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 Hudson Valley Hospital | Cortlandt Manor, NY | $1,614.00 | $66.29 – $263.31 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $1,648.00 | $85.27 – $449.49 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $1,648.00 | $88.46 – $449.49 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $1,648.00 | $77.07 – $449.49 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $1,648.97 | $96.10 – $274.79 |
| Adventhealth Connerton | Land O Lakes, FL | $1,670.28 | not published |
| Adventhealth Port Charlotte | Port Charlotte, FL | $1,672.90 | $142.14 – $334.46 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $1,705.00 | $60.69 – $311.54 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $1,705.00 | $58.36 – $311.54 |
| AdventHealth Parker | Parker, CO | $1,763.36 | $124.74 – $342.30 |
| AdventHealth Littleton | Littleton, CO | $1,763.36 | $124.74 – $342.30 |
| AdventHealth Porter | Denver, CO | $1,763.36 | $124.74 – $342.30 |
| AdventHealth Avista | Louisville, CO | $1,763.36 | $124.74 – $346.10 |
| AdventHealth Castle Rock | Castle Rock, CO | $1,763.36 | $124.74 – $342.30 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $1,869.00 | $117.81 – $401.74 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | $1,928.97 | $97.56 – $274.79 |
| Adventhealth Dade City | Dade City, FL | $1,954.01 | $183.17 – $415.19 |
| Adventhealth Sebring | Sebring, FL | $1,963.38 | $187.75 – $416.27 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | $1,968.00 | $303.54 – $875.46 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | $1,983.27 | $47.66 – $341.20 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | $2,059.88 | $401.74 – $815.08 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | $2,060.00 | $303.54 – $843.05 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $2,064.36 | $99.63 – $361.01 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $2,070.00 | $127.11 – $401.74 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | $2,088.22 | $97.56 – $285.69 |
| MENORAH MEDICAL CENTER | Overland Park, KS | $2,246.90 | $76.36 – $216.87 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | $2,247.00 | $69.35 – $836.62 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | $2,280.00 | $303.54 – $875.46 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | $2,331.00 | $303.54 – $882.69 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | $2,457.05 | $401.74 – $771.17 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $2,462.00 | $97.73 – $401.74 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $2,507.60 | $401.74 – $815.08 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $2,566.56 | $401.74 – $815.08 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $2,640.38 | $76.36 – $216.87 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | $2,869.99 | $95.61 – $597.58 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | $2,930.25 | $401.74 – $770.11 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | $2,939.75 | $401.74 – $778.95 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | $3,096.39 | $401.74 – $815.08 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $3,124.50 | $401.74 – $778.95 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | $3,320.22 | $401.74 – $815.08 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | $3,568.64 | $64.56 – $401.74 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | $3,669.00 | $303.54 – $836.62 |
| Adventhealth Redmond | Rome, GA | $3,739.73 | $117.92 – $506.78 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | $3,801.86 | $401.74 – $815.08 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $3,920.31 | $95.61 – $597.58 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | $3,989.02 | $97.56 – $597.58 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | $4,121.72 | $97.56 – $597.58 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | $4,182.05 | $401.74 – $815.08 |
| HCA HOUSTON PEARLAND | Pearland, TX | $4,187.89 | $97.56 – $597.58 |
| HCA HOUSTON NORTHWEST | SPRING, TX | $4,222.67 | $97.56 – $597.58 |