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 |
|---|---|---|---|
| Glendale Memorial Hospital Health Center | Glendale, CA | $456.73 | $54.64 – $1,120.80 |
| Providence Hood River Memorial Hospital | Hood River, OR | $457.50 | not published |
| Wetzel County Hospital | New Martinsville, WV | $458.00 | $21.36 – $313.81 |
| Moanalua Medical Center | HONOLULU, HI | $458.25 | $184.00 – $184.00 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $460.00 | $176.66 – $264.99 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $460.00 | $174.77 – $395.11 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $460.50 | $185.58 – $278.36 |
| Virginia Mason Medical Center | Seattle, WA | $460.53 | $0.41 – $372.59 |
| Parkview Huntington Hospital | Huntington, IN | $461.00 | $185.58 – $278.36 |
| OSF Saint Paul Medical Center | Mendota, IL | $462.40 | not published |
| Parkview LaGrange Hospital | Lagrange, IN | $463.00 | $386.31 – $386.31 |
| Mansfield Hospital | Mansfield, OH | $464.75 | $167.48 – $174.18 |
| Shelby Hospital | Shelby, OH | $464.75 | not published |
| Sentara Halifax Regional Hospital | South Boston, VA | $467.00 | $140.58 – $180.68 |
| Parkview DeKalb Hospital | Auburn, IN | $467.50 | $185.58 – $278.36 |
| St. John's Camarillo Hospital | Camarillo, CA | $467.79 | $82.67 – $864.73 |
| Parkview Noble Hospital | Kendallville, IN | $469.00 | $185.58 – $278.36 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $469.95 | $36.00 – $455.25 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $470.58 | $83.54 – $524.79 |
| St Ritas Medical Center | Lima, OH | $471.00 | not published |
| Parkview Wabash Hospital | Wabash, IN | $474.50 | $386.31 – $386.31 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $476.64 | $27.40 – $90.00 |
| Woodland Memorial Hospital | Woodland, CA | $477.31 | $54.64 – $1,742.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $477.31 | $54.64 – $1,445.86 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $477.43 | $186.49 – $862.68 |
| Orange County Anaheim Medical Center | Anaheim, CA | $478.40 | $161.00 – $161.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $478.40 | $161.00 – $161.00 |
| Downey Medical Center | Downey, CA | $478.40 | $161.00 – $161.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $478.40 | $161.00 – $161.00 |
| Riverside Medical Center | RIVERSIDE, CA | $478.40 | $161.00 – $161.00 |
| South Bay Medical Center | HARBOR CITY, CA | $478.40 | $161.00 – $161.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $478.40 | $161.00 – $161.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $478.40 | $161.00 – $161.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $478.40 | $161.00 – $161.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $478.40 | $161.00 – $161.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $478.40 | $161.00 – $161.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $478.40 | $161.00 – $161.00 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $478.40 | $161.00 – $161.00 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $479.00 | $174.56 – $179.69 |
| Sentara RMH Medical Center | Harrisonburg, VA | $479.00 | $174.56 – $179.69 |
| CHI Health St. Elizabeth | Lincoln, NE | $479.00 | $130.73 – $766.40 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $479.20 | $28.13 – $1,006.60 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $479.20 | $39.38 – $1,006.60 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $479.20 | $46.88 – $1,006.60 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $479.20 | $28.13 – $1,006.60 |
| Stephens Memorial Hospital | Norway, ME | $481.75 | $28.52 – $448.99 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $483.50 | $185.58 – $278.36 |
| Parkview Ortho Hospital | Fort Wayne, IN | $483.50 | $185.58 – $278.36 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $484.80 | $10.39 – $250.00 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $484.80 | $10.39 – $250.00 |