Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Lewiston, ME — inpatient

In Lewiston-Auburn, ME, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $64.98 to $64.98, with a median of $64.98. Across Maine, the median is $162.50 at 17 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$64.98St Mary's Regional Medical Center
Median$64.98half pay less
Highest$64.98in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Mary's Regional Medical Center Lewiston, ME · (207) 777-8100 HC CATH/INTRO SAL CONT HYST $64.98 $171.00 — 62% —
source file

Inpatient: lowest $64.98, median $64.98, highest $64.98.

As an outpatient, the same code is billed by 1 facility here, median $64.98 — 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.