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Sabetha Community Hospital

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.
* Guarantor Name
  Guarantor Number
Located On Your SCH Bill
* Name of Payor
Payor's Name on Credit Card or Debit Account.
* Billing Address
Address Where Your Credit Card Statements Are Mailed.
* City, State, Zip
Please Include Your City, State, and Five Digit Zip Code.
* Phone Number
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.
Visa     MasterCard     Discover     American Express    
* Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
* Security Code
* 3-digit security code found on back of your credit card
* Credit Card Expiration Date
Example: 00/00
  Comments Or Messages Related To Your Payment