74220

Single contrast x-ray of esophagus

Medicare pricing data for 14,261 providers across 52 states

🤖AI Overview

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

$7.40

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.

Average Allowed Cost
$37.00
Average Hospital Charge
$140.86
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$140.86
Medicare Allowed$37.00
Medicare Payment$27.93

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$67$8030104+82.1%
Wyoming$63$21432248+70.4%
Alaska$53$30044429+42.2%
Maryland$51$1333032,452+36.6%
New Jersey$50$1674742,607+35.9%
California$46$1631,3598,614+24.1%
Florida$45$1961,0157,362+21.5%
Iowa$44$144137679+18.9%
Nevada$44$179112477+17.9%
New York$43$1717457,815+16.2%
Minnesota$41$1503611,645+10.1%
Hawaii$40$18535151+7.0%
Arizona$38$1762131,607+3.2%
Washington$38$1543191,784+2.5%
Connecticut$37$1151951,246+0.1%
Utah$35$9679408-5.2%
Kentucky$35$1031841,181-6.0%
Texas$34$1568935,376-7.4%
North Carolina$34$1445773,145-8.9%
Vermont$34$13128161-9.4%
Colorado$33$1202581,457-9.5%
Mississippi$33$1331401,254-9.6%
Oregon$33$98176595-9.8%
District of Columbia$33$11638264-9.9%
Tennessee$33$1353872,205-10.2%
Georgia$33$1364742,721-10.3%
Virginia$33$1003912,496-11.2%
Alabama$33$872541,692-11.5%
Illinois$32$1385853,239-14.6%
Missouri$32$1233422,128-14.6%
Arkansas$31$90134963-15.8%
Louisiana$31$1002241,390-15.9%
Pennsylvania$31$976534,765-16.5%
Massachusetts$31$1053502,398-16.7%
Wisconsin$30$2213811,511-17.7%
New Hampshire$30$14886427-18.2%
Oklahoma$30$1161571,203-18.8%
Delaware$29$9137401-20.9%
South Carolina$29$1142462,028-21.1%
Montana$29$7959436-21.1%
Ohio$29$1264622,627-21.4%
Maine$29$10574247-22.5%
Nebraska$29$9699508-22.7%
Kansas$29$76130844-22.8%
New Mexico$29$11164421-23.0%
North Dakota$28$10943165-23.2%
Rhode Island$28$9345197-23.3%
Michigan$28$1013851,821-23.4%
South Dakota$28$7445257-24.3%
West Virginia$28$10382629-24.4%
Idaho$27$9772310-25.8%
Indiana$27$992301,071-25.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber