Price Checker / CPT 74220
CPT 74220 — X-ray xm esophagus 1cntrst
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$94
What Medicare pays in a hospital/ASC setting
$94
What Medicare pays in a physician's office
$5,183
Based on 19 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 74220
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Glen Cove Hospital , NY | — | $282 | 31958% |
| Northern Westchester Hospital , NY | — | $282 | 23302% |
| Cumberland Healthcare Cumberland, WI | $15,930 | — | 16813% |
| Cumberland Healthcare , WI | $15,930 | — | 16813% |
| Houlton Regional Hospital , ME | $146 | — | 6379% |
| 23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood Kingwood, TX | $3,048 | — | 3136% |
| Jeff Davis Hospital , GA | $2,397 | $839 | 2445% |
| Reeves Memorial Medical Center , LA | $2,063 | $1,238 | 2090% |
| Massachusetts Eye and Ear , MA | $1,651 | $1,238 | 1653% |
| UM Upper Chesapeake Behavior Health Pavilion at Aberdeen , MD | $768 | — | 715% |
| Saint Thomas Hospital for Specialty Surgery , TN | $682 | — | 624% |
| Whitman Hospital and Medical Clinics , WA | $655 | $524 | 595% |
| UM Upper Chesapeake Medical Center Aberdeen Aberdeen, MD | $612 | — | 550% |
| UM Upper Chesapeake Medical Center Aberdeen , MD | $612 | $600 | 550% |
| UM Bowie Health Center Bowie, MD | $487 | — | 417% |
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About CPT 74220
CPT code 74220 refers to “X-ray xm esophagus 1cntrst”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $94 in a facility (hospital or ambulatory surgery center) and $94in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.