| 1 | St Louis-John Cochran Va Medical Center St. Louis, MO | St. Louis, MO | $9K | ★★★★★ | A |
| 2 | Detroit (john D. Dingell) Va Medical Center Detroit, MI | Detroit, MI | $9K | ★★★★★ | A |
| 3 | Cincinnati Va Medical Center Cincinnati, OH | Cincinnati, OH | $11K | ★★★★★ | A |
| 4 | Va Eastern Colorado Healthcare System Aurora, CO | Aurora, CO | $11K | ★★★★★ | A |
| 5 | Iowa City Va Medical Center Iowa City, IA | Iowa City, IA | $11K | ★★★★★ | A |
| 6 | Minneapolis Va Medical Center Minneapolis, MN | Minneapolis, MN | $12K | ★★★★★ | A |
| 7 | Va Gulf Coast Healthcare System Biloxi, MS | Biloxi, MS | $9K | ★★★★★ | A |
| 8 | Huntington Va Medical Center Huntington, WV | Huntington, WV | $12K | ★★★★★ | A |
| 9 | Boise Va Medical Center Boise, ID | Boise, ID | $11K | ★★★★★ | A |
| 10 | Portland Va Medical Center Portland, OR | Portland, OR | $13K | ★★★★★ | A |
| 11 | Birmingham Va Medical Center Birmingham, AL | Birmingham, AL | $14K | ★★★★★ | A |
| 12 | Kansas City Va Medical Center Kansas City, MO | Kansas City, MO | $13K | ★★★★★ | A |
| 13 | Sioux Falls Va Medical Center Sioux Falls, SD | Sioux Falls, SD | $11K | ★★★★★ | A |
| 14 | Va Middle Tennessee Healthcare System Nashville, TN | Nashville, TN | $13K | ★★★★★ | A |
| 15 | Madison Va Medical Center Madison, WI | Madison, WI | $13K | ★★★★★ | A |
| 16 | Indianapolis Va Medical Center Indianapolis, IN | Indianapolis, IN | $14K | ★★★★★ | A |
| 17 | Lebanon Va Medical Center Lebanon, PA | Lebanon, PA | $13K | ★★★★★ | A |
| 18 | San Antonio Va Medical Center (va South Texas Healthcare System) San Antonio, TX | San Antonio, TX | $14K | ★★★★★ | A |
| 19 | Va Central Alabama Healthcare System - Montgomery Montgomery, AL | Montgomery, AL | $12K | ★★★★★ | A |
| 20 | Louisville Va Medical Center Louisville, KY | Louisville, KY | $13K | ★★★★★ | A |
| 21 | Muskogee Va Medical Center Muskogee, OK | Muskogee, OK | $12K | ★★★★★ | A |
| 22 | Va Salt Lake City Healthcare - George E. Wahlen Va Medical Center Salt Lake City, UT | Salt Lake City, UT | $15K | ★★★★★ | A |
| 23 | Va Ann Arbor Healthcare System Ann Arbor, MI | Ann Arbor, MI | $15K | ★★★★★ | A |
| 24 | Asheville-Oteen Va Medical Center Asheville, NC | Asheville, NC | $15K | ★★★★★ | A |
| 25 | Louis Stokes Cleveland Va Medical Center Cleveland, OH | Cleveland, OH | $15K | ★★★★★ | A |
| 26 | Philadelphia Va Medical Center Philadelphia, PA | Philadelphia, PA | $17K | ★★★★★ | A |
| 27 | Columbia Sc Va Medical Center Columbia, SC | Columbia, SC | $13K | ★★★★★ | A |
| 28 | Orlando Va Medical Center Orlando, FL | Orlando, FL | $15K | ★★★★★ | A |
| 29 | Va N. Indiana Healthcare System Marion, IN | Marion, IN | $13K | ★★★★★ | A |
| 30 | Wichita Va Medical Center Wichita, KS | Wichita, KS | $16K | ★★★★★ | A |
| 31 | Va Southern Nevada Healthcare System N. Las Vegas, NV | N. Las Vegas, NV | $16K | ★★★★★ | A |
| 32 | Mountain Home Va Medical Center Mountain Home, TN | Mountain Home, TN | $16K | ★★★★★ | A |
| 33 | Phoenix Va Medical Center Phoenix, AZ | Phoenix, AZ | $17K | ★★★★★ | A |
