Adventist Health St. Helena

10 Woodland Road Saint Helena, CA 94574 -

About the Clinic

Services Offered

The clinic may offer more services and procedures than what is listed below. To make an appointment, you can choose to book online here and we will handle the rest.

Imaging Tests and Prices

MRIStarting from $880▼

Leg Joint - Without Contrast$880

Lumbar Spine - Without Contrast$904

Chest Spine - Without Contrast$971

Upper Extremity Joint - Without Contrast$1,111

Abdomen - Without Contrast$1,115

Brain (Including Brain Stem) - Without Contrast$1,155

Abdomen - With Contrast$1,561

Lumbar Spine - With and Without Contrast$1,740

Cardiac MRI - Unspecified$2,036

Clinic Information

10 Woodland Road Saint Helena, CA 94574

7079633611

Clinic Website

Business Hours

Open 24 HoursOpen

Adventist Health

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Consumer Information

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Do you have a referral from a Provider?(Required)

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I do not have a provider referral for this imaging request and am self-referring for it.

Imaging Information

Imaging Study Type(Required)

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MRI Imaging Type

MRI (Standard)

MRA

MRI Arthogram

Contrast

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With & Without Contrast

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MRI Motivating Test

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CT Scan Type

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Imaging Order Information

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Are any of the conditions or situations applicable to you today?(Required)

Claustrophobic

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Requires a wheel chair (not ambulatory)

Allergic to iodine or shellfish

Had a creatinine lab test in the last 30 days

History of cancer

Do you have any metal in your body or a pacemaker?

Is your imaging request part of a workman's compensation claim?

None of the above

Imaging Order or Prescription

Please upload the imaging order you received from your doctor. This will let us know who to contact for your imaging order. It can be a picture of the prescription from your phone.

Drop files here or

Max. file size: 20 MB, Max. files: 5.

Do you have a doctor or provider you'd like us to send the imaging results to?

Yes

Authorization for Release of Medical Information to Your Provider and Expected Healthcare

I want my imaging study reports and/or images to be sent to my provider.

Signature for Medical Records Release

By signing below, I acknowledge that I want I want my imaging study reports and/or images to be sent to the provider I listed. I authorize the clinic I receive my procedure at to release my medical imaging records to Expected Healthcare and to the provider I have listed.

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Any additional information you wish to provide for your imaging order.

Availability for Your Appointment

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Appointment Consent(Required)

I authorize Expected Healthcare to make an appointment on my behalf.

I acknowledge the price listed is for self-pay, which means I do not need to use insurance. I acknowledge I will need to pay in full when I go to the clinic at the time of my procedure. I have read and agree (the patient has read and agrees) to the Expected Healthcare Terms & Conditions.