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 |
|---|---|---|---|
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $4,223.00 | $303.54 – $882.69 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | $4,246.51 | $401.74 – $789.52 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | $4,263.57 | $401.74 – $789.82 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | $4,323.48 | $401.74 – $815.08 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | $4,640.00 | $401.74 – $829.07 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | $4,685.12 | $401.74 – $815.08 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $4,782.59 | $401.74 – $804.20 |
| HCA HOUSTON CONROE | CONROE, TX | $4,784.42 | $95.61 – $597.58 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | $4,795.68 | $401.74 – $401.74 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $97.56 – $274.79 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $76.36 – $216.87 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $76.36 – $216.87 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $76.36 – $216.87 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $303.54 – $882.69 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $798.28 – $815.08 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $401.74 – $829.07 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $401.74 – $802.93 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $401.74 – $802.93 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $401.74 – $758.44 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $67.09 – $461.57 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $282.72 – $401.74 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $69.35 – $452.48 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $69.07 – $401.74 |
| HCA HealthONE AURORA | Aurora, CO | not published | $66.25 – $419.77 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $95.61 – $597.58 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $106.25 – $401.74 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $44.66 – $341.20 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $49.33 – $341.20 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $30.66 – $341.20 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | not published | $167.02 – $167.02 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $96.10 – $274.79 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $97.56 – $274.79 |
| Gouverneur Hospital | Gouverneur, NY | not published | $57.78 – $57.78 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $97.56 – $97.56 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $10.39 – $250.00 |
| Parkview Logansport Hospital | Logansport, IN | not published | $185.58 – $371.15 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $87.53 – $271.56 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $83.54 – $436.48 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $227.23 – $502.04 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | not published | $97.56 – $107.32 |
| Adventhealth Wauchula | Wauchula, FL | not published | $240.40 – $240.40 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $199.75 – $819.99 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $78.92 – $91.38 |
| Sanford Tracy Hospital | Tracy, MN | not published | $186.92 – $186.92 |
| Sanford Wheaton | Wheaton, MN | not published | $186.92 – $186.92 |
| Sanford Bagley Medical Center | Bagley, MN | not published | $186.92 – $186.92 |
| Sanford Westbrook Hospital | Westbrook, MN | not published | $186.92 – $186.92 |
| Adventhealth Lake Wales | Lake Wales, FL | not published | $137.92 – $530.75 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $175.20 – $340.18 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $124.92 – $340.18 |