Surgery and procedures CPT 58340 Outpatient

HSG (tube test) cost in Winamac, IN

In Winamac, IN, 1 hospital lists a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $115.29 to $115.29, with a median of $115.29. Across Indiana, the median is $292.50 at 48 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 Jul 7, 2026 and Jul 7, 2026.

Lowest$115.29Pulaski Memorial Hospital
Median$115.29half pay less
Highest$115.29in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Pulaski Memorial Hospital Winamac, IN · (574) 946-2100 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $115.29 $164.70 $48.34–$214.52 30% Jul 7, 2026
source file

Outpatient: lowest $115.29, median $115.29, highest $115.29.

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. 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.