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 |
|---|---|---|---|
| Dublin Methodist Hospital | Dublin, OH | $154.21 | $9.53 – $15.18 |
| St Mary's Hospital | Richmond, VA | $155.47 | not published |
| O'Bleness Hospital | Athens, OH | $155.87 | $9.53 – $36.40 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $156.61 | $6.61 – $67.13 |
| St Francis Downtown | Greenville, SC | $157.44 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $160.85 | $6.61 – $67.13 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $162.00 | $29.95 – $66.39 |
| Sanford Bemidji Medical Center | Bemidji, MN | $163.71 | $1.02 – $61.52 |
| Southampton Medical Center | Franklin, VA | $164.33 | not published |
| Maryview Hospital | Portsmouth, VA | $165.00 | not published |
| Harbour View Medical Center | Suffolk, VA | $165.00 | not published |
| Sanford Tracy Hospital | Tracy, MN | $166.44 | $19.57 – $72.76 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $166.78 | $10.00 – $22.99 |
| Swedish Edmonds Hospital | Edmonds, WA | $166.78 | $10.00 – $22.99 |
| Southeastern Medical Center | Cambridge, OH | $167.86 | $9.53 – $36.40 |
| Redwood Memorial Hospital | Fortuna, CA | $168.62 | $10.41 – $294.63 |
| Mansfield Hospital | Mansfield, OH | $169.75 | $8.85 – $36.40 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $171.40 | $5.04 – $61.76 |
| Parkview DeKalb Hospital | Auburn, IN | $171.40 | $4.37 – $61.76 |
| Parkview Huntington Hospital | Huntington, IN | $171.40 | $4.37 – $61.76 |
| Parkview LaGrange Hospital | Lagrange, IN | $171.40 | $6.18 – $61.76 |
| Parkview Logansport Hospital | Logansport, IN | $171.40 | $10.16 – $54.04 |
| Parkview Wabash Hospital | Wabash, IN | $171.40 | $6.18 – $61.76 |
| Parkview Noble Hospital | Kendallville, IN | $171.40 | $4.37 – $61.76 |
| Parkview Ortho Hospital | Fort Wayne, IN | $171.40 | $5.04 – $61.76 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $171.40 | $4.37 – $61.76 |
| Providence Saint Joseph Medical Center | Burbank, CA | $175.80 | $16.99 – $635.75 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $176.29 | $6.61 – $67.13 |
| St Francis Medical Center | Midlothian, VA | $179.09 | not published |
| Mercy Hospital Healdton | Healdton, OK | $180.26 | $22.40 – $153.16 |
| Johnston Memorial Hospital | ABINGDON, VA | $180.63 | $8.91 – $94.88 |
| Russell County Hospital | LEBANON, VA | $180.63 | $8.91 – $94.88 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $182.25 | $7.77 – $140.58 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $183.41 | $8.91 – $52.71 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $186.21 | $6.61 – $67.13 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $189.21 | $5.74 – $209.00 |
| Kings Mills Hospital | Mason, OH | $194.40 | not published |
| Mercy Hospital Berryville | Berryville, AR | $195.65 | $22.40 – $957.21 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $196.35 | $2,805.00 – $3,646.50 |
| Sanford Westbrook Hospital | Westbrook, MN | $197.44 | $19.60 – $72.86 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $200.00 | $27.65 – $72.76 |
| Jewish Hospital | Cincinnati, OH | $200.58 | not published |
| Mercy Hospital Ozark | River Ozark, AR | $201.50 | $28.00 – $1,196.52 |
| Aurora Medical Center Bay Area | Marinette, WI | $201.60 | $5.77 – $20.36 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $202.52 | $11.18 – $1,768.50 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $207.36 | $8.38 – $8.38 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $207.36 | $8.38 – $106.56 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $208.69 | $6.89 – $22.46 |
| Greeneville Community Hospital | GREENEVILLE, TN | $210.74 | $8.91 – $37.95 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $210.74 | $8.91 – $52.71 |
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