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 river hospital | Vero Beach, FL | $276.12 | $0.22 – $0.93 |
| medina hospital | Medina, OH | $276.12 | $0.13 – $48.28 |
| mercy hospital | Canton, OH | $276.12 | $0.20 – $46.81 |
| south pointe hospital | Warrensville Heights, OH | $276.12 | $0.16 – $54.91 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | $276.28 | $29.95 – $30.88 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $277.66 | $23.43 – $1,416.61 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $279.00 | $29.95 – $92.64 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $279.45 | $6.47 – $23.83 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $279.45 | $6.47 – $6.47 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $281.23 | $8.91 – $94.88 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $285.00 | $8.64 – $43.00 |
| MercyOne Newton Medical Center | Newton, IA | $285.00 | $101.73 – $156.50 |
| MercyOne North Iowa Medical Center | Mason City, IA | $285.00 | $11.01 – $43.00 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $286.08 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $286.65 | $10.55 – $34.97 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $286.65 | $10.55 – $34.97 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | $289.57 | $8.38 – $31.47 |
| 64-0663760 BMH Booneville | Booneville, MS | $291.60 | $6.47 – $6.47 |
| Mercy Hospital Logan County | Guthrie, OK | $292.50 | $28.00 – $191.45 |
| Adventhealth Fish Memorial | Orange City, FL | $292.55 | not published |
| AdventHealth Deland | Deland, FL | $294.49 | not published |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $295.40 | $5.49 – $133.28 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $295.81 | $22.40 – $349.56 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $296.03 | $7.34 – $81.83 |
| Texas Health Hospital Mansfield | Mansfield, TX | $296.06 | $13.66 – $13.66 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $296.06 | $13.66 – $13.66 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $297.32 | $8.10 – $30.88 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $298.55 | not published |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $303.75 | $6.47 – $6.47 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $320.10 | not published |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $324.14 | $10.16 – $381.19 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $326.83 | $7.21 – $65.42 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $326.83 | $7.21 – $65.42 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $326.83 | $7.21 – $63.20 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $326.83 | $7.21 – $63.20 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $329.15 | $50.95 – $92.64 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $329.97 | $9.52 – $34.45 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | $332.28 | $23.29 – $50.95 |
| WILLITS HOSPITAL INC | Willits, CA | $333.72 | $5.06 – $168.00 |
| Methodist Dallas Medical Center | Dallas, TX | $334.87 | $34.88 – $64.53 |
| Methodist Southlake Medical Center | Souhtlake, TX | $334.87 | $31.40 – $64.53 |
| Queen of The Valley Medical Center | Napa, CA | $346.14 | $19.05 – $246.39 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $346.14 | $10.41 – $293.91 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $354.31 | $22.40 – $325.09 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $358.24 | $8.91 – $48.12 |
| CHI Memorial Hospital Hixson | Hixson, TN | $358.24 | $9.45 – $41.58 |
| Ascension Providence | Waco, TX | $359.64 | $13.07 – $23.42 |
| Providence Alaska Medical Center | Anchorage, AK | $360.48 | $41.26 – $41.26 |
| Mercy Hospital Waldron | Waldron, AR | $362.70 | $22.40 – $957.21 |
| Mercy Hospital Boonville | Booneville, AR | $362.70 | $22.40 – $957.21 |
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