Scans and imaging CPT 74220 562 markets

Barium swallow cost without insurance

Across 562 US markets, hospitals list an outpatient cash price for barium swallow (esophagus X-ray with contrast) from $43.75 to $7,046.00. The median market price is $395.94. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 25, 2026 Each price links to its source file

Lowest$43.75any market
Median market$395.94middle of market medians
Highest$7,046.00any market
Listings1,396hospital prices

Compared with Medicare

$179.20 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $425.03 across 1,404 hospitals, is 2.4× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

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.

Why prices differ

Freestanding imaging centers often charge a fraction of hospital prices for the same study, and hospital prices vary widely.

What to ask

Ask whether the self-pay price for CPT 74220 includes the radiologist's reading and the contrast dye.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Ahoskie, NC single city 1 $632.24 $632.24 $632.24 1.0×
Anaconda, MT single city 1 $342.00 $342.00 $342.00 1.0×
Anna, IL single city 1 $80.85 $80.85 $80.85 1.0×
Antigo, WI single city 1 $167.05 $167.05 $167.05 1.0×
Aurora, MO single city 1 $436.15 $436.15 $436.15 1.0×
Aberdeen, SD 1 $632.80 $632.80 $632.80 1.0×
Ada, OK 1 $317.85 $317.85 $317.85 1.0×
Akron, OH 3 $751.50 $792.75 $798.20 1.1×
Albany, OR 2 $244.80 $244.80 $244.80 1.0×
Albany-Schenectady-Troy, NY 2 $682.50 $682.50 $682.50 1.0×
Albemarle, NC 1 $443.00 $443.00 $443.00 1.0×
Alexandria, LA 1 $185.90 $185.90 $185.90 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $223.70 $223.70 $223.70 1.0×
Altoona, PA 1 $2,155.00 $2,155.00 $2,155.00 1.0×
Anchorage, AK 3 $418.50 $967.20 $1,279.00 3.1×
Ann Arbor, MI 1 $262.40 $262.40 $262.40 1.0×
Appleton, WI 3 $118.56 $399.78 $399.78 3.4×
Ardmore, OK 3 $150.00 $536.90 $569.40 3.8×
Asheville, NC 1 $939.00 $939.00 $939.00 1.0×
Ashland, OH 1 $561.00 $561.00 $561.00 1.0×
Astoria, OR 1 $525.00 $525.00 $525.00 1.0×
Athens, OH 1 $498.55 $498.55 $498.55 1.0×
Atlanta-Sandy Springs-Roswell, GA 18 $99.45 $306.23 $1,345.00 13.5×
Atlantic City-Hammonton, NJ 1 $226.94 $226.94 $226.94 1.0×
Auburn, IN 1 $467.50 $467.50 $467.50 1.0×
Auburn-Opelika, AL 1 $227.15 $227.15 $227.15 1.0×
Augusta-Richmond County, GA-SC 1 $99.45 $99.45 $99.45 1.0×
Austin-Round Rock-San Marcos, TX 13 $120.42 $501.34 $723.60 6.0×
Bad Axe, MI single city 1 $100.00 $100.00 $100.00 1.0×
Belfast, ME single city 1 $799.00 $799.00 $799.00 1.0×
Berlin, WI single city 1 $399.78 $399.78 $399.78 1.0×
Berryville, AR single city 1 $392.60 $392.60 $392.60 1.0×
Big Stone Gap, VA single city 1 $69.30 $69.30 $69.30 1.0×
Blairsville, GA single city 1 $281.40 $281.40 $281.40 1.0×
Booneville, AR single city 1 $203.45 $203.45 $203.45 1.0×
Brookfield, WI single city 1 $156.88 $156.88 $156.88 1.0×
Brookville, PA single city 1 $2,155.00 $2,155.00 $2,155.00 1.0×
Bryan, OH single city 1 $430.00 $430.00 $430.00 1.0×
Buckhannon, WV single city 1 $274.00 $274.00 $274.00 1.0×
Burnet, TX single city 1 $142.65 $142.65 $142.65 1.0×
Baker City, OR 1 $419.90 $419.90 $419.90 1.0×
Bakersfield-Delano, CA 1 $503.50 $503.50 $503.50 1.0×
Baltimore-Columbia-Towson, MD 3 $261.33 $442.04 $737.00 2.8×
Barre, VT 1 $874.27 $874.27 $874.27 1.0×
Bartlesville, OK 1 $221.54 $221.54 $221.54 1.0×
Batavia, NY 1 $336.54 $336.54 $336.54 1.0×
Bay City, MI 1 $100.00 $100.00 $100.00 1.0×
Beaumont-Port Arthur, TX 5 $470.58 $470.58 $470.58 1.0×
Bellingham, WA 1 $909.35 $909.35 $909.35 1.0×
Bemidji, MN 1 $668.00 $668.00 $668.00 1.0×
Bend, OR 4 $558.63 $558.63 $558.63 1.0×
Big Rapids, MI 1 $269.00 $269.00 $269.00 1.0×
Birmingham, AL 5 $200.79 $1,459.00 $1,459.00 7.3×
Bismarck, ND 2 $333.03 $374.12 $415.20 1.2×
Blackfoot, ID 1 $449.23 $449.23 $449.23 1.0×
