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 |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $391.00 | $167.65 – $171.01 |
| Reynolds Memorial Hospital | Glen Dale, WV | $392.00 | $18.78 – $293.00 |
| Providence Centralia Hospital | Centralia, WA | $392.60 | $203.11 – $1,135.23 |
| Providence St Peter Hospital | Olympia, WA | $392.60 | $171.47 – $1,020.43 |
| Camden Clark Medical Center | Parkersburg, WV | $394.00 | $18.78 – $293.00 |
| Trinity Medical Center East | Steubenville, OH | $395.76 | $466.80 – $599.06 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $396.50 | $29.00 – $410.00 |
| Mercy Hospital Berryville | Berryville, AR | $398.45 | $29.00 – $364.44 |
| St. Joseph's Hospital | Buckhannon, WV | $398.50 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $401.25 | not published |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $402.13 | $23.20 – $188.50 |
| Chandler Regional Medical Center | Chandler, AZ | $406.02 | $115.39 – $1,272.60 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $406.20 | $10.94 – $250.00 |
| East Morgan County Hospital | Brush, CO | $408.36 | $23.18 – $53.35 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $408.60 | $97.29 – $1,045.98 |
| French Hospital | San Luis Obispo, CA | $409.25 | $74.46 – $987.17 |
| UPMC Chautauqua | Jamestown, NY | $412.20 | $57.50 – $618.30 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $412.84 | $23.20 – $412.83 |
| The Unity Hospital of Rochester | Rochester, NY | $414.21 | $176.81 – $176.81 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $414.98 | $23.20 – $209.04 |
| Grant Memorial Hospital | Petersburg, WV | $416.80 | not published |
| Berkeley Medical Center | Martinsburg, WV | $418.50 | $18.78 – $295.42 |
| Virginia Mason Medical Center | Seattle, WA | $419.22 | $3.91 – $480.85 |
| Mary Immaculate Hospital | Newport News, VA | $420.60 | not published |
| Maryview Hospital | Portsmouth, VA | $420.60 | not published |
| CHI Health St. Elizabeth | Lincoln, NE | $421.00 | $188.12 – $673.60 |
| MercyOne North Iowa Medical Center | Mason City, IA | $421.85 | $166.14 – $649.00 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $423.80 | $157.36 – $652.00 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $424.80 | $203.11 – $829.10 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $424.80 | $203.11 – $856.43 |
| Swedish Issaquah | Issaquah, WA | $424.80 | $203.68 – $856.43 |
| MultiCare Valley Hospital | Spokane Valley, WA | $424.80 | $81.89 – $802.51 |
| MultiCare Deaconess Hospital | Spokane, WA | $424.80 | $82.47 – $804.32 |
| UPMC Community Osteopathic | Harrisburg, PA | $427.80 | $36.68 – $606.05 |
| UPMC Hanover | Hanover, PA | $427.80 | $36.68 – $272.10 |
| UPMC Lititz | Lititz, PA | $427.80 | $36.68 – $273.57 |
| UPMC Memorial | York, PA | $427.80 | $36.68 – $373.37 |
| UPMC Somerset | Somerset, PA | $427.80 | $32.20 – $182.11 |
| UPMC Carlisle | Carlisle, PA | $427.80 | $36.68 – $606.05 |
| Mercy Hospital Aurora | Aurora, MO | $431.60 | $29.00 – $233.71 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $432.80 | $180.99 – $588.44 |
| Community Hospital | Torrington, WY | $432.96 | $270.60 – $596.55 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $434.76 | $23.20 – $213.03 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $434.76 | $23.20 – $239.66 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $434.76 | $23.20 – $222.81 |
| Parkview Montpelier Hospital | Montpelier, OH | $435.00 | not published |
| Parkview Bryan Hospital | Bryan, OH | $435.00 | $174.50 – $523.50 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $436.20 | $48.35 – $349.61 |
| West Virginia University Hospitals | Morgantown, WV | $436.50 | $18.78 – $715.25 |
| Aurora Baycare Medical Center | Green Bay, WI | $437.50 | not published |