Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in South Bend, IN

In South Bend-Mishawaka, IN-MI, 2 hospitals list a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $131.95 to $516.75, with a median of $324.35. The lowest listed price is at Memorial Hospital of South Bend — $192.40 less than the median here. Across Indiana, the median is $292.50 at 48 hospitals.

Cash prices at 2 facilities across 2 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 Jan 1, 2026 and Mar 31, 2026.

Lowest$131.95Memorial Hospital of South Bend
Median$324.35half pay less
Highest$516.75in this market
Difference3.9×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 South Bend-Mishawaka, IN-MI.

median
Lowest $131.95Highest $1,260.15

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Memorial Hospital of South Bend lowest South Bend, IN · (574) 647-1000 DX--Hysterosalpingogram $131.95 $203.00 $40.60–$203.00 35% Jan 1, 2026
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Mishawaka Medical Center Mishawaka, IN HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $516.75 $795.00 $206.70–$795.00 35% Mar 31, 2026
source file
Mishawaka Medical Center Mishawaka, IN PR Cath & Intro Saline/Contrast Material for Sis/Hysterosalpingography $596.29 — $30.88–$592.52 — Mar 31, 2026
source file
Mishawaka Medical Center Mishawaka, IN HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $1,260.15 — $130.66–$891.26 — Mar 31, 2026
source file

Outpatient: lowest $131.95, median $324.35, highest $516.75 — a 3.9× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $192.48. 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 2 of 2 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.