Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Single contrast X-ray of esophagus
Low
$53
Average
$315
Median
$210
High
$1.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
87 hospitals; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
149 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $110 | $110 | — | — | 41 | $110 – $110 |
| 2 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $140 | $140 | — | — | 30 | $140 – $140 |
| 3 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $898 | $898 | — | — | 2–20 | $898 – $898 |
| 4 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $134 | $134 | $6 | 5% | 2–20 | $128 – $140 |
| 5 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 6 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $179 | $179 | — | — | 1–10 | $179 – $179 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $168 | $168 | — | — | 1–10 | $168 – $168 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 10 | Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 11 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 12 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $271 | $271 | — | — | — | $271 – $271 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $102 | $102 | $52 | 52% | — | $27 – $193 |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $327 | $327 | — | — | — | $327 – $327 |
| 19 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 20 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 21 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 22 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $700 | $700 | — | — | — | $700 – $700 |
| 23 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $700 | $700 | — | — | — | $700 – $700 |
| 24 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $179 | $179 | — | — | — | $179 – $179 |
| 25 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
← Payers reporting CPT 74220 · Snapshot 20261111T120946Z-9134e7f7