Barium Swallow (Esophagus X-ray) cost at US hospitals
Esophagram with chest radiographs and delayed images, single-contrast study · CPT 74220
$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.
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 |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay, WI | $505.00 | not published |
| Aurora Medical Center Bay Area | Marinette, WI | $505.00 | not published |
| Aurora Medical Center Burlington | Burlington, WI | $505.00 | not published |
| Aurora Medical Center Grafton | Grafton, WI | $505.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $505.00 | not published |
| Aurora Medical Center Kenosha | Kenosha, WI | $505.00 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $505.00 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $505.00 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $505.00 | not published |
| Aurora Medical Center Summit | Summit, WI | $505.00 | not published |
| Aurora Medical Center Washington County | Hartford, WI | $505.00 | not published |
| Aurora West Allis Medical Center | West Allis, WI | $505.00 | not published |
| Trinity Medical Center East | Steubenville, OH | $508.33 | $512.40 – $657.58 |
| Uniontown Hospital | Uniontown, PA | $510.00 | $21.36 – $353.11 |
| Emory Decatur Hospital | Decatur, GA | $513.00 | $101.92 – $455.55 |
| Emory Hillandale Hospital | Lithonia, GA | $513.00 | $101.92 – $455.55 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $513.00 | $129.76 – $129.76 |
| Emory Johns Creek Hospital | Johns Creek, GA | $513.00 | $101.92 – $455.55 |
| Emory Rehabilitation Hospital | Atlanta, GA | $513.00 | $101.92 – $455.55 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $513.00 | $101.92 – $455.55 |
| Emory University Hospital | Ne, GA | $513.00 | $101.92 – $455.55 |
| Emory University Hospital Midtown | Atlanta, GA | $513.00 | $101.92 – $455.55 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $516.12 | $12.41 – $456.60 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $516.12 | $12.41 – $456.60 |
| HSHS St. Vincent Hospital | Green Bay, WI | $516.12 | $12.87 – $456.60 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $516.12 | $45.58 – $495.60 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $518.65 | $127.78 – $530.47 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $519.00 | $10.39 – $250.00 |
| MercyOne Centerville Medical Center | Centerville, IA | $520.00 | $142.69 – $520.00 |
| San Martin Hospital | Las Vegas, NV | $520.70 | $98.20 – $1,752.60 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $524.38 | $74.31 – $660.52 |
| Providence Seaside Hospital | Seaside, OR | $525.00 | not published |
| Mercy Hospital Logan County | Guthrie, OK | $525.85 | $57.74 – $464.00 |
| Mercy Hospital Watonga | Watonga, OK | $525.85 | $57.74 – $403.20 |
| Sanford Luverne Medical Center | Luverne, MN | $526.40 | $159.30 – $592.20 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $529.75 | $57.74 – $403.20 |
| ADVENTIST HEALTH DELANO | Delano, CA | $530.80 | $25.54 – $507.59 |
| Sequoia Hospital | Redwood City, CA | $531.81 | $54.64 – $1,198.02 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $532.20 | $187.96 – $191.72 |
| St. Clare Hospital | Lakewood, WA | $532.50 | $444.60 – $1,385.54 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $536.90 | $57.74 – $403.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $537.60 | $186.92 – $604.80 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $537.60 | $186.92 – $604.80 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $539.40 | $187.96 – $191.72 |
| Tiffin Hospital | Tiffin, OH | $544.80 | not published |
| Southeastern Medical Center | Cambridge, OH | $546.00 | $165.94 – $172.58 |
| Marion General Hospital | Marion, OH | $547.95 | $167.48 – $174.18 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $549.00 | $110.35 – $549.00 |
| Middlesboro ARH Hospital | Middlesboro, KY | $552.60 | $122.03 – $122.03 |
| HSHS St. Joseph's Hospital | Breese, IL | $553.68 | $24.34 – $769.00 |