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 |
|---|---|---|---|
| Providence Mount Carmel Hospital | Colville, WA | $413.00 | not published |
| The Unity Hospital of Rochester | Rochester, NY | $414.21 | $122.97 – $122.97 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $415.00 | $220.00 – $664.00 |
| Advocate Sherman Hospital | Elgin, IL | $415.00 | $174.00 – $747.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $415.00 | $220.00 – $808.42 |
| Advocate Trinity Hospital | Chicago, IL | $415.00 | $220.00 – $664.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $415.00 | $220.00 – $664.00 |
| Advocate Christ Medical Center | Oak Lawn, IL | $415.00 | $220.00 – $664.00 |
| Advocate Condell Medical Center | Libertyville, IL | $415.00 | $195.00 – $664.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $415.00 | $220.00 – $664.00 |
| Sanford Medical Center Bismarck | Bismarck, ND | $415.20 | $97.20 – $467.10 |
| MercyOne Clinton Medical Center | Clinton, IA | $415.35 | $161.52 – $639.00 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $415.58 | $157.36 – $624.00 |
| Berkeley Medical Center | Martinsburg, WV | $418.50 | $21.36 – $295.42 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $419.77 | $175.12 – $393.89 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $419.77 | $173.33 – $393.89 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $419.77 | $173.33 – $393.89 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $420.59 | $102.28 – $774.20 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $422.95 | $115.54 – $316.23 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $424.80 | $203.11 – $829.10 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $424.80 | $203.11 – $856.43 |
| Swedish Issaquah | Issaquah, WA | $424.80 | $203.68 – $856.43 |
| Atrium Health Anson | Wadesboro, NC | $425.03 | $19.05 – $807.55 |
| Atrium Health Mercy | Charlotte, NC | $425.03 | $19.05 – $782.05 |
| Atrium Health Pineville | Charlotte, NC | $425.03 | $19.05 – $782.05 |
| Atrium Health Stanly | Albermarle, NC | $425.03 | $19.05 – $816.05 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $425.03 | $19.24 – $748.04 |
| Atrium Health Cleveland | Shelby, NC | $425.03 | $19.05 – $807.55 |
| Atrium Health Cabarrus | Concord, NC | $425.03 | $19.05 – $807.55 |
| Atrium Health Lincoln | Lincolnton, NC | $425.03 | $19.05 – $807.55 |
| Atrium Health Union | Monroe, NC | $425.03 | $19.05 – $807.55 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $425.03 | $19.24 – $782.05 |
| Atrium Health University City | Charlotte, NC | $425.03 | $19.05 – $782.05 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $425.03 | $19.05 – $765.05 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Hospital Frisco | Frisco, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Hospital Rockwall | Rockwall, TX | $425.55 | $97.56 – $105.36 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $425.55 | $97.56 – $107.32 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $425.55 | $97.56 – $107.32 |