74221

Double contrast x-ray of esophagus

Medicare pricing data for 10,617 providers across 51 states

🤖AI Overview

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

$9.86

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.

Average Allowed Cost
$49.31
Average Hospital Charge
$193.27
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$193.27
Medicare Allowed$49.31
Medicare Payment$36.89

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$87$3451772,106+77.4%
Maryland$87$2331911,468+75.5%
New Jersey$79$2643741,734+60.8%
Nevada$74$260107767+51.1%
New York$65$2614352,741+32.7%
California$62$2158395,583+24.8%
Florida$61$2586124,307+23.9%
Minnesota$60$2841951,159+21.0%
Delaware$59$17329418+18.7%
Texas$54$2636614,195+10.2%
Washington$53$1713121,968+7.4%
Connecticut$53$174126794+6.9%
New Mexico$52$18457390+5.8%
South Dakota$52$15851200+5.3%
Tennessee$52$2072891,773+5.3%
Kansas$52$153110555+5.0%
Alaska$50$17524136+1.8%
Hawaii$49$18637147-1.6%
Oregon$48$1541651,099-3.5%
District of Columbia$46$18620143-7.6%
Nebraska$45$16695553-8.5%
Virginia$45$1863703,682-9.6%
Illinois$43$1884762,631-13.2%
North Carolina$43$1845513,283-13.2%
Missouri$43$1602321,362-13.6%
Iowa$42$130146834-13.9%
Mississippi$42$16984491-14.0%
Colorado$42$1492011,595-14.1%
Arkansas$42$154111875-15.1%
Massachusetts$40$1483082,993-19.8%
Alabama$39$1031651,244-21.0%
North Dakota$38$11933169-22.4%
Idaho$38$16373523-23.4%
Ohio$36$1533782,191-27.3%
Pennsylvania$35$1294693,001-28.5%
Georgia$35$1863802,176-28.7%
New Hampshire$34$19084570-30.4%
Michigan$34$1343382,051-30.5%
Oklahoma$34$17466279-32.0%
Montana$33$11740345-32.6%
Wyoming$33$17714102-33.5%
South Carolina$33$1542001,833-33.9%
Indiana$33$1252321,395-34.1%
Vermont$32$16618212-34.2%
Wisconsin$32$222227750-34.2%
Louisiana$32$14695527-34.2%
Maine$32$11992496-34.2%
West Virginia$32$13873405-34.3%
Rhode Island$32$13248404-34.6%
Kentucky$32$112113716-34.9%
Utah$29$7468541-41.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber