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Shady Grove Adventist Hospital Online Bill Pay

Terms of Transaction

Payment of your bill will be considered final.

Upon receipt and approval of your payment, you will receive an onscreen confirmation.

By submitting an online payment, you agree to these terms.

Our online bill payment form allows you to securely pay patient bills worry free and at your convenience. Should you have questions, please refer to our sample patient bill and/or frequently asked questions for assistance in locating the required information on your billing statement to properly submit payment.


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Patient Information

Please provide the patient information for this payment (from your billing statement) below. PLEASE NOTE: If your Patient Account number only has 8 digits, please add a zero (0) before your number below (e.g. 012345678).

Payment Information

Please enter the amount you wish to pay on your patient bill below: