Billing Information  
 
  
Your Account Number
   Patient Name
  
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

 
 

Pay Bills Online
Hays Medical Center


We have several options available for your convenience. Through our secure network, you can pay your bill by checking, savings, credit or debit card.

If you would like to set up a monthly payment plan, please contact the Hays Medical Center billing office at 785.623.5100, or call the number listed on the back of your statement.

You are eligible for a 10% discount if the full balance of your account is paid within 30 days (after insurance has paid). If you wish to take advantage of this, deduct 10% from the statement balance prior to making your payment.

Patient Financial Responsibilities Self-Pay Discount Policy Prompt Pay Policy Financial Assistance Policy Statement Qualifications for Financial Assistance Financial Assistance Policy

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