Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Wellsville, NY

In Wellsville, NY, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $111.00 to $111.00, with a median of $111.00. Across New York, the median is $218.70 at 48 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$111.00Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp
Median$111.00half pay less
Highest$111.00in 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 Wellsville, NY.

median
Lowest $111.00Highest $217.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp lowest Wellsville, NY · (585) 593-1100 HB Cath & Saline/Contrast Sonohyster/Hysterosalpi $111.00 — — — —
source file
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY · (585) 593-1100 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $217.65 $365.00 — 40% —
source file

Outpatient: lowest $111.00, median $111.00, highest $111.00.

As an inpatient, the same code is billed by 1 facility here, median $217.65. 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.