Surgery and procedures CPT 58340 Wisconsin Outpatient

HSG (tube test) cost in Wisconsin

In Wisconsin, 70 hospitals publish a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $88.89 to $1,290.02, with a median of $258.70. The lowest price is at Westfields Hospital (New Richmond). The highest price is 14.5× 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 24, 2026.

Lowest$88.89Westfields Hospital
Median$258.70half pay less
Highest$1,290.02in Wisconsin
Lowest saves$169.81vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash price List priceFile date
Westfields Hospital lowest New Richmond · Minneapolis-St. Paul-Bloomington, MN-WI Catheter for Hysterograp F $88.89 $169.00 —
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Gundersen Lutheran Medical Center La Crosse · La Crosse-Onalaska, WI-MN HCHG 58340 CATH FOR HYSTEROGRAPHY $184.00 $460.00 Jun 27, 2026
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Hudson Hospital Hudson · Minneapolis-St. Paul-Bloomington, MN-WI Catheter for Hysterograp F $202.09 $448.00 —
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Bellin Memorial Health Green Bay · Green Bay, WI HCHG 58340 CATH FOR HYSTEROGRAPHY $212.98 $460.00 Jun 27, 2026
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Columbia St. Mary's Hospital Ozaukee Mequon · Milwaukee-Waukesha, WI HC PBB CATHETER FOR HYSTEROGRAPHY $215.71 $407.00 —
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Sacred Heart Rehabilitation Institute Mequon · Milwaukee-Waukesha, WI HC PBB CATHETER FOR HYSTEROGRAPHY $215.71 $407.00 —
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Marshfield Medical Center - Beaver Dam Beaver Dam · Beaver Dam, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Eau Claire Eau Claire · Eau Claire, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Ladysmith Ladysmith · Ladysmith, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Marshfield Marshfield · Wisconsin Rapids-Marshfield, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Minocqua Minocqua · Minocqua, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Neillsville Neillsville · Neillsville, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Park Falls Park Falls · Park Falls, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Rice Lake Rice Lake · Rice Lake, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - River Region at Stevens Point Stevens Point · Stevens Point-Plover, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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Marshfield Medical Center - Weston Weston · Wausau, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
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ThedaCare Regional Medical Center-Berlin Berlin · Berlin, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Appleton Fond Du Lac · Fond du Lac, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Appleton Oshkosh · Oshkosh-Neenah, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Neenah Neenah · Oshkosh-Neenah, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-New London New London · New London, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Shawano Shawano · Shawano, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Waupaca Waupaca · Waupaca, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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ThedaCare Regional Medical Center-Wild Rose Wild Rose · Wild Rose, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 —
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Aspirus Divine Savior Hospital Portage · Madison, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Eagle River Hospital Eagle River · Eagle River, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Langlade Hospital Antigo · Antigo, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Merrill Hospital Merrill · Merrill, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Stanley Hospital Stanley · Eau Claire, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Wausau Hospital Wausau · Wausau, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Howard Young Medical Center Woodruff · Woodruff, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
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Amery Hospital East Amery · East Amery, WI Catheter for Hysterograp F $271.65 $521.00 —
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Ascension SE Wisconsin Hospital Brookfield · Brookfield, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 —
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Ascension SE Wisconsin Hospital Franklin · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 —
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Ascension SE Wisconsin Hospital Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 —
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Ascension St. Francis Hospital Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 —
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Allina Health Systems River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG CATH AND INTRO SAL/CONTR (SIS)/HYSTEROSALP $437.53 $781.30 Jun 15, 2026
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St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan · Sheboygan, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay · Green Bay, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 —
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St Clare Memorial Hospital Oconto Falls · Green Bay, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 —
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St Marys Hospital Medical Center Green Bay · Green Bay, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 —
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Memorial Hospital of Boscobel Boscobel · Platteville, WI HCHG 58340 CATH FOR HYSTEROGRAPHY $593.80 $1,153.00 Jun 27, 2026
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UnityPoint Health - Meriter Madison · Madison, WI HC INJ SALINE HYSTEROGRAM $613.35 $766.68 Jan 28, 2026
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Aurora BayCare Medical Center Green Bay · Green Bay, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Bay Area Marinette · Marinette, WI-MI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora St Lukes South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $665.00 $1,330.00 Nov 21, 2025
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Ascension NE Wisconsin Oshkosh · Oshkosh-Neenah, WI HC CATHETER FOR HYSTEROGRAPHY $665.19 $1,167.00 —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC CATHETER FOR HYSTEROGRAPHY $665.19 $1,167.00 —
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Columbia St. Mary's Hospital Milwaukee Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $1,290.02 $2,434.00 —
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By metro area

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

Metro areaHospitals LowestMedian
Milwaukee-Waukesha, WI 14 $215.71 $665.00
Green Bay, WI 5 $212.98 $528.00
Oshkosh-Neenah, WI 4 $231.22 $448.11
Appleton, WI 3 $231.22 $231.22
Minneapolis-St. Paul-Bloomington, MN-WI 3 $88.89 $202.09
Stevens Point-Plover, WI 3 $228.00 $258.70
Eau Claire, WI 2 $228.00 $243.35
Madison, WI 2 $258.70 $436.02
Racine-Mount Pleasant, WI 2 $665.00 $665.00
Sheboygan, WI 2 $528.00 $596.50
Wausau, WI 2 $228.00 $243.35
Wisconsin Rapids-Marshfield, WI 2 $228.00 $243.35
Antigo, WI 1 $258.70 $258.70
Berlin, WI 1 $231.22 $231.22
Brookfield, WI 1 $373.12 $373.12
Beaver Dam, WI 1 $228.00 $228.00
Eagle River, WI 1 $258.70 $258.70
East Amery, WI 1 $271.65 $271.65
Fond du Lac, WI 1 $231.22 $231.22
Ladysmith, WI 1 $228.00 $228.00
La Crosse-Onalaska, WI-MN 1 $184.00 $184.00
Medford, WI 1 $258.70 $258.70
Merrill, WI 1 $258.70 $258.70
Minocqua, WI 1 $228.00 $228.00
Manitowoc, WI 1 $665.00 $665.00
Marinette, WI-MI 1 $665.00 $665.00
Neillsville, WI 1 $228.00 $228.00
New London, WI 1 $231.22 $231.22
Park Falls, WI 1 $228.00 $228.00
Platteville, WI 1 $593.80 $593.80
Rhinelander, WI 1 $258.70 $258.70
Rice Lake, WI 1 $228.00 $228.00
Shawano, WI 1 $231.22 $231.22
Tomahawk, WI 1 $258.70 $258.70
Waupaca, WI 1 $231.22 $231.22
Wild Rose, WI 1 $231.22 $231.22
Woodruff, WI 1 $258.70 $258.70
Whitewater-Elkhorn, WI 1 $665.00 $665.00

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.