73/100
#539 nationally
Gallup Indian Medical Center
516 E Nizhoni Blvd, Gallup, NM 87301 · (505) 722-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Gallup Indian Medical Center billed $2.01 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.0x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in NM
- #5
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 89% of U.S. hospitals.
Not published for this hospital — scored at 50% of the component rather than zero, because an absent figure is not a bad one.
Better than 77% of U.S. hospitals.
Better than 60% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
30 | $31,023 | $10,425 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $28,409 | $12,285 | -28% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
25 | $35,718 | $10,189 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
25 | $23,308 | $21,045 | -64% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
22 | $26,298 | $15,409 | -44% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
21 | $22,030 | $14,486 | -55% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
20 | $24,486 | $10,256 | -18% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
18 | $19,915 | $11,001 | -35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
17 | $29,812 | $15,034 | -31% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
15 | $33,031 | $18,690 | -40% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$35,718 | $10,189 | +17% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$31,023 | $10,425 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$24,486 | $10,256 | -18% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$28,409 | $12,285 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$29,812 | $15,034 | -31% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$19,915 | $11,001 | -35% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$19,870 | $10,053 | -38% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$21,241 | $11,280 | -39% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$23,308 | $21,045 | -64% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$22,030 | $14,486 | -55% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$26,298 | $15,409 | -44% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$33,031 | $18,690 | -40% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$21,241 | $11,280 | -39% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$19,870 | $10,053 | -38% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$19,915 | $11,001 | -35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$29,812 | $15,034 | -31% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.