Bloomington, IN 1 $184.00 $184.00 $184.00 1.0×
Bluefield, WV-VA 1 $354.00 $354.00 $354.00 1.0×
Boise City, ID 4 $419.90 $504.45 $589.00 1.4×
Boston-Cambridge-Newton, MA-NH 8 $230.52 $475.80 $1,350.00 5.9×
Boulder, CO 1 $301.22 $301.22 $301.22 1.0×
Bozeman, MT 1 $221.60 $221.60 $221.60 1.0×
Bradford, PA 1 $48.00 $48.00 $48.00 1.0×
Brattleboro, VT 1 $1,190.28 $1,190.28 $1,190.28 1.0×
Bremerton-Silverdale-Port Orchard, WA 1 $815.34 $815.34 $815.34 1.0×
Brenham, TX 1 $501.34 $501.34 $501.34 1.0×
Buffalo-Cheektowaga, NY 5 $132.00 $132.00 $523.31 4.0×
Burlington-South Burlington, VT 1 $456.00 $456.00 $456.00 1.0×
Cades, SC single city 1 $272.50 $272.50 $272.50 1.0×
Canby, MN single city 1 $652.00 $652.00 $652.00 1.0×
Caro, MI single city 1 $100.00 $100.00 $100.00 1.0×
Carrington, ND single city 1 $343.94 $343.94 $343.94 1.0×
Carthage, MS single city 1 $153.90 $153.90 $153.90 1.0×
Cassville, MO single city 1 $436.15 $436.15 $436.15 1.0×
Cedar Rapids, IA single city 1 $190.40 $190.40 $190.40 1.0×
Centerville, IA single city 1 $520.00 $520.00 $520.00 1.0×
Centre, AL single city 1 $232.50 $232.50 $232.50 1.0×
Charlevoix, MI single city 1 $207.40 $207.40 $207.40 1.0×
Columbus, NC single city 1 $907.31 $907.31 $907.31 1.0×
Concord, NC single city 1 $425.03 $425.03 $425.03 1.0×
Corning, IA single city 1 $216.48 $216.48 $216.48 1.0×
Coudersport, PA single city 1 $249.00 $249.00 $249.00 1.0×
Cadillac, MI 1 $742.90 $742.90 $742.90 1.0×
Calhoun, GA 1 $495.55 $495.55 $495.55 1.0×
Cambridge, OH 1 $546.00 $546.00 $546.00 1.0×
Canton-Massillon, OH 3 $248.85 $417.60 $798.20 3.2×
Cape Coral-Fort Myers, FL 5 $186.80 $186.80 $186.80 1.0×
Cape Girardeau, MO-IL 1 $611.00 $611.00 $611.00 1.0×
Casper, WY 1 $143.22 $143.22 $143.22 1.0×
Cedar Rapids, IA 1 $190.40 $190.40 $190.40 1.0×
Cedartown, GA 1 $321.00 $321.00 $321.00 1.0×
Centralia, WA 1 $935.48 $935.48 $935.48 1.0×
Chambersburg, PA 2 $479.20 $479.20 $479.20 1.0×
Charleston, WV 1 $521.00 $521.00 $521.00 1.0×
Charleston-Mattoon, IL 1 $793.44 $793.44 $793.44 1.0×
Charleston-North Charleston, SC 5 $452.50 $609.05 $609.05 1.3×
Charlotte-Concord-Gastonia, NC-SC 16 $175.50 $425.03 $1,467.50 8.4×
Charlottesville, VA 1 $467.00 $467.00 $467.00 1.0×
Chattanooga, TN-GA 1 $96.62 $96.62 $96.62 1.0×
Cheyenne, WY 1 $255.15 $255.15 $255.15 1.0×
Chicago-Naperville-Elgin, IL-IN 49 $70.48 $415.00 $1,929.00 27.4×
Cincinnati, OH-KY-IN 13 $73.95 $391.80 $815.48 11.0×
Clarksburg, WV 1 $360.00 $360.00 $360.00 1.0×
Clarksville, TN-KY 1 $373.84 $373.84 $373.84 1.0×
Cleveland, OH 24 $294.00 $792.75 $1,161.50 4.0×
Clinton, IA 2 $321.60 $368.48 $415.35 1.3×
Coeur d'Alene, ID 1 $404.25 $404.25 $404.25 1.0×
College Station-Bryan, TX 1 $501.34 $501.34 $501.34 1.0×
Columbia, MO 2 $390.00 $412.80 $435.60 1.1×
Columbia, SC 3 $325.50 $325.50 $408.50 1.3×
Columbus, IN 1 $322.40 $322.40 $322.40 1.0×
Columbus, MS 1 $150.00 $150.00 $150.00 1.0×
Columbus, NE 1 $383.35 $383.35 $383.35 1.0×
Columbus, OH 15 $285.35 $353.60 $558.00 2.0×
Cookeville, TN 1 $165.00 $165.00 $165.00 1.0×
Coos Bay-North Bend, OR 1 $409.50 $409.50 $409.50 1.0×
Corbin, KY 2 $486.24 $1,020.87 $1,555.49 3.2×
Corning, NY 3 $106.14 $169.98 $758.78 7.1×
Corpus Christi, TX 1 $339.81 $339.81 $339.81 1.0×
Cortland, NY 1 $378.24 $378.24 $378.24 1.0×
Corvallis, OR 1 $244.80 $244.80 $244.80 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $970.00 $970.00 $970.00 1.0×
Crossville, TN 1 $104.32 $104.32 $104.32 1.0×
Cumberland, MD-WV 2 $305.50 $313.55 $321.60 1.1×
Damariscotta, ME single city 1 $728.85 $728.85 $728.85 1.0×
Decorah, IA single city 1 $201.60 $201.60 $201.60 1.0×
Devils Lake, ND single city 1 $330.96 $330.96 $330.96 1.0×
Dexter, MO single city 1 $611.00 $611.00 $611.00 1.0×
Dillon, MT single city 1 $387.60 $387.60 $387.60 1.0×
Dover Foxcroft, ME single city 1 $270.93 $270.93 $270.93 1.0×
