Bill Pay

All fields below are required to process an online payment. The Account Number is located on the top of each mailed hospital bill. Please enter the patient’s information on the left side of the screen, regardless of who is making the payment.

If you do not know your account number, a Patient Access Representative can help you look up this number. Call (870) 367-2411 and ask for a Patient Access Representative to assist you.

Patient Information

First name is required
First name cannot exceed 50 characters
Last name is required
Last name cannot exceed 50 characters
Address is required
Address cannot exceed 60 characters
City is required
City cannot exceed 40 characters
State is required
Zip code is required
Zip code must be 5 digits
Zip code must numeric
Phone number is required
Phone cannot exceed 25 characters
Email is required
Enter a valid email address
Email cannot exceed 255 characters

Pay Invoice

Enter the payment amount
Account number is required
Enter the name as shown on credit card
Enter a valid 16 digit card number
Enter the expiration date
Enter the expiration date
Enter the 3-digit code on back
Code is required
Zipcode is required