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 |
|---|---|---|---|
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $110.00 | $5.73 – $53.17 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $110.00 | $5.73 – $46.02 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $110.00 | $5.20 – $37.30 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $110.00 | $5.73 – $28.75 |
| UPMC Community Osteopathic | Harrisburg, PA | $110.40 | $0.20 – $261.78 |
| UPMC Hanover | Hanover, PA | $110.40 | $0.67 – $10.17 |
| UPMC Lititz | Lititz, PA | $110.40 | $0.67 – $10.17 |
| UPMC Memorial | York, PA | $110.40 | $0.67 – $128.14 |
| UPMC Somerset | Somerset, PA | $110.40 | $5.06 – $155.63 |
| UPMC Carlisle | Carlisle, PA | $110.40 | $0.14 – $10.17 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $113.51 | $5.73 – $42.55 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $120.33 | $10.00 – $22.99 |
| Swedish Issaquah | Issaquah, WA | $121.17 | $10.00 – $22.99 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $122.40 | $20.22 – $133.28 |
| New Ulm Medical Center | MN 56073, MN | $123.95 | $9.69 – $48.47 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $126.00 | $5.73 – $14.14 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $126.00 | $5.73 – $18.15 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $126.00 | $5.73 – $14.28 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $126.00 | $5.73 – $27.23 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $126.42 | $10.00 – $22.99 |
| Sanford Bagley Medical Center | Bagley, MN | $127.51 | $24.42 – $90.79 |
| Virginia Mason Medical Center | Seattle, WA | $129.65 | $20.60 – $110.55 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $130.89 | $10.41 – $301.28 |
| Riverside Methodist Hospital | Columbus, OH | $132.70 | $9.53 – $15.18 |
| Grady Memorial Hospital | Delaware, OH | $132.70 | $9.53 – $36.40 |
| Shelby Hospital | Shelby, OH | $132.70 | $8.85 – $36.40 |
| Berger Hospital | Circleville, OH | $132.70 | $9.53 – $36.40 |
| Grant Medical Center | Columbus, OH | $132.70 | $9.53 – $15.18 |
| Hardin Memorial Hospital | Kenton, OH | $132.70 | $9.53 – $36.40 |
| Doctors Hospital | Columbus, OH | $132.70 | $9.53 – $15.18 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $135.87 | $12.88 – $12.88 |
| St Francis Eastside | Greenville, SC | $137.76 | not published |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $138.05 | $8.88 – $31.39 |
| Smyth County Community Hospital | MARION, VA | $141.49 | $8.91 – $94.88 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | $142.74 | $9.52 – $29.81 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $146.06 | $11.30 – $25.43 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $146.06 | $18.15 – $18.15 |
| University Hospitals Elyria Medical Center | Elyria, OH | $146.06 | $10.13 – $10.13 |
| University Hospitals Geneva Medical Center | Geneva, OH | $146.06 | $16.79 – $16.79 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $146.06 | $8.74 – $69.16 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $146.06 | $12.66 – $64.89 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $146.06 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $146.06 | $9.88 – $9.88 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $146.06 | $13.38 – $13.38 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $146.06 | $20.69 – $64.89 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $146.06 | $14.89 – $14.89 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $146.06 | $6.24 – $25.43 |
| St. Joseph's Hospital | Buckhannon, WV | $150.00 | $8.00 – $8.00 |
| Mary Immaculate Hospital | Newport News, VA | $152.52 | not published |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $154.00 | $13.46 – $29.95 |
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