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How do I pay my HOSPITAL bill online?

Agnesian HealthCare Hospitals and Fond du Lac Regional Clinic has partnered with a new online bill pay solution in August 2015. 

Statements dated before August 2015:

Click here to pay your bill online

Statements dated August 2015 or after:

Click here to pay your bill online       

How do I pay my CLINIC bill online?

Dates of service before August 2015:

Click here to pay your bill online

Dates of service after August 2015:

Click here to pay your bill online       

How do I pay my LABORATORY bill online?

For statements dated prior to 2/25/16:

Click here to pay your bill online

For statements dated 2/25/16 and after:

Click here to pay your bill online


Are other payment options available?

Pay by Mail

You can still mail in your payments using the payment stub and remit to address located on your statement.  

Pay in Person

If you are in the area, you can take your payment to the clinic registration area where the cashiers are all centrally located.

Pay by Phone: Check or Credit Card

For your hospital account, call (920) 926-4458 or (800) 486-4157

For your clinic account, call (920) 926-8340 or (800) 374-4556 ext. 8340

For your laboratory account, call (920) 929-9300 ext. 3891

Who do I contact for questions about my bill?

Patient financial counselors can help if you have questions about of your bill.  We can help you understand your bill and discuss payment options available to you.  You can reach a financial counselor by calling the numbers listed below.

  • Clinic (920) 926-8340
  • Consultants Laboratory (920) 929-9300
  • Hospital (920) 926-4458 or (800) 486-4157


Are payment arrangements available?

We realize healthcare costs are on the rise.  Financial counselors are available to help you establish an acceptable payment plan.  Below are the current payment guidelines.  Partial payments made toward your balance will not stop our collection process unless you have made payment arrangements with us. Failure to set up a payment plan that meets the guidelines could result in the account being referred to an outside collection agency. 

Payment Guidelines

  • $1-100 – payment in full
  • $101-300 – up to 3 equal monthly payments
  • $301-750 – up to 6 equal monthly payments
  • $751-1000 - up to 10 equal monthly payments
  • $1001-2500 - up to 12 equal monthly payments
  • More than $2500 – If balance cannot be paid within 12 months; then a bank loan application needs to be completed.

Financial Assistance

Agnesian HealthCare is committed to offering financial assistance to people who have health care needs and are uninsured, underinsured or not eligible for a government program.  This assistance applies to emergency care and services that are medically necessary. Please note that there are certain services exclusions that are not usually eligible for financial assistance. Depending on your individual need, either free care or reduced payment obligation may be offered.

Phone: (920) 926-4841

Summary to Financial Assistance Program (English/Spanish/Hmong)

Financial Assistance Application (English)

Financial Assistance Application (Hmong)

Financial Assistance Application (Spanish)

Financial Assistance Policy (English)

Financial Assistance Policy (Hmong)

Samaritan Health Clinic/Community Care Information

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