Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Sayre, PA

In Sayre, PA, 3 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $210.40 to $258.24, with a median of $258.24. The lowest listed price is at Robert Packer Hospital, Towanda Campus — $47.84 less than the median here. Across Pennsylvania, the median is $333.90 at 48 hospitals.

Cash prices at 3 facilities across 3 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 — and —.

Lowest$210.40Robert Packer Hospital, Towanda Campus
Median$258.24half pay less
Highest$258.24in this market
Difference1.2×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 Sayre, PA.

median
Lowest $210.40Highest $435.12

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Robert Packer Hospital, Towanda Campus lowest Towanda, PA Inj Hysterosalpingogram $210.40 $263.00 $67.60–$160.30 20% —
source file
Robert Packer Hospital, Towanda Campus lowest Towanda, PA Inj Hysterosalpingogram $210.40 $263.00 $39.66–$263.00 20% —
source file
Robert Packer Hospital Sayre, PA · (570) 888-6666 Inj Hysterosalpingogram $258.24 $322.80 $55.52–$258.24 20% —
source file
Robert Packer Hospital Sayre, PA · (570) 888-6666 Inj Hysterosalpingogram $258.24 $322.80 $48.68–$6,432.00 20% —
source file
Troy Community Hospital Troy, PA · (570) 297-2121 Inj Hysterosalpingogram $258.24 $322.80 $52.00–$322.80 20% —
source file
Troy Community Hospital Troy, PA · (570) 297-2121 Inj Hysterosalpingogram $258.24 $322.80 $81.35 20% —
source file
Robert Packer Hospital Sayre, PA · (570) 888-6666 Hysterosonography $435.12 $543.90 $81.35 20% —
source file
Robert Packer Hospital, Towanda Campus Towanda, PA Hysterosonography $435.12 $543.90 $81.35 20% —
source file
Troy Community Hospital Troy, PA · (570) 297-2121 Hysterosonography $435.12 $543.90 $81.35 20% —
source file

Outpatient: lowest $210.40, median $258.24, highest $258.24 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $258.24. 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 1 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.