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
909
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 ($1,472.72)
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 | 23 | $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 | 34 | $186.00 | $479.20 | $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 |
|---|---|---|---|
| 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 |
| Maryview Hospital | Portsmouth, VA | $820.20 | not published |
| Harbour View Medical Center | Suffolk, VA | $820.20 | not published |
| Baptist Hospital | MIAMI, FL | $824.85 | $35.25 – $1,142.10 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $824.85 | $35.25 – $1,142.10 |
| Doctors Hospital | CORAL GABLES, FL | $824.85 | $34.17 – $1,142.10 |
| Fishermens Community Hospital | MARATHON, FL | $824.85 | $34.17 – $1,142.10 |
| Homestead Hospital | HOMESTEAD, FL | $824.85 | $34.17 – $1,142.10 |
| Mariners Hospital | TAVERNIER, FL | $824.85 | $34.17 – $1,142.10 |
| West Kendall Baptist Hospital | MIAMI, FL | $824.85 | $34.17 – $1,142.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $824.85 | $34.17 – $1,142.10 |
| Sunnyside Medical Center | CLACKAMAS, OR | $826.20 | $294.00 – $294.00 |
| Westside Medical Center | HILLSBORO, OR | $826.20 | $294.00 – $294.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $828.10 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $828.10 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $828.10 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $828.10 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $828.10 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $828.10 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $828.10 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $828.10 | not published |
| UPMC East | Monroeville, PA | $832.80 | $41.25 – $1,110.40 |
| Adventhealth Central Texas | Killeen, TX | $838.31 | $176.20 – $701.55 |
| Sanford USD Medical Center | Sioux Falls, SD | $841.60 | $81.44 – $946.80 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $853.84 | $71.66 – $423.26 |
| UPMC Wellsboro | Wellsboro, PA | $862.40 | $28.80 – $161.24 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $869.80 | $41.25 – $1,006.60 |
| UPMC Mercy | Pittsburgh, PA | $873.00 | $41.25 – $186.69 |
| Love County Health Center | Marietta, OK | $876.00 | $57.74 – $57.74 |
| MaineHealth - Memorial Hospital | North Conway, NH | $876.85 | $27.25 – $457.93 |
| STONECREST MEDICAL CENTER | Smyrna, TN | $882.80 | $43.00 – $341.20 |
| Providence St Mary Medical Center | Walla Walla, WA | $887.60 | $162.81 – $361.60 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $887.95 | $92.68 – $1,902.75 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $894.85 | $187.96 – $197.36 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $894.85 | $187.96 – $197.36 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | $902.70 | $401.74 – $804.20 |
| UPMC Magee | Pittsburgh, PA | $903.60 | $41.25 – $183.30 |
| MultiCare Valley Hospital | Spokane Valley, WA | $904.40 | $38.84 – $802.51 |
| MultiCare Deaconess Hospital | Spokane, WA | $904.40 | $39.12 – $804.32 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $905.71 | $87.72 – $1,293.87 |
| AdventHealth Polk | Columbus, NC | $907.31 | not published |
| Redwood Memorial Hospital | Fortuna, CA | $912.90 | $373.08 – $373.08 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $918.33 | $54.64 – $474.32 |
| AdventHealth Deland | Deland, FL | $932.35 | $163.78 – $365.29 |
| Providence Centralia Hospital | Centralia, WA | $935.48 | $203.11 – $1,135.23 |
| Providence St Peter Hospital | Olympia, WA | $935.48 | $171.47 – $1,020.43 |
| Emory Hospital Perry | Perry, GA | $938.00 | $101.92 – $455.55 |
| Emory Hospital Warner Robins | Warner Robins, GA | $938.00 | $101.92 – $455.55 |