HSG Test Price Philippines 2026: Hospital Rates & Extra Costs

Quick answer: Published HSG test prices in the Philippines range from ₱600 to ₱3,295 among the government and outpatient hospital rates reviewed by CareCostPH. Prices include ₱600 at Amai Pakpak Medical Center, ₱2,000 at Dr. Jose Fabella Memorial Hospital (contrast dye excluded), ₱2,500 at Ilocos Sur Medical Center, and ₱2,631 for outpatient HSG at Madonna and Child Medical Center. UP–Philippine General Hospital lists rates of ₱2,785–₱3,295 across different billing categories. A Philippine fertility-cost guide estimates ₱3,000–₱8,000 for private HSG testing, but that is a secondary estimate, not an official nationwide average or a guaranteed all-in price.

When it is used: An HSG (hysterosalpingography or hysterosalpingogram) is an X-ray test used to check whether the fallopian tubes are open and examine the shape of the uterine cavity. Doctors commonly request it during a fertility evaluation when a woman has difficulty becoming pregnant or before certain fertility treatments. It may also help identify uterine abnormalities, such as adhesions, polyps or fibroids, that could affect pregnancy. HSG uses contrast dye and X-ray imaging, so it is different from routine pelvic ultrasound and ultrasound-based tubal patency tests.

HSG Test Price List in the Philippines

The most useful way to compare HSG costs is by separating actual hospital-listed prices from private-market estimates and other fertility examinations.

The table includes individual facility rates, published billing categories and one clearly labelled private-sector estimate. These are not standardized all-inclusive packages. The hospitals may charge separately for contrast dye, professional services or supplies.

What should you budget? Many of the published hospital rates fall around ₱2,000–₱3,300, but the lowest listed government rate is ₱600 and private packages may cost more. Ask for the full amount before scheduling your test.

Amai Pakpak Medical Center

Amai Pakpak Medical Center in Marawi City lists ₱600 for a hysterosalpingogram in its official rates-and-fees schedule. This is the lowest published HSG fee identified among the facilities reviewed.

However, the public rate does not confirm that contrast dye, the catheter, professional fees and every other charge are included. Patients should ask the radiology department whether the service is currently offered and how much the complete examination will cost.

Dr. Jose Fabella Memorial Hospital

Dr. Jose Fabella Memorial Hospital in Manila lists ₱2,000 for hysterosalpingography. Importantly, the hospital specifically labels the service “Exclude Contrast.” This means the published ₱2,000 should not automatically be interpreted as the total cost of the procedure.

Ask how much the contrast material costs and whether a separate professional fee or supply charge applies. Fabella also publishes ultrasound-based fertility procedures at different rates, which are discussed later in this article.

Ilocos Sur Medical Center

Ilocos Sur Medical Center lists HSG (hysterosalpingogram) at ₱2,500 in its public X-ray fee schedule. This is a useful government-hospital comparison for patients in Northern Luzon. The publicly available schedule does not clearly confirm every supply and professional-fee inclusion.

Madonna and Child Medical Center

Madonna and Child Medical Center in Cagayan de Oro City publishes two different hysterosalpingography charges.

For someone undergoing a routine fertility investigation without admission, the outpatient amount is the more relevant starting point. The difference also shows why comparing hospital prices without checking patient classification can be misleading.

UP–Philippine General Hospital

UP–Philippine General Hospital publishes hysterosalpingography/tube vaginogram under its radiology services. Its tariff schedule shows:

These are different billing categories within one hospital, not five packages that a patient can freely choose. Contact PGH to determine the applicable patient rate, appointment procedure and whether any additional charges apply.

How Much Is HSG at a Private Hospital?

Private HSG prices are harder to compare because many hospitals and fertility clinics do not publish complete online quotations. A Philippine fertility-cost guide estimates ₱3,000–₱8,000 for HSG during a fertility work-up. This is a useful secondary budgeting reference, but it is not an official national average.

Actual bills can be higher when specialist fees, anesthesia, contrast materials or other services are added. For a confirmed private-hospital example, Madonna and Child Medical Center lists an outpatient HSG rate of ₱2,631, which is below the lower end of that general estimate.

