Due to Hurricane Milton, service schedules in and around the metro areas of Tampa, Ft. Myers, and Orlando may be adjusted or suspended until local authorities declare it safe to resume operations. For assistance, please contact Customer Service at 888.610.4835.

888-763-3927
GET A FREE QUOTE

Manage
Account

Due to Hurricane Milton, service schedules in and around the metro areas of Tampa, Ft. Myers, and Orlando may be adjusted or suspended until local authorities declare it safe to resume operations. For assistance, please contact Customer Service at 888.610.4835.

Request A Free Quote! 888-763-3927
Manage Account
Menu

Billing

Billing & Payment Resources

Whether you’re looking to pay your bill, understand the line item charges on your invoice, or have a question, you’ll find all the information you need below. Our goal is to provide transparency and convenience, so you can easily navigate your Trilogy MedWaste billing experience. Your satisfaction is our priority, and we’re here to assist you every step of the way.


Pricing Update

Starting July 1, 2025, some customers may see a slight price adjustment based on annual contract terms and rising CPI across categories impacting our operations. This update reflects rising operational costs—including fuel, labor, supplies, and compliance—and helps us continue providing safe, reliable service. These are pass-through costs necessary to sustain service quality in today’s economic environment. Questions? Contact us at CustomerService@TrilogyMedWaste.com or calling 888-763-3927 and selecting option 2.

How to Pay Your Bill

Trilogy MedWaste Southeast, LLC
PO Box 670650
Dallas, TX 75267

Trilogy MedWaste West, LLC
P.O. Box 670567
Dallas, Texas 75267

Trilogy MedWaste South Central, LLC
P.O. Box 670567
Dallas, Texas 75267

  • By Phone: Call 888-299-6732, select option 1, then option 3.

Simplify Your Billing with Autopay 

Stay focused on what matters most—your patients and customers—not your payment schedule. With Trilogy MedWaste Autopay, paying your bill is easy, secure, and automatic. 

Enrolling in Autopay ensures your invoices are paid on time, every time—so you can avoid potential late fees, and credit holds. It’s a hassle-free way to stay current and compliant. 

Log in to the Trilogy MedWaste Customer Portal and follow these step-by-step instructions to set up Autopay in minutes. 

Explanation of Charges

At Trilogy MedWaste, we are dedicated to continually transforming our business practices to enhance your experience and fulfill our commitment of providing safe, compliant, and dependable waste pickup and disposal services. You can review a breakdown of the charges you may see on your Trilogy invoices below. Exact line items will vary depending on your site and contract terms. 

Line-item charges:

  • Per Container: A per-container charge for waste collection and safe, compliant transfer and disposal of waste. 
  • Per Pound Service Fee: A per-pound charge for waste collection and safe, compliant transfer and disposal of waste. 
  • Tariff Pricing: Only in Washington state, this charge is based on the total gallons included in the waste collection and to cover safe, compliant transfer and disposal of waste. 
  • Tiered/Franchise Pricing: in select geographies only, this charge is based on the number of total containers serviced and safe, compliant transfer and disposal of waste. 
  • Stop Charge: this rate will be charged each time we visit your site for service. If we visit your site for a scheduled service and there isn’t waste to collect or waste collection is refused, this fee will still be charged. 
  • Environmental, Compliance & Energy Recovery Charge: A recovery charge to help offset fluctuating costs for compliant waste handling, transportation, and disposal, as well as operational expenses like fuel and materials impacted by economic conditions. This fee is not a tax or other governmental charge. We reserve the right, in our reasonable discretion, to adjust the fee on a per-transaction basis.  
  • Temporary Fuel Surcharge: A flat rate surcharge per service to cover record-high, fluctuating fuel costs and unprecedented inflation, impacting our cost to serve you. 
  • Install and Removal: A one-time charge for the installation and removal of Trilogy MedWaste equipment on your site. 
  • Tax: Varies by state, county/parish, and municipality. 
  • Credit Card Processing Fee: If you choose to pay by credit card, an additional fee of 3% of your invoice total will be applied to cover transaction processing costs. 
  • Paper Invoicing Fee: If you choose to receive a paper invoice mailed to your billing address, a $3.00 fee will be applied. To switch to paperless invoicing, please log in to the Trilogy MedWaste Customer Portal or contact our customer service team. 
  • Manifest Processing Fee:  To cover administrative and processing costs, a $5.00 fee per manifest applies when you request Trilogy MedWaste to retrieve more than five manifests on your behalf. Avoid this fee by accessing your manifests through the Trilogy MedWaste Customer Portal—it’s the easiest way to access, download, and store your manifests electronically with no printing, mailing, or extra charges. 
  • Tacoma, Washington Regulated Medical Waste Customers: Trilogy MedWaste invoices issued on or after November 1, 2024, will include a 6% City of Tacoma Customer Excise Tax. This tax impacts only customers receiving regulated medical waste (RMW) services with a service location in the City of Tacoma, Washington. It is a passthrough charge mandated by the city, and Trilogy MedWaste has no control over its implementation. For more information, visit the City of Tacoma website here. 

Please note: Depending on your site and contract terms, you may see additional or unique line-item charges. These could include but are not limited to surcharges and fees related to weight of waste, boxes and supplies utilized to service your site, work order and manifest fees, and others 

Late Fee & Credit Hold Policy

A late fee will be assessed if your payment is not received by your invoice due date. Depending on the terms of your agreement, the late fee will be applied as either a flat rate or a percentage of your invoice total. 

Additionally, if your invoice goes 60 days past due, your account will be placed on a credit hold, and your services will be suspended effective the date of the credit hold. 

Please note that if your services are stopped due to a credit hold, you still need to stay in compliance with federal, state, and local regulations for waste storage and disposal as the waste generator. If you’re put on a credit hold, you will need to pay your existing aged balance to have service reinstated.

Frequently Asked Questions

Trilogy MedWaste Southeast, LLC
PO Box 670650
Dallas, TX 75267

Trilogy MedWaste West, LLC
P.O. Box 670567
Dallas, Texas 75267

Trilogy MedWaste South Central, LLC
P.O. Box 670567
Dallas, Texas 75267

  • To pay your invoice by phone, call 888-299-6732, select option 1, then option 3.
  • How do I setup autopay on my account?
  • Can I make a partial payment towards my account balance?
    • Yes, you can make full or partial payment towards your account balance, current charges, or select invoices.
  • What do the different payment options in the Customer Portal on the ‘Make A Payment’ screen mean?
    • Total Balance: Pays the total balance due on the account.
    • Current Charges: Pays only the current invoice amount.
    • Fixed Amount: Pays a set amount towards the account total balance.
    • Selected Invoices: Select specific invoices on which to apply payments.
We’re Here to Help Have questions or need assistance? Our Customer Service Team is ready to support you. Email us at CustomerService@TrilogyMedWaste.com or call 888-299-6732. 
Contact The Team At
  • 3 Riverway #1050, Houston, TX, 77056

Trilogy MedWaste, Inc. All Rights Reserved© 2017-2025

Privacy Policy