HSG (tube test) cost in Bellefontaine, OH — inpatient
In Bellefontaine, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $417.60 to $417.60, with a median of $417.60. Across Ohio, the median is $381.60 at 113 hospitals.
Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mary Rutan Hospital Bellefontaine, OH · (937) 651-3257 Inj For Hystero | $417.60 | $522.00 | — | 20% | Apr 1, 2026 source file |
Inpatient: lowest $417.60, median $417.60, highest $417.60.
As an outpatient, the same code is billed by 1 facility here, median $417.60 — that is the price to compare if you are not being admitted.
What it is
An HSG is an X-ray test that checks whether the fallopian tubes are open and the uterus has a normal shape. Dye is injected through the cervix while X-rays are taken.
What the price covers
The price covers the injection. The X-ray imaging is usually billed separately.