Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Shawano, WI

In Shawano, WI, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $231.22 to $231.22, with a median of $231.22. Across Wisconsin, the median is $258.70 at 70 hospitals.

Cash prices at 1 facility 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$231.22ThedaCare Regional Medical Center-Shawano
Median$231.22half pay less
Highest$231.22in this market
Difference1.0×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 Shawano, WI.

median
Lowest $231.22Highest $952.73

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-Shawano lowest Shawano, WI · (715) 526-2111 HC Cath/Inject Hysterosalpingogram $231.22 $412.90 $111.48–$340.24 44% —
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ThedaCare Regional Medical Center-Shawano Shawano, WI · (715) 526-2111 HC CATH/INJECT HYSTEROSALPINGOGRAM $238.17 $425.30 $111.48–$340.24 44% —
source file
ThedaCare Regional Medical Center-Shawano Shawano, WI · (715) 526-2111 CATH/INJECT HYSTEROSALPINGOGRAM $952.73 $1,701.30 $103.57–$1,361.04 44% —
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Outpatient: lowest $231.22, median $231.22, highest $231.22.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.