Online Patient Payment Center
Welcome to the Online Payment Center. You may pay your hospital bills here by credit/debit card.
For your convenience, please fill out payment form found below. All information will be kept secure and confidential. For more information you may call our business office during working hours.
You may make payments to the Hospital using your credit card information in below fields. All payments are via secure server. Thank you for allowing us to serve you.
Located On Your SCH Bill
Name of Payor
Payor's Name on Credit Card or Debit Account.
Address Where Your Credit Card Statements Are Mailed.
City, State, Zip
Please Include Your City, State, and Five Digit Zip Code.
This will ONLY be used to contact you about your payment, if necessary.
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 Card Type
Select If You Are Paying By Credit Card.
Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
* 3-digit security code found on back of your credit card
Credit Card Expiration Date
Comments Or Messages Related To Your Payment