Scans and imaging CPT 74230 Outpatient

Swallow study cost in Springfield, MA

In Springfield, MA, 2 hospitals list a cash price for Swallow study (modified barium swallow, video X-ray): from $235.95 to $302.00, with a median of $268.98. The lowest listed price is at The Mercy Hospital Inc — $33.03 less than the median here. Across Massachusetts, the median is $519.00 at 17 hospitals.

Cash prices at 2 facilities across 2 cities for code 74230, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$235.95The Mercy Hospital Inc
Median$268.98half pay less
Highest$302.00in this market
Difference1.3×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 $235.95Highest $302.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Mercy Hospital Inc lowest Springfield, MA HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study $235.95 $363.00 $128.66–$587.01 35% Mar 31, 2026
source file
Holyoke Medical Center Holyoke, MA Cine/vid x-ray throat/esoph $302.00 $302.00 $105.30–$361.00 — —
source file
Holyoke Medical Center Holyoke, MA X-Ray Xm Swlng Funcj C+ $302.00 $302.00 $105.30–$361.00 — —
source file

Outpatient: lowest $235.95, median $268.98, highest $302.00 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $268.98. 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 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 swallow study films the mouth and throat on X-ray while you swallow foods and liquids with barium. It shows whether food goes into the airway and is often done with a speech therapist after a stroke.

What the price covers

The price usually covers the X-ray part. The speech therapist's evaluation is billed separately.