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South Central Kansas Regional Medical Center

Online Patient Payment Center

Welcome to the Online Payment Center. You may pay your hospital bills here by credit/debit card.

Business Office Hours:
8 a.m. - 5 p.m. M - F
Main Phone #: 620-442-2500
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 during working hours.

You may make payments to the Hospital 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 Name
Name on Credit Card.
* Billing Address
Address Where Your Credit Card 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.
  Comments Or Messages Related To Your Payment
Credit Card 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