Payment Form

To make a payment on your account, please select one of the following options:

Payments Prior To/On the Date of Service

Make sure to enter the account number provided to you by your Maple Lawn Surgery Center patient representative.

If you are unable to pay the patient responsibility estimate in full prior to/on the date of service, please contact us directly: (301)490-5025. A Maple Lawn Surgery Center patient representative can assist you in setting up a payment plan prior to/on the date of service.

CareCredit Credit Card

To apply, select this link.

Payments After the Date of Service

For patients who have received a statement and are attempting to pay in full/set up a payment plan, please select this link.

For additional assistance regarding a bill you have received, please call the phone number printed on your statement to speak with a patient representative.