New Mexico / Gallup Indian Medical Center
CMS certification 320061 · Gallup, NM
Gallup Indian Medical Center: charges and Medicare payments
Gallup Indian Medical Center reported 243 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 2.01 times what it was paid — among the lower ratios in New Mexico, number 14 of 16 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 194, Simple Pneumonia and Pleurisy with CC: 30 stays at an average charge of $31,023, 19% below the national average.
- 1Medicare inpatient stays 243
- 2Charge ÷ paid, inpatient 2.01×
- 3Rank in NM (highest ratio = 1) 14 of 16
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Gallup Indian Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $31,023 | -19% | $10,425 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $28,409 | -42% | $12,285 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $35,718 | -4% | $10,189 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 25 | $23,308 | -74% | $21,045 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $26,298 | -56% | $15,409 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $22,030 | -62% | $14,486 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $24,486 | -35% | $10,256 |
| 603 Cellulitis without MCC | 18 | $19,915 | -47% | $11,001 |
| 291 Heart Failure and Shock with MCC | 17 | $29,812 | -47% | $15,034 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $33,031 | -53% | $18,690 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $19,870 | -51% | $10,053 |
| 638 Diabetes with CC | 11 | $21,241 | -49% | $11,280 |
Against the New Mexico average
For Simple Pneumonia and Pleurisy with CC (DRG 194), Gallup Indian Medical Center charged $31,023 on average, 7% less than the New Mexico average of $33,316, and was paid $10,425 against a state average of $8,131. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Gallup Indian Medical Center charged $28,409 on average, 26% less than the New Mexico average of $38,634, and was paid $12,285 against a state average of $9,730. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Gallup Indian Medical Center charged $35,718 on average, 11% more than the New Mexico average of $32,191, and was paid $10,189 against a state average of $7,967. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Gallup Indian Medical Center charged $23,308 on average, 65% less than the New Mexico average of $65,967, and was paid $21,045 against a state average of $17,240.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.