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 |
|---|---|---|---|
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $497.58 | $6.07 – $117.34 |
| Southside Regional Medical Center | Petersburg, VA | $498.30 | not published |
| UPMC Kane | Kane, PA | $507.60 | $5.06 – $22.80 |
| Baptist Hospital | MIAMI, FL | $507.65 | $63.15 – $328.50 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $507.65 | $80.43 – $365.00 |
| Doctors Hospital | CORAL GABLES, FL | $507.65 | $63.88 – $328.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $507.65 | $63.51 – $328.50 |
| Homestead Hospital | HOMESTEAD, FL | $507.65 | $62.05 – $328.50 |
| West Kendall Baptist Hospital | MIAMI, FL | $507.65 | $62.42 – $328.50 |
| Providence Medford Medical Center | Medford, OR | $508.05 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $508.05 | $5.72 – $16.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $511.94 | $9.45 – $41.58 |
| Sanford USD Medical Center | Sioux Falls, SD | $517.60 | $1.00 – $254.57 |
| cleveland clinic main campus | Cleveland, OH | $524.10 | $8.89 – $226.98 |
| Mercy Hospital Watonga | Watonga, OK | $526.50 | $22.40 – $153.16 |
| Cumberland Medical Center, Inc. | Crossville, TN | $527.00 | $5.38 – $392.04 |
| St Anne Hospital | Toledo, OH | $527.46 | not published |
| AdventHealth Orlando | Orlando, FL | $529.23 | not published |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $534.60 | $6.47 – $6.47 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | $539.00 | $50.95 – $50.95 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $540.00 | $11.27 – $130.19 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $540.00 | $8.38 – $124.58 |
| San Martin Hospital | Las Vegas, NV | $541.00 | $7.59 – $1,820.91 |
| Roane County Medical Center | Harriman, TN | $543.47 | $5.38 – $392.04 |
| Fort Loudoun Medical Center | Lenoir City, TN | $543.47 | $5.38 – $392.04 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $543.47 | $5.38 – $392.04 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $543.47 | $5.38 – $392.04 |
| MercyOne Centerville Medical Center | Centerville, IA | $544.35 | $24.70 – $90.00 |
| Adventhealth Tampa | Tampa, FL | $549.16 | not published |
| Bristol Regional Medical Center | BRISTOL, TN | $555.44 | $8.91 – $63.25 |
| Fishermens Community Hospital | MARATHON, FL | $560.30 | $67.30 – $362.70 |
| Mariners Hospital | TAVERNIER, FL | $560.30 | $69.72 – $362.70 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $574.03 | $8.38 – $9.74 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $576.24 | $6.94 – $84.58 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $576.24 | $9.24 – $84.58 |
| Lasting Hope Recovery Center | Omaha, NE | $576.24 | $9.24 – $84.58 |
| CHI Health Immanuel | Omaha, NE | $576.24 | $9.24 – $84.58 |
| CHI Health Lakeside | Omaha, NE | $576.24 | $9.24 – $84.58 |
| CHI Health Midlands | Papillion, NE | $576.24 | $9.24 – $84.58 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $580.86 | $8.13 – $23.98 |
| Mercy Hospital Aurora | Aurora, MO | $586.95 | $20.32 – $421.68 |
| Providence St Joseph Medical Center | Polson, MT | $588.62 | $11.71 – $16.06 |
| Siena Hospital | Henderson, NV | $599.06 | $7.59 – $1,820.91 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $603.58 | $8.38 – $45.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $603.61 | $583.20 – $583.20 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $604.50 | $22.40 – $957.21 |
| Adventhealth Rollins Brook | Lampasas, TX | $606.83 | $25.99 – $25.99 |
| Adventhealth Central Texas | Killeen, TX | $606.83 | $25.99 – $25.99 |
| Providence St Mary Medical Center | Walla Walla, WA | $607.54 | $12.32 – $40.45 |
| Mid Coast Hospital | Brunswick, ME | $615.87 | $5.73 – $581.38 |
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