Durham, NC single city 1 $226.80 $226.80 $226.80 1.0×
Dallas-Fort Worth-Arlington, TX 39 $270.50 $425.55 $768.22 2.8×
Dalton, GA 1 $495.55 $495.55 $495.55 1.0×
Danville, VA 1 $326.40 $326.40 $326.40 1.0×
Davenport-Moline-Rock Island, IA-IL 6 $190.40 $307.80 $321.60 1.7×
Dayton-Kettering-Beavercreek, OH 8 $337.20 $337.20 $609.48 1.8×
Decatur, IL 1 $940.32 $940.32 $940.32 1.0×
Decatur, IN 1 $838.00 $838.00 $838.00 1.0×
Defiance, OH 1 $229.20 $229.20 $229.20 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 6 $639.18 $1,011.55 $1,182.30 1.8×
Denver-Aurora-Centennial, CO 7 $134.04 $301.22 $527.80 3.9×
Des Moines-West Des Moines, IA 4 $190.40 $347.43 $549.00 2.9×
Detroit-Warren-Dearborn, MI 26 $90.16 $241.18 $962.25 10.7×
Dickinson, ND 1 $345.24 $345.24 $345.24 1.0×
Douglas, GA 1 $567.80 $567.80 $567.80 1.0×
Dover, DE 1 $402.36 $402.36 $402.36 1.0×
DuBois, PA 1 $81.00 $81.00 $81.00 1.0×
Dubuque, IA 2 $190.40 $298.00 $405.60 2.1×
Duluth, MN-WI 2 $139.81 $224.82 $309.83 2.2×
Durant, OK 1 $375.84 $375.84 $375.84 1.0×
Durham-Chapel Hill, NC 1 $226.80 $226.80 $226.80 1.0×
Eagle River, WI single city 1 $167.05 $167.05 $167.05 1.0×
East Amery, WI single city 1 $333.70 $333.70 $333.70 1.0×
Edenton, NC single city 1 $558.32 $558.32 $558.32 1.0×
Elizabethtown, NY single city 1 $83.00 $83.00 $83.00 1.0×
Emporia, VA single city 1 $556.50 $556.50 $556.50 1.0×
Estherville, IA single city 1 $566.48 $566.48 $566.48 1.0×
Everett, PA single city 1 $186.00 $186.00 $186.00 1.0×
Eau Claire, WI 1 $167.05 $167.05 $167.05 1.0×
El Paso, TX 2 $46.28 $68.54 $90.80 2.0×
Elizabeth City, NC 1 $272.50 $272.50 $272.50 1.0×
Elizabethtown, KY 1 $1,555.49 $1,555.49 $1,555.49 1.0×
Elkhart-Goshen, IN 1 $399.70 $399.70 $399.70 1.0×
Elmira, NY 2 $169.98 $169.98 $169.98 1.0×
Erie, PA 1 $407.40 $407.40 $407.40 1.0×
Eugene-Springfield, OR 3 $223.60 $573.95 $901.07 4.0×
Eureka-Arcata, CA 2 $205.02 $241.49 $277.95 1.4×
Evanston, WY-UT 1 $404.81 $404.81 $404.81 1.0×
Evansville, IN 2 $65.10 $314.85 $564.60 8.7×
Farmington, CT single city 1 $577.80 $577.80 $577.80 1.0×
Farmington, ME single city 1 $756.20 $756.20 $756.20 1.0×
Fremont, MI single city 1 $269.00 $269.00 $269.00 1.0×
Friendship, WI single city 1 $273.81 $273.81 $273.81 1.0×
Fairbanks-College, AK 1 $547.38 $547.38 $547.38 1.0×
Fallon, NV 1 $275.50 $275.50 $275.50 1.0×
Fargo, ND-MN 1 $635.20 $635.20 $635.20 1.0×
Faribault-Northfield, MN 1 $208.99 $208.99 $208.99 1.0×
Fayetteville-Springdale-Rogers, AR 2 $231.89 $427.62 $623.35 2.7×
Flagstaff, AZ 2 $430.84 $435.35 $439.85 1.0×
Flint, MI 2 $100.00 $109.43 $118.86 1.2×
Florence, SC 1 $603.50 $603.50 $603.50 1.0×
Fond du Lac, WI 2 $399.78 $452.39 $505.00 1.3×
Fort Collins-Loveland, CO 1 $188.60 $188.60 $188.60 1.0×
Fort Dodge, IA 1 $190.40 $190.40 $190.40 1.0×
Fort Morgan, CO 1 $290.17 $290.17 $290.17 1.0×
Fort Smith, AR-OK 1 $245.05 $245.05 $245.05 1.0×
Fort Wayne, IN 7 $259.50 $460.50 $483.50 1.9×
Fremont, NE 1 $350.39 $350.39 $350.39 1.0×
Fresno, CA 4 $713.40 $1,066.40 $1,085.60 1.5×
Garrison, ND single city 1 $163.88 $163.88 $163.88 1.0×
Gaylord, MI single city 1 $510.85 $510.85 $510.85 1.0×
Glendale, CA single city 1 $1,607.75 $1,607.75 $1,607.75 1.0×
Grayling, MI single city 1 $756.50 $756.50 $756.50 1.0×
Grinnell, IA single city 1 $190.40 $190.40 $190.40 1.0×
Gainesville, FL 1 $367.95 $367.95 $367.95 1.0×
Gettysburg, PA 1 $236.80 $236.80 $236.80 1.0×
Grand Island, NE 1 $658.44 $658.44 $658.44 1.0×
Grand Rapids, MN 1 $309.83 $309.83 $309.83 1.0×
Grand Rapids-Wyoming-Kentwood, MI 4 $269.00 $312.50 $356.00 1.3×
Greeley, CO 1 $127.42 $127.42 $127.42 1.0×
Green Bay, WI 5 $269.47 $516.12 $516.12 1.9×
Greencastle, IN 1 $685.73 $685.73 $685.73 1.0×
Greeneville, TN 1 $69.30 $69.30 $69.30 1.0×
Greensboro-High Point, NC 1 $364.00 $364.00 $364.00 1.0×
Greensburg, IN 1 $485.25 $485.25 $485.25 1.0×
