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 |
|---|---|---|---|
| Providence Newberg Medical Center | Newberg, OR | $747.00 | $77.40 – $356.78 |
| Providence Portland Medical Center | Portland, OR | $747.00 | $68.63 – $735.08 |
| Providence St Vincent Medical Center | Portland, OR | $747.00 | $68.63 – $735.08 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $747.00 | $68.63 – $735.08 |
| Providence Milwaukie Hospital | Milwaukie, OR | $747.00 | $68.63 – $735.08 |
| Healdsburg Hospital | Healdsburg, CA | $747.15 | $148.48 – $236.33 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $750.20 | $99.63 – $361.01 |
| Kadlec Regional Medical Center | Richland, WA | $752.50 | $172.68 – $712.48 |
| Franklin Memorial Hospital | Farmington, ME | $756.20 | $28.52 – $632.94 |
| Van Wert Hospital | Van Wert, OH | $759.85 | $180.11 – $183.72 |
| Adventhealth Fish Memorial | Orange City, FL | $761.50 | $161.87 – $348.60 |
| Texas Health Hospital Mansfield | Mansfield, TX | $768.22 | $176.20 – $352.40 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $768.22 | $176.49 – $352.98 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $772.00 | $187.96 – $191.72 |
| CHI Health St. Mary's | Nebraska City, NE | $776.05 | $200.28 – $897.60 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $778.40 | $104.64 – $612.97 |
| UPMC St. Margaret | Pittsburgh, PA | $779.40 | $41.25 – $186.69 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $781.92 | $24.34 – $1,086.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $792.75 | $165.94 – $951.30 |
| University Hospitals Elyria Medical Center | Elyria, OH | $792.75 | $165.94 – $356.07 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $792.75 | $179.20 – $356.07 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $792.75 | $165.94 – $356.07 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $792.75 | $165.94 – $298.70 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $792.75 | $170.42 – $322.56 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $792.75 | $165.94 – $356.07 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $792.75 | $165.94 – $951.30 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $793.44 | $25.55 – $1,102.00 |
| akron general | Akron, OH | $798.20 | $0.87 – $1,105.20 |
| avon hospital | Avon, OH | $798.20 | $0.87 – $1,105.20 |
| euclid hospital | Euclid, OH | $798.20 | $0.87 – $1,105.20 |
| fairview hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| lutheran hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| hillcrest hospital | Mayfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| lodi hospital | Lodi, OH | $798.20 | $75.62 – $1,105.20 |
| marymount hospital | Garfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| medina hospital | Medina, OH | $798.20 | $0.87 – $1,105.20 |
| mercy hospital | Canton, OH | $798.20 | $1.01 – $1,105.20 |
| south pointe hospital | Warrensville Heights, OH | $798.20 | $0.87 – $1,105.20 |
| Waldo County General Hospital | Belfast, ME | $799.00 | $28.52 – $752.66 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $799.60 | $178.69 – $393.89 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $800.70 | $244.06 – $291.55 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | $802.25 | $67.09 – $536.07 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $804.00 | $41.25 – $202.78 |
| OSF Saint Anthony's Health Center | Alton, IL | $805.20 | $160.57 – $191.72 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | $808.18 | $401.74 – $874.45 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $809.90 | $187.96 – $187.96 |
| UPMC McKeesport | Mckeesport, PA | $810.00 | $41.25 – $186.69 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $813.80 | $54.64 – $544.48 |
| St. Michael Medical Center | Silverdale, WA | $815.34 | $849.94 – $1,662.65 |
| Mary Immaculate Hospital | Newport News, VA | $820.20 | not published |