Barium swallow cost in Dallas, TX
In Dallas-Fort Worth-Arlington, TX, 81 hospitals list a cash price for barium swallow (esophagus X-ray with contrast): from $175.00 to $3,086.53, with a median of $447.60. The lowest listed price is at Dallas Regional Medical Center and 1 other hospital — $272.60 less than the median here. Across Texas, the median is $521.39 at 268 hospitals.
- The median here, $447.60, is about the same as the US median of $447.60.
- That is 2.5× Medicare's 2026 national rate for the same service ($179.20).
- Dallas, TX has the lowest median of 4 metro areas in Texas with at least 10 hospitals pricing this code.
- 20 of 81 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 81 facilities across 38 cities for code 74220, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 30, 2026.
Lowest$175.00Dallas Regional Medical Center + 1 more
Median$447.60half of hospitals charge less
Highest$3,086.53in this market
Difference17.6×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 $175.00Highest $3,086.53
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Dallas Regional Medical Center lowest Mesquite, TX · (214) 320-7000 Hc Esophagram File of Sep 1, 2026 · source file | $175.00 | $1,603.00 | $94.90–$1,570.94 | 89% |
| Dallas Medical Center lowest Dallas, TX · (972) 247-1000 Hc Esophagram File of Sep 1, 2026 · source file | $175.00 | $840.17 | $94.90–$840.17 | 79% |
| Jps Health Network Fort Worth, TX · (817) 921-3431 HC ESOPHAGRAM File of Apr 1, 2026 · source file | $186.60 | $311.00 | — | 40% |
| Methodist Richardson Campus for Continuing Care Richardson, TX · (469) 204-1000 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Richardson Medical Center Richardson, TX · (469) 204-1000 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Dallas Medical Center Dallas, TX · (214) 947-8181 HC Esophagram Ba Swallow Single Contrast Study File of Mar 20, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Celina Medical Center Celina, TX · (214) 947-6452 HC Esophagram Ba Swallow Single Contrast Study File of Mar 23, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Midlothian Medical Center Midlothian, TX · (469) 846-2000 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Southlake Medical Center Souhtlake, TX · (878) 654-4400 HC Esophagram Ba Swallow Single Contrast Study File of Mar 23, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Mansfield Medical Center Mansfield, TX · (682) 622-2059 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| Methodist Hospitals of Dallas – Coppell Coppell, TX · (878) 654-4400 HC Esophagram Ba Swallow Single Contrast Study File of Mar 23, 2026 · source file | $265.50 | $885.00 | $442.50–$885.00 | 70% |
| The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 HCHG XR ESOPHAGRAM WO AIR File of Mar 10, 2026 · source file | $270.50 | $541.00 | $99.90–$1,112.27 | 50% |
| Parkland Health Dallas, TX · (214) 590-8000 Single contrast X-ray of esophagus+1 more line at this price File of May 29, 2026 · source file | $398.00 | $995.00 | $97.56–$716.40 | 60% |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 XR Esophagus 74220+3 more lines at this price File of Apr 1, 2026 · source file | $403.80 | $673.00 | $167.39–$622.35 | 40% |
| Baylor Medical Center at Trophy Club Trophy Club, TX · (817) 837-4600 XR Esophagus 74220+1 more line at this price File of Apr 14, 2026 · source file | $403.80 | $673.00 | $316.31–$8,427.00 | 40% |
| Baylor Surgical Hospital at Fort Worth Fort Worth, TX BCE XR Esophagus 74220+1 more line at this price File of Apr 14, 2026 · source file | $403.80 | $673.00 | $316.31–$8,427.00 | 40% |
| Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Rockwall Regional Hospital, LLC Rockwall, TX GI ESOPHAGUS BARIUM File of Apr 15, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX · (817) 848-4000 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 GI ESOPHAGUS BARIUM+1 more line at this price File of Mar 23, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 13, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Harris Methodist Hospital Southlake Southlake, TX GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 14, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 GI ESOPHAGUS BARIUM File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Physicians Medical Center, LLC Plano, TX GI ESOPHAGUS BARIUM File of Apr 13, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Flower Mound Hospital Partners, LLC Flower Mound, TX GI ESOPHAGUS BARIUM File of Apr 15, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 GI ESOPHAGUS BARIUM File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Heart & Vascular Hospital Arlington Arlington, TX GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Center for Diagnostics & Surgery Plano Plano, TX GI ESOPHAGUS BARIUM File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| Texas Health Specialty Hospital Fort Worth Fort Worth, TX GI ESOPHAGUS BARIUM+1 more line at this price File of Apr 21, 2026 · source file | $425.55 | $709.25 | — | 40% |
| Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 GI ESOPHAGUS BARIUM File of Apr 21, 2026 · source file | $425.55 | $709.25 | $97.56–$1,438.08 | 40% |
| White Rock Medical Center Dallas, TX · (214) 324-6100 XR Esophagus File of Sep 15, 2026 · source file | $429.08 | $631.00 | $97.56–$454.32 | 32% |
| Methodist Charlton Medical Center Dallas, TX · (214) 947-7777 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $442.50 | $885.00 | $442.50–$885.00 | 50% |
| Methodist McKinney Hospital McKinney, TX · (214) 491-5710 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $442.50 | $885.00 | $442.50–$885.00 | 50% |
| Baylor Scott and White Medical Center Uptown Dallas, TX · (214) 443-3000 BCE XR Esophagus 74220 File of Apr 14, 2026 · source file | $447.60 | $746.00 | $350.62–$8,427.00 | 40% |
| Baylor Scott & White Medical Center - Frisco Frisco, TX · (214) 407-5000 ESPOHAGUS X-RAY+1 more line at this price File of Sep 29, 2026 · source file | $447.85 | $746.41 | $261.24–$789.41 | 40% |
| Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$881.94 | 40% |
| Baylor Scott & White The Heart Hospital - McKinney McKinney, TX · (469) 814-3278 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $104.39–$768.97 | 40% |
| Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX · (214) 820-0600 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $167.39–$768.97 | 40% |
| Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$881.94 | 40% |
| Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 HC RADIOLOGIC EXAM ESOPHAGUS File of Jun 29, 2026 · source file | $501.34 | $835.57 | $97.56–$768.97 | 40% |
| Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 HC RADIOLOGIC EXAM ESOPHAGUS File of Oct 29, 2026 · source file | $521.39 | $868.99 | $97.56–$796.30 | 40% |
| Baylor University Medical Center Dallas, TX · (214) 820-8082 HC RADIOLOGIC EXAM ESOPHAGUS File of Oct 29, 2026 · source file | $521.39 | $868.99 | $97.56–$796.30 | 40% |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 HC RADIOLOGIC EXAM ESOPHAGUS File of Oct 30, 2026 · source file | $521.39 | $868.99 | $97.56–$796.30 | 40% |
| Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 HC RADIOLOGIC EXAM ESOPHAGUS File of Oct 28, 2026 · source file | $521.39 | $868.99 | $97.56–$796.30 | 40% |
| Methodist Hospital For Surgery Addison, TX · (469) 248-3900 HC Esophagram Ba Swallow Single Contrast Study File of Mar 21, 2026 · source file | $531.00 | $885.00 | $442.50–$885.00 | 40% |
| Cook Childrens Medical Center - Prosper Prosper, TX · (945) 204-4100 HC ESOPHAGEAL CONTRAST SWALLOW File of Jan 1, 2026 · source file | $726.90 | $969.20 | $91.89–$249.95 | 25% |
| Texas Health Hospital Mansfield Mansfield, TX · (682) 341-5000 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY File of Apr 1, 2026 · source file | $768.22 | $768.22 | — | — |
| Texas Health Huguley Hospital Fort Worth South Burleson, TX · (817) 293-9110 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY File of Apr 1, 2026 · source file | $768.22 | $768.22 | — | — |
