Scans and imaging CPT 74220 Kentucky Outpatient

Barium swallow cost in Kentucky

In Kentucky, 74 hospitals publish a cash price for barium swallow (esophagus X-ray with contrast): from $127.46 to $1,740.35, with a median of $437.32. The lowest price is at Jennie Stuart Medical Center (Hopkinsville). The highest price is 13.7× the lowest.

  • The median here, $437.32, is about the same as the US median of $445.39.
  • That is 2.4× Medicare's 2026 national rate for the same service ($179.20).
  • Kentucky ranks 22nd of 50 states by median, cheapest first.
  • 5 of 74 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 74220. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map

Lowest$127.46Jennie Stuart Medical Center
Median$437.32half of hospitals charge less
Highest$1,740.35in Kentucky
Lowest saves$309.86vs the median

Hospitals in Kentucky, cheapest first

HospitalCash priceList priceFile date
Jennie Stuart Medical Center lowest Hopkinsville · Clarksville, TN-KY HC XR EXAM ESOPHAGUS 1CNTRST $127.46 $411.15 Feb 12, 2026
source file
Wayne County Hospital Monticello · Monticello, KY ESOPHAGUS $142.94 $219.90 Sep 14, 2026
source file
Fleming County Hospital Flemingsburg · Flemingsburg, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $168.10 $420.26 Jul 10, 2026
source file
Norton Audubon Hospital Louisville · Louisville, KY HB ESOPHAGUS $209.60 $1,048.00 Feb 11, 2026
source file
Norton Brownsboro Hospital Louisville · Louisville/Jefferson County, KY-IN HB ESOPHAGUS $209.60 $1,048.00 Feb 11, 2026
source file
Norton Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB ESOPHAGUS $209.60 $1,048.00 Feb 11, 2026
source file
Norton Hospital Louisville · Louisville/Jefferson County, KY-IN HB ESOPHAGUS $209.60 $1,048.00 Feb 11, 2026
source file
Norton West Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HB ESOPHAGUS $209.60 $1,048.00 Feb 11, 2026
source file
Norton Women's and Kosair Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB ESOPHAGUS $209.60 $1,048.00 Feb 13, 2026
source file
University of Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN CR ESOPHAGRAM $218.88 $912.00 Jan 1, 2026
source file
Casey County Hospital Liberty · Liberty, KY ESOPHAGRAM $232.00 $290.00 Mar 31, 2026
source file
T J Samson Community Hospital Glasgow · Glasgow, KY Single contrast X-ray of esophagus $252.20 $388.00 Oct 21, 2026
source file
Bluegrass Community Hospital Versailles · Lexington-Fayette, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $252.89 $632.23 Jul 10, 2026
source file
Ohio County Hospital Hartford · Hartford, KY ESOPHAGRAM W/FL SCOUT/DELAYS $270.00 $540.00 Jan 12, 2026
source file
Carroll County Memorial Hospital Carrollton · Carrollton, KY BARIUM SWALLOW ESOPHAGUS $270.12 $450.20 Aug 17, 2026
source file
Baptist Health Deaconess Madisonville Madisonville · Madisonville, KY HC XR EXAM ESOPHAGUS 1CNTRST $271.70 $2,089.98 Feb 3, 2026
source file
Monroe County Medical Center Tompkinsville · Tompkinsville, KY Single contrast X-ray of esophagus $278.47 $335.50 Oct 8, 2026
source file
Cumberland County Hospital Burkesville · Burkesville, KY BA SWALLOW/ESOPHAGUS $285.75 $381.00 Mar 24, 2026
source file
Livingston Hospital and Healthcare Services Salem · Paducah, KY-IL XR Esophagus $287.85 $479.75 Aug 25, 2026
source file
Deaconess Henderson Hospital Henderson · Henderson, KY HC XR EXAM ESOPHAGUS 1CNTRST $293.70 $979.00 Feb 9, 2026
source file
Breckinridge Memorial Hospital Hardinsburg · Hardinsburg, KY Single contrast X-ray of esophagus $312.00 $624.00 Jul 16, 2026
source file
Saints Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN CR ESOPHAGRAM $328.32 $912.00 Jan 1, 2026
source file
Harrison Memorial Hospital Cynthiana · Cynthiana, KY X-RAY XM ESOPHAGUS 1CNTRST $342.48 $489.25 Mar 31, 2026
source file
University of Kentucky Hospital Lexington · Lexington-Fayette, KY Hc Esophagram - Fl Esophagus Barium Swallow $343.17 $857.92 Apr 1, 2026
source file
The Medical Center at Albany Albany · Albany, KY FL X-RAY XM ESOPH 1CNTRST $344.40 $574.00 Jul 1, 2024
source file
