Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Elizabeth City, NC — inpatient

In Elizabeth City, NC, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $126.50 to $126.50, with a median of $126.50. Across North Carolina, the median is $186.57 at 33 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$126.50Sentara Albemarle Regional Medical Center
Median$126.50half pay less
Highest$126.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sentara Albemarle Regional Medical Center Elizabeth City, NC · (252) 335-0531 Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi $126.50 $253.00 — 50% Apr 1, 2026
source file

Inpatient: lowest $126.50, median $126.50, highest $126.50.

As an outpatient, the same code is billed by 1 facility here, median $126.50 — 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.