Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Green Bay, WI

In Green Bay, WI, 5 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $212.98 to $665.00, with a median of $528.00. The lowest listed price is at Bellin Memorial Health — $315.02 less than the median here. Across Wisconsin, the median is $258.70 at 70 hospitals.

Cash prices at 5 facilities across 2 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 Nov 21, 2025 and Jun 27, 2026.

Lowest$212.98Bellin Memorial Health
Median$528.00half pay less
Highest$665.00in this market
Difference3.1×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 Green Bay, WI.

median
Lowest $212.98Highest $665.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bellin Memorial Health lowest Green Bay, WI · (920) 433-3500 HCHG 58340 CATH FOR HYSTEROGRAPHY $212.98 $460.00 $227.70–$414.00 54% Jun 27, 2026
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 $192.00–$800.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 $109.57–$800.00 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 $109.57–$800.00 34% —
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Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 58340 CATH FOR HYSTEROGRAPHY $566.71 $1,224.00 $315.79–$1,101.60 54% Jun 27, 2026
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Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 $571.90–$19,000.00 50% Nov 21, 2025
source file

Outpatient: lowest $212.98, median $528.00, highest $665.00 — a 3.1× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $528.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

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.