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 |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT, TN | $210.74 | $8.91 – $94.88 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $211.36 | $12.32 – $1,457.24 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $211.57 | $10.09 – $67.13 |
| Adventhealth Hendersonville | Hendersonville, NC | $220.37 | not published |
| AdventHealth Polk | Columbus, NC | $220.37 | $32.92 – $32.92 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $221.03 | $6.61 – $67.13 |
| Healdsburg Hospital | Healdsburg, CA | $222.56 | $11.20 – $580.38 |
| Trinity Medical Center East | Steubenville, OH | $223.67 | $1.80 – $5.88 |
| Princeton Community Hospital | Princeton, WV | $225.00 | $8.38 – $8.38 |
| Thomas Hospitals | South Charleston, WV | $225.00 | $11.90 – $11.90 |
| Uniontown Hospital | Uniontown, PA | $225.00 | $8.38 – $8.38 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $225.72 | not published |
| Morrow County Hospital | Mount Gilead, OH | $227.50 | $64.13 – $105.82 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $232.39 | $44.15 – $77.46 |
| Adventhealth Manchester | Manchester, KY | $232.53 | not published |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $232.60 | $20.22 – $133.28 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $234.96 | $8.38 – $294.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $236.00 | $30.88 – $50.95 |
| Anderson Hospital | Cincinnati, OH | $236.76 | not published |
| Fairfield Hospital | Fairfield, OH | $236.76 | not published |
| Mercy West Hospital | Cincinnati, OH | $236.76 | not published |
| Providence Holy Cross Medical Center | Mission Hills, CA | $241.98 | $18.94 – $731.84 |
| Providence Saint John's Health Center | Santa Monica, CA | $241.98 | $5.20 – $499.38 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | $242.00 | $29.95 – $50.95 |
| 62-1138045 BMH Union City | Union City, TN | $243.00 | $6.47 – $12.05 |
| 64-0682111 BMH DeSoto | Southaven, MS | $243.00 | $6.47 – $12.05 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $244.40 | $20.22 – $133.28 |
| Sanford Vermillion Hospital | Vermillion, SD | $247.42 | $23.85 – $72.77 |
| Mercy Hospital Carthage | Carthage, MO | $252.52 | $25.40 – $37.95 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $252.75 | $21.74 – $384.60 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $254.00 | $29.95 – $92.64 |
| 62-0123940 BMH Collierville | Collierville, TN | $255.15 | $6.47 – $23.83 |
| 64-0881013 MBMC Jackson | Jackson, MS | $255.15 | $6.79 – $6.79 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $256.56 | $8.40 – $18.53 |
| Covenant Medical Center | Lubbock, TX | $256.67 | $18.21 – $671.73 |
| St Joseph Warren Hospital | Warren, OH | $258.12 | not published |
| Sanford Canby Medical Center | Canby, MN | $263.52 | $20.86 – $77.54 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $266.50 | $28.00 – $191.45 |
| Marion General Hospital | Marion, OH | $268.06 | $9.53 – $36.40 |
| akron general | Akron, OH | $276.12 | $0.14 – $47.96 |
| avon hospital | Avon, OH | $276.12 | $0.16 – $45.27 |
| cleveland clinic florida weston hospital | Weston, FL | $276.12 | $0.16 – $0.93 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $276.12 | $0.26 – $83.99 |
| euclid hospital | Euclid, OH | $276.12 | $0.16 – $52.70 |
| fairview hospital | Cleveland, OH | $276.12 | $0.14 – $49.51 |
| lutheran hospital | Cleveland, OH | $276.12 | $0.16 – $47.14 |
| hillcrest hospital | Mayfield Heights, OH | $276.12 | $0.14 – $51.58 |
| lodi hospital | Lodi, OH | $276.12 | $0.26 – $80.48 |
| martin north hospital | Stuart, FL | $276.12 | $0.19 – $0.93 |
| marymount hospital | Garfield Heights, OH | $276.12 | $0.16 – $46.54 |
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