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Lindsborg Community Hospital

Online Patient Payment Center

Welcome to the Online Payment Center. You may pay your hospital, hospital physician, and clinic bills here by credit/debit card.
For your convenience please fill out the payment form below. All information is kept secure and confidential. If you have questions or need more information you may call our business office during business hours, Mon-Fri, 8 am to 5 pm, at 785 227-3308.

Thank you for allowing us to serve you.
* Name Of Patient
Name of Patient treated (note in comments if more than one)
* Account Number
Account Number from your statement - if multiple, please use the comment field
* Name of Payor
Name on the credit/debit card
  Comments Or Messages Related To Your Payment
If you have multiple accounts to pay, or have qualified for a prompt pay discount, please note those things here - it is also helpful to note if the service was in the clinic area or in the main area:
Payment Information - Only credit/debit card payments accepted at this time
Fill in the information below for the credit/debit card holder. If you are paying more than one account, please add the balances together and enter the total payment amount below.
Payment Discount
Lindsborg Community Hospital offers a 25% prompt pay discount if the initial hospital invoice is paid within 30 days of the invoice date. Invoices for service provided by a physician, or Family Health Care Clinic invoices are not eligible. Your next statement may state that you could be eligible for the discount due to an overlap in billing cycles. No discounts are eligible past the initial 30 days from the original invoice date. To receive the discount, simply pay the discounted amount by the method most convenient for you: online, by mail, by phone, or in person. The 30 day prompt pay discount is 25%. If you would like assistance with the discount, or would like to find out if an invoice qualifies for a discount, please contact our business office at 785-227-3308 8 am thru 5 pm, Monday thru Friday.
Security Feature
The "Captcha" quiz has been added to the bottom of this form to provide a level of security for you. This makes for an often difficult phrase requirement. If your phrase is indecipherable, please click to the right of the entry box, the top red and white "open circular arrows" to "get a new challenge".
* 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.)
* Email Address
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code
* Contact Phone Number
Please provide a phone number where we may reach you regarding this payment