The practical lesson is to compare written, all-in facility quotations, not assume every private hospital charges at least ₱3,000. If a private fertility clinic quotes ₱8,000 or more, ask what additional services are included.

HSG vs. HSSG, HyCoSy and SIS: Which Test Do You Need?

Not every test used to examine the uterus or fallopian tubes is an HSG. Some procedures use X-ray imaging; others use ultrasound.

The important difference is that ordinary SIS does not automatically provide a complete fallopian-tube patency assessment. If your doctor requests an HSG, do not substitute a routine pelvic ultrasound or SIS without medical confirmation.

HSSG and SIS Prices in the Philippines

Some patients prefer ultrasound-based testing because it does not use X-ray radiation. However, the exact price depends on the procedure ordered and the hospital billing category.

Fabella’s two prices come from separate service schedules and may apply to different patient classifications. Bicol Medical Center’s published ₱3,000 price is specifically attached to SISH. Its rate page also discusses HSSG preparation, but it does not establish that every HSSG examination has the same complete price.

What Materials May Be Required for HSSG?

Bicol Medical Center provides a list of patient-supplied materials for SISH/HSSG procedures. Items mentioned include:

• Feeding tube or Foley catheter, depending on the procedure
• Normal saline solution
• Syringe
• Antiseptic preparation
• Underpad
• Prescribed pain medicine

Patients should not purchase these items without instructions from the facility.

What Is Included in the HSG Test Price?

The quoted hospital fee may not include everything required for the examination.

The contrast fee is especially important. HSG requires contrast material to outline the uterine cavity and fallopian tubes during imaging.

When comparing prices, ask the hospital: “Magkano po ang total HSG test, kasama na ang contrast dye, supplies, radiologist fee at result?” A complete quotation is more useful than the procedure fee alone.

When Is the Best Time to Have an HSG Test?

HSG is usually performed after menstruation ends but before ovulation. For many patients with regular cycles, the recommended timing is approximately days 7–10 of the menstrual cycle, counting the first day of the period as day 1.

This timing helps reduce the possibility of performing the test during an early pregnancy. If your periods are irregular, your doctor may recommend additional pregnancy testing or a different scheduling approach.

HSG should not be performed during pregnancy. Tell the facility if pregnancy is possible, even if your period has been irregular.

HSG Test Requirements and Preparation

Before an HSG appointment, hospitals commonly ask patients to follow several preparation instructions.

1. Get an OB-GYN Request

HSG is generally ordered during a medical evaluation rather than booked as an ordinary walk-in X-ray. Ask whether the facility accepts a request from your regular OB-GYN or requires consultation with one of its own specialists.

2. Schedule the Correct Cycle Day

Report the first day of your most recent menstrual period. The hospital will advise when the procedure can be performed.

3. Confirm That You Are Not Pregnant

A pregnancy test may be required, depending on your circumstances and the facility’s protocol.

4. Tell the Doctor About Allergies and Infection Symptoms

Inform the team about previous reactions to iodinated contrast, recent pelvic infections, fever, unusual discharge or other symptoms. An active pelvic infection is an important reason to postpone the examination.

5. Ask About Pain Relief

A clinician may recommend an appropriate pain-relief medicine before the test. Do not take antibiotics or other medicines solely because someone online recommended them; follow the prescribed plan.

6. Bring Necessary Documents

Depending on the hospital, you may need:

• Doctor’s request
• Valid identification
• Previous fertility or imaging results
• HMO approval, if applicable
• Appointment confirmation
• Payment for any patient-supplied materials

Requirements differ by facility.

What Happens During an HSG Test?

HSG is usually an outpatient examination. The procedure generally follows these steps:

1. You lie on an examination table, usually in a position similar to a gynecologic examination.
2. A speculum is inserted so the clinician can see the cervix.
3. The cervix is cleaned and a small catheter is positioned.
4. Contrast material is passed through the catheter into the uterine cavity.
5. Fluoroscopy produces X-ray images while the contrast fills the uterus and, when the tubes are open, passes through them.
6. The catheter is removed after the necessary images are obtained.

The images help the radiologist evaluate the shape of the uterine cavity and whether contrast flows through the fallopian tubes.

