Swallow Study — Modified Barium Swallow / Videofluoroscopy (CPT 92611 + 74230): Cost Across Insurances
Complete cell-by-cell comparison across Self-Pay Cash, Original Medicare, 6 Major California Commercial Payers (Anthem, Blue Shield, UnitedHealthcare, Aetna, Cigna, Kaiser Permanente), and Medi-Cal — with every cell labeled with its official data source and effective date.
Accuracy Level — Tier 1 Published Prices: You are currently viewing general published hospital cash prices, Medicare baselines, and multi-payer ranges. Add your insurance card to unlock Tier 2 plan pricing and Tier 3 verified benefit checks.
Hospital procedure cells are extracted from 14 Bay Area hospital MRFs (45 CFR § 180.50, Oct 2026); medication cells use CMS NADAC (as of 2026-10-28) & CY 2026 Medicare Part D / Medi-Cal Rx rules.
| Parkinson's Service / Medication | Self-Pay / Cash Price Hospital MRF / Retail Cash | Medicare Rate 2026 CMS / NADAC / Part D | Anthem Blue Cross MRF Negotiated / Formulary | Blue Shield of CA MRF Negotiated / Formulary | UnitedHealthcare MRF Negotiated / Formulary | Aetna MRF Negotiated / Formulary | Cigna MRF Negotiated / Formulary | Kaiser Permanente MRF Negotiated / Formulary | Medi-Cal (CA Medicaid) CA DHCS / Medi-Cal Rx |
|---|---|---|---|---|---|---|---|---|---|
Pathway ServiceCPT 92611 Swallow Study — Modified Barium Swallow / Videofluoroscopy (CPT 92611 + 74230) | $288–$1,137 Self-pay discounted cash / negotiated spread ($57–$1,245 overall across 14 Bay Area hospitals) Source: 14 Bay Area Hospital MRFs (45 CFR § 180.50) Date: Oct 2026 | $256.58 CMS 2026 allowed rate (~$51.32 Part B 20% coinsurance; $0 with Medigap Plan G) Source: CMS CY 2026 Hospital Outpatient Prospective Payment System & MPFS (CPT 92611 Motion Fluoroscopic Swallow Eval: $95.91 + CPT 74230 Fluoroscopy: $256.58) Date: CY 2026 (Jan 2026) | $66–$915 Negotiated across 6 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): ANTHEM BC MCR ADV ($66); Washington Hospital (Fremont): ANTHEM BC FEDERAL EMPLOYEES ($809)) Source: Bay Area Hospital MRFs (6/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $67–$1,245 Negotiated across 3 Bay Area hospital MRFs (e.g., UCSF Medical Center (SF): Blue Shield (Medicare Managed Care Plan) ($321); Stanford Tri-Valley (Pleasanton): Blue Shield (HMO/POS) ($482)) Source: Bay Area Hospital MRFs (3/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $308–$1,095 Negotiated across 2 Bay Area hospital MRFs (e.g., UCSF Medical Center (SF): Unitedhealthcare (Medicare Managed Care Plan) ($308); Washington Hospital (Fremont): SUTTER SELECT (UMR)-ALL PLANS ($728)) Source: Bay Area Hospital MRFs (2/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $67–$899 Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): AETNA MCR ADV ($67); Washington Hospital (Fremont): AETNA-ALL OTHER PLANS ($795)) Source: Bay Area Hospital MRFs (1/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $696–$1,013 Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): CIGNA NEW BUS OAP ($696)) Source: Bay Area Hospital MRFs (1/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $70–$684 Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): KAISER MEDI-CAL ($70); Washington Hospital (Fremont): KAISER - ALL OTHER PLANS ($605)) Source: Bay Area Hospital MRFs (1/14 facilities, 45 CFR § 180.50) Date: 2026-10-01 | $0 patient copay Medi-Cal Fee-For-Service / Managed Care ($0 beneficiary cost-sharing; provider benchmark ~$205) Source: CA DHCS 2026 Medi-Cal Rates & Cost-Sharing Rules Date: Oct 2026 |
