Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 4 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $647.00 to $744.00, with a median of $695.50. The lowest listed price is at Corewell Health Zeeland Community Hospital and 1 other hospital — $48.50 less than the median here. Across Michigan, the median is $346.00 at 51 hospitals.

Cash prices at 4 facilities across 4 cities for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$647.00Corewell Health Zeeland Community Hospital + 1 more
Median$695.50half pay less
Highest$744.00in this market
Difference1.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Grand Rapids-Wyoming-Kentwood, MI.

median
Lowest $647.00Highest $744.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Corewell Health Zeeland Community Hospital lowest Zeeland, MI · (616) 772-4644 Hc Injection Salpinography $647.00 $647.00 — — —
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Corewell Health Greenville Hospital lowest Greenville, MI · (616) 754-4691 Hc Injection Salpinography $647.00 $647.00 — — —
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Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Injection Salpinography $744.00 $744.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Injection Salpinography $744.00 $744.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Injection Salpinography $744.00 $744.00 — — —
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Outpatient: lowest $647.00, median $695.50, highest $744.00 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $695.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.