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 Connerton | Land O Lakes, FL | $617.55 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $626.94 | $5.06 – $1,709.46 |
| Adventhealth Carrollwood | Tampa, FL | $634.91 | not published |
| Adventhealth Zephyrhills | Zephyrhills, FL | $641.36 | not published |
| Adventhealth Waterman | Tavares, FL | $642.53 | not published |
| Methodist Richardson Medical Center | Richardson, TX | $651.00 | $80.66 – $80.66 |
| Holston Valley Medical Center | KINGSPORT, TN | $652.56 | $8.91 – $63.25 |
| Johnson City Medical Center | JOHNSON CITY, TN | $652.56 | $8.91 – $94.88 |
| CHI Health Mercy Corning | Corning, IA | $658.56 | $6.94 – $97.51 |
| CHI Health Missouri Valley | Missouri Valley, IA | $672.28 | $6.94 – $97.51 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $679.59 | not published |
| Adventhealth South Overland Park | Overland Park, KS | $679.59 | not published |
| Adventhealth Ottawa | Ottawa, KS | $679.59 | not published |
| Covenant Children's Hospital | Lubbock, TX | $680.45 | $18.21 – $27.40 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $682.50 | $20.32 – $264.50 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $687.37 | $22.40 – $153.16 |
| Providence Mount Carmel Hospital | Colville, WA | $689.95 | not published |
| MercyOne Waterloo Medical Center | Waterloo, IA | $729.00 | $9.09 – $411.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $734.58 | $5.38 – $243.60 |
| Providence Holy Family Hospital | Spokane, WA | $738.23 | $10.00 – $22.99 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $738.23 | $10.00 – $22.99 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $738.34 | not published |
| Adventhealth Riverview | Riverview, FL | $738.34 | not published |
| Rose de Lima Hospital | Henderson, NV | $754.76 | $7.59 – $1,820.91 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $794.85 | not published |
| UPMC Western Psychiatric | Pittsburgh, PA | $802.20 | $5.06 – $155.53 |
| HSHS St. Vincent Hospital | Green Bay, WI | $815.38 | $8.38 – $9.74 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $815.38 | $8.38 – $9.09 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $825.50 | $29.95 – $50.95 |
| Lincoln Health | Damariscotta, ME | $832.70 | $5.73 – $199.85 |
| Lorain Hospital | Lorain, OH | $837.00 | not published |
| Adventhealth Dade City | Dade City, FL | $842.42 | not published |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $849.60 | $975.20 – $2,933.24 |
| Mercy Hospital Lincoln | Troy, MO | $853.12 | $27.20 – $27.20 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | $868.00 | $29.95 – $50.95 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $886.85 | not published |
| AdventHealth Parker | Parker, CO | $936.82 | $8.85 – $17.82 |
| AdventHealth Littleton | Littleton, CO | $936.82 | $8.85 – $17.82 |
| AdventHealth Avista | Louisville, CO | $936.82 | $8.85 – $17.82 |
| AdventHealth Porter | Denver, CO | $936.82 | $8.85 – $17.82 |
| AdventHealth Castle Rock | Castle Rock, CO | $936.82 | $8.85 – $17.82 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $940.95 | $5.74 – $2,945.25 |
| Adventhealth Sebring | Sebring, FL | $946.72 | not published |
| Adventhealth Wauchula | Wauchula, FL | $946.72 | not published |
| Adventhealth Ocala | Ocala, FL | $950.38 | not published |
| Beckley ARH Hospital | Beckley, WV | $952.20 | $30.88 – $30.88 |
| Summers County ARH Hospital | Hinton, WV | $952.20 | $30.88 – $30.88 |
| Whitesburg ARH Hospital | Whitesburg, KY | $952.20 | $6.14 – $6.14 |
| Harlan ARH Hospital | KY 40831, KY | $952.20 | $6.14 – $6.14 |
| Middlesboro ARH Hospital | Middlesboro, KY | $952.20 | $6.14 – $6.14 |
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