How Long Does an HSG Take?

A standard HSG examination commonly takes about 30 minutes. The actual X-ray imaging portion may be shorter, but positioning, catheter placement and checking the images take additional time.

Registration, waiting and result processing can extend the hospital visit. Ask when the radiologist’s written report will be released.

Is the HSG Test Painful?

Some women experience mild cramping, while others report stronger menstrual-like discomfort during injection of the contrast fluid. The sensation usually improves after the examination, although mild cramping and spotting can continue for a short period.

Factors such as cervical sensitivity, uterine contractions and possible tubal obstruction may affect the experience. Discuss pain management before the appointment, especially if you have previously experienced severe discomfort during gynecologic procedures.

HSG Side Effects and Warning Signs

Common temporary effects include:

• Mild cramping
• Light vaginal spotting
• Leakage of small amounts of contrast material
• Brief lower abdominal discomfort

Serious complications are uncommon but possible. Contact your doctor promptly if you develop fever, worsening pelvic pain, foul-smelling vaginal discharge or unusual bleeding. Seek urgent medical care for severe symptoms, including heavy bleeding, fainting or signs of a serious allergic reaction.

What Do HSG Results Show?

The radiologist evaluates the images and sends a report to the requesting doctor.

A suspected blocked tube is not always a definitive diagnosis of permanent obstruction. Temporary tubal spasm or technical factors can sometimes affect the appearance of the test. Your OB-GYN may recommend further examination if the results are uncertain or inconsistent with other findings.

Can HSG Increase the Chance of Pregnancy?

HSG is primarily a diagnostic examination, not a guaranteed fertility treatment. However, clinical research has found that pregnancy rates may increase after tubal flushing in selected patients, particularly when certain oil-based contrast materials are used.

The American Society for Reproductive Medicine recognizes a possible fertility benefit associated with tubal flushing using oil-based contrast in some circumstances. That does not mean everyone will become pregnant after HSG, or that oil-based contrast is suitable for every patient.

Your doctor should select the contrast material and determine whether any additional fertility treatment is necessary.

How HSG Fits Into the Cost of Fertility Testing

HSG usually forms only one part of an infertility evaluation. Depending on the medical history, an OB-GYN or fertility specialist may also request an ultrasound, hormone tests, ovulation assessment or examination of the male partner.

These are examples of separate services, not a recommended fertility-testing package. Not every patient needs every test. For additional imaging costs, see the CareCostPH guides to transvaginal ultrasound and general ultrasound prices.

Is the HSG Test Covered by PhilHealth?

For a separately booked outpatient HSG, do not assume that PhilHealth will automatically pay the procedure fee. CareCostPH could not verify a dedicated, universally applicable standalone outpatient HSG benefit amount from the official benefit information reviewed.

However, eligibility for benefits may depend on the hospital setting, diagnosis, applicable payment arrangement and other services received. Ask the hospital’s PhilHealth office whether any benefit applies to your specific case before paying.

A facility reimbursement or case rate should not be mistaken for a guaranteed deduction from every patient’s HSG bill.

Can HMO Cover an HSG Test?

Possibly, depending on the plan. Some HMOs exclude fertility investigations or infertility-related procedures. Other plans may have diagnostic benefits that apply under specific circumstances.

Before scheduling, ask your HMO:

• Is hysterosalpingography covered under my plan?
• Are infertility-related investigations excluded?
• Is the selected hospital accredited?
• Do I need a letter of authorization (LOA)?
• Are contrast material and professional fees included?
• Will I have any copayment?

Get approval for the exact procedure instead of relying on general X-ray coverage.

Can You Get Free or Discounted HSG at a Public Hospital?

Government hospitals can have lower HSG rates, but an HSG at a public hospital is not automatically free. For example, Amai Pakpak Medical Center lists ₱600, while Fabella lists ₱2,000 before contrast.

Patients who need financial help can ask the hospital’s medical social service department about possible assistance. Where available and appropriate, the social service team may direct eligible patients to government support channels such as Malasakit Center services.

Financial assistance is subject to eligibility, documentation, program rules and funding availability.