| 34 | Jesse Brown Va Medical Center - Va Chicago Healthcare System Chicago, IL | Chicago, IL | $17K | ★★★★★ | A |
| 35 | Va Sierra Nevada Healthcare System Reno, NV | Reno, NV | $15K | ★★★★★ | A |
| 36 | Fargo Va Medical Center Fargo, ND | Fargo, ND | $16K | ★★★★★ | A |
| 37 | Cheyenne Va Medical Center Cheyenne, WY | Cheyenne, WY | $14K | ★★★★★ | A |
| 38 | Palo Alto Va Medical Center Palo Alto, CA | Palo Alto, CA | $17K | ★★★★★ | B |
| 39 | Charleston Va Medical Center Charleston, SC | Charleston, SC | $15K | ★★★★★ | B |
| 40 | Va Black Hills Healthcare System Fort Meade, SD | Fort Meade, SD | $10K | ★★★★☆ | B |
| 41 | Clarksburg Va Medical Center Clarksburg, WV | Clarksburg, WV | $10K | ★★★★☆ | B |
| 42 | Spokane Va Medical Center Spokane, WA | Spokane, WA | $15K | ★★★★★ | B |
| 43 | Fayetteville Ar Va Medical Center Fayetteville, AR | Fayetteville, AR | $16K | ★★★★★ | B |
| 44 | Tampa Va Medical Center Tampa, FL | Tampa, FL | $14K | ★★★★☆ | B |
| 45 | Va Central Iowa Healthcare System Des Moines, IA | Des Moines, IA | $11K | ★★★★☆ | B |
| 46 | Southeast Louisiana Veterans Health Care System New Orleans, LA | New Orleans, LA | $12K | ★★★★☆ | B |
| 47 | Houston Va Medical Center Houston, TX | Houston, TX | $15K | ★★★★☆ | B |
| 48 | Richmond Va Medical Center Richmond, VA | Richmond, VA | $18K | ★★★★★ | B |
| 49 | Iron Mountain Mi Va Medical Center Iron Mountain, MI | Iron Mountain, MI | $16K | ★★★★★ | B |
| 50 | Va Montana Healthcare System Fort Harrison, MT | Fort Harrison, MT | $16K | ★★★★★ | B |
| 51 | Omaha Va Medical Center (va Nebraska Western Iowa Healthcare System) Omaha, NE | Omaha, NE | $16K | ★★★★★ | B |
| 52 | Temple Va Medical Center (va Central Texas Healthcare System) Temple, TX | Temple, TX | $13K | ★★★★☆ | B |
| 53 | Salem Va Medical Center Salem, VA | Salem, VA | $17K | ★★★★★ | B |
| 54 | Martinsburg Va Medical Center Martinsburg, WV | Martinsburg, WV | $13K | ★★★★☆ | B |
| 55 | Va Northern Arizona Healthcare System Prescott, AZ | Prescott, AZ | $17K | ★★★★★ | B |
| 56 | Lexington Va Medical Center Lexington, KY | Lexington, KY | $13K | ★★★★☆ | B |
| 57 | Durham Va Medical Center Durham, NC | Durham, NC | $13K | ★★★★☆ | B |
| 58 | Beckley Va Medical Center Beckley, WV | Beckley, WV | $17K | ★★★★★ | B |
| 59 | Wilmington Va Medical Center Wilmington, DE | Wilmington, DE | $14K | ★★★★☆ | B |
| 60 | G. V. (sonny) Montgomery Va Medical Center (jackson) Jackson, MS | Jackson, MS | $12K | ★★★★☆ | B |
| 61 | Va Hudson Valley Healthcare System Montrose, NY | Montrose, NY | $18K | ★★★★★ | B |
| 62 | Dayton Va Medical Center Dayton, OH | Dayton, OH | $13K | ★★★★☆ | B |
| 63 | Va Amarillo Healthcare System Amarillo, TX | Amarillo, TX | $14K | ★★★★☆ | B |
| 64 | Dallas Va Medical Center (va North Texas Healthcare System) Dallas, TX | Dallas, TX | $17K | ★★★★☆ | B |
| 65 | Augusta Va Medical Center Augusta, GA | Augusta, GA | $12K | ★★★☆☆ | B |
| 66 | Va Eastern Kansas Healthcare System Topeka, KS | Topeka, KS | $19K | ★★★★★ | B |
| 67 | Columbia Mo Va Medical Center Columbia, MO | Columbia, MO | $14K | ★★★★☆ | B |