Every Insurance Cell for Swallow Study — With Source & Date Citations
Self-Pay / Discounted Cash Price
Self-pay discounted cash / negotiated spread ($57–$1,245 overall across 14 Bay Area hospitals)
Original Medicare (CMS 2026 / NADAC / Part D)
CMS 2026 allowed rate (~$51.32 Part B 20% coinsurance; $0 with Medigap Plan G)
Anthem Blue Cross (California)
Negotiated across 6 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): ANTHEM BC MCR ADV ($66); Washington Hospital (Fremont): ANTHEM BC FEDERAL EMPLOYEES ($809))
Blue Shield of California
Negotiated across 3 Bay Area hospital MRFs (e.g., UCSF Medical Center (SF): Blue Shield (Medicare Managed Care Plan) ($321); Stanford Tri-Valley (Pleasanton): Blue Shield (HMO/POS) ($482))
UnitedHealthcare (UHC)
Negotiated across 2 Bay Area hospital MRFs (e.g., UCSF Medical Center (SF): Unitedhealthcare (Medicare Managed Care Plan) ($308); Washington Hospital (Fremont): SUTTER SELECT (UMR)-ALL PLANS ($728))
Aetna
Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): AETNA MCR ADV ($67); Washington Hospital (Fremont): AETNA-ALL OTHER PLANS ($795))
Cigna
Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): CIGNA NEW BUS OAP ($696))
Kaiser Permanente (Northern CA)
Negotiated across 1 Bay Area hospital MRFs (e.g., Washington Hospital (Fremont): KAISER MEDI-CAL ($70); Washington Hospital (Fremont): KAISER - ALL OTHER PLANS ($605))
Medi-Cal (California Medicaid / Medi-Cal Rx)
Medi-Cal Fee-For-Service / Managed Care ($0 beneficiary cost-sharing; provider benchmark ~$205)
Hospital-by-Hospital Published Rates for Swallow Study — Modified Barium Swallow / Videofluoroscopy (CPT 92611 + 74230)
| Bay Area Hospital | Self-Pay Cash Price | 2026 Medicare Rate | Negotiated Payer Min–Max | Audited Payer Families |
|---|---|---|---|---|
| UCSF Medical Center (SF) San Francisco • UCSF Health | $345 | $257 | $67–$513 | Medicare Advantage |
| Stanford Hospital (Palo Alto) Palo Alto • Stanford Medicine | $1,124 | $257 | $67–$258 | Medicare Advantage |
| Stanford Tri-Valley (Pleasanton) Pleasanton • Stanford Medicine | $859 | $257 | $328–$1,245 | Blue Shield of California |
| El Camino Health (Mountain View) Mountain View • El Camino Health | $288 | $257 | Not published | Standard MRF |
| Washington Hospital (Fremont) Fremont • Washington Township Health Care District | $823 | $257 | $57–$1,203 | Medicare Advantage, Aetna, Medi-Cal / County Managed Care, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, Kaiser Permanente, UnitedHealthcare, Canopy Health |
| CPMC Van Ness (San Francisco) San Francisco • Sutter Health | $1,137 | $257 | Not published | Standard MRF |
| Alta Bates Medical Center (Berkeley) Berkeley • Sutter Health | $1,137 | $257 | $67–$249 | Medicare Advantage |
| Summit Medical Center (Oakland) Oakland • Sutter Health | $1,137 | $257 | $67–$249 | Medicare Advantage |
| Eden Medical Center (Castro Valley) Castro Valley • Sutter Health | $1,137 | $257 | $249–$249 | Medicare Advantage |
| Mills-Peninsula (Burlingame) Burlingame • Sutter Health | $1,137 | $257 | $67–$255 | Medicare Advantage |
| Sutter Delta (Antioch) Antioch • Sutter Health | $1,137 | $257 | $67–$248 | Medicare Advantage |
| Novato Community Hospital (Marin) Novato • Sutter Health | $1,137 | $257 | Not published | Standard MRF |
| Sutter Santa Rosa Regional Santa Rosa • Sutter Health | $1,137 | $257 | $67–$241 | Medicare Advantage |
| Sutter Solano (Vallejo) Vallejo • Sutter Health | $1,137 | $257 | Not published | Standard MRF |