Greenville, NC 1 $501.91 $501.91 $501.91 1.0×
Greenville-Anderson-Greer, SC 2 $427.80 $467.80 $507.80 1.2×
Harbor Beach, MI single city 1 $207.00 $207.00 $207.00 1.0×
Hartford, CT single city 2 $543.40 $549.80 $556.20 1.0×
Hiawassee, GA single city 1 $234.15 $234.15 $234.15 1.0×
Hillsboro, ND single city 1 $616.80 $616.80 $616.80 1.0×
Huntingdon, TN single city 1 $165.60 $165.60 $165.60 1.0×
Hagerstown-Martinsburg, MD-WV 1 $385.50 $385.50 $385.50 1.0×
Hailey, ID 1 $589.00 $589.00 $589.00 1.0×
Hammond, LA 1 $200.52 $200.52 $200.52 1.0×
Harrisburg-Carlisle, PA 5 $212.62 $294.86 $427.80 2.0×
Harrisonburg, VA 1 $467.00 $467.00 $467.00 1.0×
Helena, MT 1 $185.80 $185.80 $185.80 1.0×
Henderson, KY 1 $65.10 $65.10 $65.10 1.0×
Hermitage, PA 1 $400.80 $400.80 $400.80 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $361.20 $361.20 $361.20 1.0×
Hobbs, NM 1 $502.32 $502.32 $502.32 1.0×
Holland, MI 2 $135.00 $248.56 $362.11 2.7×
Hood River, OR 1 $457.50 $457.50 $457.50 1.0×
Houghton, MI 1 $167.05 $167.05 $167.05 1.0×
Houston-Pasadena-The Woodlands, TX 14 $170.82 $1,249.00 $1,249.00 7.3×
Huntingdon, PA 1 $2,155.00 $2,155.00 $2,155.00 1.0×
Huntington, IN 1 $461.00 $461.00 $461.00 1.0×
Huntington-Ashland, WV-KY-OH 3 $495.13 $801.04 $847.77 1.7×
Huntsville, AL 2 $238.50 $289.37 $340.23 1.4×
Hutchinson, MN 1 $291.64 $291.64 $291.64 1.0×
Iron River, MI single city 1 $167.05 $167.05 $167.05 1.0×
Ironwood, MI single city 1 $167.05 $167.05 $167.05 1.0×
Indianapolis-Carmel-Greenwood, IN 12 $484.80 $484.80 $732.80 1.5×
Ithaca, NY 1 $98.07 $98.07 $98.07 1.0×
Joe, FL single city 1 $348.40 $348.40 $348.40 1.0×
John Day, OR single city 1 $424.50 $424.50 $424.50 1.0×
Jackson, MS 3 $140.22 $200.97 $637.92 4.5×
Jacksonville, FL 9 $305.02 $419.77 $841.34 2.8×
Jamestown-Dunkirk, NY 2 $291.00 $431.76 $572.52 2.0×
Jasper, IN 1 $43.75 $43.75 $43.75 1.0×
Johnson City, TN 3 $69.30 $69.30 $69.30 1.0×
Jonesboro, AR 1 $263.91 $263.91 $263.91 1.0×
Joplin, MO-KS 4 $339.36 $380.25 $449.80 1.3×
Kenansville, NC single city 1 $579.60 $579.60 $579.60 1.0×
Kenton, OH single city 1 $633.10 $633.10 $633.10 1.0×
Kilmarnock, VA single city 1 $409.20 $409.20 $409.20 1.0×
Kingfisher, OK single city 1 $529.75 $529.75 $529.75 1.0×
Kodiak, AK single city 1 $1,114.62 $1,114.62 $1,114.62 1.0×
Kosciusko, MS single city 1 $150.48 $150.48 $150.48 1.0×
Kankakee, IL 1 $266.20 $266.20 $266.20 1.0×
Kansas City, MO-KS 5 $50.00 $215.18 $976.84 19.5×
Kapaa, HI 1 $258.00 $258.00 $258.00 1.0×
Kearney, NE 1 $630.74 $630.74 $630.74 1.0×
Kendallville, IN 1 $469.00 $469.00 $469.00 1.0×
Kennewick-Richland, WA 1 $676.90 $676.90 $676.90 1.0×
Ketchikan, AK 1 $823.55 $823.55 $823.55 1.0×
Key West-Key Largo, FL 2 $824.85 $824.85 $824.85 1.0×
Kill Devil Hills, NC 1 $210.00 $210.00 $210.00 1.0×
Killeen-Temple, TX 4 $501.34 $501.34 $838.31 1.7×
Kingsport-Bristol, TN-VA 5 $69.30 $69.30 $69.30 1.0×
Knoxville, TN 5 $97.80 $107.58 $107.58 1.1×
Kokomo, IN 1 $484.80 $484.80 $484.80 1.0×
LaGrange, IN single city 1 $463.00 $463.00 $463.00 1.0×
Lebanon, VA single city 1 $69.30 $69.30 $69.30 1.0×
Linton, IN single city 1 $538.44 $538.44 $538.44 1.0×
Litchfield, IL single city 1 $669.60 $669.60 $669.60 1.0×
Loveland, CO single city 1 $127.42 $127.42 $127.42 1.0×
LaGrange, GA-AL 1 $99.45 $99.45 $99.45 1.0×
Lakeland-Winter Haven, FL 2 $547.20 $1,868.26 $3,189.32 5.8×
Lancaster, PA 3 $258.01 $427.80 $479.20 1.9×
Lansing-East Lansing, MI 1 $100.00 $100.00 $100.00 1.0×
Las Vegas-Henderson-North Las Vegas, NV 2 $190.00 $396.00 $602.00 3.2×
Laurel, MS 1 $300.00 $300.00 $300.00 1.0×
Lebanon, MO 1 $592.15 $592.15 $592.15 1.0×
Lebanon, PA 1 $479.20 $479.20 $479.20 1.0×
Lebanon-Claremont, NH-VT 2 $453.19 $486.47 $519.75 1.1×
Lewisburg, PA 1 $869.80 $869.80 $869.80 1.0×
Lewiston-Auburn, ME 2 $173.00 $255.79 $338.58 2.0×
