Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in New Philadelphia, OH — inpatient

In New Philadelphia-Dover, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $540.15 to $540.15, with a median of $540.15. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jun 15, 2026.

Lowest$540.15The Union Hospital Association
Median$540.15half pay less
Highest$540.15in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Union Hospital Association Dover, OH · (330) 343-3311 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $540.15 $831.00 $181.16–$831.00 35% Jun 15, 2026
source file

Inpatient: lowest $540.15, median $540.15, highest $540.15.

As an outpatient, the same code is billed by 1 facility here, median $540.15 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.