Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in San Jose, CA

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $401.00 to $974.40, with a median of $950.20. The lowest listed price is at El Camino Hospital — $549.20 less than the median here. Across California, the median is $511.05 at 74 hospitals.

Cash prices at 4 facilities across 4 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$401.00El Camino Hospital
Median$950.20half pay less
Highest$974.40in this market
Difference2.4×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $401.00Highest $974.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
El Camino Hospital lowest Mountain View, CA · (650) 940-7000 HC INJ HYSTEROSALPINGOGRAM $401.00 $1,604.00 — 75% Apr 1, 2026
source file
Stanford Health Care Stanford, CA · (650) 723-4000 Cathj&Intro Saline Nfs Shg/Hsg $926.00 $2,315.00 — 60% Apr 1, 2026
source file
Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $974.40 $1,740.00 — 44% —
source file
Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $974.40 $1,740.00 — 44% —
source file

Outpatient: lowest $401.00, median $950.20, highest $974.40 — a 2.4× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $950.20. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.