Lexington-Fayette, KY 2 $343.17 $949.33 $1,555.49 4.5×
Lima, OH 2 $224.10 $347.55 $471.00 2.1×
Lincoln, NE 1 $479.00 $479.00 $479.00 1.0×
Little Rock-North Little Rock-Conway, AR 2 $185.40 $208.65 $231.89 1.3×
Longview-Kelso, WA 1 $1,006.20 $1,006.20 $1,006.20 1.0×
Los Angeles-Long Beach-Anaheim, CA 30 $224.00 $478.40 $1,701.04 7.6×
Louisville/Jefferson County, KY-IN 6 $121.38 $1,108.05 $1,555.49 12.8×
Lubbock, TX 6 $309.12 $369.18 $1,209.00 3.9×
Ludington, MI 1 $269.00 $269.00 $269.00 1.0×
Magazine, AR single city 1 $123.00 $123.00 $123.00 1.0×
Malone, NY single city 1 $775.00 $775.00 $775.00 1.0×
Manistee, MI single city 1 $489.60 $489.60 $489.60 1.0×
Mansfield, AR single city 1 $123.00 $123.00 $123.00 1.0×
Marble Falls, TX single city 1 $501.34 $501.34 $501.34 1.0×
Marietta, OK single city 1 $876.00 $876.00 $876.00 1.0×
Marion, VA single city 1 $69.30 $69.30 $69.30 1.0×
Mayville, ND single city 1 $616.80 $616.80 $616.80 1.0×
McCall, ID single city 1 $589.00 $589.00 $589.00 1.0×
Medford, WI single city 1 $167.05 $167.05 $167.05 1.0×
Merrill, WI single city 1 $167.05 $167.05 $167.05 1.0×
Middlebury, VT single city 1 $740.00 $740.00 $740.00 1.0×
Millersburg, OH single city 1 $356.80 $356.80 $356.80 1.0×
Monroeville, AL single city 1 $127.60 $127.60 $127.60 1.0×
Montour Falls, NY single city 1 $107.10 $107.10 $107.10 1.0×
Montpelier, OH single city 1 $430.00 $430.00 $430.00 1.0×
Morganfield, KY single city 1 $43.75 $43.75 $43.75 1.0×
Mullins, SC single city 1 $356.50 $356.50 $356.50 1.0×
Murphy, NC single city 1 $522.20 $522.20 $522.20 1.0×
Macon-Bibb County, GA 1 $280.50 $280.50 $280.50 1.0×
Madison, IN 1 $141.68 $141.68 $141.68 1.0×
Madison, WI 2 $167.05 $623.08 $1,079.10 6.5×
Manchester-Nashua, NH 3 $397.38 $455.91 $630.98 1.6×
Manhattan, KS 2 $118.80 $185.60 $252.40 2.1×
Manitowoc, WI 1 $505.00 $505.00 $505.00 1.0×
Mansfield, OH 2 $464.75 $464.75 $464.75 1.0×
Marietta, OH 2 $433.83 $433.83 $433.83 1.0×
Marinette, WI-MI 1 $505.00 $505.00 $505.00 1.0×
Marion, OH 1 $547.95 $547.95 $547.95 1.0×
Marion-Herrin, IL 1 $65.10 $65.10 $65.10 1.0×
Marshalltown, IA 1 $176.60 $176.60 $176.60 1.0×
Martinsville, VA 1 $326.40 $326.40 $326.40 1.0×
Mason City, IA 1 $369.20 $369.20 $369.20 1.0×
Massena-Ogdensburg, NY 2 $307.48 $359.18 $410.88 1.3×
Mayagüez, PR 1 $69.00 $69.00 $69.00 1.0×
McAllen-Edinburg-Mission, TX 1 $390.66 $390.66 $390.66 1.0×
McMinnville, TN 1 $157.13 $157.13 $157.13 1.0×
Medford, OR 1 $504.75 $504.75 $504.75 1.0×
Memphis, TN-MS-AR 12 $84.90 $200.64 $271.48 3.2×
Meridian, MS 2 $79.20 $111.60 $144.00 1.8×
Miami-Fort Lauderdale-West Palm Beach, FL 18 $156.00 $824.85 $1,415.78 9.1×
Michigan City-La Porte, IN 1 $243.08 $243.08 $243.08 1.0×
Milledgeville, GA 1 $189.00 $189.00 $189.00 1.0×
Milwaukee-Waukesha, WI 14 $156.88 $505.00 $505.00 3.2×
Minneapolis-St. Paul-Bloomington, MN-WI 21 $103.22 $288.60 $319.83 3.1×
Missoula, MT 1 $657.60 $657.60 $657.60 1.0×
Mobile, AL 1 $355.68 $355.68 $355.68 1.0×
Modesto, CA 1 $1,047.20 $1,047.20 $1,047.20 1.0×
Morgantown, WV 1 $411.50 $411.50 $411.50 1.0×
Morristown, TN 1 $97.80 $97.80 $97.80 1.0×
Mount Airy, NC 1 $373.50 $373.50 $373.50 1.0×
Mount Pleasant, MI 1 $100.00 $100.00 $100.00 1.0×
Mount Vernon, IL 1 $43.75 $43.75 $43.75 1.0×
Mount Vernon-Anacortes, WA 2 $774.15 $845.48 $916.80 1.2×
Muscatine, IA 1 $190.40 $190.40 $190.40 1.0×
Muskogee, OK 1 $286.90 $286.90 $286.90 1.0×
Nebraska City, NE single city 1 $776.05 $776.05 $776.05 1.0×
New Albany, MS single city 1 $171.36 $171.36 $171.36 1.0×
New London, WI single city 1 $399.78 $399.78 $399.78 1.0×
New Martinsville, WV single city 1 $436.00 $436.00 $436.00 1.0×
Newberry, MI single city 1 $149.94 $149.94 $149.94 1.0×
Newport, VT single city 1 $1,017.40 $1,017.40 $1,017.40 1.0×
North Conway, NH single city 1 $625.40 $625.40 $625.40 1.0×
North Vernon, IN single city 1 $484.80 $484.80 $484.80 1.0×
