Ungraded
#362 nationally
Northern Navajo Medical Center
Us Hwy 491 North, Shiprock, NM 87420 · (505) 368-6001
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Northern Navajo Medical Center billed $1.66 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
- 1.7x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in NM
- #4
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
57 | $29,767 | $21,535 | -54% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
36 | $18,159 | $12,480 | -54% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
32 | $19,785 | $10,010 | -35% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
21 | $32,216 | $15,902 | -31% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
20 | $21,849 | $14,581 | -55% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
16 | $29,821 | $19,883 | -46% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
14 | $24,112 | $10,241 | -26% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
14 | $23,546 | $10,874 | -29% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
12 | $28,179 | $11,188 | -8% |
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 |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$28,179 | $11,188 | -8% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$24,112 | $10,241 | -26% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$23,546 | $10,874 | -29% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$32,216 | $15,902 | -31% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$19,785 | $10,010 | -35% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$29,821 | $19,883 | -46% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,159 | $12,480 | -54% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$29,767 | $21,535 | -54% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$21,849 | $14,581 | -55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$29,767 | $21,535 | -54% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,159 | $12,480 | -54% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$29,821 | $19,883 | -46% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$19,785 | $10,010 | -35% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$32,216 | $15,902 | -31% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$23,546 | $10,874 | -29% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$24,112 | $10,241 | -26% |
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.