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 |
|---|---|---|---|
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $482.30 | $29.00 – $654.48 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $482.35 | $99.09 – $321.39 |
| Moanalua Medical Center | HONOLULU, HI | $483.00 | $184.00 – $184.00 |
| Defiance Hospital | Defiance, OH | $483.00 | not published |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $485.00 | $65.83 – $401.74 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $485.15 | $105.07 – $1,327.59 |
| CHI Memorial Hospital Hixson | Hixson, TN | $485.15 | $54.81 – $1,147.30 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $485.40 | $10.94 – $250.00 |
| Sentara Leigh Hospital | Norfolk, VA | $486.00 | $174.56 – $179.69 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $486.00 | $174.56 – $179.69 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $486.00 | $174.56 – $179.69 |
| Sentara Obici Hospital | Suffolk, VA | $486.00 | $174.56 – $196.86 |
| Sentara CarePlex Hospital | Hampton, VA | $486.00 | $174.56 – $179.69 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $486.00 | $174.56 – $275.02 |
| Sentara Norfolk General Hospital | Norfolk, VA | $486.00 | $174.56 – $179.69 |
| Providence Mount Carmel Hospital | Colville, WA | $487.20 | not published |
| MultiCare Capital Medical Center | Olympia, WA | $489.60 | $90.14 – $907.48 |
| Mercy Hospital Lincoln | Troy, MO | $490.75 | $163.53 – $233.71 |
| Sanford Worthington Medical Center | Worthington, MN | $491.20 | $135.41 – $552.60 |
| CHI Health Good Samaritan | Kearney, NE | $498.37 | $171.57 – $780.79 |
| San Martin Hospital | Las Vegas, NV | $499.59 | $92.03 – $1,681.53 |
| UPMC Western Maryland | Cumberland, MD | $500.40 | $834.00 – $834.00 |
| Methodist Hospital of Sacramento | Sacramento, CA | $501.70 | $74.46 – $1,445.86 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $502.04 | $32.16 – $3,017.85 |
| Sanford Medical Center Bismarck | Bismarck, ND | $502.40 | $124.50 – $565.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $505.08 | $124.96 – $631.35 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $505.08 | $124.96 – $631.35 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $511.10 | $23.20 – $187.83 |
| Arroyo Grande Hospital | Santa Maria, CA | $513.18 | $74.46 – $975.10 |
| Corewell Health Pennock | Hastings, MI | $514.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $514.00 | $174.77 – $314.59 |
| Corewell Health Gerber | Fremont, MI | $514.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $514.00 | not published |
| Corewell Health Greenville | Greenville, MI | $514.00 | $174.77 – $314.59 |
| Corewell Health Zeeland | Zeeland, MI | $514.00 | $174.77 – $314.59 |
| OSF St Joseph Medical Center | Bloomington, IL | $514.20 | $187.96 – $191.72 |
| Providence Medford Medical Center | Medford, OR | $514.50 | $177.76 – $444.39 |
| Providence Saint John's Health Center | Santa Monica, CA | $521.85 | $164.83 – $864.05 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $522.22 | $54.51 – $318.13 |