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 |
|---|---|---|---|
| Pen Bay Medical Center | Rockport, ME | $1,031.20 | $24.24 – $813.62 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $1,033.09 | $58.51 – $318.13 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $1,074.96 | $107.70 – $1,493.00 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $1,078.70 | $124.96 – $3,082.00 |
| Baylor St Luke's Medical Center | Houston, TX | $1,078.70 | $124.96 – $3,082.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $1,078.70 | $124.96 – $3,082.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $1,078.70 | $124.96 – $3,082.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $1,078.70 | $124.96 – $3,082.00 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $1,079.10 | $23.35 – $447.82 |
| AdventHealth Polk | Columbus, NC | $1,080.03 | not published |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $1,097.80 | $50.60 – $1,006.60 |
| MUSC Health Florence Medical Center | Florence, SC | $1,106.50 | $93.84 – $179.45 |
| Lourdes Hospital | Paducah, KY | $1,107.00 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $1,114.62 | not published |
| St Elias Specialty Hospital | Anchorage, AK | $1,115.40 | $170.91 – $498.37 |
| Adventhealth Waterman | Tavares, FL | $1,130.48 | $137.92 – $369.60 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | $1,132.51 | $58.51 – $318.13 |
| cleveland clinic florida weston hospital | Weston, FL | $1,135.55 | $22.02 – $1,304.75 |
| Adventhealth Ocala | Ocala, FL | $1,137.96 | $137.92 – $406.63 |
| Adventhealth Tampa | Tampa, FL | $1,139.09 | $136.01 – $406.63 |
| Adventhealth Riverview | Riverview, FL | $1,139.09 | $238.49 – $238.49 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $1,139.09 | $136.01 – $406.63 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $1,139.09 | $136.01 – $424.78 |
| Adventhealth Carrollwood | Tampa, FL | $1,139.09 | $136.01 – $406.63 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $1,146.60 | $195.46 – $655.99 |
| Adventhealth Central Texas | Killeen, TX | $1,152.15 | $176.20 – $701.55 |
| Redwood City Medical Center | Redwood City, CA | $1,170.40 | $238.00 – $238.00 |
| Oakland Medical Center | Oakland, CA | $1,170.40 | $238.00 – $238.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $1,170.40 | $238.00 – $238.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $1,170.40 | $238.00 – $238.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $1,170.40 | $238.00 – $238.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $1,170.40 | $238.00 – $238.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $1,170.40 | $238.00 – $238.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $1,170.40 | $238.00 – $238.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $1,170.40 | $238.00 – $238.00 |
| Vacaville Medical Center | VACAVILLE, CA | $1,170.40 | $238.00 – $238.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $1,170.40 | $238.00 – $238.00 |
| Vallejo Medical Center | VALLEJO, CA | $1,170.40 | $238.00 – $238.00 |
| Antioch Medical Center | ANTIOCH, CA | $1,170.40 | $238.00 – $238.00 |
| Fremont Medical Center | FREMONT, CA | $1,170.40 | $238.00 – $238.00 |
| Fresno Medical Center | FRESNO, CA | $1,170.40 | $238.00 – $238.00 |
| Roseville Medical Center | ROSEVILLE, CA | $1,170.40 | $238.00 – $238.00 |
| San Jose Medical Center | SAN JOSE, CA | $1,170.40 | $238.00 – $238.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $1,170.40 | $238.00 – $238.00 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $1,176.00 | $176.20 – $343.59 |
| Houston Methodist West Hospital | Houston, TX | $1,176.00 | $176.20 – $704.80 |
| Houston Methodist Baytown Hospital | Baytown, TX | $1,176.00 | $176.20 – $343.59 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $1,176.00 | $176.20 – $343.59 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $1,176.00 | $176.20 – $343.59 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $1,176.00 | $176.20 – $352.40 |