Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Wooster, OH

In Wooster, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $76.50 to $76.50, with a median of $76.50. Across Ohio, the median is $374.43 at 90 hospitals.

Cash prices at 1 facility for code 58340, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$76.50Aultman Orrville Hospital
Median$76.50half pay less
Highest$76.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aultman Orrville Hospital Orrville, OH · (330) 682-3010 Intro Saline Contr Hysterosalp $76.50 $170.00 — 55% Apr 1, 2026
source file

Outpatient: lowest $76.50, median $76.50, highest $76.50.

As an inpatient, the same code is billed by 1 facility here, median $76.50. 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.