| 1 | Lewisgale Hospital Pulaski Pulaski | Pulaski | $7,932 | ★★★☆☆ | C |
| 2 | Southwestern Virginia Mental Health Institute Marion | Marion | $8,976 | Not Rated | C |
| 3 | Lonesome Pine Hospital Big Stone Gap | Big Stone Gap | $9,086 | ★★☆☆☆ | C |
| 4 | Vcu Health Tappahannock Hospital Tappahannock | Tappahannock | $10,466 | ★★★★☆ | B |
| 5 | Inova Alexandria Hospital Alexandria | Alexandria | $10,631 | ★★★★☆ | B |
| 6 | Sentara Virginia Beach General Hospital Virginia Beach | Virginia Beach | $10,802 | ★★★★☆ | B |
| 7 | Johnston Memorial Hospital Abingdon | Abingdon | $11,057 | ★★★☆☆ | C |
| 8 | Page Memorial Hospital, Inc Luray | Luray | $11,720 | Not Rated | C |
| 9 | Carilion Stonewall Jackson Hospital Lexington | Lexington | $11,747 | ★★★☆☆ | C |
| 10 | Virginia Hospital Center Arlington | Arlington | $11,760 | ★★★★★ | A |
| 11 | Virginia Beach Psychiatric Center Virginia Beach | Virginia Beach | $11,794 | Not Rated | D |
| 12 | Western State Hospital Staunton | Staunton | $11,912 | Not Rated | C |
| 13 | Riverside Shore Memorial Hospital Onancock | Onancock | $12,186 | ★★★☆☆ | C |
| 14 | Uva Health Culpeper Medical Center Culpeper | Culpeper | $12,253 | ★★★☆☆ | C |
| 15 | Southern Virginia Mental Health Institute Danville | Danville | $12,266 | Not Rated | C |
| 16 | Riverside Regional Medical Center Newport News | Newport News | $12,338 | ★★★☆☆ | C |
| 17 | Bon Secours Southampton Memorial Hospital Franklin | Franklin | $12,377 | ★★★☆☆ | C |
| 18 | Sentara Princess Anne Hospital Virginia Beach | Virginia Beach | $12,423 | ★★★★☆ | B |
| 19 | Cjw Medical Center Richmond | Richmond | $12,597 | ★★★★☆ | C |
| 20 | Lewisgale Medical Center Salem | Salem | $12,602 | ★★☆☆☆ | C |
| 21 | Bon Secours Southern Virginia Medical Center Emporia | Emporia | $12,846 | Not Rated | C |
| 22 | Inova Fairfax Hospital Falls Church | Falls Church | $12,906 | ★★★★★ | A |
| 23 | Rappahannock General Hospital Kilmarnock | Kilmarnock | $12,928 | ★★★★☆ | B |
| 24 | Inova Loudoun Hospital Leesburg | Leesburg | $12,936 | ★★★★★ | B |
| 25 | Sentara Northern Virginia Medical Center Woodbridge | Woodbridge | $13,281 | ★★★☆☆ | C |
| 26 | Dominion Hospital Falls Church | Falls Church | $13,312 | Not Rated | C |
| 27 | Spotsylvania Regional Medical Center Fredericksburg | Fredericksburg | $13,324 | ★★★☆☆ | D |
| 28 | Childrens Hospital Of The Kings Daughters Inc Norfolk | Norfolk | $13,349 | Not Rated | D |
| 29 | Catawba Hospital Catawba | Catawba | $13,483 | Not Rated | C |
| 30 | Clinch Valley Medical Center Richlands | Richlands | $13,745 | ★★★☆☆ | C |
| 31 | Lewisgale Hospital Montgomery Blacksburg | Blacksburg | $13,756 | ★★★☆☆ | C |
| 32 | Sentara Martha Jefferson Hospital Charlottesville | Charlottesville | $14,029 | ★★★★★ | A |
| 33 | Bon Secours St Francis Medical Center Midlothian | Midlothian | $14,106 | ★★★☆☆ | C |
| 34 | Stafford Hospital, Llc Stafford | Stafford | $14,280 | ★★★☆☆ | C |
| 35 | Carilion New River Valley Medical Center Christiansburg | Christiansburg | $14,281 | ★★★★☆ | B |
| 36 | Centra Health - Lynchburg Gen Hospital Lynchburg | Lynchburg | $14,448 | ★★★☆☆ | C |
| 37 | Bon Secours Southside Medical Center Petersburg | Petersburg | $14,638 | ★☆☆☆☆ | D |
| 38 | Fauquier Hospital Warrenton | Warrenton | $14,911 | ★★★☆☆ | C |
| 39 | Stonesprings Hospital Center Dulles | Dulles | $14,989 | ★★★☆☆ | C |
| 40 | Sentara Obici Hospital Suffolk | Suffolk | $15,321 | ★★★★☆ | B |
| 41 | Lewisgale Hospital Alleghany Low Moor | Low Moor | $15,323 | ★★★☆☆ | C |
| 42 | Bon Secours Richmond Community Hospital Richmond | Richmond | $18,315 | Not Rated | C |
| 43 | Salem Va Medical Center Salem | Salem | $18,326 | ★★★★★ | B |