Have you ever found yourself staring at a medical bill from Vidant Health wondering exactly how to pay it? You’re definitely not alone! As someone who’s navigated the healthcare billing maze many times, I’m gonna break down everything you need to know about paying your Vidant Health bills – which, by the way, is now called ECU Health.
Quick Facts About ECU Health (Formerly Vidant Health) Bill Pay
Before we dive into the details. here’s what you should know right away
- ECU Health (previously Vidant Health) offers multiple ways to pay your medical bills
- You can pay online through MyChart or as a guest without creating an account
- They accept payments by phone, mail, and in person
- Starting November 13, 2023, copayments are requested at the time of visit at all locations
- Financial assistance options are available for those who qualify
Online Bill Pay Options: MyChart vs Guest Pay
Using MyChart for Bill Payment
If you’re someone who gets regular care at ECU Health facilities, setting up a MyChart account is probably your best bet. Here’s why I personally prefer using MyChart
With MyChart. you can
- View your complete billing history
- Create customized payment plans
- Save your credit card or bank account information for future payments
- Review your payment history
- Access more detailed information about your bill
To access these features, you’ll need to either sign in to your existing MyChart account or sign up for a new one. The registration process is pretty straightforward – just follow the prompts on their website.
Paying as a Guest
Don’t want to create an account? No worries! ECU Health makes it easy to make one-time payments as a guest. Here’s what you’ll need:
- Your guarantor number (located on your bill or statement)
- A credit card, debit card, or bank account information
To use the guest pay option, simply visit the payment portal at https://mychart.vidanthealth.com/mychart/billing/guestpay/payasguest and enter your guarantor information.
Wait – what’s a guarantor? The guarantor is the person responsible for paying the bill (that might be you or someone else). You can find this information directly on your statement.
Other Ways to Pay Your ECU Health Bill
Not comfortable paying online? ECU Health offers several other payment methods:
Pay by Phone
For ECU Health or ECU Health SurgiCenter bills:
- Call 252-847-4472 or toll-free 800-788-4473
- Available Monday through Friday, 8:30 a.m. – 5 p.m.
For ECU Health Physicians bills:
- Call 855-249-2842
- Available Monday through Friday, 8:30 a.m. – 5 p.m.
For ECU Physicians bills:
- Call 252-744-2128 or toll-free 866-277-7024
Pay by Mail
Depending on which facility provided your care, you’ll mail your payment to different addresses:
For ECU Health or ECU Health SurgiCenter bills:
- Send checks or money orders to:
ECU Health, P.O. Box 71095, Charlotte, NC 28272-1095
For ECU Health Physicians bills:
- Send checks or money orders to:
ECU Health Physicians, P.O. Box 63019, Charlotte, NC 28263-3019
For Outer Banks Health Medical Group bills:
- Send checks or money orders to:
Outer Banks Medical Group, P.O. Box 63019, Charlotte, NC 28263-3019
Pay in Person
All ECU Health facilities accept in-person payments at their Central Billing Office:
- 1950 Venture Tower Drive, Greenville, NC
- Hours: Monday through Friday from 8:30 a.m. – 5 p.m.
- Accepted payment types: cash, check, or money order
Note: Due to previous COVID-19 restrictions, some onsite payment locations may have limited availability. It’s always best to call ahead at 252-847-4472.
Understanding Your ECU Health Bill
Medical bills can be confusing – believe me, I’ve been there! Here are some key things to understand about your ECU Health bill:
Multiple Bills for One Visit?
Yes, this is normal! As an ECU Health patient, you might receive more than one bill for a single visit. Why? Because some doctors who treated you might not be directly employed by ECU Health, so they bill separately.
Visit Accounts Explained
Your bill might mention a “visit account” – this is simply how your charges are grouped together for billing insurance. It usually represents the billing activity for a single visit. You might have multiple visit accounts, each with its own balance.
Financial Assistance Options
Healthcare can be expensive, and ECU Health recognizes this. If you’re struggling to pay your bill, they offer financial assistance programs that might help.
For detailed information about their financial assistance policies, you can visit their website or call their billing department directly. Don’t hesitate to ask – these programs exist to help people just like you!
Recent News: Undue Medical Debt Relief Program
In a major development, ECU Health has partnered with national nonprofit Undue Medical Debt to eliminate more than $186 million in past-due hospital medical debt for over 32,000 qualifying patients.
If you qualify for this program, you’ll receive a branded letter from Undue Medical Debt indicating which debts have been eliminated. The best part? You don’t need to take any action – eligible medical debt will automatically be erased for those who qualify.