| 68 | Memphis Va Medical Center Memphis, TN | Memphis, TN | $13K | ★★★☆☆ | B |
| 69 | Miami Va Medical Center Miami, FL | Miami, FL | $17K | ★★★★☆ | B |
| 70 | Wilkes Barre Va Medical Center Wilkes-Barre, PA | Wilkes-Barre, PA | $20K | ★★★★★ | B |
| 71 | Seattle Va Medical Center (va Puget Sound Healthcare System) Seattle, WA | Seattle, WA | $23K | ★★★★★ | B |
| 72 | Va New Mexico Healthcare System Albuquerque, NM | Albuquerque, NM | $12K | ★★★☆☆ | B |
| 73 | North Chicago Va Medical Center North Chicago, IL | North Chicago, IL | $18K | ★★★★☆ | B |
| 74 | Va San Diego Healthcare System San Diego, CA | San Diego, CA | $24K | ★★★★★ | B |
| 75 | Togus Va Medical Center Augusta, ME | Augusta, ME | $17K | ★★★★☆ | B |
| 76 | Upstate New York Va Healthcare System (western Ny Va Healthcare System) Buffalo, NY | Buffalo, NY | $19K | ★★★★☆ | B |
| 77 | Va New York Harbor Healthcare System - Brooklyn Brooklyn, NY | Brooklyn, NY | $23K | ★★★★★ | B |
| 78 | White River Jct Va Medical Center White River Junction, VT | White River Junction, VT | $17K | ★★★★☆ | B |
| 79 | Va S. Arizona Healthcare System Tucson, AZ | Tucson, AZ | $19K | ★★★★☆ | B |
| 80 | Va Central Ar. Veterans Healthcare System Lr Little Rock, AR | Little Rock, AR | $13K | ★★★☆☆ | B |
| 81 | W.g. (bill) Hefner Salisbury Va Medical Center (salsbury) Salisbury, NC | Salisbury, NC | $17K | ★★★★☆ | B |
| 82 | James E. Van Zandt Va Medical Center (altoona) Altoona, PA | Altoona, PA | $18K | ★★★★☆ | B |
| 83 | Milwaukee Va Medical Center Milwaukee, WI | Milwaukee, WI | $16K | ★★★★☆ | B |
| 84 | Tuscaloosa Va Medical Center Tuscaloosa, AL | Tuscaloosa, AL | $11K | Not Rated | C |
| 85 | Grand Junction Va Medical Center Grand Junction, CO | Grand Junction, CO | $23K | ★★★★★ | C |
| 86 | San Juan Va Medical Center San Juan, PR | San Juan, PR | $9K | ★★☆☆☆ | C |
| 87 | Va Middle Tennessee Healthcare System - Murfreesboro Murfreesboro, TN | Murfreesboro, TN | $14K | Not Rated | C |
| 88 | Va N California Healthcare System Mather, CA | Mather, CA | $22K | ★★★★☆ | C |
| 89 | Loma Linda Va Medical Center Loma Linda, CA | Loma Linda, CA | $20K | ★★★★☆ | C |
| 90 | Va North Florida/South Georgia Healthcare System - Gainesville Gainesville, FL | Gainesville, FL | $16K | ★★★☆☆ | C |
| 91 | W Palm Beach Va Medical Center West Palm Beach, FL | West Palm Beach, FL | $15K | ★★★☆☆ | C |
| 92 | Decatur (atlanta) Va Medical Center Decatur, GA | Decatur, GA | $17K | ★★★☆☆ | C |
| 93 | Northport Va Medical Center Northport, NY | Northport, NY | $20K | ★★★★☆ | C |
| 94 | Oklahoma City Va Medical Center Oklahoma City, OK | Oklahoma City, OK | $9K | ★★☆☆☆ | C |
| 95 | Hampton Va Medical Center Hampton, VA | Hampton, VA | $19K | ★★★★☆ | C |
| 96 | Sheridan Va Medical Center Sheridan, WY | Sheridan, WY | $13K | Not Rated | C |
| 97 | Poplar Bluff Va Medical Center Poplar Bluff, MO | Poplar Bluff, MO | $13K | Not Rated | C |
| 98 | Fresno Va Medical Center (va Central California Healthcare System) Fresno, CA | Fresno, CA | $21K | ★★★★☆ | C |
| 99 | Va Maryland Healthcare System - Perry Point Perry Point, MD | Perry Point, MD | $14K | Not Rated | C |