The Medical Center at Caverna Horse Cave · Horse Cave, KY FL X-RAY XM ESOPH 1CNTRST $344.40 $574.00 Apr 1, 2026
source file
UofL Health -Shelbyville Shelbyville · Louisville/Jefferson County, KY-IN CR ESOPHAGRAM $346.56 $912.00 Jan 1, 2026
source file
Tug Valley Appalachian Regional Healthcare Regional Medical Center South Williamson · Pikeville, KY XR ESOPHAGUS INC SCOUT 1 CONTR $351.00 $585.00 Jan 1, 2026
source file
Saint Joseph Mount Sterling Mt. Sterling · Mount Sterling, KY HC Xr Esophagus Single Contrast $378.08 $1,001.00 Sep 30, 2026
source file
Rockcastle County Hospital Mount Vernon · Richmond-Berea, KY Single contrast X-ray of esophagus $381.52 $502.00 Jul 1, 2026
source file
Deaconess Union County Hospital Morganfield · Morganfield, KY HC XR EXAM ESOPHAGUS 1CNTRST $383.99 $817.00 Feb 13, 2026
source file
Clark Regional Medical Center Winchester · Lexington-Fayette, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $393.32 $983.30 Jul 10, 2026
source file
CHI Saint Joseph Berea Nf Berea · Richmond-Berea, KY HC Xr Esophagus Single Contrast $403.59 $833.00 Sep 30, 2026
source file
UofL Health - Jewish Hospital and Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN CR ESOPHAGRAM $410.40 $912.00 Jan 1, 2026
source file
The Medical Center at Scottsville Scottsville · Bowling Green, KY FL X-RAY XM ESOPH 1CNTRST $413.40 $689.00 Apr 1, 2026
source file
Jackson Purchase Medical Center Mayfield · Mayfield, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $420.99 $1,052.48 Jul 10, 2026
source file
The Medical Center at Bowling Green Bowling Green · Bowling Green, KY FL X-RAY XM ESOPH 1CNTRST $426.18 $821.00 Apr 1, 2026
source file
Saint Joseph London London · Corbin, KY HC Xr Esophagus Single Contrast $448.45 $1,278.00 Sep 30, 2026
source file
Saint Joseph East Lexington · Lexington-Fayette, KY HC Xr Esophagus Single Contrast $477.85 $1,138.00 Sep 30, 2026
source file
AdventHealth Manchester Manchester · Corbin, KY HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $486.24 $486.24 Apr 1, 2026
source file
St Claire Medical Center Morehead · Morehead, KY Single contrast X-ray of esophagus $510.00 $680.00 Jun 18, 2026
source file
Our Lady of Peace Louisville · Louisville/Jefferson County, KY-IN CR ESOPHAGRAM $512.54 $912.00 Jan 1, 2026
source file
CHI Saint Joseph Flaget Memorial Hospital Bardstown · Louisville/Jefferson County, KY-IN HC Xr Esophagus Single Contrast $539.32 $1,278.00 Sep 30, 2026
source file
Saint Joseph Hospital Lexington · Lexington-Fayette, KY HC Xr Esophagus Single Contrast $540.44 $1,138.00 Sep 30, 2026
source file
Middlesboro Arh Hospital Middlesboro · Middlesborough, KY XR ESOPHAGUS INC SCOUT 1 CONTR $552.60 $921.00 Jan 1, 2026
source file
Whitesburg Arh Hospital Whitesburg · Whitesburg, KY XR ESOPHAGUS INC SCOUT 1 CONTR $567.00 $945.00 Jan 1, 2026
source file
King's Daughters' Medical Center Ashland · Huntington-Ashland, WV-KY-OH HCHG BA SWAL/ESOPHAGUS $569.40 $1,423.48 Sep 25, 2026
source file
Hazard Appalachian Regional Healthcare Regional Medical Center Hazard · Hazard, KY XR ESOPHAGUS INC SCOUT 1 CONTR $574.20 $957.00 Jan 1, 2026
source file
Knox County Hospital Barbourville · Corbin, KY XR ESOPHAGUS INC SCOUT 1 CONTR $606.00 $1,010.00 Jan 1, 2026
source file
Saint Joseph Hospital Nicholasville · Lexington-Fayette, KY HC Xr Esophagus Single Contrast $610.42 $1,138.00 Sep 30, 2026
source file
Spring View Hospital Lebanon · Lebanon, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $631.02 $1,577.55 Jul 10, 2026
source file
Mercy Health Lourdes Hospital Paducah · Paducah, KY-IL HC Fluro Esophagram $634.80 $1,058.00 Apr 1, 2026
source file
Pineville Community Health Center Pineville · Middlesborough, KY Single contrast X-ray of esophagus $640.64 $640.64 Jan 24, 2026
source file
Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $702.02 $1,755.06 Jul 10, 2026
source file
Bourbon Community Hospital Paris · Lexington-Fayette, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $711.11 $1,777.77 Jul 11, 2026
source file
St Elizabeth Edgewood Edgewood · Cincinnati, OH-KY-IN HB ESOPHAGUS $714.81 $714.81 Apr 1, 2026
source file