Senior Citizen and PWD Discounts

For eligible senior citizens and persons with disabilities, applicable Philippine medical-service discounts and VAT exemptions should be assessed according to the law and the hospital’s billing classification. Ask the billing department to identify the specific charges to which any discount applies.

Frequently Asked Questions

Magkano ang HSG test sa Pilipinas?

Published rates reviewed by CareCostPH range from ₱600 to ₱3,295 among selected government and outpatient hospital listings. Private fertility-cost guides estimate about ₱3,000–₱8,000, although actual facility quotations and additional fees may differ.

How much is an HSG test at a public hospital?

Examples include ₱600 at Amai Pakpak Medical Center, ₱2,000 at Fabella without contrast, and ₱2,500 at Ilocos Sur Medical Center. UP-PGH has multiple published rates depending on billing classification.

How much is the HSG test at PGH?

UP-PGH lists hysterosalpingography at ₱2,785, ₱2,835, ₱3,210, ₱3,225 and ₱3,295 across its published tariff columns. The applicable rate must be confirmed with the hospital.

Masakit ba ang HSG test?

Some patients experience menstrual-like cramps while the dye is injected. The discomfort is often temporary, but intensity varies. Ask your doctor about appropriate pain management.

Can an HSG confirm that both fallopian tubes are open?

It can show whether contrast appears to pass through the tubes. Your doctor will interpret the images and determine whether any result requires additional evaluation.

Is HSG the same as transvaginal ultrasound?

No. HSG uses contrast dye and X-ray imaging to examine the uterine cavity and fallopian tubes. Routine transvaginal ultrasound uses sound waves to image pelvic structures but does not reliably confirm that the fallopian tubes are open.

What is the best day for an HSG?

Many facilities schedule it around cycle days 7–10, after menstruation and before ovulation. Follow your doctor’s instructions, particularly if your cycle is irregular.

Can an HSG improve fertility?

Some studies have observed improved pregnancy rates following tubal flushing with certain contrast materials. However, an HSG does not guarantee pregnancy and cannot treat every cause of infertility.

How long does the HSG test take?

The examination commonly takes about 30 minutes, with extra time for registration and reporting.

Is HSG covered by PhilHealth?

There is no verified universal standalone outpatient HSG reimbursement amount in the information reviewed. Ask the hospital’s PhilHealth office whether your individual case qualifies for a relevant benefit.

Before You Book an HSG: A Practical Checklist

To avoid an unexpected hospital bill, confirm these details:

1. Is the test an X-ray HSG, rather than HSSG or SIS?
2. What is the complete price for my patient category?
3. Is contrast dye included?
4. Are the radiologist’s fee and all necessary supplies included?
5. Do I need to purchase any items separately?
6. Do I need an OB-GYN request or pregnancy test?
7. Which day of my menstrual cycle should I schedule?
8. Is the procedure available by appointment only?
9. What pain-relief options are available?
10. When will the signed report and images be released?
11. Does my HMO or any financial assistance program apply?

Key price takeaway: The published Philippine outpatient HSG rates reviewed range from ₱600 to ₱3,295, while secondary private-sector guides estimate ₱3,000–₱8,000 or more. The actual bill depends on the hospital, billing category, contrast dye and additional professional or supply charges. Request a complete quotation before booking.

How CareCostPH Checked These Prices

CareCostPH reviewed publicly available pricing on October 24, 2026, prioritizing official Philippine hospital fee schedules.

The review included Amai Pakpak Medical Center, Dr. Jose Fabella Memorial Hospital, Ilocos Sur Medical Center, UP–Philippine General Hospital, Madonna and Child Medical Center and Bicol Medical Center.

Published X-ray HSG prices were kept separate from HSSG, HyCoSy and saline infusion sonohysterography prices. The ₱3,000–₱8,000 private-sector figure was identified as a secondary price-guide estimate rather than verified current quotations from multiple private hospitals.

Medical information was checked against patient guidance from RadiologyInfo and professional fertility guidance from the American Society for Reproductive Medicine. No calls, hospital visits or patient interviews were conducted.

Disclaimer: Prices are provided for general information and may change. Confirm current rates, contrast and other inclusions with the facility. Discuss fertility testing, preparation and medical decisions with your OB-GYN or fertility specialist.