| Childrens Medical Center of Dallas Dallas, TX · (214) 456-7000 Radiologic Exam Esophagus Single Contrast Study File of Aug 17, 2026 · source file | $987.75 | $1,317.00 | $102.44–$1,277.49 | 25% |
| Childrens Medical Center Plano Plano, TX · (214) 456-1792 Radiologic Exam Esophagus Single Contrast Study File of Aug 17, 2026 · source file | $987.75 | $1,317.00 | $102.44–$1,277.49 | 25% |
| Medical City Frisco Frisco, TX · (972) 596-6800 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21+3 more lines at this price File of Sep 1, 2026 · source file | $1,047.95 | $1,047.95 | $107.32–$1,047.95 | — |
| Medical City Sachse Sachse, TX · (972) 596-6800 XR ESOPHAGUS+3 more lines at this price File of Sep 1, 2026 · source file | $1,047.95 | $1,047.95 | $73.36–$890.76 | — |
| Medical City Plano Plano, TX · (972) 596-6800 XR ESOPHAGUS File of Sep 1, 2026 · source file | $1,047.95 | $1,047.95 | $73.36–$1,047.95 | — |
| Medical City North Hills North Richland Hills, TX · (817) 255-1000 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study +3 more lines at this price File of Sep 1, 2026 · source file | $1,503.52 | $1,503.52 | $105.25–$1,503.52 | — |
| Medical City Weatherford Weatherford, TX · (682) 582-1000 XR ESOPHAGUS+1 more line at this price File of Sep 1, 2026 · source file | $1,550.22 | $1,550.22 | $97.56–$1,550.22 | — |
| Med City Spine Hospital Dallas, TX Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study +3 more lines at this price File of Sep 1, 2026 · source file | $1,573.89 | $1,573.89 | $107.32–$1,573.89 | — |
| Medical City Dallas Garland, TX · (972) 566-6222 XR ESOPHAGUS File of Sep 1, 2026 · source file | $1,573.89 | $1,573.89 | $110.17–$1,573.89 | — |
| Med City Heart Hospital Dallas, TX Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study +3 more lines at this price File of Sep 1, 2026 · source file | $1,573.89 | $1,573.89 | $107.32–$1,573.89 | — |
| Medical City Denton Denton, TX · (940) 384-3535 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21+3 more lines at this price File of Sep 1, 2026 · source file | $1,648.97 | $1,648.97 | $107.32–$1,648.97 | — |
| Medical City Decatur Decatur, TX · (940) 384-3535 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study +3 more lines at this price File of Sep 1, 2026 · source file | $1,648.97 | $1,648.97 | $107.32–$1,401.62 | — |
| Medical Ctiy Argyle Argyle, TX · (940) 384-3535 XR ESOPHAGUS+3 more lines at this price File of Sep 1, 2026 · source file | $1,648.97 | $1,648.97 | $107.32–$1,648.97 | — |
| Medical City Lewisville Lewisville, TX · (972) 420-1000 XR ESOPHAGUS File of Sep 1, 2026 · source file | $1,711.15 | $1,711.15 | $119.78–$1,711.15 | — |
| Medical City Alliance Fort Worth, TX · (817) 639-1100 XR ESOPHAGUS+3 more lines at this price File of Sep 1, 2026 · source file | $1,928.97 | $1,928.97 | $107.32–$1,928.97 | — |
| Medical City Surgery City Alliance Ft Worth, TX XR ESOPHAGUS+3 more lines at this price File of Sep 1, 2026 · source file | $1,928.97 | $1,928.97 | $107.32–$1,928.97 | — |
| Medical City Arlington Arlington, TX · (817) 465-3241 XR ESOPHAGUS File of Sep 1, 2026 · source file | $2,058.52 | $2,058.52 | $144.10–$2,058.52 | — |
| Medical City Fort Worth Fort Worth, TX · (817) 336-2100 XR ESOPHAGUS+3 more lines at this price File of Sep 1, 2026 · source file | $2,088.22 | $2,088.22 | $107.32–$1,023.23 | — |
| Medical City Las Colinas Irving, TX · (972) 969-2000 XR ESOPHAGUS File of Sep 1, 2026 · source file | $2,597.38 | $2,597.38 | $181.82–$2,597.38 | — |
| Medical City McKinney McKinney, TX · (972) 547-8000 XR ESOPHAGUS File of Sep 1, 2026 · source file | $3,086.53 | $3,086.53 | $216.06–$3,086.53 | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $175.00, median $447.60, highest $3,086.53 — a 17.6× difference within the same market.
As an inpatient, the same code is billed by 61 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 58 of 77 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 8 it is 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 barium swallow is, what the price covers and why prices differ: Barium swallow explained.