Surgery and procedures CPT 58340 Maine Outpatient

HSG (tube test) cost in Maine

In Maine, 17 hospitals publish a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $38.43 to $652.50, with a median of $162.50. The lowest price is at Eastern Maine Medical Center (Bangor). The highest price is 17.0× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 58340. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$38.43Eastern Maine Medical Center
Median$162.50half pay less
Highest$652.50in Maine
Lowest saves$124.07vs the median

Hospitals in Maine, cheapest first

HospitalCash price List priceFile date
Eastern Maine Medical Center lowest Bangor · Bangor, ME INTRO CATH HYSTEROSONOGRAM $38.43 $183.00 —
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The Aroostook Medical Center Presque Isle · Presque Isle, ME CATH AND INDUC SAL OR CON $63.63 $303.00 —
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St Mary's Regional Medical Center Lewiston · Lewiston-Auburn, ME HC CATH/INTRO SAL CONT HYST $64.98 $171.00 —
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Mercy Hospital Portland · Portland-South Portland, ME INJ HYSTEROGR/SIS CONT/SALINE $84.76 $326.00 —
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Mayo Regional Hospital Dover Foxcroft · Dover Foxcroft, ME MAYO Hysterosalp Inj $89.10 $270.00 —
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Sebasticook Valley Health Pittsfield · Pittsfield, ME HYSTEROSALPINGOGRAM INJECTION $91.80 $270.00 —
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Maine Coast Regional Health Facilities Ellsworth · Ellsworth, ME USBMC Injection/Cath Intro HSG $105.50 $422.00 —
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Blue Hill Memorial Hospital Blue Hill · Blue Hill, ME MC HSG PRO FEE $134.31 $363.00 —
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MaineHealth Portland · Portland-South Portland, ME PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI - AMBULATORY RATE $162.50 $162.50 Sep 9, 2025
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MaineHealth Norway · Norway, ME HC CATHETER FOR HYSTEROGRAPHY $171.65 $171.65 Sep 9, 2025
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York Hospital York · Portland-South Portland, ME SALINE INJECTION FOR SIS OR HSG $347.40 $579.00 —
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MaineHealth Rockport · Rockport, ME HC CATHETER FOR HYSTEROGRAPHY $351.20 $351.20 Sep 9, 2025
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MaineHealth Brunswick · Portland-South Portland, ME HC CATHETER FOR HYSTEROGRAPHY $351.20 $351.20 Sep 9, 2025
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MaineHealth Farmington · Farmington, ME HC CATHETER FOR HYSTEROGRAPHY $392.25 $392.25 Sep 9, 2025
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MaineHealth Biddeford · Portland-South Portland, ME HC CATHETER FOR HYSTEROGRAPHY $443.15 $443.15 Sep 9, 2025
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MaineHealth Belfast · Belfast, ME HC CATHETER FOR HYSTEROGRAPHY $492.00 $492.00 Sep 9, 2025
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MaineHealth Damariscotta · Damariscotta, ME HC CATHETER FOR HYSTEROGRAPHY $652.50 $652.50 Sep 9, 2025
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Portland-South Portland, ME 5 $84.76 $347.40
Belfast, ME 1 $492.00 $492.00
Blue Hill, ME 1 $134.31 $134.31
Bangor, ME 1 $38.43 $38.43
Damariscotta, ME 1 $652.50 $652.50
Dover Foxcroft, ME 1 $89.10 $89.10
Ellsworth, ME 1 $105.50 $105.50
Farmington, ME 1 $392.25 $392.25
Lewiston-Auburn, ME 1 $64.98 $64.98
Norway, ME 1 $171.65 $171.65
Pittsfield, ME 1 $91.80 $91.80
Presque Isle, ME 1 $63.63 $63.63
Rockport, ME 1 $351.20 $351.20

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.

Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes in other states

Median cash price across the state's hospitals.