Video Swallow Study (Modified Barium Swallow) cost at US hospitals
Video swallowing study with cineradiography or videoradiography, neck radiographs and delayed images, contrast study · CPT 74230
$64.80
lowest cash price
$524.50
national median
$5,109.80
highest cash price
912
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $64.80–$5,109.80 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($543.00) → Sep 1, 2026 ($1,252.79)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $964.08 | $1,114.62 | $1,223.82 |
| Arizona | 22 | $117.61 | $174.56 | $834.01 |
| Arkansas | 7 | $64.80 | $205.96 | $485.00 |
| California | 88 | $144.90 | $546.00 | $1,409.04 |
| Colorado | 15 | $127.42 | $2,014.84 | $3,437.49 |
| Florida | 77 | $216.82 | $1,305.91 | $5,109.80 |
| Georgia | 25 | $485.15 | $733.20 | $3,977.73 |
| Hawaii | 2 | $333.76 | $333.76 | $483.00 |
| Illinois | 51 | $108.24 | $622.80 | $1,074.96 |
| Indiana | 26 | $258.00 | $439.00 | $1,252.79 |
| Iowa | 28 | $270.00 | $412.84 | $828.00 |
| Kansas | 11 | $212.40 | $1,220.13 | $2,362.00 |
| Kentucky | 22 | $292.46 | $694.80 | $2,109.42 |
| Louisiana | 2 | $273.52 | $273.52 | $273.52 |
| Maine | 7 | $543.00 | $744.10 | $1,031.20 |
| Maryland | 2 | $500.40 | $500.40 | $500.40 |
| Michigan | 27 | $125.44 | $514.00 | $946.40 |
| Minnesota | 19 | $207.79 | $208.99 | $791.20 |
| Mississippi | 10 | $86.40 | $151.44 | $264.15 |
| Missouri | 20 | $286.65 | $388.05 | $3,073.91 |
| Montana | 2 | $432.80 | $432.80 | $475.20 |
| Nebraska | 12 | $317.94 | $372.14 | $795.14 |
| Nevada | 4 | $160.80 | $499.59 | $696.99 |
| New Hampshire | 1 | $876.85 | $876.85 | $876.85 |
| New Jersey | 22 | $110.42 | $197.04 | $363.00 |
| New Mexico | 2 | $997.92 | $997.92 | $997.92 |
| New York | 23 | $162.72 | $210.66 | $1,960.00 |
| North Carolina | 15 | $363.98 | $363.98 | $1,080.03 |
| North Dakota | 2 | $502.40 | $502.40 | $734.40 |
| Ohio | 68 | $174.00 | $590.20 | $1,008.00 |
| Oklahoma | 16 | $240.41 | $300.30 | $715.00 |
| Oregon | 13 | $94.50 | $538.50 | $826.20 |
| Pennsylvania | 32 | $215.40 | $590.40 | $1,312.80 |
| South Carolina | 11 | $272.50 | $452.50 | $1,705.00 |
| South Dakota | 6 | $642.40 | $662.40 | $757.60 |
| Tennessee | 36 | $69.30 | $90.42 | $1,495.86 |
| Texas | 115 | $107.37 | $601.05 | $4,707.14 |
| Virginia | 41 | $69.30 | $546.50 | $2,787.00 |
| Washington | 31 | $211.68 | $566.00 | $1,600.90 |
| West Virginia | 15 | $255.50 | $394.00 | $579.60 |
| Wisconsin | 32 | $166.42 | $437.50 | $1,079.10 |
| Wyoming | 4 | $181.44 | $432.96 | $471.09 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Southeast | Cape Girardeau, MO | $523.25 | $115.95 – $1,127.17 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $523.38 | $52.32 – $456.60 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $523.38 | $52.32 – $456.60 |
| HSHS St. Vincent Hospital | Green Bay, WI | $523.38 | $54.25 – $456.60 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $523.38 | $179.20 – $495.60 |
| Methodist Charlton Medical Center | Dallas, TX | $524.50 | $118.71 – $511.34 |
| Methodist Dallas Medical Center | Dallas, TX | $524.50 | $118.71 – $523.17 |
| Methodist Mansfield Medical Center | Mansfield, TX | $524.50 | $118.71 – $534.02 |
| Methodist Midlothian Medical Center | Midlothian, TX | $524.50 | $118.71 – $511.34 |
| Methodist Richardson Medical Center | Richardson, TX | $524.50 | $118.71 – $511.34 |
| Methodist Celina Medical Center | Celina, TX | $524.50 | $137.46 – $440.50 |
| Methodist Southlake Medical Center | Souhtlake, TX | $524.50 | $118.71 – $534.02 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $528.00 | $25.16 – $305.97 |
| Mercy Hospital Watonga | Watonga, OK | $532.35 | $83.01 – $403.20 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $536.25 | $83.01 – $403.20 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $538.20 | $165.56 – $828.00 |
| Providence Newberg Medical Center | Newberg, OR | $538.50 | $111.32 – $356.78 |
| Providence Portland Medical Center | Portland, OR | $538.50 | $98.70 – $735.08 |
| Providence St Vincent Medical Center | Portland, OR | $538.50 | $98.70 – $735.08 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $538.50 | $98.70 – $735.08 |
| Providence Milwaukie Hospital | Milwaukie, OR | $538.50 | $98.70 – $735.08 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $540.79 | $19.24 – $390.72 |
| Mercy Hospital Logan County | Guthrie, OK | $540.80 | $83.01 – $498.00 |
| Stephens Memorial Hospital | Norway, ME | $543.00 | $25.16 – $506.08 |
| Orange County Anaheim Medical Center | Anaheim, CA | $546.00 | $161.00 – $161.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $546.00 | $161.00 – $161.00 |
| Downey Medical Center | Downey, CA | $546.00 | $161.00 – $161.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $546.00 | $161.00 – $161.00 |
| Riverside Medical Center | RIVERSIDE, CA | $546.00 | $161.00 – $161.00 |
| South Bay Medical Center | HARBOR CITY, CA | $546.00 | $161.00 – $161.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $546.00 | $161.00 – $161.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $546.00 | $161.00 – $161.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $546.00 | $161.00 – $161.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $546.00 | $161.00 – $161.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $546.00 | $161.00 – $161.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $546.00 | $161.00 – $161.00 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $546.00 | $161.00 – $161.00 |
| Inova Alexandria Hospital | Alexandria, VA | $546.50 | $167.33 – $720.29 |
| Inova Fairfax Hospital | Falls Church, VA | $546.50 | $167.33 – $720.29 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $546.50 | $167.33 – $720.29 |
| Inova Loudoun Hospital | Leesburg, VA | $546.50 | $167.33 – $720.29 |
| Inova Mount Vernon Hospital | Alexandria, VA | $546.50 | $167.33 – $720.29 |
| Siena Hospital | Henderson, NV | $553.20 | $92.03 – $1,681.53 |
| Hardin Memorial Hospital | Kenton, OH | $554.45 | not published |
| Middlesboro ARH Hospital | Middlesboro, KY | $555.00 | $122.03 – $122.03 |
| St. Clare Hospital | Lakewood, WA | $557.09 | $234.44 – $1,449.53 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $559.50 | $161.25 – $272.13 |
| University Hospitals Geneva Medical Center | Geneva, OH | $559.50 | $161.25 – $272.13 |
| Adventhealth Gordon | Calhoun, GA | $562.40 | $109.48 – $353.11 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $564.40 | $191.38 – $393.89 |