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
906
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 ($1,419.34)
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 | 22 | $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 | 32 | $186.00 | $427.80 | $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 |
|---|---|---|---|
| Monmouth Medical Center | Long Branch, NJ | $239.36 | $45.92 – $392.11 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $241.18 | $17.68 – $320.26 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $241.18 | $17.68 – $401.97 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $241.18 | $17.68 – $320.26 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $241.18 | $17.68 – $401.97 |
| Summersville Regional Medical Center | Summersville, WV | $241.50 | not published |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $245.05 | $36.00 – $410.00 |
| UPMC Cole | Coudersport, PA | $249.00 | $39.38 – $332.00 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $252.40 | $23.60 – $373.83 |
| UPMC Northwest | Seneca, PA | $253.20 | $41.25 – $178.21 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $254.10 | $65.25 – $210.82 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $254.10 | $65.25 – $357.10 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $254.10 | $65.25 – $210.82 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $254.10 | $65.25 – $210.82 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $254.10 | $65.25 – $210.82 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $254.10 | $65.25 – $210.82 |
| St. Mary Medical Center | Long Beach, CA | $254.13 | $49.18 – $580.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $256.52 | $47.33 – $401.74 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $256.52 | $47.33 – $401.74 |
| Arizona General Hospital Laveen | Phoenix, AZ | $256.71 | $102.28 – $915.86 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $257.20 | $28.27 – $429.07 |
| Ascension Providence | Waco, TX | $257.40 | $83.54 – $446.44 |
| New Ulm Medical Center | MN 56073, MN | $257.66 | $90.73 – $376.27 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $260.04 | $45.92 – $387.15 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $263.91 | $36.00 – $328.08 |
| WILLITS HOSPITAL INC | Willits, CA | $266.70 | $3.36 – $123.45 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $268.48 | $67.20 – $1,191.26 |
| Henry Ford Providence Novi Hospital | Novi, MI | $269.92 | $52.96 – $240.70 |
| SSM Health Monroe Hospital | Monroe, WI | $270.60 | $170.37 – $172.81 |
| MUSC Health Black River Medical Center | Cades, SC | $272.50 | $98.08 – $179.45 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $272.52 | $54.64 – $1,249.05 |
| ST HELENA HOSPITAL | Vallejo, CA | $273.15 | $3.36 – $275.65 |
| Barnesville Hospital | Barnesville, OH | $273.50 | not published |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $275.00 | $74.92 – $226.76 |
| Banner Churchill Community Hospital | Fallon, NV | $275.50 | $133.64 – $493.44 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $276.65 | $130.12 – $334.84 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $276.65 | $216.96 – $216.96 |
| SSM Health Ripon Community Hospital | Ripon, WI | $276.65 | $216.96 – $216.96 |
| Arizona General Hospital Mesa | Mesa, AZ | $276.89 | $102.28 – $915.86 |
| Grant Memorial Hospital | Petersburg, WV | $280.80 | not published |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $288.96 | $81.68 – $1,625.40 |
| East Morgan County Hospital | Brush, CO | $290.17 | $26.13 – $60.14 |
| UPMC Chautauqua | Jamestown, NY | $291.00 | $46.88 – $545.49 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $294.00 | $170.40 – $238.57 |
| St. Joseph's Hospital | Buckhannon, WV | $294.50 | not published |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $298.98 | $67.53 – $737.99 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $298.98 | $67.53 – $737.99 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $298.98 | $67.53 – $737.99 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $298.98 | $67.53 – $737.99 |
| UPMC Altoona | Altoona, PA | $302.40 | $22.50 – $403.20 |