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 |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma, CA | $303.45 | $236.37 – $291.55 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $305.20 | $104.64 – $612.97 |
| Potomac Valley Hospital | Keyser, WV | $305.50 | not published |
| Massena Hospital | Massena, NY | $307.48 | not published |
| Community Hospital | Torrington, WY | $307.65 | $192.28 – $423.89 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $309.06 | $28.36 – $2,627.01 |
| St Elias Specialty Hospital | Anchorage, AK | $309.12 | $170.91 – $498.37 |
| Covenant Hospital Levelland | Levelland, TX | $311.22 | $170.91 – $185.89 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $311.40 | not published |
| St Elizabeth Boardman Hospital | Youngstown, OH | $311.40 | not published |
| St Joseph Warren Hospital | Warren, OH | $311.40 | not published |
| Ogallala Community Hospital | Ogallala, NE | $313.77 | $192.28 – $423.89 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $318.37 | $26.35 – $352.99 |
| Corewell Health Pennock | Hastings, MI | $320.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $320.00 | $174.77 – $314.59 |
| Corewell Health Gerber | Fremont, MI | $320.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $320.00 | not published |
| Corewell Health Greenville | Greenville, MI | $320.00 | $174.77 – $314.59 |
| Corewell Health Zeeland | Zeeland, MI | $320.00 | $174.77 – $314.59 |
| UPMC Western Maryland | Cumberland, MD | $321.60 | $536.00 – $536.00 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $321.60 | $170.40 – $238.57 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $321.60 | $54.71 – $493.12 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $321.60 | $182.24 – $391.28 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $321.60 | $148.16 – $251.92 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $323.99 | $26.35 – $344.23 |
| MUSC Health Chester Medical Center | Chester, SC | $325.50 | $104.60 – $186.50 |
| Southampton Medical Center | Franklin, VA | $328.80 | not published |
| Platte County Hospital | Wheatland, WY | $330.81 | $209.76 – $423.89 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $334.55 | $191.48 – $631.54 |
| Washakie Medical Center | Worland, WY | $334.74 | $29.76 – $60.14 |
| Rochester General Hospital | Rochester, NY | $336.54 | $98.37 – $98.37 |
| Newark Wayne Community Hospital | Newark, NY | $336.54 | $63.06 – $131.40 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $336.54 | $54.23 – $75.36 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $337.20 | $147.54 – $556.96 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $337.20 | $147.54 – $556.96 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $337.20 | $147.54 – $556.96 |
| Soin Medical Center | Beaver Creek, OH | $337.20 | $147.54 – $556.96 |
| Kettering Health Greene Memorial | Xenia, OH | $337.20 | $147.54 – $556.96 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $337.20 | $147.54 – $556.96 |
| Kettering Health Troy | Troy, OH | $337.20 | $147.54 – $556.96 |
| MercyOne Newton Medical Center | Newton, IA | $338.00 | $166.03 – $520.00 |
| Grady Memorial Hospital | Delaware, OH | $346.45 | $169.13 – $175.89 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $348.40 | $191.38 – $393.89 |
| UPMC Kane | Kane, PA | $349.20 | $41.25 – $290.60 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $351.00 | $102.92 – $102.92 |
| St. Bernardine Medical Center | San Bernardino, CA | $351.65 | $54.64 – $934.85 |
| Riverside Methodist Hospital | Columbus, OH | $353.60 | $169.13 – $169.13 |
| Dublin Methodist Hospital | Dublin, OH | $353.60 | $169.13 – $169.13 |
| Grant Medical Center | Columbus, OH | $353.60 | $169.13 – $169.13 |
| Doctors Hospital | Columbus, OH | $353.60 | $172.82 – $172.82 |