Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Wapakoneta, OH

In Wapakoneta, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $415.80 to $415.80, with a median of $415.80. Across Ohio, the median is $381.60 at 113 hospitals.

Cash prices at 1 facility for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$415.80Grand Lake Health System
Median$415.80half pay less
Highest$415.80in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Grand Lake Health System Saint Marys, OH · (419) 394-3335 CATHETERI& INTRO SALINE/CONTRA $415.80 $462.00 — 10% Apr 1, 2026
source file

Outpatient: lowest $415.80, median $415.80, highest $415.80.

As an inpatient, the same code is billed by 1 facility here, median $415.80. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.