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 |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $356.00 | $119.52 – $314.59 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $356.00 | $119.52 – $314.59 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $356.85 | $110.35 – $549.00 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $358.68 | $128.10 – $725.90 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $358.68 | $130.73 – $725.90 |
| Lasting Hope Recovery Center | Omaha, NE | $358.68 | $145.18 – $725.90 |
| CHI Health Immanuel | Omaha, NE | $358.68 | $119.56 – $725.90 |
| CHI Health Lakeside | Omaha, NE | $358.68 | $130.73 – $725.90 |
| CHI Health Midlands | Papillion, NE | $358.68 | $130.73 – $725.90 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $359.32 | $199.75 – $765.32 |
| United Hospital Center | Bridgeport, WV | $360.00 | $21.36 – $316.44 |
| Mercy Hospital Carthage | Carthage, MO | $365.30 | $57.74 – $244.94 |
| Jefferson Medical Center | Ranson, WV | $366.00 | not published |
| Morrow County Hospital | Mount Gilead, OH | $368.29 | $69.78 – $115.13 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $369.05 | $127.78 – $704.53 |
| MercyOne North Iowa Medical Center | Mason City, IA | $369.20 | $145.41 – $568.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $369.60 | $99.63 – $400.55 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $377.52 | $76.85 – $640.46 |
| CHI Health Plainview | Plainview, NE | $378.84 | $275.11 – $610.75 |
| Mercy General Hospital | Sacramento, CA | $379.76 | $54.64 – $1,393.60 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $380.79 | $186.49 – $862.68 |
| Covenant Hospital Plainview | Plainview, TX | $380.94 | $170.91 – $185.89 |
| Princeton Community Hospital | Princeton, WV | $381.00 | $21.36 – $1,044.47 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $381.01 | $26.35 – $381.01 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $382.24 | $174.56 – $758.94 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $382.95 | $26.35 – $179.51 |
| CHI Health Schuyler | Schuyler, NE | $383.35 | $96.61 – $510.63 |
| California Hospital Medical Center | Los Angeles, CA | $383.64 | $49.18 – $646.54 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $384.00 | $209.25 – $571.85 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $384.30 | $104.64 – $660.47 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $384.30 | $157.22 – $628.81 |
| Providence St Joseph Medical Center | Polson, MT | $386.40 | $588.44 – $588.44 |
| OSF Healthcare Divine Mercy Continuing Care Hospital | Peoria, IL | $387.00 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $387.17 | $154.94 – $987.35 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $390.13 | $110.74 – $1,067.58 |
| CHI Memorial Hospital Hixson | Hixson, TN | $390.13 | $49.61 – $922.60 |
| Reynolds Memorial Hospital | Glen Dale, WV | $392.00 | $21.36 – $293.00 |
| Mercy Hospital Berryville | Berryville, AR | $392.60 | $36.00 – $364.44 |
| Camden Clark Medical Center | Parkersburg, WV | $394.00 | $21.36 – $293.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $396.00 | $23.39 – $260.54 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $398.10 | $3.36 – $388.02 |
| UPMC Horizon-Greenville | Greenville, PA | $400.80 | $41.25 – $183.30 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $403.15 | $17.16 – $291.27 |
| Adventhealth Ocala | Ocala, FL | $403.67 | $137.92 – $429.66 |
| UPMC Hamot | Erie, PA | $407.40 | $41.25 – $270.53 |
| MUSC Health Kershaw Medical Center | Camden, SC | $408.50 | $78.55 – $186.50 |
| Rappahannock General Hospital | Kilmarnock, VA | $409.20 | not published |
| Mercy Gilbert Medical Center | Gilbert, AZ | $410.82 | $102.28 – $1,285.90 |
| Canton-Potsdam Hospital | Potsdam, NY | $410.88 | $20.20 – $66.21 |
| Providence St Joseph Hospital | Chewelah, WA | $413.00 | not published |