Norway, ME single city 1 $481.75 $481.75 $481.75 1.0×
Nowata, OK single city 1 $221.54 $221.54 $221.54 1.0×
Napa, CA 1 $258.06 $258.06 $258.06 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 4 $108.75 $173.00 $202.50 1.9×
Natchitoches, LA 1 $215.60 $215.60 $215.60 1.0×
New Castle, IN 1 $102.06 $102.06 $102.06 1.0×
New Orleans-Metairie, LA 8 $82.60 $195.96 $256.62 3.1×
New Philadelphia-Dover, OH 1 $798.20 $798.20 $798.20 1.0×
New Ulm, MN 1 $257.66 $257.66 $257.66 1.0×
New York-Newark-Jersey City, NY-NJ 49 $80.00 $209.65 $1,222.00 15.3×
Newport, OR 2 $244.80 $244.80 $244.80 1.0×
Niles, MI 2 $460.00 $460.00 $460.00 1.0×
Norfolk, NE 1 $378.84 $378.84 $378.84 1.0×
North Wilkesboro, NC 1 $373.50 $373.50 $373.50 1.0×
Norwalk, OH 1 $388.80 $388.80 $388.80 1.0×
Ogallala, NE single city 1 $313.77 $313.77 $313.77 1.0×
Ontario, CA single city 1 $478.40 $478.40 $478.40 1.0×
Ocala, FL 1 $403.67 $403.67 $403.67 1.0×
Ocean Pines, MD 1 $613.84 $613.84 $613.84 1.0×
Oil City, PA 1 $253.20 $253.20 $253.20 1.0×
Oklahoma City, OK 6 $137.70 $176.63 $567.45 4.1×
Olympia-Lacey-Tumwater, WA 1 $935.48 $935.48 $935.48 1.0×
Omaha, NE-IA 10 $192.90 $358.68 $453.70 2.4×
Ontario, OR-ID 1 $419.90 $419.90 $419.90 1.0×
Orangeburg, SC 1 $452.50 $452.50 $452.50 1.0×
Orlando-Kissimmee-Sanford, FL 8 $367.95 $547.20 $1,421.78 3.9×
Oshkosh-Neenah, WI 5 $118.56 $399.78 $505.00 4.3×
Ottawa, KS 1 $976.84 $976.84 $976.84 1.0×
Owatonna, MN 1 $208.99 $208.99 $208.99 1.0×
Oxford, MS 1 $130.18 $130.18 $130.18 1.0×
Paris, AR single city 1 $123.00 $123.00 $123.00 1.0×
Perryville, MO single city 1 $85.15 $85.15 $85.15 1.0×
Petersburg, WV single city 1 $280.80 $280.80 $280.80 1.0×
Pikeville, TN single city 1 $52.89 $52.89 $52.89 1.0×
Polson, MT single city 1 $386.40 $386.40 $386.40 1.0×
Princeton, IN single city 1 $43.75 $43.75 $43.75 1.0×
Pulaski, TN single city 1 $371.00 $371.00 $371.00 1.0×
Putnam, CT single city 1 $130.28 $130.28 $130.28 1.0×
Paducah, KY-IL 2 $634.80 $1,095.15 $1,555.49 2.5×
Palm Bay-Melbourne-Titusville, FL 5 $205.00 $205.00 $547.20 2.7×
Panama City-Panama City Beach, FL 1 $799.60 $799.60 $799.60 1.0×
Parkersburg-Vienna, WV 1 $360.00 $360.00 $360.00 1.0×
Payson, AZ 1 $147.87 $147.87 $147.87 1.0×
Pensacola-Ferry Pass-Brent, FL 2 $536.06 $631.43 $726.80 1.4×
Peru, IN 1 $431.50 $431.50 $431.50 1.0×
Petoskey, MI 1 $100.00 $100.00 $100.00 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 22 $172.00 $334.00 $1,844.50 10.7×
Phoenix-Mesa-Chandler, AZ 23 $101.46 $165.54 $1,286.00 12.7×
Pittsburg, KS 1 $495.95 $495.95 $495.95 1.0×
Pittsburgh, PA 15 $237.00 $810.00 $1,312.80 5.5×
Pittsfield, MA 3 $400.85 $400.85 $400.85 1.0×
Plainview, TX 1 $380.94 $380.94 $380.94 1.0×
Platteville, WI 1 $357.93 $357.93 $357.93 1.0×
Plattsburgh, NY 1 $774.00 $774.00 $774.00 1.0×
Plymouth, IN 2 $310.05 $420.88 $531.70 1.7×
Port St. Lucie, FL 1 $997.75 $997.75 $997.75 1.0×
Port Townsend, WA 1 $729.60 $729.60 $729.60 1.0×
Portland-South Portland, ME 5 $305.40 $545.15 $1,272.50 4.2×
Portland-Vancouver-Hillsboro, OR-WA 15 $174.85 $587.60 $937.95 5.4×
Portsmouth, OH 1 $205.86 $205.86 $205.86 1.0×
Prescott Valley-Prescott, AZ 1 $442.55 $442.55 $442.55 1.0×
Providence-Warwick, RI-MA 2 $196.00 $382.70 $569.40 2.9×
Punta Gorda, FL 1 $1,672.90 $1,672.90 $1,672.90 1.0×
Reed City, MI single city 1 $269.00 $269.00 $269.00 1.0×
Rhinelander, WI single city 1 $167.05 $167.05 $167.05 1.0×
Richmond, CA single city 1 $1,047.20 $1,047.20 $1,047.20 1.0×
Ripley, WV single city 1 $221.00 $221.00 $221.00 1.0×
Rockport, ME single city 1 $1,272.50 $1,272.50 $1,272.50 1.0×
Rumford, ME single city 1 $342.00 $342.00 $342.00 1.0×
Racine-Mount Pleasant, WI 2 $505.00 $505.00 $505.00 1.0×
Raleigh-Cary, NC 1 $226.80 $226.80 $226.80 1.0×
Reading, PA 1 $231.49 $231.49 $231.49 1.0×
Redding, CA 1 $224.00 $224.00 $224.00 1.0×
