Barium Swallow (Esophagus X-ray) cost at US hospitals

Esophagram with chest radiographs and delayed images, single-contrast study · CPT 74220

What is Barium Swallow (Esophagus X-ray)? Read the full explainer →

Barium Swallow (Esophagus X-ray)

An esophagram is a live x-ray movie of barium going down the esophagus, with still images taken afterward. It answers whether the swallowing tube itself is narrowed, blocked, refluxing, or moving abnormally. This version uses barium alone rather than barium plus gas.

$69.30

lowest cash price

$484.80

national median

$4,795.68

highest cash price

906

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $69.30–$4,795.68 — the variation is the story.

Cheapest published cash price

$69.30

Bristol Regional Medical Center — BRISTOL, TN

Most expensive published cash price

$4,795.68

HCA FLORIDA LEHIGH HOSPITAL — LEHIGH ACRES, FL

Median cash price over time

Sep 1, 2025 ($728.85) → Sep 1, 2026 ($1,419.34)

By state

State Hospitals Lowest cash Median Highest
Alaska 3 $309.12 $967.20 $1,114.62
Arizona 23 $101.46 $150.92 $1,026.93
Arkansas 8 $84.90 $203.45 $558.00
California 90 $150.96 $478.40 $1,284.72
Colorado 17 $127.42 $1,763.36 $3,568.64
Florida 74 $348.40 $1,182.30 $4,795.68
Georgia 25 $390.13 $495.55 $3,739.73
Hawaii 2 $182.08 $182.08 $458.25
Illinois 51 $175.00 $584.80 $1,140.00
Indiana 26 $460.50 $484.80 $1,555.49
Iowa 27 $190.40 $381.01 $744.00
Kansas 11 $252.40 $976.84 $2,246.90
Kentucky 22 $334.55 $574.20 $1,555.49
Louisiana 2 $185.90 $185.90 $185.90
Maine 7 $481.75 $756.20 $1,272.50
Maryland 2 $321.60 $321.60 $321.60
Michigan 27 $90.16 $320.00 $994.40
Minnesota 19 $207.79 $208.99 $668.00
Mississippi 10 $79.20 $144.00 $200.97
Missouri 20 $254.10 $422.95 $2,640.38
Montana 2 $386.40 $386.40 $657.60
Nebraska 12 $313.77 $358.68 $776.05
Nevada 4 $275.50 $520.70 $726.44
New Hampshire 1 $876.85 $876.85 $876.85
New Jersey 21 $115.32 $197.04 $260.04
New Mexico 2 $502.32 $502.32 $502.32
New York 22 $210.66 $210.66 $1,614.00
North Carolina 15 $425.03 $425.03 $939.00
North Dakota 4 $415.20 $616.80 $635.20
Ohio 68 $229.20 $586.80 $1,260.00
Oklahoma 16 $221.54 $525.85 $2,064.36
Oregon 13 $106.92 $747.00 $826.20
Pennsylvania 32 $186.00 $427.80 $1,312.80
South Carolina 11 $272.50 $452.50 $1,705.00
South Dakota 4 $632.80 $647.20 $841.60
Tennessee 36 $69.30 $107.58 $1,983.27
Texas 111 $142.65 $501.34 $4,784.42
Virginia 41 $69.30 $587.50 $2,462.00
Washington 32 $359.32 $568.40 $1,413.30
West Virginia 16 $221.00 $381.00 $625.00
Wisconsin 32 $118.56 $505.00 $1,079.10
Wyoming 4 $143.22 $307.65 $334.74

