Scans and imaging CPT 74220 North Carolina Outpatient

Barium swallow cost in North Carolina

In North Carolina, 58 hospitals publish a cash price for barium swallow (esophagus X-ray with contrast): from $81.27 to $939.00, with a median of $443.00. The lowest price is at Iredell Memorial Hospital (Statesville). The highest price is 11.6× the lowest.

  • The median here, $443.00, is about the same as the US median of $447.60.
  • That is 2.5× Medicare's 2026 national rate for the same service ($179.20).
  • North Carolina ranks 24th of 50 states by median, cheapest first.
  • 10 of 58 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$81.27Iredell Memorial Hospital
Median$443.00half of hospitals charge less
Highest$939.00in North Carolina
Lowest saves$361.73vs the median

Hospitals in North Carolina, cheapest first

HospitalCash priceList priceFile date
Iredell Memorial Hospital lowest Statesville · Charlotte-Concord-Gastonia, NC-SC XR Barium Esophagram $81.27 $301.00 Dec 31, 2025
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Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Xr Esophagus Incl Scdi W Cntrst Study $175.50 $650.00 Apr 1, 2026
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Randolph Health Asheboro · Asheboro, NC BARIUM SWALLOW $177.60 $888.00 Dec 30, 2024
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The Outer Banks Hospital Nags Head · Kill Devil Hills, NC Esophagus $210.00 $375.00 Apr 1, 2026
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Duke University Hospital Durham · Durham, NC Xr Esophagus Incl Scdi W Cntrst Study $226.80 $840.00 Apr 1, 2026
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Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Xr Esophagus Incl Scdi W Cntrst Study $226.80 $840.00 Apr 1, 2026
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Duke Regional Hospital Durham · Durham-Chapel Hill, NC Xr Esophagus Incl Scdi W Cntrst Study $226.80 $840.00 Apr 1, 2026
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Northern Regional Hospital Mount Airy · Mount Airy, NC Esophagus X-Ray $231.20 $340.00 Nov 12, 2025
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Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Chgr-Barium Swallow $272.50 $545.00 Apr 1, 2026
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WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Contrast X-Ray Esophagus $302.48 $796.00 Feb 11, 2026
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WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Contrast X-Ray Esophagus $302.48 $796.00 Feb 11, 2026
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Wilson Medical Center Wilson · Wilson, NC Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $352.00 $880.00 Jul 10, 2026
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North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC DX ESOPHAGRAM $372.50 $745.00 Oct 8, 2025
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Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC DX ESOPHAGRAM $373.50 $747.00 Oct 8, 2025
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Sampson Regional Medical Center Clinton · Clinton, NC Single contrast X-ray of esophagus $377.30 $539.00 Nov 2, 2026
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Harris Regional Hospital Sylva · Sylva, NC Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $380.75 $951.87 Jul 10, 2026
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High Point Regional Health High Point · Greensboro-High Point, NC HC DX ESOPHAGRAM $382.50 $765.00 Oct 30, 2026
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Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC DX ESOPHAGRAM $388.50 $777.00 Oct 30, 2026
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North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC DX ESOPHAGRAM $393.00 $786.00 Oct 30, 2026
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Lexington Medical Center Lexington · Winston-Salem, NC HC DX ESOPHAGRAM $395.50 $791.00 Oct 30, 2026
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Rutherford Regional Medical Center Rutherfordton · Forest City, NC Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $399.86 $999.66 Jul 10, 2026
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ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Esophagus $403.76 $721.00 Apr 1, 2026
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Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC DX ESOPHAGRAM $407.50 $815.00 Oct 28, 2026
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Betsy Johnson Hospital Dunn · Anderson Creek, NC SINGLE CONTRAST X-RAY OF ESOPHAGUS $438.00 $730.00 Apr 7, 2026
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Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC SINGLE CONTRAST X-RAY OF ESOPHAGUS $438.00 $730.00 Mar 21, 2026
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Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC X-RAY XM ESOPHAGUS 1CNTRST $438.00 $730.00 Mar 30, 2026
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Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC SINGLE CONTRAST X-RAY OF ESOPHAGUS $438.00 $730.00 Mar 21, 2026
