Scans and imaging CPT 74220 Inpatient — admitted to hospital

Barium swallow cost in Portland, OR — inpatient

In Portland-Vancouver-Hillsboro, OR-WA, 11 hospitals list a cash price for barium swallow (esophagus X-ray with contrast) as an inpatient: from $174.85 to $826.20, with a median of $747.00. The lowest listed price is at Legacy Meridian Park Medical Center and 4 other hospitals — $572.15 less than the median here. Across Oregon, the median is $457.50 at 35 hospitals.

Cash prices at 11 facilities across 9 cities for code 74220, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$174.85Legacy Meridian Park Medical Center + 4 more
Median$747.00half pay less
Highest$826.20in this market
Difference4.7×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 $826.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Meridian Park Medical Center lowest Tualatin, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center lowest Vancouver, WA CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $174.85 $269.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center Tualatin, OR HC ESOPHAGUS $481.65 $741.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA HC ESOPHAGUS $529.10 $814.00 — 35% Apr 1, 2026
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Providence Health and Services - Oregon Oregon City, OR HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
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Providence Health and Services - Oregon Portland, OR HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
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Providence Health and Services - Oregon Portland, OR HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
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Providence Health and Services - Oregon Milwaukie, OR HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
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Providence Health and Services - Oregon Newberg, OR HC XR ESOPHAGUS W CONTRAST $747.00 $996.00 — 25% Apr 1, 2026
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Kaiser Sunnyside Medical Center Clackamas, OR RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $826.20 $972.00 $294.00–$950.00 15% —
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Kaiser Foundation Hospital - Westside Hillsboro, OR RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $826.20 $972.00 $294.00–$950.00 15% —
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Inpatient: lowest $174.85, median $747.00, highest $826.20 — a 4.7× difference within the same market.

As an outpatient, the same code is billed by 15 facilities here, median $587.60 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.