Surgery and procedures CPT 58340 Wisconsin Outpatient

HSG (tube test) cost in Wisconsin

In Wisconsin, 85 hospitals publish a cash price for hysterosalpingogram (HSG): contrast injection to check the fallopian tubes: from $73.95 to $1,290.02, with a median of $336.38. The lowest price is at Stoughton Hospital (Stoughton). The highest price is 17.4× the lowest.

  • The median here, $336.38, is 8% below the US median of $367.25.
  • Wisconsin ranks 25th of 46 states by median, cheapest first.
  • 2 of 85 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 11, 2026. See them on a map

Lowest$73.95Stoughton Hospital
Median$336.38half of hospitals charge less
Highest$1,290.02in Wisconsin
Lowest saves$262.43vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash priceList priceFile date
Stoughton Hospital lowest Stoughton · Madison, WI Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $73.95 $134.46 Jun 11, 2026
source file
Saint Croix Regional Medical Center Saint Croix Falls · Saint Croix Falls, WI HCHG RAD INJ HYSTEROSALPINGOGRAM W CATHETERIZATION $81.58 $148.32 Apr 10, 2026
source file
Westfields Hospital New Richmond · Minneapolis-St. Paul-Bloomington, MN-WI Catheter for Hysterograp F $88.89 $169.00 Mar 31, 2026
source file
OakLeaf Surgical Hospital Altoona · Eau Claire, WI CATHETER FOR HYSTEROGRAPHY $178.62 $198.47 Feb 19, 2026
source file
Gundersen Lutheran Medical Center La Crosse · La Crosse-Onalaska, WI-MN HCHG 58340 CATH FOR HYSTEROGRAPHY $184.00 $460.00 Jun 27, 2026
source file
Hudson Hospital Hudson · Minneapolis-St. Paul-Bloomington, MN-WI Catheter for Hysterograp F $202.09 $448.00 Mar 31, 2026
source file
Bellin Memorial Health Green Bay · Green Bay, WI HCHG 58340 CATH FOR HYSTEROGRAPHY $212.98 $460.00 Jun 27, 2026
source file
Ascension Columbia St. Mary's Hospital - Ozaukee Campus Mequon · Milwaukee-Waukesha, WI HC PBB CATHETER FOR HYSTEROGRAPHY $215.71 $407.00 Jan 1, 2026
source file
Marshfield Medical Center - Beaver Dam Beaver Dam · Beaver Dam, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Eau Claire Eau Claire · Eau Claire, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Ladysmith Ladysmith · Ladysmith, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Marshfield Marshfield · Wisconsin Rapids-Marshfield, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Minocqua Minocqua · Minocqua, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Neillsville Neillsville · Neillsville, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Park Falls Park Falls · Park Falls, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
Marshfield Medical Center - Rice Lake Rice Lake · Rice Lake, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
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
source file
Marshfield Medical Center - Weston Weston · Wausau, WI INJ PROC-HYSTEROSALPINGOGRAM-TECH $228.00 $240.00 Feb 20, 2026
source file
ThedaCare Regional Medical Center-Berlin Berlin · Berlin, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-OSP Appleton · Appleton, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 7, 2026
source file
ThedaCare Regional Medical Center-Fond Du Lac Fond Du Lac · Fond du Lac, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Neenah Neenah · Oshkosh-Neenah, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-New London New London · New London, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Oshkosh Oshkosh · Oshkosh-Neenah, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Shawano Shawano · Shawano, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Waupaca Waupaca · Waupaca, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
ThedaCare Regional Medical Center-Wild Rose Wild Rose · Wild Rose, WI HC Cath/Inject Hysterosalpingogram $231.22 $412.90 Aug 8, 2026
source file
Aspirus Divine Savior Hospital Portage · Madison, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Eagle River Hospital Eagle River · Eagle River, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Langlade Hospital Antigo · Antigo, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Medford Hospital Medford · Medford, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Merrill Hospital Merrill · Merrill, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Stanley Hospital Stanley · Eau Claire, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Wausau Hospital Wausau · Wausau, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Howard Young Medical Center Woodruff · Woodruff, WI Inj Proc Hysterosalphingram $258.70 $398.00 Apr 1, 2026
source file
Amery Hospital East Amery · East Amery, WI Catheter for Hysterograp F $271.65 $521.00 Mar 31, 2026
source file
Tomah Memorial Hospital Tomah · Sparta, WI Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $336.38 $585.00 Oct 28, 2026
source file
Sauk Prairie Healthcare Prairie Du Sac · Baraboo, WI HSG CATH AND INTR-SAL/CONTRAST $347.35 $635.00 Jan 29, 2026
source file
Burnett Medical Center Grantsburg · Grantsburg, WI Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $350.40 $438.00 Oct 2, 2026
source file
Beloit Memorial Hospital Beloit · Janesville-Beloit, WI Inj Hysterosalpingogram $369.90 $1,233.00 Oct 12, 2026
source file
Ascension SE Wisconsin Hospital Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 Jan 1, 2026
source file
