Barium swallow cost in Columbia, MO
In Columbia, MO, 2 hospitals list a cash price for Barium swallow (esophagus X-ray with contrast): from $390.00 to $435.60, with a median of $412.80. The lowest listed price is at Boone Hospital Center — $22.80 less than the median here. Across Missouri, the median is $410.80 at 23 hospitals.
Cash prices at 2 facilities for code 74220, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Columbia, MO.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boone Hospital Center lowest Columbia, MO ESOPHAGUS X-RAY SINGLE CNTRST | $390.00 | $650.00 | — | 40% | Apr 1, 2026 source file |
| Curators of the University of Missouri Columbia, MO XRAY ESOPHAGUS; SINGLE CONTRAST STUDY-XO | $435.60 | $726.00 | $169.27–$175.84 | 40% | Dec 15, 2025 source file |
| Curators of the University of Missouri Columbia, MO XRAY ESOPHAGUS; SINGLE CONTRAST STUDY-JDI | $435.60 | $726.00 | $254.10–$638.88 | 40% | Dec 15, 2025 source file |
| Curators of the University of Missouri Columbia, MO XRAY ESOPHAGUS; SINGLE CONTRAST STUDY-XM | $435.60 | $726.00 | $254.10–$638.88 | 40% | Dec 15, 2025 source file |
Outpatient: lowest $390.00, median $412.80, highest $435.60 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $412.80. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.