Online Patient Payment Center
Welcome to the Prowers Medical Center Online Payment Center. You may pay your hospital bills here by credit or debit card.
For your convenience fill out the payment form below. All information will be kept secure and confidential.
For additional information, please contact the business office at 719-336-4343 between the hours of 7:00 am to 5:00 pm Monday through Friday.
You may make payments to Prowers Medical Center using your credit card information in the fields below.
All payments are via secure server. Thank you for allowing us to serve you.
Notice to our patients.
We are sorry, but our online bill pay can not accept checks at this time. We can accept your debit card.
Name Of Patient
Name of Patient Treated.
Patient Account Number is located on your bill.
Name as it appears on Credit/Debit Card
Address Where Your Credit Card or Bank Account Statements Are Mailed.
City, State, Zip
Please Include Your City, State, and Five Digit Zip Code.
Your E-Mail Address
Please Provide An E-mail Address.
Amount of Your Payment
Please Specify How Much You Are Paying. Please Use Dollars and Cents.
Credit/Debit Card Type
Select Credit/Debit Card from the list.
Credit/Debit Card Number
Input The 16 Digit Number Just As It Appears On Card.
Credit/Debit Card Expiration Date
Credit/Debit Card Security Code
Please enter the last three digits from the security code on the back of your credit/debit card. We can not process your payment without this information.
Comments Or Messages Related To Your Payment