Scans and imaging CPT 74220 Outpatient

Barium swallow cost in Portland, OR

In Portland-Vancouver-Hillsboro, OR-WA, 15 hospitals list a cash price for barium swallow (esophagus X-ray with contrast): from $174.85 to $937.95, with a median of $587.60. The lowest listed price is at Legacy Emanuel Medical Center and 4 other hospitals — $412.75 less than the median here. Across Oregon, the median is $457.50 at 35 hospitals.

Cash prices at 15 facilities across 9 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 Mar 23, 2026 and Apr 1, 2026.

Lowest$174.85Legacy Emanuel Medical Center + 4 more
Median$587.60half pay less
Highest$937.95in this market
Difference5.4×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $174.85Highest $956.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
source file
Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
source file
Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC ESOPHAGUS $529.10 $814.00 — 35% Apr 1, 2026
source file
Shriners Childrens - Portland Portland, OR · (541) 241-5090 X-RAY XM ESOPHAGUS 1CNTRST $548.00 $548.00 $104.86–$679.00 — —
source file
Oregon Health & Science University Portland, OR · (503) 494-9000 HB Esophogram $587.60 $904.00 $98.77–$904.00 35% Mar 23, 2026
source file
Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Esophogram $587.60 $904.00 $152.07–$904.00 35% —
source file
Providence Portland Medical Center Portland, OR · (503) 215-1111 HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
source file
Providence Portland Medical Center Portland, OR · (503) 215-1111 HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
source file
Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
source file
Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
source file
Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
source file
Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $826.20 $972.00 $294.00–$950.00 15% —
source file
Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $826.20 $972.00 $294.00–$950.00 15% —
source file
PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 SINGLE CONTRAST X-RAY OF ESOPHAGUS $937.95 $1,443.00 $77.80–$631.06 35% —
source file
PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 X-RAY XM ESOPHAGUS 1CNTRST $956.80 $1,472.00 $77.80–$631.06 35% —
source file

Outpatient: lowest $174.85, median $587.60, highest $937.95 — a 5.4× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $747.00. 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 5 of 6 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.