Billing Information  
 
  
Patient Account Number
  
Company Name (optional)
  
First Name
 
MI
 
Last Name
   Address
  
  
City
  
State
  
Zip Code
  
Phone
  
Work Phone
  
E-mail (required for an emailed receipt)
  
 
   Payment Information  
  

Payment Amount
 
  Please select a payment method
Checking Savings Credit/Debit Card
  Notes

 
 

For your convenience, you can pay your Citrus Memorial Hospital bills online. Just complete the form at the left. All information will be kept secure and confidential. Please have your billing statement in front of you, as it contains necessary information such as Patient account number and amount owed to complete the form.

PLEASE NOTE: Payments received after 2pm Monday thru Friday will be posted on the next business day. Payments received on Saturday, Sunday, or holidays will be posted on the next business day. Payments made for accounts already referred to any of our collection agencies are only reported weekly. Please notify them of your online payment so they may note your account.

If you need to contact our Customer Service department for Hospital Billing issues ONLY.. please call M-F from 8:00 to 4:30PM to: 352-344-6597


This is a secure site. All of your information is secure and confidential.