Double contrast x-ray of esophagus
Medicare pricing data for 10,617 providers across 51 states
Prices vary significantly by location — from $29 in Utah to $87 in Arizona. 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
Double contrast x-ray of esophagus (HCPCS code 74221) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $49.31, but hospitals typically charge $193.27 — a 3.9x 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 $49.31, your out-of-pocket cost would be approximately $9.86. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $36.89 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $87 | $345 | 177 | 2,106 | +77.4% |
| Maryland | $87 | $233 | 191 | 1,468 | +75.5% |
| New Jersey | $79 | $264 | 374 | 1,734 | +60.8% |
| Nevada | $74 | $260 | 107 | 767 | +51.1% |
| New York | $65 | $261 | 435 | 2,741 | +32.7% |
| California | $62 | $215 | 839 | 5,583 | +24.8% |
| Florida | $61 | $258 | 612 | 4,307 | +23.9% |
| Minnesota | $60 | $284 | 195 | 1,159 | +21.0% |
| Delaware | $59 | $173 | 29 | 418 | +18.7% |
| Texas | $54 | $263 | 661 | 4,195 | +10.2% |
| Washington | $53 | $171 | 312 | 1,968 | +7.4% |
| Connecticut | $53 | $174 | 126 | 794 | +6.9% |
| New Mexico | $52 | $184 | 57 | 390 | +5.8% |
| South Dakota | $52 | $158 | 51 | 200 | +5.3% |
| Tennessee | $52 | $207 | 289 | 1,773 | +5.3% |
| Kansas | $52 | $153 | 110 | 555 | +5.0% |
| Alaska | $50 | $175 | 24 | 136 | +1.8% |
| Hawaii | $49 | $186 | 37 | 147 | -1.6% |
| Oregon | $48 | $154 | 165 | 1,099 | -3.5% |
| District of Columbia | $46 | $186 | 20 | 143 | -7.6% |
| Nebraska | $45 | $166 | 95 | 553 | -8.5% |
| Virginia | $45 | $186 | 370 | 3,682 | -9.6% |
| Illinois | $43 | $188 | 476 | 2,631 | -13.2% |
| North Carolina | $43 | $184 | 551 | 3,283 | -13.2% |
| Missouri | $43 | $160 | 232 | 1,362 | -13.6% |
| Iowa | $42 | $130 | 146 | 834 | -13.9% |
| Mississippi | $42 | $169 | 84 | 491 | -14.0% |
| Colorado | $42 | $149 | 201 | 1,595 | -14.1% |
| Arkansas | $42 | $154 | 111 | 875 | -15.1% |
| Massachusetts | $40 | $148 | 308 | 2,993 | -19.8% |
| Alabama | $39 | $103 | 165 | 1,244 | -21.0% |
| North Dakota | $38 | $119 | 33 | 169 | -22.4% |
| Idaho | $38 | $163 | 73 | 523 | -23.4% |
| Ohio | $36 | $153 | 378 | 2,191 | -27.3% |
| Pennsylvania | $35 | $129 | 469 | 3,001 | -28.5% |
| Georgia | $35 | $186 | 380 | 2,176 | -28.7% |
| New Hampshire | $34 | $190 | 84 | 570 | -30.4% |
| Michigan | $34 | $134 | 338 | 2,051 | -30.5% |
| Oklahoma | $34 | $174 | 66 | 279 | -32.0% |
| Montana | $33 | $117 | 40 | 345 | -32.6% |
| Wyoming | $33 | $177 | 14 | 102 | -33.5% |
| South Carolina | $33 | $154 | 200 | 1,833 | -33.9% |
| Indiana | $33 | $125 | 232 | 1,395 | -34.1% |
| Vermont | $32 | $166 | 18 | 212 | -34.2% |
| Wisconsin | $32 | $222 | 227 | 750 | -34.2% |
| Louisiana | $32 | $146 | 95 | 527 | -34.2% |
| Maine | $32 | $119 | 92 | 496 | -34.2% |
| West Virginia | $32 | $138 | 73 | 405 | -34.3% |
| Rhode Island | $32 | $132 | 48 | 404 | -34.6% |
| Kentucky | $32 | $112 | 113 | 716 | -34.9% |
| Utah | $29 | $74 | 68 | 541 | -41.0% |
⚠️ 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