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Athens-Limestone Hospital

Hospital Payments

Welcome to Athens-Limestone Hospital Online Payment Center. You may pay your hospital bills here by credit card or by debit card.
For your convenience please fill out the payment form below. All information will be kept secure and confidential. For more information you may call our patient accounting department at 233-9110 or 233-9124 between the hours of 8:00 a.m. and 4:00 p.m.

You may make payments to Athens-Limestone Hospital by submitting your credit card or debit card information in the fields below. All payments are via secure server. Thank you for allowing us to serve you.
* Name Of Patient
Name of Patient Treated.
* Account Number/Patient Number
Account Number. (Should Be Located On Your Bill)
* Name of Payor
Payor's Name on Credit/Debit Card
* Your E-Mail Address
Please Provide An E-mail Address.
  Comments Or Messages Related To Your Payment
* Cardholder First Name
The first name of the account holder as it appears on the credit card.
* Cardholder Last Name
The last name of the account holder as it appears on the credit card.
* 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