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 |
|---|---|---|---|
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Hospital Rockwall | Rockwall, TX | $601.05 | $124.96 – $134.96 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $601.05 | $124.96 – $137.46 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $601.05 | $220.58 – $238.23 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $601.05 | $124.96 – $137.46 |
| Community Hospital San Bernardino | San Bernardino, CA | $605.27 | $74.46 – $1,486.00 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $605.65 | $123.00 – $361.01 |
| St. Francis Hospital | Federal Way, WA | $606.53 | $234.44 – $1,449.53 |
| HSHS St. Mary's Hospital | DECATUR, IL | $606.96 | $107.70 – $843.00 |
| UPMC Northwest | Seneca, PA | $610.80 | $50.60 – $187.06 |
| HSHS St. Joseph's Hospital | Breese, IL | $613.44 | $102.57 – $852.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $615.00 | $187.96 – $191.72 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $615.64 | $255.96 – $1,320.41 |
| Central Medical Center | Seattle, WA | $616.00 | $179.00 – $179.00 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $621.06 | $89.16 – $524.79 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $622.80 | $187.96 – $191.72 |
| OSF Saint Francis Medical Center | Peoria, IL | $624.00 | $100.40 – $639.00 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $629.00 | $75.11 – $236.04 |
| Corewell Health Taylor | Taylor, MI | $629.00 | $104.61 – $236.04 |
| Corewell Health Trenton | Trenton, MI | $629.00 | $104.61 – $236.04 |
| Corewell Health Troy | Troy, MI | $629.00 | $74.75 – $235.94 |
| Corewell Health Wayne | Wayne, MI | $629.00 | $104.61 – $236.04 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $632.06 | $23.20 – $700.79 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $633.05 | $132.50 – $779.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $633.71 | $124.96 – $792.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $633.71 | $124.96 – $950.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $633.71 | $124.96 – $950.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $633.71 | $200.67 – $844.94 |
| OSF Saint Paul Medical Center | Mendota, IL | $634.40 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $639.18 | $174.01 – $400.13 |
| Sequoia Hospital | Redwood City, CA | $639.92 | $74.46 – $1,441.56 |
| St. Joseph Medical Center | Tacoma, WA | $640.11 | $234.44 – $1,449.53 |
| UPMC Bedford | Everett, PA | $640.80 | $48.30 – $961.20 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $642.40 | $169.12 – $722.70 |
| Southeastern Medical Center | Cambridge, OH | $652.60 | $165.94 – $172.58 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $655.86 | $244.06 – $327.93 |
| Sanford Bemidji Medical Center | Bemidji, MN | $658.40 | $132.55 – $740.70 |
| St Jude Medical Center | Fullerton, CA | $660.00 | $191.76 – $417.35 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $660.24 | $146.85 – $917.00 |
| OSF Saint Anthony's Health Center | Alton, IL | $660.60 | $187.96 – $191.72 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $660.80 | $282.49 – $743.40 |
| Sanford Vermillion Hospital | Vermillion, SD | $662.40 | $244.26 – $745.20 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $662.75 | $127.78 – $818.10 |
| Sanford Luverne Medical Center | Luverne, MN | $664.00 | $186.92 – $747.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $666.40 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $666.40 | not published |