Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Tiffin, OH — inpatient

In Tiffin, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $1,037.40 to $1,037.40, with a median of $1,037.40. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$1,037.40Mercy Health Tiffin Hospital
Median$1,037.40half pay less
Highest$1,037.40in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Health Tiffin Hospital Tiffin, OH · (419) 455-7000 HC Cath/Intro Sal Cont Hyst $1,037.40 $1,729.00 — 40% —
source file

Inpatient: lowest $1,037.40, median $1,037.40, highest $1,037.40.

As an outpatient, the same code is billed by 1 facility here, median $1,037.40 — 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.