Your browser does not support JavaScript!
This form cannot automatically check that you have submitted all of the required fields without JavaScript.
Please be sure to submit all required fields (marked with stars).

Crane Memorial Hospital

Online Patient Payment Center

Welcome to Crane Memorial Hospital Online Payment Center. You may pay your hospital bills here by credit/debit card.
For your convenience please fill out the below payment form. All information will be kept secure and confidential. For more information you may call our business office at 432-558-3555 during the hours Monday - Friday, 8:00am to 5:00pm.

You may make payments to Crane Memorial Hospital by submitting your credit card information in below fields.

All payments are via secure server. Thank you for allowing us to serve you.

* Name Of Patient
Name of Patient Treated.
* Patient Account Number
Account Number. (Should Be Located On Your Bill)
Billing Information
* Amount of Payment
Format: 45.67 (Include decimal and cents. Do not use a dollar sign.)
$
* Card Number
* Expiration Date
* Card Code Verification Number
The three digit number on the back of your card. (Four digit code on the front of American Express.)
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code