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Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC SINGLE CONTRAST X-RAY OF ESOPHAGUS $438.00 $730.00 Mar 22, 2026
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Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 28, 2026
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Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC DX ESOPHAGRAM $443.00 $886.00 Oct 28, 2026
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Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC DX ESOPHAGRAM $443.00 $886.00 Nov 4, 2026
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Stanly Regional Medical Center Albermarle · Albemarle, NC HC DX ESOPHAGRAM $443.00 $886.00 Oct 29, 2026
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ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC Esophagus $454.72 $812.00 Apr 1, 2026
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Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $458.80 $1,147.00 Jul 10, 2026
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Columbus Regional Healthcare System Whiteville · Whiteville, NC XR Esophagus $475.58 $679.39 Sep 1, 2025
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ECU Health Beaufort Hospital Washington · Washington, NC Esophagus $501.91 $947.00 Apr 1, 2026
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ECU Health Medical Center Greenville · Greenville, NC Esophagus $501.91 $947.00 Apr 1, 2026
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Erlanger Murphy Medical Center Murphy · Murphy, NC HC Esophagram,Barium Swallow $522.20 $746.00 Jan 25, 2026
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Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC X-RAY XM ESOPHAGUS 1CNTRST $538.29 $1,345.72 Jul 8, 2026
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ECU Health Chowan Hospital Edenton · Edenton, NC Esophagus $558.32 $997.00 Apr 1, 2026
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ECU Health Duplin Hospital Kenansville · Kenansville, NC Esophagus $579.60 $1,035.00 Apr 1, 2026
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East Carolina Health Ahoskie · Ahoskie, NC Esophagus $632.24 $1,129.00 Apr 1, 2026
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CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC HCHG XR ESOPHAGUS/BARIUM SWALLOW SGL CONT $830.00 $830.00 May 11, 2026
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Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC HCHG XR ESOPHAGUS/BARIUM SWALLOW SGL CONT $830.00 $830.00 May 11, 2026
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Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC HCHG XR ESOPHAGUS/BARIUM SWALLOW SGL CONT $830.00 $830.00 May 11, 2026
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Angel Medical Center Franklin · Franklin, NC Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study $863.09 $863.09 Sep 1, 2026
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Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC XR ESOPHAGUS $863.09 $863.09 Sep 1, 2026
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Highlands-Cashiers Hospital Highlands · Highlands, NC XR ESOPHAGUS $863.09 $863.09 Sep 1, 2026
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Mission Hospital Asheville · Asheville, NC XR ESOPHAGUS $863.09 $863.09 Sep 1, 2026
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Mission Hospital McDowell Marion · Marion, NC XR ESOPHAGUS $863.09 $863.09 Sep 1, 2026
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AdventHealth Polk Columbus · Columbus, NC HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $907.31 $907.31 Apr 1, 2026
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AdventHealth Hendersonville Hendersonville · Asheville, NC HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY $939.00 $939.00 Apr 1, 2026
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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
Charlotte-Concord-Gastonia, NC-SC 13 $81.27 $443.00
Fayetteville, NC 3 $438.00 $438.00
Raleigh-Cary, NC 3 $226.80 $302.48
Winston-Salem, NC 3 $372.50 $393.00
Asheville, NC 2 $863.09 $901.04
Durham-Chapel Hill, NC 2 $226.80 $342.80
Mount Airy, NC 2 $231.20 $309.85
Ahoskie, NC 1 $632.24 $632.24
Asheboro, NC 1 $177.60 $177.60
Albemarle, NC 1 $443.00 $443.00
Anderson Creek, NC 1 $438.00 $438.00
Clinton, NC 1 $377.30 $377.30
Columbus, NC 1 $907.31 $907.31
Durham, NC 1 $226.80 $226.80
Edenton, NC 1 $558.32 $558.32
Elizabethtown, NC 1 $438.00 $438.00
Elizabeth City, NC 1 $272.50 $272.50
Franklin, NC 1 $863.09 $863.09
Forest City, NC 1 $399.86 $399.86
Greensboro-High Point, NC 1 $382.50 $382.50
Greenville, NC 1 $501.91 $501.91
Highlands, NC 1 $863.09 $863.09
Hickory-Lenoir-Morganton, NC 1 $538.29 $538.29
Kenansville, NC 1 $579.60 $579.60
Kill Devil Hills, NC 1 $210.00 $210.00
Laurinburg, NC 1 $407.50 $407.50
Murphy, NC 1 $522.20 $522.20
Marion, NC 1 $863.09 $863.09
North Wilkesboro, NC 1 $373.50 $373.50
Roanoke Rapids, NC 1 $454.72 $454.72
Rocky Mount, NC 1 $403.76 $403.76
Spruce Pine, NC 1 $863.09 $863.09
Sylva, NC 1 $380.75 $380.75
Shelby-Kings Mountain, NC 1 $443.00 $443.00
Whiteville, NC 1 $475.58 $475.58
Washington, NC 1 $501.91 $501.91
Wilson, NC 1 $352.00 $352.00
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.