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 |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $425.55 | $220.58 – $238.23 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $425.55 | $97.56 – $107.32 |
| UPMC Community Osteopathic | Harrisburg, PA | $427.80 | $29.48 – $606.05 |
| UPMC Hanover | Hanover, PA | $427.80 | $29.48 – $272.10 |
| UPMC Lititz | Lititz, PA | $427.80 | $29.48 – $273.57 |
| UPMC Memorial | York, PA | $427.80 | $29.48 – $379.51 |
| UPMC Somerset | Somerset, PA | $427.80 | $25.88 – $169.72 |
| St Francis Downtown | Greenville, SC | $427.80 | not published |
| St Francis Eastside | Greenville, SC | $427.80 | not published |
| UPMC Carlisle | Carlisle, PA | $427.80 | $29.48 – $606.05 |
| Community Hospital San Bernardino | San Bernardino, CA | $428.93 | $54.64 – $1,053.00 |
| Parkview Montpelier Hospital | Montpelier, OH | $430.00 | not published |
| Parkview Bryan Hospital | Bryan, OH | $430.00 | $174.50 – $523.50 |
| Banner Page Hospital | Page, AZ | $430.84 | $26.12 – $354.57 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $431.53 | $26.35 – $217.38 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $432.85 | $63.74 – $321.39 |
| Mercy Hospital Lincoln | Troy, MO | $433.55 | $168.62 – $233.71 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $434.76 | $26.35 – $213.03 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $434.76 | $26.35 – $239.66 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $434.76 | $26.35 – $222.81 |
| Mercy Hospital Aurora | Aurora, MO | $436.15 | $36.00 – $233.71 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $436.50 | $167.65 – $171.01 |
| Berger Hospital | Circleville, OH | $438.75 | $167.15 – $167.15 |
| Banner Lassen Medical Center | Susanville, CA | $438.86 | $35.60 – $648.93 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $440.80 | $23.60 – $460.99 |
| West Virginia University Hospitals | Morgantown, WV | $442.50 | $21.36 – $715.25 |
| Methodist Charlton Medical Center | Dallas, TX | $442.50 | $92.68 – $465.32 |
| Methodist Dallas Medical Center | Dallas, TX | $442.50 | $92.68 – $475.74 |
| Methodist Mansfield Medical Center | Mansfield, TX | $442.50 | $92.68 – $476.52 |
| Methodist Midlothian Medical Center | Midlothian, TX | $442.50 | $92.68 – $475.74 |
| Methodist Richardson Medical Center | Richardson, TX | $442.50 | $92.68 – $475.74 |
| Methodist Celina Medical Center | Celina, TX | $442.50 | $107.32 – $440.50 |
| Methodist Southlake Medical Center | Souhtlake, TX | $442.50 | $92.68 – $476.52 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $443.52 | $88.94 – $97.83 |
| Chandler Regional Medical Center | Chandler, AZ | $447.56 | $91.16 – $1,402.80 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $451.86 | $186.49 – $969.15 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $452.50 | $78.04 – $179.45 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $452.50 | $163.14 – $179.45 |
| Northridge Hospital Medical Center | Northridge, CA | $454.50 | $54.64 – $1,629.00 |
| Wellstar Cobb Hospital | Austell, GA | $456.30 | $149.53 – $329.59 |
| Wellstar Douglas Hospital | Douglasville, GA | $456.30 | $149.53 – $326.63 |
| Wellstar Kennestone Hospital | Marietta, GA | $456.30 | $149.53 – $329.59 |
| Wellstar MCG Health | Augusta, GA | $456.30 | $103.52 – $301.27 |
| Wellstar North Fulton Hospital | Roswell, GA | $456.30 | $149.53 – $329.59 |
| Wellstar Paulding Hospital | Hiram, GA | $456.30 | $149.53 – $329.59 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $456.30 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $456.30 | $149.53 – $344.83 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $456.30 | $149.53 – $518.62 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $456.30 | $149.53 – $338.29 |
| Wellstar Windy Hill Hospital | Marietta, GA | $456.30 | $149.53 – $339.64 |