Letters are being sent on a rolling basis throughout the holiday season and into the New Year. For more information, check out https://www.UndueMedicalDebt.org/.
Common Questions About ECU Health Bill Pay
Why did Vidant Health change to ECU Health?
Vidant Health rebranded to ECU Health as part of a strategic integration with East Carolina University’s medical programs. This change allows for better coordination of healthcare services across eastern North Carolina.
When are copayments due?
As of November 13, 2023, ECU Health requests copayment amounts at the time of visit at all locations, including Emergency Departments.
Can I set up a payment plan?
Absolutely! ECU Health offers flexible payment plans to help manage your medical expenses. You can set these up through your MyChart account or by calling their billing department.
What if I find an error on my bill?
If you spot something that doesn’t look right on your bill, don’t ignore it! Contact the billing department right away using the phone numbers listed above. It’s always better to address potential errors immediately.
Can I get an itemized bill?
Yes, you have the right to request an itemized bill that breaks down all charges. This can be helpful if you’re trying to understand exactly what you’re being charged for.
Tips for Managing Your ECU Health Bills
Based on my own experience, here are some tips that might help you:
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Keep all your medical bills and insurance statements – You never know when you might need to reference them.
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Always review your bills carefully – Mistakes happen! Check for duplicate charges or services you didn’t receive.
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Don’t ignore bills you can’t pay – Contact ECU Health to discuss your options; ignoring bills can lead to collections.
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Use MyChart if possible – It’s the easiest way to keep track of everything in one place.
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Ask questions – If something on your bill doesn’t make sense, ask about it. The billing department is there to help.
Contact Information for Billing Questions
If you have questions about your bill, here’s who to contact:
- ECU Health or ECU Health SurgiCenter bills: 252-847-4472 or toll-free 800-788-4473
- ECU Health Physicians bills: 855-249-2842
- ECU Physicians bills: 252-744-2128 or toll-free 866-277-7024
For written correspondence, send mail to:
P.O. Box 8423, Greenville, NC, 27835
Final Thoughts
Dealing with medical bills is rarely anyone’s idea of a good time, but understanding your options can make the process less stressful. ECU Health (formerly Vidant Health) provides multiple ways to pay your bills and access financial assistance if needed.
Remember, if you’re ever confused about your bill or aren’t sure how to proceed, don’t hesitate to reach out directly to their billing department. They can provide guidance specific to your situation.
Have you had experience with paying ECU Health bills? What method worked best for you? I’d love to hear your thoughts!
P.S. Always keep copies of payment confirmations for your records – you’ll thank yourself later if any questions come up!
Useful Links
- ECU Health MyChart: https://mychart.vidanthealth.com/
- ECU Health Financial Assistance: https://www.ecuhealth.org/patients-and-families/your-bill/
- Undue Medical Debt: https://www.UndueMedicalDebt.org/
This guide was last updated in November 2025. Please note that billing procedures and contact information may change, so always verify current information when making payments.

Understanding your bill and billing.

Understanding your bill for health care services can be challenging. Here, you’ll find guidance to help you understand charges and the bill itself. Frequently asked questions and a glossary of terms will help you navigate the billing. Also find information about how and where you can pay your bill.
As an ECU Health patient, you may receive more than one type of bill for services. Some of the doctors on your care team while in an ECU Health hospital may not be employed by ECU Health, and you will get a separate bill from them.
For questions regarding our financial assistance policy, click here.
PAY WITH MYCHART To view your billing history, create a payment plan or pay online, access your MyChart.
PAY AS GUEST For one-time bill pay, enter your Guarantor number located on your ECU Health bill or statement here.
COPAYMENT AT ECU HEALTH Effective Nov. 13, 2023, ECU Health will request copayment amounts due at the time of visit at all ECU Health locations, including Emergency Departments. Learn More.
UNDUE MEDICAL DEBT National nonprofit Undue Medical Debt and ECU Health have announced an agreement to help eliminate more than $186 million in past-due hospital medical debt for more than 32,000 qualifying patients*. Debt relief letters will arrive over the course of December’s holiday season into the New Year on a rolling basis given the size of this relief effort. Undue Medical Debt works with hospital systems across the country to purchase past due medical debt and then erases the debt. Letters for community members who qualify for this one-time debt relief directly received a branded letter from Undue Medical Debt indicating which debt or debts have been eliminated. Community members do not need to take any action, as the eligible medical debt will automatically be eliminated for those who qualify. For more information, visit https://www.UndueMedicalDebt.org/.
*Will include effective date.