Single contrast x-ray of esophagus
Medicare pricing data for 14,261 providers across 52 states
Prices vary significantly by location — from $27 in Indiana to $67 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Single contrast x-ray of esophagus (HCPCS code 74220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.00, but hospitals typically charge $140.86 — a 3.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.00, your out-of-pocket cost would be approximately $7.40. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $27.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $67 | $80 | 30 | 104 | +82.1% |
| Wyoming | $63 | $214 | 32 | 248 | +70.4% |
| Alaska | $53 | $300 | 44 | 429 | +42.2% |
| Maryland | $51 | $133 | 303 | 2,452 | +36.6% |
| New Jersey | $50 | $167 | 474 | 2,607 | +35.9% |
| California | $46 | $163 | 1,359 | 8,614 | +24.1% |
| Florida | $45 | $196 | 1,015 | 7,362 | +21.5% |
| Iowa | $44 | $144 | 137 | 679 | +18.9% |
| Nevada | $44 | $179 | 112 | 477 | +17.9% |
| New York | $43 | $171 | 745 | 7,815 | +16.2% |
| Minnesota | $41 | $150 | 361 | 1,645 | +10.1% |
| Hawaii | $40 | $185 | 35 | 151 | +7.0% |
| Arizona | $38 | $176 | 213 | 1,607 | +3.2% |
| Washington | $38 | $154 | 319 | 1,784 | +2.5% |
| Connecticut | $37 | $115 | 195 | 1,246 | +0.1% |
| Utah | $35 | $96 | 79 | 408 | -5.2% |
| Kentucky | $35 | $103 | 184 | 1,181 | -6.0% |
| Texas | $34 | $156 | 893 | 5,376 | -7.4% |
| North Carolina | $34 | $144 | 577 | 3,145 | -8.9% |
| Vermont | $34 | $131 | 28 | 161 | -9.4% |
| Colorado | $33 | $120 | 258 | 1,457 | -9.5% |
| Mississippi | $33 | $133 | 140 | 1,254 | -9.6% |
| Oregon | $33 | $98 | 176 | 595 | -9.8% |
| District of Columbia | $33 | $116 | 38 | 264 | -9.9% |
| Tennessee | $33 | $135 | 387 | 2,205 | -10.2% |
| Georgia | $33 | $136 | 474 | 2,721 | -10.3% |
| Virginia | $33 | $100 | 391 | 2,496 | -11.2% |
| Alabama | $33 | $87 | 254 | 1,692 | -11.5% |
| Illinois | $32 | $138 | 585 | 3,239 | -14.6% |
| Missouri | $32 | $123 | 342 | 2,128 | -14.6% |
| Arkansas | $31 | $90 | 134 | 963 | -15.8% |
| Louisiana | $31 | $100 | 224 | 1,390 | -15.9% |
| Pennsylvania | $31 | $97 | 653 | 4,765 | -16.5% |
| Massachusetts | $31 | $105 | 350 | 2,398 | -16.7% |
| Wisconsin | $30 | $221 | 381 | 1,511 | -17.7% |
| New Hampshire | $30 | $148 | 86 | 427 | -18.2% |
| Oklahoma | $30 | $116 | 157 | 1,203 | -18.8% |
| Delaware | $29 | $91 | 37 | 401 | -20.9% |
| South Carolina | $29 | $114 | 246 | 2,028 | -21.1% |
| Montana | $29 | $79 | 59 | 436 | -21.1% |
| Ohio | $29 | $126 | 462 | 2,627 | -21.4% |
| Maine | $29 | $105 | 74 | 247 | -22.5% |
| Nebraska | $29 | $96 | 99 | 508 | -22.7% |
| Kansas | $29 | $76 | 130 | 844 | -22.8% |
| New Mexico | $29 | $111 | 64 | 421 | -23.0% |
| North Dakota | $28 | $109 | 43 | 165 | -23.2% |
| Rhode Island | $28 | $93 | 45 | 197 | -23.3% |
| Michigan | $28 | $101 | 385 | 1,821 | -23.4% |
| South Dakota | $28 | $74 | 45 | 257 | -24.3% |
| West Virginia | $28 | $103 | 82 | 629 | -24.4% |
| Idaho | $27 | $97 | 72 | 310 | -25.8% |
| Indiana | $27 | $99 | 230 | 1,071 | -25.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber