Barium swallow cost in Dallas, TX
In Dallas-Fort Worth-Arlington, TX, 39 hospitals list a cash price for barium swallow (esophagus X-ray with contrast): from $270.50 to $768.22, with a median of $425.55. The lowest listed price is at The University of Texas Southwestern Medical Center at Dallas — $155.05 less than the median here. Across Texas, the median is $485.96 at 96 hospitals.
Cash prices at 39 facilities across 21 cities for code 74220, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 31, 2025 and Jun 29, 2026.
Lowest$270.50The University of Texas Southwestern Medical Center at Dallas
Median$425.55half pay less
Highest$768.22in this market
Difference2.8×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 Dallas-Fort Worth-Arlington, TX.
median
Lowest $270.50Highest $768.22
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas lowest Dallas, TX · (214) 633-5555 HCHG XR ESOPHAGRAM WO AIR | $270.50 | $541.00 | $99.90–$1,112.27 | 50% | Mar 10, 2026 source file |
| The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $351.75 | $469.00 | $22.45–$422.10 | 25% | Mar 10, 2026 source file |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 BCE XR Esophagus 74220 | $403.80 | $673.00 | $167.39–$622.35 | 40% | Apr 1, 2026 source file |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 XR Esophagus 74220 | $403.80 | $673.00 | $167.39–$622.35 | 40% | Apr 1, 2026 source file |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 XR Gastrografin Swallow 74220 | $403.80 | $673.00 | $167.39–$622.35 | 40% | Apr 1, 2026 source file |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 XR Upper GI w/ Gastrografin 74220 | $403.80 | $673.00 | $167.39–$622.35 | 40% | Apr 1, 2026 source file |
| Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Southlake Southlake, TX · (817) 748-8700 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Specialty Hospital Fort Worth Fort Worth, TX · (817) 250-2100 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | — | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| AMH Cath Labs Arlington, TX GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Physicians Medical Center Plano, TX GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 GI ESOPHAGUS BARIUM | $425.55 | $709.25 | $97.56–$1,438.08 | 40% | Apr 21, 2026 source file |
| Frisco Medical Center Frisco, TX · (214) 407-5000 MOD SWALLOW W/ SPEECH THERAPY | $430.62 | $717.70 | — | 40% | Jan 31, 2025 source file |
| Frisco Medical Center Frisco, TX · (214) 407-5000 ESPOHAGUS X-RAY | $430.62 | $717.70 | — | 40% | Jan 31, 2025 source file |
| Baylor Scott and White Medical Center Uptown Dallas, TX · (214) 443-3000 BCE XR Esophagus 74220 | $447.60 | $746.00 | $350.62–$8,427.00 | 40% | Apr 14, 2026 source file |
| Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$881.94 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White The Heart Hospital - McKinney McKinney, TX HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $104.39–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor University Medical Center Dallas, TX · (214) 820-8082 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $167.39–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$768.97 | 40% | Jun 29, 2026 source file |
| Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 HC RADIOLOGIC EXAM ESOPHAGUS | $501.34 | $835.57 | $97.56–$881.94 | 40% | Jun 29, 2026 source file |
| Texas Health Hospital Mansfield Mansfield, TX · (682) 341-5000 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $768.22 | $768.22 | — | — | Apr 1, 2026 source file |
| Texas Health Huguley Hospital Fort Worth South Burleson, TX HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $768.22 | $768.22 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $270.50, median $425.55, highest $768.22 — a 2.8× difference within the same market.
As an inpatient, the same code is billed by 38 facilities here, median $425.55. 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 35 of 35 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.