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 |
|---|---|---|---|
| Covenant Specialty Hospital | Lubbock, TX | $840.84 | not published |
| Urbana Hospital | Urbana, OH | $848.40 | not published |
| St. Michael Medical Center | Silverdale, WA | $853.00 | $498.80 – $1,739.43 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $860.31 | $83.58 – $334.32 |
| Springfield Medical Center | Springfield, OH | $862.20 | not published |
| Kadlec Regional Medical Center | Richland, WA | $863.10 | $195.46 – $712.48 |
| Dominican Hospital | Santa Cruz, CA | $872.10 | $74.46 – $2,918.31 |
| UPMC Mercy | Pittsburgh, PA | $873.00 | $50.60 – $196.85 |
| Allen Hospital | Oberlin, OH | $876.00 | not published |
| MaineHealth - Memorial Hospital | North Conway, NH | $876.85 | $24.00 – $356.33 |
| Baptist Hospital | MIAMI, FL | $878.80 | $73.69 – $1,216.80 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $878.80 | $73.69 – $1,216.80 |
| Doctors Hospital | CORAL GABLES, FL | $878.80 | $71.44 – $1,216.80 |
| Homestead Hospital | HOMESTEAD, FL | $878.80 | $71.44 – $1,216.80 |
| West Kendall Baptist Hospital | MIAMI, FL | $878.80 | $71.44 – $1,216.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $878.80 | $71.44 – $1,216.80 |
| Adventhealth Fish Memorial | Orange City, FL | $879.76 | $161.87 – $348.60 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $882.00 | $102.57 – $1,225.00 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | $902.70 | $401.74 – $579.34 |
| UPMC Magee | Pittsburgh, PA | $903.60 | $50.60 – $197.15 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $904.80 | $63.83 – $608.63 |
| Texas Health Hospital Mansfield | Mansfield, TX | $910.22 | $176.20 – $352.40 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $910.22 | $176.49 – $352.98 |
| AdventHealth Deland | Deland, FL | $918.39 | $163.78 – $365.29 |
| cleveland clinic main campus | Cleveland, OH | $936.00 | $1.10 – $1,105.20 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $937.32 | $106.48 – $1,572.90 |
| Emory Hospital Perry | Perry, GA | $938.00 | $146.48 – $455.55 |
| Emory Hospital Warner Robins | Warner Robins, GA | $938.00 | $146.48 – $455.55 |
| St Mary's Hospital | Richmond, VA | $942.00 | not published |
| St Francis Medical Center | Midlothian, VA | $942.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $942.00 | not published |
| Richmond Community Hospital | Richmond, VA | $942.00 | not published |
| OSF St Francis Hospital | Escanaba, MI | $946.40 | not published |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $956.74 | $120.18 – $1,366.77 |
| Providence St Mary Medical Center | Walla Walla, WA | $961.80 | $162.81 – $361.60 |
| Providence Valdez Medical Center | Valdez, AK | $964.08 | not published |
| Redwood Memorial Hospital | Fortuna, CA | $972.57 | $438.13 – $438.13 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $974.61 | $74.46 – $2,582.18 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $981.60 | $178.69 – $393.89 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $986.30 | $118.71 – $2,113.50 |
| martin north hospital | Stuart, FL | $997.75 | $19.70 – $767.50 |
| indian river hospital | Vero Beach, FL | $997.75 | $20.21 – $1,228.00 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $997.92 | $173.99 – $243.58 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $998.64 | $238.73 – $1,387.00 |
| UPMC Wellsboro | Wellsboro, PA | $1,000.80 | $35.84 – $182.11 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $1,001.00 | not published |
| OSF Holy Family Medical Center | Monmouth, IL | $1,005.60 | not published |
| St Anne Hospital | Toledo, OH | $1,008.00 | not published |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $1,023.63 | $95.74 – $573.10 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $1,023.76 | $94.64 – $573.10 |