We offer a convenient way to view your statement or make payments on your bill by credit card. Simply click on the following link and you will be re-directed to a secure website. This method is secure and will allow you to pay your bill in full or in part, based upon the arrangements you have made with the hospital business office.

Click here to View or Pay your Bill.

As with any provider of healthcare, such as your doctor or drugstore, we request you pay your up-front deductibles and co-pays at the time of service. The cost of operating a hospital is very high, as we have significant payroll and overhead obligations. We are glad to work with you in any way we can to help you with understanding or paying your bill. If you cannot pay your bill at the time of service, we are glad to work out a payment plan for you. You can call the Patient Access Dept at anytime between 8 am and 4 pm, Monday through Friday, excluding holidays at 931-815-4107 and speak with our financial counselor.

FINANCIAL ASSISTANCE PROGRAM
Financial assistance is available to you if you do not have insurance and you do not qualify for state or federal assistance.

Our FINANCIAL ASSISTANCE PROGRAM is available as follows:
If you are under-insured (you do not have some form of insurance coverage for health care services but such coverage is insufficient to pay your current bill). An example of this would be an insurance policy that does not cover maternity benefits.

If you are uninsured, (you do not have health insurance and are not eligible for Medicare, Medicaid or public assistance)

A FINANCIAL ASSISTANCE APPLICATION must be completed by you in order to assess your eligibility for this program. In addition, we will verify that you do not have insurance or your insurance does not cover your stay at our hospital.

If you receive financial assistance from our Financial Assistance Program, we will ask you to sign an agreement to pay the reduced portion of your bill in monthly installments. We will be glad to work with you on the amount of the monthly payments.

The FINANCIAL ASSISTANCE APPLICATION requires the following information for Financial Assistance:

  • Most recent State or Federal Income Tax Return
  • Employer Pay Stubs for the last two months
  • Written documentation from income sources
  • Copies of all bank statements for the last three months
  • Financial documentation e.g. checking, savings, stocks, bonds, IRAs
  • Verification of property value

Please Contact the hospital at 931-815-4107 for more information on our Financial Assistance Program. You can apply for this program prior to services at the hospital.

Application must be returned to the hospital within 14 days. Please allow ten (10) business days for review process at our extended business office services.