Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Mansfield, OH — inpatient

In Mansfield, OH, 2 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $307.45 to $307.45, with a median of $307.45. The lowest listed price is at OhioHealth Shelby Hospital and 1 other hospital. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 2 facilities across 2 cities for code 58340, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$307.45OhioHealth Shelby Hospital + 1 more
Median$307.45half pay less
Highest$307.45in 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 Mansfield, OH.

median
Lowest $307.45Highest $307.45

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
OhioHealth Shelby Hospital lowest Shelby, OH · (419) 342-5015 Hc Catheterization For Hysterosalpingogram $307.45 $473.00 — 35% Apr 1, 2026
source file
OhioHealth Mansfield Hospital lowest Mansfield, OH · (419) 526-8000 Hc Catheterization For Hysterosalpingogram $307.45 $473.00 — 35% Apr 1, 2026
source file

Inpatient: lowest $307.45, median $307.45, highest $307.45.

As an outpatient, the same code is billed by 2 facilities here, median $307.45 — 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.