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 |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast, FL | $363.57 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $363.57 | not published |
| Emory Decatur Hospital | Decatur, GA | $374.59 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $374.59 | not published |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $374.59 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $374.59 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $374.59 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $374.59 | not published |
| Emory University Hospital | Ne, GA | $374.59 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $374.59 | not published |
| CASTLE MEDICAL CENTER | Kailua, HI | $376.32 | $3.81 – $469.44 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $379.86 | $8.91 – $94.88 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $379.86 | $8.91 – $94.88 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $380.52 | $5.06 – $201.60 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $384.75 | $7.77 – $110.69 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $390.61 | $23.29 – $50.95 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $398.80 | $5.49 – $133.28 |
| ST HELENA HOSPITAL | Vallejo, CA | $400.05 | $11.18 – $505.14 |
| Sanford Luverne Medical Center | Luverne, MN | $400.16 | $19.85 – $73.81 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $401.77 | $5.06 – $362.18 |
| Petaluma Valley Hospital | Petaluma, CA | $401.83 | $19.05 – $227.62 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $403.65 | $25.40 – $330.63 |
| Providence Centralia Hospital | Centralia, WA | $405.10 | $15.52 – $69.79 |
| Providence St Peter Hospital | Olympia, WA | $405.10 | $12.81 – $22.99 |
| Covenant Hospital Levelland | Levelland, TX | $406.77 | $25.04 – $25.04 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $410.12 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $416.00 | $13.46 – $29.95 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $416.81 | not published |
| HSHS St. Mary's Hospital | DECATUR, IL | $423.96 | $8.38 – $91.25 |
| Sanford Sheldon Medical Center | Sheldon, IA | $426.64 | $23.26 – $73.45 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $432.92 | $5.73 – $44.10 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $444.18 | $5.06 – $1,134.50 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $452.69 | $8.38 – $33.00 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $458.25 | $35.36 – $35.36 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $458.32 | $7.21 – $63.20 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $462.15 | $13.83 – $1,461.95 |
| Sanford Medical Center Mayville | Mayville, ND | $462.96 | $22.15 – $82.35 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $473.23 | $19.05 – $244.73 |
| Providence Hood River Memorial Hospital | Hood River, OR | $474.82 | not published |
| LeConte Medical Center | Sevierville, TN | $477.60 | $5.38 – $392.04 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $478.66 | $8.40 – $18.54 |
| Central Medical Center | Seattle, WA | $482.64 | $5.20 – $5.20 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $485.98 | $18.94 – $746.92 |
| Parkwest Medical Center | Knoxville, TN | $494.06 | $5.38 – $392.04 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $494.06 | $5.38 – $392.04 |
| Allina Health Faribault Medical Center | Faribualt, MN | $496.58 | $9.69 – $48.27 |
| Buffalo Hospital | Buffalo, MN | $496.58 | $9.69 – $48.27 |
| Cambridge Medical Center | Cambridge, MN | $496.58 | $9.69 – $48.27 |
| River Falls Area Hospital | River Falls, MN | $496.58 | $9.52 – $30.45 |
| Owatonna Hospital | Owatonna, MN | $496.58 | $9.69 – $48.27 |
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