Ascension SE Wisconsin Hospital - Elmbrook Campus Brookfield · Brookfield, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 Jan 1, 2026
source file
Ascension SE Wisconsin Hospital - Franklin Campus Franklin · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 Jan 1, 2026
source file
Ascension St. Francis Hospital Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 Jan 1, 2026
source file
Grant Regional Health Center Lancaster · Platteville, WI Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $380.90 $586.00 Sep 18, 2026
source file
Mercyhealth Hospital & Medical Center - Walworth Lake Geneva · Whitewater-Elkhorn, WI HC HYSTEROSONOGRAPHY CATH & INJ $383.59 $511.45 Mar 1, 2026
source file
Black River Memorial Hospital Black River Falls · Black River Falls, WI CATHETERIZATION WINTRO OF SALINE $401.40 $446.00 Jan 8, 2026
source file
Mercyhealth Hospital & Trauma Center Janesville · Janesville-Beloit, WI RC US HYSTEROSONOGRAPHY CATH & INJ $404.53 $539.37 Mar 1, 2026
source file
River Falls Area Hospital River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG CATH AND INTRO SAL/CONTR (SIS)/HYSTEROSALP $437.53 $781.30 Jun 15, 2026
source file
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 Mar 24, 2026
source file
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 Mar 24, 2026
source file
St Clare Memorial Hospital Oconto Falls · Green Bay, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 Mar 24, 2026
source file
St Marys Hospital Medical Center Green Bay · Green Bay, WI HC CATH/INTRO SALINE/CONTRAST SIS $528.00 $800.00 Mar 24, 2026
source file
Fort Memorial Hospital Fort Atkinson · Watertown-Fort Atkinson, WI Cath/Contrast Insert for HSG $584.64 $1,827.00 Jun 17, 2026
source file
Cumberland Memorial Hospital Cumberland · Rice Lake, WI HSG HYSTEROSALPINGOGRAPH $585.25 $585.25 Apr 16, 2026
source file
Memorial Hospital of Boscobel Boscobel · Platteville, WI HCHG 58340 CATH FOR HYSTEROGRAPHY $593.80 $1,153.00 Jun 27, 2026
source file
UnityPoint Health - Meriter Madison · Madison, WI HC INJ SALINE HYSTEROGRAM $613.35 $766.68 Jan 28, 2026
source file
Southwest Health Center Platteville · Platteville, WI HC INJECTION HYSTEROSALPINGOGRAM $637.50 $850.00 Mar 27, 2026
source file
Ascension NE Wisconsin - Mercy Campus Oshkosh · Oshkosh-Neenah, WI HC CATHETER FOR HYSTEROGRAPHY $665.19 $1,167.00 Jan 1, 2026
source file
Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC CATHETER FOR HYSTEROGRAPHY $665.19 $1,167.00 Jan 1, 2026
source file
Aurora BayCare Medical Center Green Bay · Green Bay, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Bay Area Marinette · Marinette, WI-MI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 6, 2026
source file
Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 6, 2026
source file
Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 4, 2026
source file
Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 5, 2026
source file
Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 5, 2026
source file
Aurora St Lukes Medical Center Milwaukee · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 5, 2026
source file
Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 5, 2026
source file
Aurora St. Luke's South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 6, 2026
source file
Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI HYSTEROSALPINGOGRAM INJECT $695.00 $1,390.00 Nov 6, 2026
source file
Crossing Rivers Health Medical Center Prairie Du Chien · Prairie Du Chien, WI Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $698.00 $698.00 Oct 22, 2026
source file
Froedtert Pleasant Prairie Hospital Pleasant Prairie · Kenosha, WI Saline/Contrast for Hysterosalpingography $1,090.78 $1,454.37 Jul 1, 2026
source file
Ascension Columbia St. Mary's Hospital - Milwaukee Campus Milwaukee · Milwaukee-Waukesha, WI HC CATHETER FOR HYSTEROGRAPHY $1,290.02 $2,434.00 Jan 1, 2026
source file
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
Milwaukee-Waukesha, WI 13 $215.71 $695.00
Green Bay, WI 5 $212.98 $528.00
Oshkosh-Neenah, WI 4 $231.22 $448.20
Appleton, WI 3 $231.22 $231.22
Eau Claire, WI 3 $178.62 $228.00
Madison, WI 3 $73.95 $258.70
Minneapolis-St. Paul-Bloomington, MN-WI 3 $88.89 $202.09
Platteville, WI 3 $380.90 $593.80
Stevens Point-Plover, WI 3 $228.00 $258.70
Janesville-Beloit, WI 2 $369.90 $387.22
Racine-Mount Pleasant, WI 2 $695.00 $695.00
Rice Lake, WI 2 $228.00 $406.62
Sheboygan, WI 2 $528.00 $611.50
Wausau, WI 2 $228.00 $243.35
Whitewater-Elkhorn, WI 2 $383.59 $539.30
Wisconsin Rapids-Marshfield, WI 2 $228.00 $243.35
Antigo, WI 1 $258.70 $258.70
Berlin, WI 1 $231.22 $231.22
Black River Falls, WI 1 $401.40 $401.40
Brookfield, WI 1 $373.12 $373.12
Baraboo, WI 1 $347.35 $347.35
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
Grantsburg, WI 1 $350.40 $350.40
Kenosha, WI 1 $1,090.78 $1,090.78
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 $695.00 $695.00
Marinette, WI-MI 1 $695.00 $695.00
Neillsville, WI 1 $228.00 $228.00
New London, WI 1 $231.22 $231.22
Park Falls, WI 1 $228.00 $228.00
Prairie Du Chien, WI 1 $698.00 $698.00
Rhinelander, WI 1 $258.70 $258.70
Saint Croix Falls, WI 1 $81.58 $81.58
Shawano, WI 1 $231.22 $231.22
Sparta, WI 1 $336.38 $336.38
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
Watertown-Fort Atkinson, WI 1 $584.64 $584.64
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.