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 |
|---|---|---|---|
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $6.83 – $26.56 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $6.83 – $26.56 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $9.71 – $93.33 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $9.71 – $68.44 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $9.71 – $93.33 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $9.71 – $87.38 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $9.71 – $68.00 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $9.71 – $82.97 |
| Gouverneur Hospital | Gouverneur, NY | not published | $9.52 – $24.30 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $30.88 – $30.88 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $12.22 – $56.31 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $12.82 – $56.31 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $12.22 – $56.31 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $12.22 – $56.31 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $12.22 – $56.31 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $12.22 – $56.31 |
| Houston Methodist West Hospital | Houston, TX | not published | $12.22 – $56.31 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $12.22 – $56.31 |
| Houston Methodist Hospital | Houston, TX | not published | $12.22 – $51.01 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | not published | $5.08 – $5.08 |
| OSF St Joseph Medical Center | Bloomington, IL | not published | $50.40 – $50.40 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | not published | $50.40 – $50.40 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $12.40 – $12.40 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $13.26 – $13.26 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $12.40 – $12.40 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $7.38 – $107.53 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $9.52 – $29.81 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $9.52 – $29.81 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $9.52 – $34.45 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $9.52 – $11.54 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $9.09 – $19.68 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $6.06 – $15.25 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $7.29 – $28.57 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $5.25 – $7.65 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $11.80 – $15.24 |
| Monmouth Medical Center | Long Branch, NJ | not published | $5.25 – $7.65 |
| Jersey City Medical Center | Jersey City, NJ | not published | $5.25 – $188.73 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $6.06 – $12.61 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $6.06 – $12.61 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $5.25 – $7.65 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $6.06 – $12.61 |
| Clara Maass Medical Center | Belleville, NJ | not published | $5.25 – $7.65 |
| Community Medical Center | Toms River, NJ | not published | $5.25 – $7.65 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $8.30 – $10.36 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $9.45 – $1,049.96 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $48.25 – $48.25 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $10.85 – $15.24 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $12.32 – $646.79 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $5.88 – $145.84 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $10.67 – $10.67 |
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