Sutter Maternity & Surgery Center

2900 Chanticleer Avenue Santa Cruz, CA 95065 -

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 $3,502▼

Lumbar Spine - Without Contrast$3,502

Neck Spine - Without Contrast$3,539

Chest Spine - Without Contrast$3,724

Brain (Including Brain Stem) - Without Contrast$3,852

Lumbar Spine - With and Without Contrast$5,246

Neck Spine - With and Without Contrast$5,447

Brain - With and Without Contrast$5,611

Clinic Information

2900 Chanticleer Avenue Santa Cruz, CA 95065

8314772200

Clinic Website

Business Hours

Open 24 HoursOpen

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Consumer Information

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Clinic Name(Required)

Your Name(Required)

First Last

Your Email Address(Required)

Your Phone(Required)

Date of Birth(Required)

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Sex assigned at Birth(Required)

Male

Female

Height (ft)(Required)

Weight (lbs)(Required)

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

I have a referral from a provider and can upload it now

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

Imaging Information

Imaging Study Type(Required)

Body Part Requested(Required)

MRI Imaging Type

MRI (Standard)

MRA

MRI Arthogram

Contrast

Without (No) Contrast

With Contrast

With & Without Contrast

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MRI Motivating Test

Screening

Diagnostic

Biopsy

CT Scan Type

CT (Standard)

CTA (Angiogram)

CT Arthogram

Notes

Any additional information you wish to provide.

Imaging Order Information

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

Claustrophobic

Diabetic

Migraines

Seizure

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.

Provider Full Name

Provider Phone Number

Notes

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

Availability for Your Appointment

Please provide at least one timeframe for each date that works for you.

Preferred Date(Required)

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Alternative Date 1

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Time Blocks(Required)

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Afternoon

Evening

Time Blocks

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Afternoon

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Notes

Any additional information you wish to provide.

Create Expected Healthcare Account

I would like to create an account in order to check on the progress of my appointment request.

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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.