Surgery and procedures CPT 58340 Nebraska Outpatient

HSG (tube test) cost in Nebraska

In Nebraska, 19 hospitals publish a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $194.00 to $1,817.35, with a median of $421.75. The lowest price is at Butler County Health (David City). The highest price is 9.4× the lowest.

  • The median here, $421.75, is 15% above the US median of $367.25.
  • Nebraska ranks 38th of 46 states by median, cheapest first.
  • 3 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.

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 Nov 6, 2026. See them on a map

Lowest$194.00Butler County Health
Median$421.75half of hospitals charge less
Highest$1,817.35in Nebraska
Lowest saves$227.75vs the median

Hospitals in Nebraska, cheapest first

HospitalCash priceList priceFile date
Butler County Health lowest David City · David City, NE Hysterosalpingogram Catheterization $194.00 $194.00 —
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Nebraska Methodist Hospital Omaha · Omaha, NE-IA Hysterosalpingography $243.72 $677.00 Feb 14, 2026
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Alegent Health Immanuel Medical Center Omaha · Omaha, NE-IA HC INJECT HYSTERO $246.39 $573.00 Sep 30, 2026
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CHI Health Bergan Mercy Omaha · Omaha, NE-IA HC INJECT HYSTERO $246.39 $573.00 Sep 30, 2026
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CHI Health Lakeside Omaha · Omaha, NE-IA HC INJECT HYSTERO $246.39 $573.00 Sep 30, 2026
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CHI Health Midlands Papillion · Omaha, NE-IA HC INJECT HYSTERO $246.39 $573.00 Sep 30, 2026
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Methodist Fremont Health Fremont · Fremont, NE MJFL Exam $270.47 $731.00 Feb 16, 2026
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Saint Elizabeth Regional Medical Center Lincoln · Lincoln, NE HC INJECT HYSTERO $311.52 $649.00 Sep 30, 2026
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Regional West Medical Center Scottsbluff · Scottsbluff, NE HB RADIANT-HYSTEROSALPINGOGRAM INJECTION $409.14 $681.90 Mar 17, 2026
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York General Hospital York · York, NE Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $421.75 $421.75 Jul 22, 2026
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Saint Francis Medical Center Grand Island · Grand Island, NE HC INJECT HYSTERO $430.64 $769.00 Sep 30, 2026
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Good Samaritan Hospital Kearney · Kearney, NE HC INJECT HYSTERO $446.02 $769.00 Sep 30, 2026
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Bellevue Medical Center Bellevue · Omaha, NE-IA Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $466.70 $718.00 Aug 10, 2026
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Nebraska Medical Center Omaha · Omaha, NE-IA Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $466.70 $718.00 Aug 10, 2026
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Alegent Health Memorial Hospital, Schuyler Schuyler · Columbus, NE HC INJECT HYSTERO $485.44 $592.00 Sep 30, 2026
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CHI Health Plainview Hospital Plainview · Norfolk, NE HC INJECT HYSTERO $509.12 $592.00 Sep 30, 2026
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Beatrice Community Hospital Beatrice · Beatrice, NE Hc Cath/inject Hysterosalpingogram $561.00 $561.00 —
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Providence Medical Center Wayne · Wayne, NE PMC Catheterization $592.45 $697.00 Oct 20, 2026
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Columbus Community Hospital Columbus · Columbus, NE CATHETER FOR HYSTEROGRAPHY $1,817.35 $1,913.00 Mar 30, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

By metro area

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

Metro areaHospitalsLowestMedian
Omaha, NE-IA 7 $243.72 $246.39
Columbus, NE 2 $485.44 $1,151.40
Beatrice, NE 1 $561.00 $561.00
David City, NE 1 $194.00 $194.00
Fremont, NE 1 $270.47 $270.47
Grand Island, NE 1 $430.64 $430.64
Kearney, NE 1 $446.02 $446.02
Lincoln, NE 1 $311.52 $311.52
Norfolk, NE 1 $509.12 $509.12
Scottsbluff, NE 1 $409.14 $409.14
Wayne, NE 1 $592.45 $592.45
York, NE 1 $421.75 $421.75
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What HSG (tube test) is, what the price covers and why prices differ: HSG (tube test) explained.

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

Median cash price across the state's hospitals.