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 |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria, CA | $619.32 | $54.64 – $1,178.94 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $622.56 | $191.76 – $417.35 |
| OSF Saint Francis Medical Center | Peoria, IL | $624.00 | $62.84 – $639.00 |
| Weirton Medical Center | Weirton, WV | $625.00 | $21.36 – $852.12 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $629.00 | $77.36 – $236.04 |
| Corewell Health Taylor | Taylor, MI | $629.00 | $104.61 – $236.04 |
| Corewell Health Trenton | Trenton, MI | $629.00 | $104.61 – $236.04 |
| Corewell Health Troy | Troy, MI | $629.00 | $76.99 – $235.94 |
| Corewell Health Wayne | Wayne, MI | $629.00 | $104.61 – $236.04 |
| Urbana Hospital | Urbana, OH | $630.60 | not published |
| CHI Health Good Samaritan | Kearney, NE | $630.74 | $130.73 – $961.62 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $631.80 | $54.43 – $349.61 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $632.80 | $169.12 – $711.90 |
| Hardin Memorial Hospital | Kenton, OH | $633.10 | not published |
| Willard Hospital | Willard, OH | $633.60 | not published |
| Lourdes Hospital | Paducah, KY | $634.80 | not published |
| Sanford Fargo Medical Center | Fargo, ND | $635.20 | $97.20 – $714.60 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | $635.67 | $75.44 – $215.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $639.18 | $174.01 – $400.13 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $641.52 | $56.64 – $891.00 |
| Springfield Medical Center | Springfield, OH | $642.00 | not published |
| St Jude Medical Center | Fullerton, CA | $644.16 | $191.76 – $417.35 |
| OSF Saint Anthony Medical Center | Rockford, IL | $645.60 | $62.84 – $657.87 |
| Sanford Vermillion Hospital | Vermillion, SD | $647.20 | $238.66 – $728.10 |
| Sanford Canby Medical Center | Canby, MN | $652.00 | $186.92 – $733.50 |
| St. Elizabeth Hospital | Enumclaw, WA | $652.80 | $204.25 – $1,662.65 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $657.60 | $130.64 – $588.44 |
| CHI Health St. Francis | Grand Island, NE | $658.44 | $130.73 – $1,049.04 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $665.60 | $165.25 – $1,024.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $665.60 | $165.25 – $1,024.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | $668.00 | $132.55 – $751.50 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $669.60 | $34.84 – $930.00 |
| Sanford Hospital Webster | Webster, SD | $672.00 | $263.76 – $756.00 |
| Mercy Hospital of Folsom | Folsom, CA | $677.64 | $54.64 – $1,428.44 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $691.50 | $165.94 – $356.07 |
| UPMC Muncy | Muncy, PA | $713.40 | $28.80 – $186.56 |
| UPMC Williamsport | Williamsport, PA | $713.40 | $28.80 – $192.64 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $718.56 | $25.55 – $234.95 |
| Harlan ARH Hospital | KY 40831, KY | $721.20 | $163.49 – $163.49 |
| Paintsville ARH Hospital | Paintsville, KY | $721.20 | $112.07 – $112.07 |
| Houston Methodist Hospital | Houston, TX | $722.00 | $176.20 – $704.80 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $722.40 | $195.46 – $655.99 |
| Rose de Lima Hospital | Henderson, NV | $726.44 | $98.20 – $1,752.60 |
| Lorain Hospital | Lorain, OH | $726.60 | not published |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $726.80 | $178.69 – $393.89 |
| Dominican Hospital | Santa Cruz, CA | $727.65 | $54.64 – $2,918.31 |
| Lincoln Health | Damariscotta, ME | $728.85 | $28.52 – $661.80 |
| OSF St Mary Medical Center | Galesburg, IL | $732.00 | $187.96 – $191.72 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $738.40 | $161.10 – $741.81 |
| Sanford Sheldon Medical Center | Sheldon, IA | $744.00 | $265.05 – $837.00 |