Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Lebanon, NH

In Lebanon-Claremont, NH-VT, 2 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $55.55 to $458.08, with a median of $256.82. The lowest listed price is at Valley Regional Hospital — $201.27 less than the median here. Across New Hampshire, the median is $427.89 at 6 hospitals.

Cash prices at 2 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 Jun 6, 2026 and Jun 6, 2026.

Lowest$55.55Valley Regional Hospital
Median$256.82half pay less
Highest$458.08in this market
Difference8.2×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 Lebanon-Claremont, NH-VT.

median
Lowest $55.55Highest $873.63

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAPHY FAC $55.55 $101.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAPHY PRO $102.30 $186.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAPHY OP $157.85 $287.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAPHY MD $157.85 $287.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAPHY IP $157.85 $287.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 HYSTEROSALPINGOGRAM INJ $340.45 $619.00 $54.16–$1,767.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 CATHETER FOR HYSTEROGRAPHY $340.45 $619.00 $54.16–$1,767.00 45% Jun 6, 2026
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPINGOGRAM $458.08 $1,497.00 $169.61–$1,422.15 69% —
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPINGOGRAM $873.63 $2,855.00 $323.47–$2,712.25 69% —
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 ONLY CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPINGOGRAM $873.63 $2,855.00 $323.47–$2,712.25 69% —
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Outpatient: lowest $55.55, median $256.82, highest $458.08 — a 8.2× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $256.82. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.