Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Montpelier, OH

In Montpelier, OH, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $385.50 to $385.50, with a median of $385.50. 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 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$385.50Parkview Montpelier Hospital
Median$385.50half pay less
Highest$385.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Parkview Montpelier Hospital Montpelier, OH · (419) 636-1131 Hc Inj Hysterosalpingogram $385.50 $771.00 — 50% —
source file

Outpatient: lowest $385.50, median $385.50, highest $385.50.

As an inpatient, the same code is billed by 1 facility here, median $385.50. 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.