Scans and imaging CPT 74220 Outpatient

Barium swallow cost in Cleveland, OH

In Cleveland, OH, 24 hospitals list a cash price for barium swallow (esophagus X-ray with contrast): from $294.00 to $1,161.50, with a median of $792.75. The lowest listed price is at Metrohealth System — $498.75 less than the median here. Across Ohio, the median is $433.83 at 97 hospitals.

Cash prices at 24 facilities across 20 cities for code 74220, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$294.00Metrohealth System
Median$792.75half pay less
Highest$1,161.50in this market
Difference4.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Cleveland, OH.

median
Lowest $294.00Highest $1,161.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Hc Xray Esophagus, Single Contrast $294.00 $840.00 — 65% Apr 1, 2026
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Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Fluro Esophagram $359.40 $599.00 — 40% —
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Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $570.00 $760.00 $152.00–$720.48 25% Jul 14, 2026
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University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $570.00 $760.00 $189.36–$760.00 25% Jul 14, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 BA SWALLOW / ESOPHAGUS $605.25 $807.00 $70.96–$280.55 25% Jul 1, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $691.50 $922.00 $165.94–$829.80 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $691.50 $922.00 $165.94–$829.80 25% Jul 14, 2026
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Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Fluro Esophagram $726.60 $1,211.00 — 40% —
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University Hospitals Health System Willoughby, OH HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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UH St John Medical Center Westlake, OH · (440) 835-8000 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $179.20–$951.30 25% Jul 14, 2026
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UH Regional Hospitals Chardon, OH · (440) 285-6246 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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Parma Community General Hospital Parma, OH · (440) 743-3000 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW $792.75 $1,057.00 $165.94–$951.30 25% Jul 14, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $0.87–$903.92 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $0.87–$903.92 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $347.28–$1,228.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $43.74–$204.28 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $347.28–$1,228.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $0.87–$903.92 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $56.78–$182.54 35% Jun 16, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $347.28–$1,228.00 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $49.52–$204.28 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $798.20 $1,228.00 $0.87–$903.92 35% Jun 15, 2026
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Summa Health System Akron, OH · (330) 375-3000 Hc Esophagram - Esophagus Single Contrast $1,161.50 $1,161.50 — — Apr 1, 2026
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Outpatient: lowest $294.00, median $792.75, highest $1,161.50 — a 4.0× difference within the same market.

As an inpatient, the same code is billed by 23 facilities here, median $792.75. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 16 of 20 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A barium swallow is a live X-ray of the esophagus while you drink barium. It shows narrowing, hernias and problems with how food passes.

What the price covers

The price usually covers the study and the barium. The radiologist's reading may be billed separately.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 74220 ($425.55). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Metrohealth System Cleveland, OHXray Esophagus, Single Contrast $39.20 file