Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Manchester, NH — inpatient

In Manchester-Nashua, NH, 3 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $66.30 to $541.31, with a median of $499.96. The lowest listed price is at St Joseph Hospital of Nashua — $433.66 less than the median here. Across New Hampshire, the median is $427.89 at 6 hospitals.

Cash prices at 3 facilities across 3 cities for code 58340, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$66.30St Joseph Hospital of Nashua
Median$499.96half pay less
Highest$541.31in 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 Manchester-Nashua, NH.

median
Lowest $66.30Highest $541.31

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Joseph Hospital of Nashua lowest Nashua, NH · (603) 882-3000 HC CATH/INTRO SAL CONT HYST $66.30 $170.00 — 61% —
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Monadnock Community Hospital Peterborough, NH · (603) 924-7191 Z-HYSTERO. (INJ) $499.96 $833.27 — 40% Apr 1, 2026
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Elliot Hospital Manchester, NH · (603) 669-5300 Hc Injection,Hysterosalping $541.31 $1,463.00 — 63% Apr 1, 2026
source file

Inpatient: lowest $66.30, median $499.96, highest $541.31 — a 8.2× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $499.96 — 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.