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 |
|---|---|---|---|
| Adventhealth Hendersonville | Hendersonville, NC | $939.00 | $167.65 – $418.63 |
| HSHS St. Mary's Hospital | DECATUR, IL | $940.32 | $25.55 – $1,306.00 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $946.08 | $78.14 – $1,587.60 |
| cleveland clinic main campus | Cleveland, OH | $954.20 | $1.10 – $1,105.20 |
| Covenant Medical Center | Lubbock, TX | $966.42 | $176.20 – $794.48 |
| Covenant Children's Hospital | Lubbock, TX | $966.42 | $547.23 – $794.48 |
| Covenant Specialty Hospital | Lubbock, TX | $966.42 | not published |
| Providence Alaska Medical Center | Anchorage, AK | $967.20 | $784.36 – $788.00 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $967.51 | $107.49 – $401.74 |
| Southside Regional Medical Center | Petersburg, VA | $970.20 | not published |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $976.84 | $109.97 – $481.58 |
| Adventhealth South Overland Park | Overland Park, KS | $976.84 | $109.97 – $481.58 |
| Adventhealth Ottawa | Ottawa, KS | $976.84 | $109.97 – $321.39 |
| Marcum Wallace Hospital | Irvine, KY | $985.80 | not published |
| OSF St Francis Hospital | Escanaba, MI | $994.40 | not published |
| martin north hospital | Stuart, FL | $997.75 | $17.16 – $767.50 |
| indian river hospital | Vero Beach, FL | $997.75 | $20.52 – $1,228.00 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $1,021.30 | $97.56 – $2,918.00 |
| Baylor St Luke's Medical Center | Houston, TX | $1,021.30 | $97.56 – $2,918.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $1,021.30 | $97.56 – $2,918.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $1,021.30 | $97.56 – $2,918.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $1,021.30 | $97.56 – $2,918.00 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $1,026.93 | $52.70 – $107.40 |
| Redwood City Medical Center | Redwood City, CA | $1,047.20 | $238.00 – $238.00 |
| Oakland Medical Center | Oakland, CA | $1,047.20 | $238.00 – $238.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $1,047.20 | $238.00 – $238.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $1,047.20 | $238.00 – $238.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $1,047.20 | $238.00 – $238.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $1,047.20 | $238.00 – $238.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $1,047.20 | $238.00 – $238.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $1,047.20 | $238.00 – $238.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $1,047.20 | $238.00 – $238.00 |
| Vacaville Medical Center | VACAVILLE, CA | $1,047.20 | $238.00 – $238.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $1,047.20 | $238.00 – $238.00 |
| Vallejo Medical Center | VALLEJO, CA | $1,047.20 | $238.00 – $238.00 |
| Antioch Medical Center | ANTIOCH, CA | $1,047.20 | $238.00 – $238.00 |
| Fremont Medical Center | FREMONT, CA | $1,047.20 | $238.00 – $238.00 |
| Fresno Medical Center | FRESNO, CA | $1,047.20 | $238.00 – $238.00 |
| Roseville Medical Center | ROSEVILLE, CA | $1,047.20 | $238.00 – $238.00 |
| San Jose Medical Center | SAN JOSE, CA | $1,047.20 | $238.00 – $238.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $1,047.20 | $238.00 – $238.00 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $1,047.95 | $97.56 – $285.69 |
| Mercy Medical Center Redding | Redding, CA | $1,060.65 | $86.88 – $2,050.16 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $1,063.00 | $144.61 – $401.74 |
| Queen of The Valley Medical Center | Napa, CA | $1,076.10 | $249.04 – $328.23 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $1,079.10 | $26.54 – $447.82 |
| NewYork-Presbyterian Queens | Flushing, NY | $1,084.00 | $61.00 – $221.18 |
| Mercy Medical Center Merced | Merced, CA | $1,084.59 | $54.64 – $495.38 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $1,090.75 | $167.61 – $305.71 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $1,096.61 | $61.66 – $341.20 |