Billing Questions?

Answers to billing questions can be obtained by contacting the billing department:

Monday – Friday
8:00am to 4:30 pm

Phone: (575) 472-3417 ext. 113 or 114
Fax: (575) 541-3649

Need Assistance 
If you have questions or require assistance completing this application, please contact the business office:

Susan Abeyta - (575) 472-3417 ext. 103
Christine Sanchez - (575) 472-3417 ext. 114

Insurance Information

If you need to report updated insurance information, please complete the form below or contact admissions at:

Gina Sena - (575) 472-3417 ext. 102

Insurance Information Update Form

If you wish to update your Insurance Information online; then, please click the link below.

Before updating your information online, please have an electronic copy (image or pdf) of your insurance card (front and back).
A valid email account is required to complete the online form.

Insurance Information Update Online

How to Pay a Bill

By web - Starting July 07, 2022, patients will begin to receive new statements. New statements will contain the required information to access your patient bill online. In addition to paying online, patients will be able to setup automatic payments if desired. Click the link below to access the payment portal.
https://www.patientnotebook.com/GCH

By mail – Send a personal check, traveler's check or money order to:
Guadalupe County Hospital, 117 Camino de Vida, Suite 100, Santa Rosa, NM 88435.

By phone – Call (575) 472-3417 ext. 101 or 102 to use your credit card or debit card.

In person – Guadalupe County Hospital, 117 Camino de Vida, Suite 100, Santa Rosa, NM 88435

Guadalupe County Hospital has revised its current discount program for patients who cannot afford to pay full price for medical care. You can obtain an application by contacting us directly, or by visiting our website at www.gchnm.org. Click on the services menu, billing, at the bottom of the page you can click on the link GCH Care Application Form. You can either complete the application online and upload your income information, or you can print and mail.

We will notify you within (30) days if your GCH Care discount application has been approved or denied. If you qualify for the discount, it will be applied to current balances. If you are denied, you may appeal the denial or reapply for the discount at any time your financial situation changes.

If you have any questions regarding the GCH Care discount program, you can contact Susan Abeyta (Ext 103) at 575-472-3417.

Charge Description Master (CDM) Price Transparency

Many factors influence the actual cost of a service, such as type of insurance coverage, as many times rates are negotiated with payers and may not reflect the standard charge. The cost of treatment may also be impacted by variables involved in a patient’s care, such as equipment, supplies, length of recovery, additional tests, or sometimes unexpected complications.

There may be additional fees by third party facilities for services such as pathology and radiology. These charges are billed separately.

Please contact the Billing Department to obtain an estimate on charges at (575) 472-3417 ext 103 or 114

Disclaimer: Guadalupe County Hospital determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

GCH CDM

Price Transparency