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 |
|---|---|---|---|
| UPMC Bedford | Everett, PA | $4,010.40 | $3.19 – $1,203.30 |
| UPMC Presbyterian | Pittsburgh, PA | $4,010.40 | $3.19 – $158.71 |
| UPMC McKeesport | Mckeesport, PA | $4,010.40 | $3.19 – $158.71 |
| UPMC East | Monroeville, PA | $4,010.40 | $3.19 – $1,069.60 |
| UPMC St. Margaret | Pittsburgh, PA | $4,010.40 | $0.74 – $158.71 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | $4,110.08 | $7.34 – $81.83 |
| Dominican Hospital | Santa Cruz, CA | $4,255.20 | $9.24 – $3,995.82 |
| Mark Twain Medical Center | San Andreas, CA | $4,271.96 | $228.18 – $864.36 |
| Mercy General Hospital | Sacramento, CA | $4,534.40 | $9.24 – $84.80 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $4,555.20 | $9.52 – $148.96 |
| UPMC Hamot | Erie, PA | $4,582.80 | $3.19 – $73.26 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $5.18 – $30.88 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $5.08 – $30.88 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $5.08 – $30.88 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $5.08 – $30.88 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $5.08 – $30.88 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $5.08 – $5.28 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $29.95 – $66.39 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $29.95 – $66.39 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $29.95 – $50.95 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $30.88 – $50.95 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $29.95 – $50.95 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $29.95 – $66.39 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $29.95 – $92.64 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $29.95 – $66.39 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $29.95 – $66.39 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $10.86 – $92.64 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $10.73 – $92.64 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $8.44 – $92.64 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $13.47 – $50.95 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $8.83 – $92.64 |
| HCA HealthONE AURORA | Aurora, CO | not published | $9.88 – $92.64 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $12.58 – $50.95 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $12.58 – $50.95 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $12.58 – $50.95 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $8.09 – $13.46 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $9.09 – $28.76 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $7.34 – $81.83 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $23.29 – $50.95 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $23.29 – $50.95 |
| Kettering Health Troy | Troy, OH | not published | $6.83 – $26.56 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $6.83 – $26.56 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $6.83 – $26.56 |
| Soin Medical Center | Beaver Creek, OH | not published | $6.83 – $26.56 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $6.83 – $26.56 |
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