Reno, NV 2 $190.00 $402.00 $614.00 3.2×
Richmond, VA 5 $970.20 $1,231.80 $1,231.80 1.3×
Richmond-Berea, KY 2 $753.00 $1,154.25 $1,555.49 2.1×
Riverside-San Bernardino-Ontario, CA 15 $224.00 $478.40 $1,508.02 6.7×
Roanoke Rapids, NC 1 $454.72 $454.72 $454.72 1.0×
Roanoke, VA 1 $328.80 $328.80 $328.80 1.0×
Rochester, MN 1 $443.96 $443.96 $443.96 1.0×
Rochester, NY 8 $208.20 $317.27 $414.21 2.0×
Rocky Mount, NC 1 $403.76 $403.76 $403.76 1.0×
Rome, GA 2 $309.00 $2,024.37 $3,739.73 12.1×
Scottsburg, IN single city 1 $97.80 $97.80 $97.80 1.0×
Shelbyville, IL single city 1 $443.52 $443.52 $443.52 1.0×
Sheldon, IA single city 1 $744.00 $744.00 $744.00 1.0×
Sistersville, WV single city 1 $283.41 $283.41 $283.41 1.0×
Smithville, TN single city 1 $165.00 $165.00 $165.00 1.0×
South Boston, VA single city 1 $294.00 $294.00 $294.00 1.0×
St. Johnsbury, VT single city 1 $729.75 $729.75 $729.75 1.0×
St. Paul, MN single city 1 $207.79 $207.79 $207.79 1.0×
Stafford Springs, CT single city 1 $303.60 $303.60 $303.60 1.0×
Suffolk, VA single city 1 $436.50 $436.50 $436.50 1.0×
Summersville, WV single city 1 $224.50 $224.50 $224.50 1.0×
Sacramento-Roseville-Folsom, CA 4 $641.90 $1,047.20 $1,047.20 1.6×
Safford, AZ 1 $210.84 $210.84 $210.84 1.0×
Salem, OR 3 $174.85 $383.19 $383.19 2.2×
Salinas, CA 1 $94.00 $94.00 $94.00 1.0×
Salisbury, MD 1 $541.65 $541.65 $541.65 1.0×
Salt Lake City-Murray, UT 2 $358.12 $430.35 $502.57 1.4×
San Antonio-New Braunfels, TX 2 $184.25 $395.89 $607.53 3.3×
San Diego-Chula Vista-Carlsbad, CA 10 $224.00 $485.05 $850.50 3.8×
San Francisco-Oakland-Fremont, CA 12 $397.85 $1,047.20 $1,276.00 3.2×
San Jose-Sunnyvale-Santa Clara, CA 5 $595.25 $1,047.20 $1,751.00 2.9×
Santa Cruz-Watsonville, CA 1 $1,125.72 $1,125.72 $1,125.72 1.0×
Santa Rosa-Petaluma, CA 4 $216.24 $447.02 $1,047.20 4.8×
Savannah, GA 2 $166.80 $166.80 $166.80 1.0×
Sayre, PA 3 $612.00 $637.44 $673.17 1.1×
Seaford, DE 3 $402.36 $430.10 $439.00 1.1×
Seattle-Tacoma-Bellevue, WA 13 $120.00 $532.50 $656.80 5.5×
Sebastian-Vero Beach-West Vero Corridor, FL 2 $547.20 $772.48 $997.75 1.8×
Sebring, FL 1 $1,963.38 $1,963.38 $1,963.38 1.0×
Sevierville, TN 1 $94.54 $94.54 $94.54 1.0×
Shawano, WI 1 $399.78 $399.78 $399.78 1.0×
Sheboygan, WI 2 $505.00 $510.56 $516.12 1.0×
Shelby-Kings Mountain, NC 1 $425.03 $425.03 $425.03 1.0×
Shelbyville, TN 1 $108.75 $108.75 $108.75 1.0×
Sheridan, WY 1 $268.80 $268.80 $268.80 1.0×
Sierra Vista-Douglas, AZ 1 $211.20 $211.20 $211.20 1.0×
Sioux City, IA-NE-SD 1 $190.40 $190.40 $190.40 1.0×
Sioux Falls, SD-MN 2 $526.40 $684.00 $841.60 1.6×
Slidell-Mandeville-Covington, LA 1 $256.62 $256.62 $256.62 1.0×
Somerset, PA 1 $427.80 $427.80 $427.80 1.0×
South Bend-Mishawaka, IN-MI 2 $310.05 $420.88 $531.70 1.7×
Spokane-Spokane Valley, WA 4 $376.60 $413.00 $535.20 1.4×
Springfield, IL 1 $781.92 $781.92 $781.92 1.0×
Springfield, MA 2 $267.15 $332.58 $398.00 1.5×
Springfield, MO 2 $469.95 $469.95 $469.95 1.0×
Springfield, OH 1 $642.00 $642.00 $642.00 1.0×
St. Louis, MO-IL 11 $273.65 $484.70 $736.27 2.7×
St. Marys, PA 1 $2,155.00 $2,155.00 $2,155.00 1.0×
Staunton-Stuarts Draft, VA 1 $451.50 $451.50 $451.50 1.0×
Stephenville, TX 1 $425.55 $425.55 $425.55 1.0×
Sterling, CO 1 $196.65 $196.65 $196.65 1.0×
Stevens Point-Plover, WI 2 $167.05 $167.05 $167.05 1.0×
Stockton-Lodi, CA 1 $1,047.20 $1,047.20 $1,047.20 1.0×
Storm Lake, IA 1 $195.20 $195.20 $195.20 1.0×
Susanville, CA 1 $438.86 $438.86 $438.86 1.0×
Syracuse, NY 2 $297.00 $381.20 $465.40 1.6×
Tazewell, TN single city 1 $91.28 $91.28 $91.28 1.0×
Tell City, IN single city 1 $504.70 $504.70 $504.70 1.0×
Temple, TX single city 1 $501.34 $501.34 $501.34 1.0×
Thief River Falls, MN single city 2 $537.60 $537.60 $537.60 1.0×
Tomahawk, WI single city 1 $167.05 $167.05 $167.05 1.0×
Torrington, WY single city 1 $307.65 $307.65 $307.65 1.0×
