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 |
|---|---|---|---|
| St Ritas Medical Center | Lima, OH | $564.60 | not published |
| Providence Saint Joseph Medical Center | Burbank, CA | $565.25 | $118.70 – $610.71 |
| MultiCare Auburn Medical Center | Auburn, WA | $566.00 | $83.76 – $841.97 |
| MultiCare Covington Medical Center | Covington, WA | $566.00 | $83.76 – $841.97 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $566.00 | $85.70 – $841.97 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $566.00 | $85.30 – $1,418.37 |
| MultiCare Allenmore Hospital | Tacoma, WA | $566.00 | $85.73 – $841.97 |
| Whitesburg ARH Hospital | Whitesburg, KY | $570.00 | $24.05 – $101.94 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $576.37 | $74.46 – $1,414.40 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $577.50 | $115.47 – $660.47 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $577.50 | $156.21 – $628.81 |
| Northridge Hospital Medical Center | Northridge, CA | $577.53 | $74.46 – $2,070.00 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $579.60 | $10.94 – $250.00 |
| Beckley ARH Hospital | Beckley, WV | $579.60 | $18.78 – $767.43 |
| Hazard ARH Regional Medical Center | Hazard, KY | $579.60 | $144.67 – $144.67 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $582.00 | $161.25 – $331.89 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $582.40 | $29.00 – $474.38 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $583.02 | $64.64 – $1,045.98 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $583.02 | $64.64 – $1,045.98 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $583.65 | $97.29 – $1,045.98 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $583.65 | $97.29 – $1,045.98 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $583.65 | $97.29 – $1,045.98 |
| CHI Health Plainview | Plainview, NE | $584.64 | $424.56 – $942.53 |
| O'Bleness Hospital | Athens, OH | $587.60 | $167.48 – $169.16 |
| St. Anthony Hospital | Gig Harbor, WA | $587.83 | $234.44 – $1,449.53 |
| St. Anne Hospital | Burien, WA | $590.17 | $234.44 – $1,739.43 |
| Berger Hospital | Circleville, OH | $590.20 | $169.13 – $169.13 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $590.40 | $35.00 – $1,006.60 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $590.40 | $35.00 – $1,006.60 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $590.40 | $48.30 – $1,006.60 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $590.40 | $57.11 – $1,006.60 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $590.40 | $35.00 – $1,006.60 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $590.40 | $35.00 – $1,006.60 |
| CHI Health Schuyler | Schuyler, NE | $591.60 | $149.09 – $788.02 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $594.80 | $20.81 – $460.99 |
| OSF Saint Clare Medical Center | Princeton, IL | $596.80 | not published |
| Providence St Joseph Hospital Orange | Orange, CA | $598.56 | $191.76 – $417.35 |
| Healdsburg Hospital | Healdsburg, CA | $600.27 | $174.37 – $236.33 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $600.50 | $174.56 – $179.69 |
| Sentara RMH Medical Center | Harrisonburg, VA | $600.50 | $174.56 – $179.69 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Hospital Frisco | Frisco, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $601.05 | $124.96 – $137.46 |