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El Campo Memorial Hospital

Hospital Patient Payments

Welcome to the Online Payment Center. You may pay your hospital bills here by credit/debit card.
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 at 979-578-5142 - Monday through Friday 8:00am - 4:30pm

You may make payments to El Campo Memorial Hospital by submitting your credit card information in the 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)
  Comments Or Messages Related To Your Payment
Billing Information
* Credit Card Type
* 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