Harlan Arh Hospital Harlan · Harlan, KY XR ESOPHAGUS INC SCOUT 1 CONTR $721.20 $1,202.00 Jan 1, 2026
source file
Highlands Arh Regional Medical Center Prestonsburg · Pikeville, KY XR ESOPHAGUS INC SCOUT 1 CONTR $721.20 $1,202.00 Jan 1, 2026
source file
Paintsville Arh Hospital Paintsville · Paintsville, KY XR ESOPHAGUS INC SCOUT 1 CONTR $721.20 $1,202.00 Jan 1, 2026
source file
Murray-Calloway County Public Hospital Murray · Murray, KY Single contrast X-ray of esophagus $740.35 $1,139.00 Sep 9, 2026
source file
Meadowview Regional Medical Center Maysville · Maysville, KY Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $746.91 $1,867.28 Jul 10, 2026
source file
Marcum and Wallace Memorial Hospital Irvine · Richmond-Berea, KY HC Fluro Esophagram $753.00 $1,255.00 Apr 1, 2026
source file
The Medical Center at Russellville Russellville · Russellville, KY FL X-RAY XM ESOPH 1CNTRST $820.00 $1,366.66 Apr 1, 2026
source file
Kentucky River Medical Center Jackson · Jackson, KY Single contrast X-ray of esophagus $901.07 $1,501.79 Sep 17, 2026
source file
Three Rivers Medical Center Louisa · Huntington-Ashland, WV-KY-OH Single contrast X-ray of esophagus $1,122.00 $1,870.00 Sep 17, 2026
source file
Tristar Greenview Regional Hospital Bowling Green · Bowling Green, KY XR ESOPHAGUS $1,372.76 $1,372.76 Sep 1, 2026
source file
Baptist Health Corbin Corbin · Corbin, KY Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 25, 2026
source file
Baptist Health Hardin Elizabethtown · Elizabethtown, KY Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 25, 2026
source file
Baptist Health LaGrange La Grange · Louisville/Jefferson County, KY-IN Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 25, 2026
source file
Baptist Health Lexington Lexington · Lexington-Fayette, KY Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 28, 2026
source file
Baptist Health Louisville Louisville · Louisville/Jefferson County, KY-IN Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 25, 2026
source file
Baptist Health Paducah Paducah · Paducah, KY-IL Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 28, 2026
source file
Baptist Health Richmond Richmond · Richmond-Berea, KY Single contrast X-ray of esophagus $1,555.49 $2,073.99 Sep 28, 2026
source file
Frankfort Regional Medical Center Frankfort · Frankfort, KY XR ESOPHAGUS $1,740.35 $1,740.35 Sep 1, 2026
source file
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Louisville/Jefferson County, KY-IN 13 $209.60 $328.32
Lexington-Fayette, KY 9 $252.89 $540.44
Corbin, KY 4 $448.45 $546.12
Richmond-Berea, KY 4 $381.52 $578.30
Bowling Green, KY 3 $413.40 $426.18
Paducah, KY-IL 3 $287.85 $634.80
Huntington-Ashland, WV-KY-OH 2 $569.40 $845.70
Middlesborough, KY 2 $552.60 $596.62
Pikeville, KY 2 $351.00 $536.10
Albany, KY 1 $344.40 $344.40
Burkesville, KY 1 $285.75 $285.75
Carrollton, KY 1 $270.12 $270.12
Cynthiana, KY 1 $342.48 $342.48
Cincinnati, OH-KY-IN 1 $714.81 $714.81
Clarksville, TN-KY 1 $127.46 $127.46
Elizabethtown, KY 1 $1,555.49 $1,555.49
Flemingsburg, KY 1 $168.10 $168.10
Frankfort, KY 1 $1,740.35 $1,740.35
Glasgow, KY 1 $252.20 $252.20
Hardinsburg, KY 1 $312.00 $312.00
Harlan, KY 1 $721.20 $721.20
Hartford, KY 1 $270.00 $270.00
Hazard, KY 1 $574.20 $574.20
Horse Cave, KY 1 $344.40 $344.40
Henderson, KY 1 $293.70 $293.70
Jackson, KY 1 $901.07 $901.07
Lebanon, KY 1 $631.02 $631.02
Liberty, KY 1 $232.00 $232.00
Louisville, KY 1 $209.60 $209.60
Maysville, KY 1 $746.91 $746.91
Monticello, KY 1 $142.94 $142.94
Morehead, KY 1 $510.00 $510.00
Morganfield, KY 1 $383.99 $383.99
Madisonville, KY 1 $271.70 $271.70
Mayfield, KY 1 $420.99 $420.99
Mount Sterling, KY 1 $378.08 $378.08
Murray, KY 1 $740.35 $740.35
Paintsville, KY 1 $721.20 $721.20
Russellville, KY 1 $820.00 $820.00
Tompkinsville, KY 1 $278.47 $278.47
Whitesburg, KY 1 $567.00 $567.00
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What barium swallow is, what the price covers and why prices differ: Barium swallow explained.

Barium swallow (esophagus X-ray with contrast) in other states

Median cash price across the state's hospitals.