Use the form below to quickly, conveniently, and securely make your online bill payment to Columbus Regional Hospital in Columbus, Indiana.

Important Notice

This form is for payments for services received prior to July 19, 2019. All other payments should be made via MyChart. If you have questions or need an alternate payment method, please call customer service at 812-376-5315.

Go to MyChart

Online bill payment may take up to 24 hours to process. Payments are processed between the hours of 8 AM - 5 PM, Monday - Friday. If your payment is made after 5 PM, on a weekend, or on a holiday, it will not be processed until the following business day. Only one account number can be paid per transaction. Payments for more than one account must be separate transactions.

Please verify all information is correct, then click "Submit" to complete your payment.

Please correct the errors below.

Patient Information

Please enter at least 1 of the following 2 fields (Statement Number, Encounter Number)

Please enter either the statement number or the encounter number
Please enter patient's first name
Please enter patient's last name
Please enter patient's valid phone number
Please enter patient's valid date of birth

Payment Information
Please enter name on credit card
Please enter address
Please enter city
Please choose state
Please enter zip
Please enter email

Card Information
Please choose card type
Please enter card number
Please enter expiration date
Please enter security code
Please enter payment amount

By clicking on Continue, you will begin the payment process. You will be asked to verify that the information entered is correct, and then complete your payment submission.