.04 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $3,400.20 | $3.19 – $158.71 |
| Sequoia Hospital | Redwood City, CA | $3,441.99 | $9.24 – $3,854.82 |
| Sunnyside Medical Center | CLACKAMAS, OR | $3,475.94 | $5.20 – $5.20 |
| Westside Medical Center | HILLSBORO, OR | $3,475.94 | $5.20 – $5.20 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $3,595.90 | $10.55 – $34.97 |
| Sanford Fargo Medical Center | Fargo, ND | $3,654.70 | $1.00 – $146.42 |
| STONECREST MEDICAL CENTER | Smyrna, TN | $3,670.06 | $7.34 – $81.83 |
| UPMC Magee | Pittsburgh, PA | $3,783.60 | $3.19 – $158.71 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | $3,794.77 | $29.95 – $66.39 |
| Providence Seaside Hospital | Seaside, OR | $3,815.95 | not published |
| Providence Newberg Medical Center | Newberg, OR | $3,815.95 | $5.72 – $5.72 |
| Providence Portland Medical Center | Portland, OR | $3,815.95 | $5.72 – $16.80 |
| Providence Milwaukie Hospital | Milwaukie, OR | $3,815.95 | $5.72 – $16.80 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | $3,831.00 | $29.95 – $66.39 |
| Mercy Medical Center Redding | Redding, CA | $3,954.60 | $9.24 – $116.62 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $3,984.38 | $9.24 – $9,777.60 |
Related drugs procedures
- Abatacept (with maltose) 250 mg intravenous solution from $141.66
- 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