Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Santa Rosa, CA — inpatient

In Santa Rosa-Petaluma, CA, 3 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $312.63 to $1,263.78, with a median of $974.40. The lowest listed price is at Providence Santa Rosa Memorial Hospital — $661.77 less than the median here. Across California, the median is $511.05 at 74 hospitals.

Cash prices at 3 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$312.63Providence Santa Rosa Memorial Hospital
Median$974.40half pay less
Highest$1,263.78in this market
Difference4.0×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 Santa Rosa-Petaluma, CA.

median
Lowest $312.63Highest $1,263.78

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Santa Rosa Memorial Hospital lowest Santa Rosa, CA · (707) 525-5300 HC CATHETER FOR HYSTEROGRAPHY $312.63 $613.00 — 49% Apr 1, 2026
source file
Kaiser Foundation Hospital - Santa Rosa Santa Rosa, CA · (707) 571-4000 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $974.40 $1,740.00 — 44% —
source file
Petaluma Valley Hospital Petaluma, CA · (707) 778-1111 HC CATHETER FOR HYSTEROGRAPHY $1,263.78 $2,478.00 — 49% Apr 1, 2026
source file

Inpatient: lowest $312.63, median $974.40, highest $1,263.78 — a 4.0× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $974.40 — 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.