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 |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $355.76 | $203.62 – $671.58 |
| Mansfield Hospital | Mansfield, OH | $356.85 | $167.48 – $174.18 |
| Shelby Hospital | Shelby, OH | $356.85 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $359.32 | $199.75 – $765.32 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $361.20 | $10.94 – $250.00 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $361.87 | $74.46 – $936.54 |
| Childrens Specialized Hospital | Mountainside, NJ | $363.00 | $40.53 – $655.00 |
| Atrium Health Anson | Wadesboro, NC | $363.98 | $22.01 – $691.55 |
| Atrium Health Mercy | Charlotte, NC | $363.98 | $22.01 – $669.71 |
| Atrium Health Pineville | Charlotte, NC | $363.98 | $22.01 – $669.71 |
| Atrium Health Stanly | Albermarle, NC | $363.98 | $22.01 – $698.83 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $363.98 | $22.23 – $640.60 |
| Atrium Health Cleveland | Shelby, NC | $363.98 | $22.01 – $691.55 |
| Atrium Health Cabarrus | Concord, NC | $363.98 | $22.01 – $691.55 |
| Atrium Health Lincoln | Lincolnton, NC | $363.98 | $22.01 – $691.55 |
| Atrium Health Union | Monroe, NC | $363.98 | $22.01 – $691.55 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $363.98 | $22.23 – $669.71 |
| Atrium Health University City | Charlotte, NC | $363.98 | $22.01 – $669.71 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $363.98 | $22.01 – $655.16 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $365.81 | $74.46 – $936.54 |
| Jefferson Medical Center | Ranson, WV | $366.00 | not published |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $368.50 | $116.48 – $251.52 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $368.74 | $224.36 – $835.38 |
| Thomas Hospitals | South Charleston, WV | $372.00 | $18.78 – $847.35 |
| CHI Health Nebraska Heart | Lincoln, NE | $372.14 | $188.12 – $663.38 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $372.69 | $130.53 – $1,166.55 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $376.40 | $178.69 – $393.89 |
| Parkview Logansport Hospital | Logansport, IN | $376.50 | $185.58 – $371.15 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $377.24 | $23.20 – $400.82 |
| Mercy General Hospital | Sacramento, CA | $379.76 | $74.46 – $1,393.60 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $380.05 | $101.44 – $313.40 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $380.05 | $101.44 – $357.10 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $380.05 | $101.44 – $313.40 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $380.05 | $101.44 – $313.40 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $380.05 | $101.44 – $313.40 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $380.05 | $101.44 – $313.40 |
| Covenant Hospital Plainview | Plainview, TX | $380.94 | $170.91 – $185.89 |
| Princeton Community Hospital | Princeton, WV | $381.00 | $18.78 – $1,044.47 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $385.00 | $220.00 – $634.00 |
| Advocate Sherman Hospital | Elgin, IL | $385.00 | $174.00 – $693.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $385.00 | $220.00 – $749.98 |
| Advocate Trinity Hospital | Chicago, IL | $385.00 | $220.00 – $634.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $385.00 | $220.00 – $634.00 |
| Advocate Christ Medical Center | Oak Lawn, IL | $385.00 | $220.00 – $634.00 |
| Advocate Condell Medical Center | Libertyville, IL | $385.00 | $195.00 – $616.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $385.00 | $220.00 – $634.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $385.55 | $127.78 – $1,086.52 |
| UPMC Cole | Coudersport, PA | $385.80 | $48.30 – $514.40 |
| Mercy Hospital Stoddard | Dexter, MO | $388.05 | $81.22 – $1,127.17 |
| WILLITS HOSPITAL INC | Willits, CA | $390.90 | $3.84 – $165.82 |