Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Lima, OH

In Lima, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $84.60 to $84.60, with a median of $84.60. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 1 facility for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$84.60Lima Memorial Health System
Median$84.60half pay less
Highest$84.60in this market
Difference1.0×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 Lima, OH.

median
Lowest $84.60Highest $683.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Lima Memorial Health System lowest Lima, OH · (419) 998-4731 Catheter For Hysterography $84.60 $94.00 — 10% Apr 1, 2026
source file
Lima Memorial Health System Lima, OH · (419) 998-4731 Hystersonography Inj Proc Us $683.10 $759.00 — 10% Apr 1, 2026
source file
Lima Memorial Health System Lima, OH · (419) 998-4731 Hystersonography Inj Proc $683.10 $759.00 — 10% Apr 1, 2026
source file

Outpatient: lowest $84.60, median $84.60, highest $84.60.

As an inpatient, the same code is billed by 1 facility here, median $84.60. 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.