Scans and imaging CPT 74220 Inpatient — admitted to hospital

Barium swallow cost in Springfield, MA — inpatient

In Springfield, MA, 2 hospitals list a cash price for barium swallow (esophagus X-ray with contrast) as an inpatient: from $251.00 to $398.00, with a median of $324.50. The lowest listed price is at The Mercy Hospital Inc — $73.50 less than the median here. Across Massachusetts, the median is $445.00 at 17 hospitals.

Cash prices at 2 facilities across 2 cities for code 74220, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$251.00The Mercy Hospital Inc
Median$324.50half pay less
Highest$398.00in this market
Difference1.6×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 Springfield, MA.

median
Lowest $251.00Highest $398.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Mercy Hospital Inc lowest Springfield, MA PR X-Ray Esophagus Incl Scout Chest Rad & Delayed Image Sgl-Contrast Study $251.00 $251.00 $18.11–$251.00 — Mar 31, 2026
source file
The Mercy Hospital Inc Springfield, MA HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study $267.15 $411.00 $121.37–$614.05 35% Mar 31, 2026
source file
Holyoke Medical Center Holyoke, MA Contrast x-ray esophagus $398.00 $398.00 $278.60–$294.52 — —
source file

Inpatient: lowest $251.00, median $324.50, highest $398.00 — a 1.6× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $332.58 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 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.