Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Watertown, WI

In Watertown-Fort Atkinson, WI, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $584.64 to $584.64, with a median of $584.64. Across Wisconsin, the median is $258.70 at 76 hospitals.

Cash prices at 1 facility for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jun 17, 2026 and Jun 17, 2026.

Lowest$584.64Fort Memorial Hospital
Median$584.64half pay less
Highest$584.64in 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 Watertown-Fort Atkinson, WI.

median
Lowest $584.64Highest $584.64

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Fort Memorial Hospital lowest Fort Atkinson, WI · (920) 568-5000 US Sonohysterogram $584.64 $1,827.00 $728.97–$1,717.38 68% Jun 17, 2026
source file
Fort Memorial Hospital lowest Fort Atkinson, WI · (920) 568-5000 Cath/Contrast Insert for HSG $584.64 $1,827.00 $728.97–$1,717.38 68% Jun 17, 2026
source file

Outpatient: lowest $584.64, median $584.64, highest $584.64.

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 and 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.