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 |
|---|---|---|---|
| Wellstar Sylvan Grove Hospital | Jackson, GA | $733.20 | $232.87 – $518.62 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $733.20 | $172.60 – $338.29 |
| Wellstar Windy Hill Hospital | Marietta, GA | $733.20 | $173.28 – $339.64 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $733.68 | $374.87 – $412.36 |
| Sanford Fargo Medical Center | Fargo, ND | $734.40 | $124.50 – $826.20 |
| Adventhealth Hendersonville | Hendersonville, NC | $738.00 | $167.65 – $418.63 |
| Franklin Memorial Hospital | Farmington, ME | $744.10 | $25.16 – $622.81 |
| Sanford USD Medical Center | Sioux Falls, SD | $757.60 | $81.44 – $852.30 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $757.92 | $191.76 – $417.35 |
| Willard Hospital | Willard, OH | $764.40 | not published |
| Mercy Hospital Pittsburg | Pittsburg, KS | $770.25 | $83.01 – $455.25 |
| Southside Regional Medical Center | Petersburg, VA | $771.30 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $772.00 | $187.96 – $191.72 |
| UPMC St. Margaret | Pittsburgh, PA | $779.40 | $50.60 – $197.15 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $786.50 | $161.10 – $790.13 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $790.00 | $176.66 – $264.99 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $790.00 | $174.77 – $319.65 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $791.10 | $97.29 – $1,045.98 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $791.20 | $186.92 – $890.10 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $791.20 | $186.92 – $890.10 |
| UPMC Altoona | Altoona, PA | $793.80 | $28.00 – $1,058.40 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $794.61 | $74.46 – $474.32 |
| CHI Health St. Mary's | Nebraska City, NE | $795.14 | $205.21 – $919.68 |
| akron general | Akron, OH | $798.20 | $0.87 – $1,105.20 |
| avon hospital | Avon, OH | $798.20 | $0.87 – $1,105.20 |
| euclid hospital | Euclid, OH | $798.20 | $0.87 – $1,105.20 |
| fairview hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| lutheran hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| hillcrest hospital | Mayfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| lodi hospital | Lodi, OH | $798.20 | $178.02 – $1,105.20 |
| marymount hospital | Garfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| medina hospital | Medina, OH | $798.20 | $0.87 – $1,105.20 |
| mercy hospital | Canton, OH | $798.20 | $1.01 – $1,105.20 |
| south pointe hospital | Warrensville Heights, OH | $798.20 | $0.87 – $1,105.20 |
| STONECREST MEDICAL CENTER | Smyrna, TN | $801.40 | $47.51 – $318.13 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $804.00 | $50.60 – $229.24 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $809.90 | $187.96 – $187.96 |
| UPMC McKeesport | Mckeesport, PA | $810.00 | $50.60 – $197.15 |
| Waldo County General Hospital | Belfast, ME | $811.20 | $25.16 – $764.15 |
| Sunnyside Medical Center | CLACKAMAS, OR | $826.20 | $294.00 – $294.00 |
| Westside Medical Center | HILLSBORO, OR | $826.20 | $294.00 – $294.00 |
| UPMC Muncy | Muncy, PA | $828.00 | $35.84 – $210.90 |
| UPMC Williamsport | Williamsport, PA | $828.00 | $35.84 – $217.78 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $828.00 | $165.56 – $828.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $831.95 | $115.47 – $612.97 |
| UPMC East | Monroeville, PA | $832.80 | $50.60 – $1,110.40 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $834.01 | $130.53 – $955.40 |
| Queen of The Valley Medical Center | Napa, CA | $839.97 | $249.04 – $385.46 |
| Covenant Medical Center | Lubbock, TX | $840.84 | $176.20 – $794.48 |
| Covenant Children's Hospital | Lubbock, TX | $840.84 | $547.23 – $794.48 |