Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Salt Lake City, UT — inpatient

In Salt Lake City-Murray, UT, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $264.74 to $264.74, with a median of $264.74. Across Utah, the median is $523.05 at 2 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 25, 2026; the hospital files themselves were last updated between — and —.

Lowest$264.74University of Utah Hospital and Clinics
Median$264.74half pay less
Highest$264.74in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Utah Hospital and Clinics Salt Lake City, UT · (801) 581-2121 Hysterosalpingogram Inj S $264.74 $378.20 — 30% —
source file

Inpatient: lowest $264.74, median $264.74, highest $264.74.

As an outpatient, the same code is billed by 2 facilities here, median $523.05 — 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.