Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 12 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $127.00 to $3,224.00, with a median of $297.98. The lowest listed price is at St Mary Medical Center — $170.98 less than the median here. Across Pennsylvania, the median is $333.90 at 48 hospitals.

Cash prices at 12 facilities across 12 cities for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Mar 31, 2026.

Lowest$127.00St Mary Medical Center
Median$297.98half pay less
Highest$3,224.00in this market
Difference25.4×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $127.00Highest $3,224.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Mary Medical Center lowest Langhorne, PA · (215) 750-2003 PR Cath & Intro Saline/Contrast Material for Sis/Hysterosalpingography $127.00 $127.00 $14.73–$120.65 — Mar 31, 2026
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St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $144.30 $222.00 $77.70–$2,608.09 35% Mar 31, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 CATH SALINE/CONT. HYSTERO 550 $252.05 $252.05 $28.63–$12,612.00 — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 HYSTEROSALPING INJ $252.05 $252.05 $28.63–$6,872.00 — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ CATH SALINE/CONT. HYSTERO 550 $252.05 $252.05 $22.91–$12,612.00 — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ HYSTEROSALPING INJ $252.05 $252.05 $22.91–$6,872.00 — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ CATH SALINE/CONT. HYSTERO 550 $252.05 $252.05 $45.87–$12,612.00 — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ HYSTEROSALPING INJ $252.05 $252.05 $45.87–$6,872.00 — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ CATH SALINE/CONT. HYSTERO 550 $252.05 $252.05 $34.53–$12,612.00 — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ HYSTEROSALPING INJ $252.05 $252.05 $34.53–$6,872.00 — Mar 24, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $276.90 $426.00 $59.80–$7,033.00 35% Mar 31, 2026
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Virtua Memorial Hospital Mount Holly, NJ · (609) 267-0700 HC Introduce Contrast / Saline for Sis / Hsg $343.90 $3,439.00 $1,699.90–$16,391.00 90% —
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West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Introduce Contrast / Saline for Sis / Hsg $343.90 $3,439.00 $1,699.90–$16,391.00 90% —
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West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Introduce Contrast / Saline for Sis / Hsg $343.90 $3,439.00 $1,699.90–$16,391.00 90% —
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Virtua Our Lady of Lourdes Camden, NJ · (856) 886-5373 HC Introduce Contrast / Saline for Sis / Hsg $343.90 $3,439.00 $1,699.90–$16,391.00 90% —
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Virtua Willingboro Hospital Willinboro, NJ · (609) 835-2900 HC Introduce Contrast / Saline for Sis / Hsg $343.90 $3,439.00 $1,699.90–$16,391.00 90% —
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $3,224.00 $4,960.00 $70.20–$4,960.00 35% Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $3,224.00 $4,960.00 $75.40–$4,860.80 35% Mar 31, 2026
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Outpatient: lowest $127.00, median $297.98, highest $3,224.00 — a 25.4× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $252.05. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 11 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is below every plan's rate. 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.