All hospitals

Hospital Location Cash price Negotiated range
Bristol Regional Medical Center BRISTOL, TN $69.30 $38.66 – $399.35
Franklin Woods Community Hospital JOHNSON CITY, TN $69.30 $47.00 – $347.18
Greeneville Community Hospital GREENEVILLE, TN $69.30 $30.90 – $356.81
Hawkins County Memorial Hospital ROGERSVILLE, TN $69.30 $38.66 – $346.92
Holston Valley Medical Center KINGSPORT, TN $69.30 $38.66 – $399.35
Indian Path Community Hospital KINGSPORT, TN $69.30 $38.66 – $381.93
Johnson City Medical Center JOHNSON CITY, TN $69.30 $38.66 – $356.81
Johnston Memorial Hospital ABINGDON, VA $69.30 $38.66 – $373.08
Lonesome Pine Hospital BIG STONE GAP, VA $69.30 $42.92 – $410.73
Russell County Hospital LEBANON, VA $69.30 $70.39 – $373.08
Smyth County Community Hospital MARION, VA $69.30 $70.39 – $373.08
Sycamore Shoals Hospital ELIZABETHTON, TN $69.30 $38.66 – $346.92
64-0362400 Anderson Regional Main Campus Meridian, MS $79.20 $161.20 – $366.37
82-3844150 BMH Crittenden West Memphis, AR $84.90 $36.00 – $326.02
Henry Ford River District Hospital China Township, MI $90.16 $52.96 – $331.40
Claiborne Medical Center Tazewell, TN $91.28 $41.66 – $313.23
LeConte Medical Center Sevierville, TN $94.54 $41.66 – $313.23
Parkwest Medical Center Knoxville, TN $97.80 $41.66 – $313.23
Morristown-Hamblen Hospital Association Morristown, TN $97.80 $41.66 – $313.23
Banner Goldfield Medical Center Apache Junction, AZ $101.46 $129.45 – $400.50
Cumberland Medical Center, Inc. Crossville, TN $104.32 $41.66 – $313.23
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR $106.92 $27.40 – $63.75
Roane County Medical Center Harriman, TN $107.58 $41.66 – $313.23
Fort Loudoun Medical Center Lenoir City, TN $107.58 $41.66 – $313.23
Fort Sanders Regional Medical Center Knoxville, TN $107.58 $41.66 – $313.23
Methodist Medical Center of Oak Ridge Oak Ridge, TN $107.58 $41.66 – $313.23
64-0682111 BMH DeSoto Southaven, MS $113.20 $98.78 – $456.43
Banner Casa Grande Medical Center Casa Grande, AZ $114.81 $129.45 – $400.50
Robert Wood Johnson University Hospital Rahway Rahway, NJ $115.32 $45.92 – $387.15
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI $118.56 $30.23 – $359.39
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI $118.56 $30.23 – $359.39
Henry Ford Genesys Hospital Grand Blanc Twp, MI $118.86 $80.13 – $242.99
62-0123940 BMH Collierville Collierville, TN $118.86 $33.33 – $326.02
Banner Del Webb Medical Center Sun City West, AZ $124.42 $108.27 – $427.20
Banner Ironwood Medical Center San Tan Valley, AZ $125.49 $129.45 – $400.50
Banner North Colorado Medical Center - Loveland Campus Loveland, CO $127.42 $93.03 – $429.91
64-0772726 BMH North Mississippi Oxford, MS $130.18 $39.00 – $453.49
Banner Boswell Medical Center Sun City, AZ $130.30 $129.45 – $427.20
Banner Thunderbird Medical Center Glendale, AZ $136.70 $72.99 – $400.50
62-1138045 BMH Union City Union City, TN $138.60 $98.78 – $325.10
Banner Estrella Medical Center Phoenix, AZ $139.37 $129.45 – $400.50
64-0844470 MBMC Yazoo Yazoo City, MS $140.22 $155.78 – $158.90
Ascension Seton Highland Lakes (Ascension Seton) Burnet, TX $142.65 $64.64 – $737.99
Banner Wyoming Medical Center Casper, WY $143.22 $92.07 – $327.36
64-0362400 Anderson Regional South Campus Meridian, MS $144.00 $160.16 – $356.78
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $146.52 $45.92 – $387.15
CHI St. Vincent North Sherwood, AR $146.68 $81.72 – $401.74
Banner University Medical Center Tucson Tucson, AZ $147.00 $129.45 – $392.00
Banner Payson Medical Center Payson, AZ $147.87 $113.55 – $251.10
Banner Desert Medical Center Mesa, AZ $149.52 $129.45 – $400.50

Related imaging procedures