Two Harbors, MN single city 1 $211.51 $211.51 $211.51 1.0×
Talladega-Sylacauga, AL 1 $1,459.00 $1,459.00 $1,459.00 1.0×
Tampa-St. Petersburg-Clearwater, FL 12 $413.00 $1,102.75 $1,954.01 4.7×
Taos, NM 1 $451.60 $451.60 $451.60 1.0×
Terre Haute, IN 2 $352.94 $418.87 $484.80 1.4×
Tiffin, OH 1 $448.20 $448.20 $448.20 1.0×
Toledo, OH 4 $409.50 $699.60 $806.40 2.0×
Traverse City, MI 3 $566.10 $744.60 $796.45 1.4×
Trenton-Princeton, NJ 2 $7,046.00 $7,046.00 $7,046.00 1.0×
Truckee-Grass Valley, CA 1 $614.00 $614.00 $614.00 1.0×
Tucson, AZ 3 $147.00 $150.92 $257.04 1.7×
Tullahoma-Manchester, TN 1 $108.75 $108.75 $108.75 1.0×
Tulsa, OK 6 $221.54 $221.54 $286.90 1.3×
Tupelo, MS 1 $171.36 $171.36 $171.36 1.0×
Twin Falls, ID 1 $589.00 $589.00 $589.00 1.0×
Union City, TN 1 $138.60 $138.60 $138.60 1.0×
Urban Honolulu, HI 4 $252.00 $255.60 $575.50 2.3×
Urbana, OH 1 $300.60 $300.60 $300.60 1.0×
Vinita, OK single city 1 $286.90 $286.90 $286.90 1.0×
Vallejo, CA 3 $865.00 $1,047.20 $1,047.20 1.2×
Van Wert, OH 1 $759.85 $759.85 $759.85 1.0×
Vermillion, SD 1 $647.20 $647.20 $647.20 1.0×
Vineland, NJ 2 $431.85 $431.85 $431.85 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 10 $424.31 $436.50 $928.25 2.2×
Waterbury, CT single city 2 $404.25 $462.76 $521.27 1.3×
Watonga, OK single city 1 $525.85 $525.85 $525.85 1.0×
Waupaca, WI single city 1 $399.78 $399.78 $399.78 1.0×
Waynesburg, PA single city 1 $324.10 $324.10 $324.10 1.0×
Webster, SD single city 1 $672.00 $672.00 $672.00 1.0×
Wellsboro, PA single city 1 $713.40 $713.40 $713.40 1.0×
Wellsville, NY single city 1 $339.00 $339.00 $339.00 1.0×
West Union, IA single city 1 $222.16 $222.16 $222.16 1.0×
Wheatland, WY single city 1 $330.81 $330.81 $330.81 1.0×
Whitehall, WI single city 1 $355.04 $355.04 $355.04 1.0×
Wild Rose, WI single city 1 $399.78 $399.78 $399.78 1.0×
Winamac, IN single city 1 $58.31 $58.31 $58.31 1.0×
Winchester, IN single city 1 $519.00 $519.00 $519.00 1.0×
Woodruff, WI single city 1 $167.05 $167.05 $167.05 1.0×
Worland, WY single city 1 $334.74 $334.74 $334.74 1.0×
Wabash, IN 1 $474.50 $474.50 $474.50 1.0×
Waco, TX 2 $257.40 $379.37 $501.34 1.9×
Walla Walla, WA 1 $558.60 $558.60 $558.60 1.0×
Warner Robins, GA 3 $181.00 $938.00 $938.00 5.2×
Warrensburg, MO 1 $210.00 $210.00 $210.00 1.0×
Washington, NC 1 $501.91 $501.91 $501.91 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 7 $366.00 $503.00 $503.00 1.4×
Waterloo-Cedar Falls, IA 3 $176.60 $665.60 $665.60 3.8×
Wausau, WI 1 $167.05 $167.05 $167.05 1.0×
Weirton-Steubenville, WV-OH 1 $581.50 $581.50 $581.50 1.0×
Wenatchee-East Wenatchee, WA 1 $619.20 $619.20 $619.20 1.0×
West Plains, MO 1 $436.15 $436.15 $436.15 1.0×
Wheeling, WV-OH 3 $273.50 $324.00 $373.00 1.4×
Whitewater-Elkhorn, WI 1 $505.00 $505.00 $505.00 1.0×
Wichita, KS 1 $329.55 $329.55 $329.55 1.0×
Williamsport, PA 2 $713.40 $713.40 $713.40 1.0×
Williston, ND 1 $55.10 $55.10 $55.10 1.0×
Wilmington, OH 1 $322.99 $322.99 $322.99 1.0×
Winston-Salem, NC 3 $353.00 $372.50 $381.00 1.1×
Wisconsin Rapids-Marshfield, WI 1 $167.05 $167.05 $167.05 1.0×
Wooster, OH 1 $404.10 $404.10 $404.10 1.0×
Worcester, MA 4 $445.00 $659.00 $717.00 1.6×
Worthington, MN 1 $618.40 $618.40 $618.40 1.0×
York, NE single city 1 $627.25 $627.25 $627.25 1.0×
York-Hanover, PA 3 $236.80 $427.80 $427.80 1.8×
Youngstown-Warren, OH 2 $311.40 $311.40 $311.40 1.0×
Yuma, AZ 1 $715.00 $715.00 $715.00 1.0×

Common questions

Do I need to fast?

Usually for several hours before the study.

How is it different from a swallow study?

A modified barium swallow (74230) looks at the mouth and throat during swallowing, often with a speech therapist.

How much does Medicare pay for CPT 74220 (Barium swallow)?

$179.20 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $425.03 across 1,404 hospitals, is 2.4× that.