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 |
|---|---|---|---|
| Houston Methodist Continuing Care Hospital | Katy, TX | $1,176.00 | $382.53 – $382.53 |
| Houston Methodist Cypress Hospital | Cypress, TX | $1,176.00 | $176.20 – $343.59 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $1,177.59 | $225.59 – $437.11 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $1,178.25 | $303.54 – $635.88 |
| Adventhealth Palm Coast | Palm Coast, FL | $1,182.30 | $151.33 – $391.23 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $1,182.30 | $151.33 – $391.23 |
| Mercy Medical Center Redding | Redding, CA | $1,188.41 | $118.39 – $2,297.12 |
| Adventhealth Connerton | Land O Lakes, FL | $1,194.59 | not published |
| Adventhealth Lake Wales | Lake Wales, FL | $1,196.04 | $137.92 – $406.63 |
| NewYork-Presbyterian Queens | Flushing, NY | $1,206.00 | $67.00 – $377.75 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $1,220.13 | $157.99 – $481.58 |
| Adventhealth South Overland Park | Overland Park, KS | $1,220.13 | $157.99 – $481.58 |
| Adventhealth Ottawa | Ottawa, KS | $1,220.13 | $157.99 – $321.39 |
| Providence Alaska Medical Center | Anchorage, AK | $1,223.82 | $788.00 – $1,127.57 |
| Houston Methodist Hospital | Houston, TX | $1,248.00 | $176.20 – $704.80 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $1,249.30 | $167.61 – $305.71 |
| Baptist Health Floyd | New Albany, IN | $1,252.79 | $45.99 – $2,505.59 |
| Baptist Health Hardin | Elizabethtown, KY | $1,252.79 | $178.02 – $3,340.78 |
| Baptist Health Corbin | Corbin, KY | $1,252.79 | $1,670.39 – $3,340.78 |
| Baptist Health La Grange | La Grange, KY | $1,252.79 | $305.79 – $3,340.78 |
| Baptist Health Lexington | Lexington, KY | $1,252.79 | $178.02 – $3,395.90 |
| Baptist Health Louisville | Louisville, KY | $1,252.79 | $124.75 – $3,340.78 |
| Baptist Health Paducah | Paducah, KY | $1,252.79 | $178.02 – $3,340.78 |
| Emory Decatur Hospital | Decatur, GA | $1,298.00 | $146.48 – $455.55 |
| Emory Hillandale Hospital | Lithonia, GA | $1,298.00 | $146.48 – $455.55 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $1,298.00 | $186.47 – $186.47 |
| Emory Johns Creek Hospital | Johns Creek, GA | $1,298.00 | $146.48 – $455.55 |
| Emory Rehabilitation Hospital | Atlanta, GA | $1,298.00 | $146.48 – $455.55 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $1,298.00 | $146.48 – $455.55 |
| Emory University Hospital | Ne, GA | $1,298.00 | $146.48 – $455.55 |
| Emory University Hospital Midtown | Atlanta, GA | $1,298.00 | $146.48 – $455.55 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | $1,305.91 | $401.74 – $629.94 |
| UPMC Presbyterian | Pittsburgh, PA | $1,312.80 | $33.60 – $228.90 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | $1,331.63 | $57.82 – $318.13 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $1,357.00 | $67.00 – $431.93 |
| Mark Twain Medical Center | San Andreas, CA | $1,367.30 | $74.46 – $1,027.04 |
| Mercy Medical Center Merced | Merced, CA | $1,409.04 | $74.46 – $540.50 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $1,467.50 | $93.84 – $187.49 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $1,495.37 | $124.96 – $410.54 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | $1,495.86 | $52.67 – $318.13 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $1,538.25 | $97.29 – $1,045.98 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | $1,545.50 | $59.76 – $536.07 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | $1,563.00 | $303.54 – $635.88 |
| Providence Holy Family Hospital | Spokane, WA | $1,600.90 | $195.46 – $629.28 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $1,638.00 | $124.96 – $394.88 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $1,648.00 | $75.96 – $646.35 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $1,648.00 | $78.80 – $646.35 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $1,648.00 | $68.65 – $646.35 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $1,705.00 | $53.57 – $311.54 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $1,705.00 | $51.52 – $311.54 |