Please note, that New York State Law now requires us to notify you of the risks of paying for medical bills with a credit card (excluded: debit cards, HRA & HSA cards). These risks include medical bills no longer being considered medical debt and thus forgoing federal and state protections around medical debt. These protections include prohibitions against wage garnishment and property liens, prohibition against reporting medical debt to credit bureaus, and limitations on interest rates. By submitting a credit card payment using the form below, you acknowledge an understanding of the above risks and forgo the above protections.

If you have any questions on the risks of paying with a credit card or any other billing questions, please call the billing office at 315-786-8700.

Patient Information

Account Number

Note: Your account number can be found at the top of your statement.

First Name

Last Name

Address

City

State

Zip

Card Holder Information

Same as Patient

First Name

Last Name

Address

City

State

Zip

Credit Card Information

Credit Card Number

Credit Card Expiration

Credit Card CVV

Payment Amount

I agree to pay the amount above according to the card issuer agreement

Terms & Services
Privacy Policy: Any and All required information submitted on the website is secure and will not be used for any other purposes other than intended.
Return/Refund Policy: All refunds/returns are handled by management which is reachable by contacting the customer service number listed. Please note that all refunds are at the sole discretion of Management. Member Service Phone Number: (315)-782-2141

Online Bill Pay

Patient Information

Card Holder Information

Credit Card Information