| 100 | Va Boston Healthcare System - Jamaica Plain Jamaica Plain, MA | Jamaica Plain, MA | $22K | ★★★★☆ | C |
| 101 | Coatesville Va Medical Center Coatesville, PA | Coatesville, PA | $14K | Not Rated | C |
| 102 | Tomah Va Medical Center Tomah, WI | Tomah, WI | $14K | Not Rated | C |
| 103 | Washington Dc Va Medical Center Washington, DC | Washington, DC | $19K | ★★★☆☆ | C |
| 104 | Alexandria Va Medical Center Pineville, LA | Pineville, LA | $15K | Not Rated | C |
| 105 | Fayetteville Nc Va Medical Center Fayetteville, NC | Fayetteville, NC | $18K | ★★★☆☆ | C |
| 106 | Erie Va Medical Center Erie, PA | Erie, PA | $15K | Not Rated | C |
| 107 | San Francisco Va Medical Center San Francisco, CA | San Francisco, CA | $25K | ★★★★☆ | C |
| 108 | Bay Pines Va Medical Center Bay Pines, FL | Bay Pines, FL | $17K | ★★★☆☆ | C |
| 109 | Va North Florida/South Georgia Healthcare System - Lake City Lake City, FL | Lake City, FL | $17K | Not Rated | C |
| 110 | Bronx Va Medical Center Bronx, NY | Bronx, NY | $19K | ★★★☆☆ | C |
| 111 | Providence Va Medical Center Providence, RI | Providence, RI | $19K | ★★★☆☆ | C |
| 112 | Marion Il Va Medical Center Marion, IL | Marion, IL | $19K | ★★★☆☆ | C |
| 113 | Va Illiana Healthcare System - Danville Danville, IL | Danville, IL | $18K | Not Rated | C |
| 114 | Overton Brooks Va Medical Center (shreveport) Shreveport, LA | Shreveport, LA | $14K | ★★☆☆☆ | C |
| 115 | St Cloud Va Medical Center St. Cloud, MN | St. Cloud, MN | $18K | Not Rated | C |
| 116 | Va Long Beach Healthcare System Long Beach, CA | Long Beach, CA | $23K | ★★★☆☆ | C |
| 117 | Va Maryland Healthcare System - Baltimore Baltimore, MD | Baltimore, MD | $23K | ★★★☆☆ | C |
| 118 | Battle Creek Va Medical Center Battle Creek, MI | Battle Creek, MI | $18K | Not Rated | C |
| 119 | Dublin Va Medical Center Dublin, GA | Dublin, GA | $19K | Not Rated | C |
| 120 | Albany Va Medical Center Albany, NY | Albany, NY | $22K | ★★★☆☆ | C |
| 121 | Va Greater Los Angeles Healthcare System Los Angeles, CA | Los Angeles, CA | $22K | ★★★☆☆ | C |
| 122 | West Haven Va Medical Center West Haven, CT | West Haven, CT | $21K | ★★★☆☆ | C |
| 123 | Va New Jersey Health Care System East Orange, NJ | East Orange, NJ | $22K | ★★★☆☆ | C |
| 124 | Chillicothe Va Medical Center Chillicothe, OH | Chillicothe, OH | $19K | Not Rated | C |
| 125 | Bath Va Medical Center Bath, NY | Bath, NY | $20K | Not Rated | C |
| 126 | Va Pittsburgh Healthcare System - Univ Dr Pittsburgh, PA | Pittsburgh, PA | $21K | ★★★☆☆ | D |
| 127 | Va Roseburg Healthcare System Roseburg, OR | Roseburg, OR | $21K | Not Rated | D |
| 128 | Hines Va Medical Center Hines, IL | Hines, IL | $21K | ★★☆☆☆ | D |
| 129 | Bedford Va Medical Center Bedford, MA | Bedford, MA | $25K | Not Rated | D |
| 130 | Northampton Va Medical Center Leeds, MA | Leeds, MA | $24K | Not Rated | D |
| 131 | Syracuse Va Medical Center Syracuse, NY | Syracuse, NY | $22K | ★★☆☆☆ | D |
| 132 | Va New York Harbor Healthcare System - Ny Div. New York, NY | New York, NY | $26K | ★★☆☆☆ | D |