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 |
|---|---|---|---|
| Southern Virginia Medical Center | Emporia, VA | $556.50 | not published |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $557.52 | $49.61 – $922.60 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $558.00 | $81.72 – $446.40 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $560.33 | $67.53 – $737.99 |
| Thomas Hospitals | South Charleston, WV | $560.50 | $21.36 – $847.35 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $561.00 | $170.10 – $356.07 |
| St. Anthony Hospital | Gig Harbor, WA | $561.88 | $444.60 – $1,385.54 |
| St. Anne Hospital | Burien, WA | $564.11 | $472.07 – $1,662.65 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $564.60 | $10.39 – $250.00 |
| Providence Saint Joseph Medical Center | Burbank, CA | $565.25 | $122.39 – $610.71 |
| Whitesburg ARH Hospital | Whitesburg, KY | $567.00 | $26.99 – $94.53 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $567.45 | $36.00 – $364.91 |
| MultiCare Auburn Medical Center | Auburn, WA | $568.40 | $39.73 – $841.97 |
| MultiCare Covington Medical Center | Covington, WA | $568.40 | $39.73 – $841.97 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $568.40 | $40.64 – $841.97 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $568.40 | $40.46 – $1,418.37 |
| MultiCare Allenmore Hospital | Tacoma, WA | $568.40 | $40.66 – $841.97 |
| Mercy Hospital Healdton | Healdton, OK | $569.40 | $57.74 – $403.20 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $570.00 | $189.36 – $356.07 |
| University Hospitals Geneva Medical Center | Geneva, OH | $570.00 | $189.36 – $356.07 |
| Allen Hospital | Oberlin, OH | $571.20 | not published |
| Beckley ARH Hospital | Beckley, WV | $574.20 | $21.36 – $767.43 |
| Hazard ARH Regional Medical Center | Hazard, KY | $574.20 | $26.99 – $144.67 |
| Siena Hospital | Henderson, NV | $576.58 | $98.20 – $1,752.60 |
| St. Francis Hospital | Federal Way, WA | $579.76 | $444.60 – $1,385.54 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $581.35 | $67.53 – $737.99 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $583.88 | $23.60 – $2,511.30 |
| OSF Saint Clare Medical Center | Princeton, IL | $584.80 | not published |
| Jewish Hospital | Cincinnati, OH | $586.80 | not published |
| Anderson Hospital | Cincinnati, OH | $586.80 | not published |
| Clermont Hospital | Batavia, OH | $586.80 | not published |
| Kings Mills Hospital | Mason, OH | $586.80 | not published |
| Fairfield Hospital | Fairfield, OH | $586.80 | not published |
| Mercy West Hospital | Cincinnati, OH | $586.80 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $587.50 | $174.56 – $179.69 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $587.50 | $174.56 – $179.69 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $587.50 | $174.56 – $179.69 |
| Sentara Obici Hospital | Suffolk, VA | $587.50 | $123.09 – $179.69 |
| Sentara CarePlex Hospital | Hampton, VA | $587.50 | $174.56 – $179.69 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $587.50 | $174.56 – $246.50 |
| Sentara Norfolk General Hospital | Norfolk, VA | $587.50 | $174.56 – $179.69 |
| MUSC Health Florence Medical Center | Florence, SC | $603.50 | $104.60 – $179.45 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $607.53 | $83.54 – $334.32 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $611.00 | $115.95 – $1,127.17 |
| Mercy Hospital Stoddard | Dexter, MO | $611.00 | $151.76 – $1,127.17 |
| St. Joseph Medical Center | Tacoma, WA | $611.85 | $444.60 – $1,385.54 |
| Central Medical Center | Seattle, WA | $616.00 | $179.00 – $179.00 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $616.80 | $186.66 – $693.90 |
| Sanford Medical Center Mayville | Mayville, ND | $616.80 | $186.66 – $693.90 |
| Sanford Worthington Medical Center | Worthington, MN | $618.40 | $135.41 – $695.70 |