Pay Your Hospital Bill

Pay your bill online using the form below. Here's what you'll need:

  • Hospital (see sample bill)
  • Patient Account Number (see sample bill)
  • Patient Name (see sample bill)
  • Patient Date of Birth
  • Major Credit Card
Sample Bill

Payment Amount
If the AMOUNT PAYING is less than the AMOUNT DUE, please contact (757) 989-8830 option 3 or 1-800-675-6368 for payment arrangements to avoid collection proceedings.

**Note: required fields are in bold.

Step 1: Enter Information

Hint: Hospital statement account numbers should be longer than 12 digits.

Format: XXXXXXXXX-XXXX-XX or XXXXXXXXXXXXXXX
To continue, click on "Next"