West Jefferson Medical Center Online Bill Payment

Please complete the form below.  Click on the Submit when finished.  We value your privacy.  Personal information will be used only for bill payment.  If you have any questions or would like to speak to a Billing Services Representative, please call (504)349-1282 .

Online Payment

Fields marked with an asterisk (*) are required. Please include either your email or telephone number if you would like a response.

This site chose VeriSign SSL for secure e-commerce and confidential communications.

  1. Information From The Bill
* Patient First Name:  
Click for example bill
* Patient Last Name:  
Click for example bill
* Account Number:  
Click for example bill
* Patient Date of Birth:
* Daytime Phone Number 1:
Daytime Phone Number 2:   

  2. Select method of payment



What is a CVV code?
CVV stands for Creditcard Validation (or Verification) Value. The CVV is a 3 or 4 digit code embossed or imprinted on the reverse side of Visa, MasterCard and Discover cards and on the front of American Express cards. Please note: The CVV code is not the last 3 or 4 digits of your credit card number.

This is an extra security measure to ensure that you have access or physical possession of the credit card itself in order to use the CVV code. For details on where to find your CVV code, please check below.

How to locate your CVV code?

VISA & MasterCard:

Discover ID

American Express:
American Express CID