Surgery and procedures CPT 58340 Inpatient — admitted to hospital

HSG (tube test) cost in Manchester, CT — inpatient

In Manchester, CT, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes as an inpatient: from $733.57 to $733.57, with a median of $733.57. Across Connecticut, the median is $423.77 at 10 hospitals.

Cash prices at 1 facility for code 58340, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$733.57Manchester Memorial Hospital

Median$733.57half of hospitals charge less

Highest$733.57in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Manchester Memorial Hospital Manchester, CT · (860) 647-4780 INJ HYSTEROSALPINGOGRAM File of Apr 1, 2026 · source file	$733.57	$733.57	—	—

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Inpatient: lowest $733.57, median $733.57, highest $733.57.

As an outpatient, the same code is billed by 1 facility here, median $733.57 — 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.