Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Van Wert, OH — inpatient

In Van Wert, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $155.35 to $155.35, with a median of $155.35. 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$155.35Van Wert County Hospital
Median$155.35half pay less
Highest$155.35in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Van Wert County Hospital Van Wert, OH · (419) 238-8627 Hc Catheterization For Hysterosalpingogram $155.35 $239.00 — 35% Apr 1, 2026
source file

Inpatient: lowest $155.35, median $155.35, highest $155.35.

As an outpatient, the same code is billed by 1 facility here, median $155.35 — 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.