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 |
|---|---|---|---|
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $1,100.00 | $61.00 – $263.31 |
| Adventhealth Tampa | Tampa, FL | $1,102.75 | $136.01 – $429.66 |
| Adventhealth Riverview | Riverview, FL | $1,102.75 | $238.49 – $238.49 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $1,102.75 | $136.01 – $429.66 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $1,102.75 | $136.01 – $530.75 |
| Adventhealth Carrollwood | Tampa, FL | $1,102.75 | $136.01 – $429.66 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $1,105.68 | $225.59 – $372.22 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $1,114.62 | not published |
| OSF Holy Family Medical Center | Monmouth, IL | $1,140.00 | not published |
| cleveland clinic florida weston hospital | Weston, FL | $1,153.75 | $19.18 – $1,304.75 |
| AdventHealth Orlando | Orlando, FL | $1,175.00 | $158.99 – $485.39 |
| Adventhealth Palm Coast | Palm Coast, FL | $1,182.30 | $151.33 – $391.23 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $1,182.30 | $151.33 – $631.85 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | $1,223.73 | $52.99 – $341.20 |
| St Mary's Hospital | Richmond, VA | $1,231.80 | not published |
| St Francis Medical Center | Midlothian, VA | $1,231.80 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $1,231.80 | not published |
| Richmond Community Hospital | Richmond, VA | $1,231.80 | not published |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $1,249.00 | $176.20 – $343.59 |
| Houston Methodist West Hospital | Houston, TX | $1,249.00 | $176.20 – $704.80 |
| Houston Methodist Baytown Hospital | Baytown, TX | $1,249.00 | $176.20 – $343.59 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $1,249.00 | $176.20 – $343.59 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $1,249.00 | $176.20 – $343.59 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $1,249.00 | $176.20 – $352.40 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $1,249.00 | $267.92 – $267.92 |
| Houston Methodist Cypress Hospital | Cypress, TX | $1,249.00 | $176.20 – $343.59 |
| St Anne Hospital | Toledo, OH | $1,260.00 | not published |
| Pen Bay Medical Center | Rockport, ME | $1,272.50 | $27.52 – $684.77 |
| Mid Coast Hospital | Brunswick, ME | $1,272.50 | $27.25 – $898.39 |
| Mark Twain Medical Center | San Andreas, CA | $1,284.72 | $54.64 – $632.10 |
| UPMC Presbyterian | Pittsburgh, PA | $1,312.80 | $27.00 – $203.15 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | $1,372.76 | $64.40 – $401.74 |
| Providence Holy Family Hospital | Spokane, WA | $1,413.30 | $195.46 – $629.28 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | $1,419.34 | $52.33 – $341.20 |
| Adventhealth Waterman | Tavares, FL | $1,421.78 | $137.92 – $631.85 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $1,467.50 | $104.60 – $187.49 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $1,472.72 | $101.17 – $158.49 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $1,503.52 | $97.56 – $274.79 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | $1,542.00 | $303.54 – $875.46 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $1,550.22 | $97.56 – $274.79 |
| Baptist Health Floyd | New Albany, IN | $1,555.49 | $48.47 – $3,110.99 |
| Baptist Health Hardin | Elizabethtown, KY | $1,555.49 | $178.02 – $4,147.98 |
| Baptist Health Corbin | Corbin, KY | $1,555.49 | $2,073.99 – $4,147.98 |
| Baptist Health La Grange | La Grange, KY | $1,555.49 | $214.05 – $4,147.98 |
| Baptist Health Lexington | Lexington, KY | $1,555.49 | $178.02 – $4,216.42 |
| Baptist Health Louisville | Louisville, KY | $1,555.49 | $87.33 – $4,147.98 |
| Baptist Health Paducah | Paducah, KY | $1,555.49 | $178.02 – $4,147.98 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | $1,563.00 | $303.54 – $882.69 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | $1,573.89 | $96.10 – $274.79 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $1,594.63 | $136.01 – $406.63 |