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Patient Bill Pay: Margaret R. Pardee Hospital bills only

Patient Information

*  Patient's First Name
*  Patient's Last Name
*  Patient's Date of Birth    
*  Account Number
Additional Posting Instructions

 

Enter any additional account numbers or special posting instructions here. (85 characters max)

 

Cardholder/Payment Information

credit cards accepted: Mastercard / Visa / Discover
*  Name on Card
*  Address
*  City
*  State
*  Zip Code
  Email Address
 

(Optional: A verification of payment will be sent to the email address if entered. Your email address will not be used for any other purpose than to send a payment confirmation.)
*  Daytime phone number
(area code first)
*  Amount of Payment $
(Please enter dollar and cents. Ex. 10.26)
*  Credit Card Number
*  Card Security Number
What is my card security number?
*  Credit Card Expiration  
*  Indicates a required field

You must make multiple payments if you have more than one account and did not complete the 'Additional Posting Instructions' box on this form.

Thank you for using our online system. Please be aware that payment processing may take up to 5 days.

Refund Policy: It is the policy of Margaret R. Pardee Hospital to refund any overpayment from the patient and/or insurance company once all open balances are satisfied. A patient overpayment will be determined after reviewing all open balances for the guarantor.

Privacy Statement: Click here

Please contact (828) 698-7306. if you have any questions or concerns regarding your payment.