| 1 | Cass County Memorial Hospital Atlantic | Atlantic | $3,916 | ★★★★☆ | B |
| 2 | Decatur County Hospital Leon | Leon | $4,109 | Not Rated | C |
| 3 | Boone County Hospital Boone | Boone | $4,494 | Not Rated | B |
| 4 | Jefferson County Health Center Fairfield | Fairfield | $4,719 | Not Rated | C |
| 5 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $4,966 | Not Rated | C |
| 6 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $4,978 | ★★★☆☆ | B |
| 7 | St Lukes Hospital Cedar Rapids | Cedar Rapids | $5,191 | ★★★★☆ | A |
| 8 | Spencer Municipal Hospital Spencer | Spencer | $5,316 | ★★★★☆ | B |
| 9 | Shenandoah Medical Center Shenandoah | Shenandoah | $5,486 | Not Rated | B |
| 10 | Myrtue Medical Center Harlan | Harlan | $5,551 | ★★★★☆ | B |
| 11 | Montgomery County Memorial Hospital Red Oak | Red Oak | $5,638 | ★★★☆☆ | B |
| 12 | Buchanan County Health Center Independence | Independence | $5,691 | Not Rated | B |
| 13 | Avera Holy Family Hospital Estherville | Estherville | $5,738 | Not Rated | C |
| 14 | Guthrie County Hospital Guthrie Center | Guthrie Center | $5,745 | Not Rated | C |
| 15 | Iowa City Va Medical Center Iowa City | Iowa City | $5,872 | ★★★★★ | A |
| 16 | Compass Memorial Healthcare Marengo | Marengo | $5,998 | Not Rated | C |
| 17 | Buena Vista Regional Medical Center Storm Lake | Storm Lake | $6,010 | ★★★☆☆ | B |
| 18 | Greene County Medical Center Jefferson | Jefferson | $6,083 | Not Rated | C |
| 19 | Broadlawns Medical Center Des Moines | Des Moines | $6,107 | ★★☆☆☆ | C |
| 20 | Mercyone Dubuque Medical Center Dubuque | Dubuque | $6,210 | ★★★★★ | A |
| 21 | Mary Greeley Medical Center Ames | Ames | $6,504 | ★★★★☆ | B |
| 22 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $6,513 | Not Rated | C |
| 23 | Dallas County Hospital Perry | Perry | $6,538 | Not Rated | C |
| 24 | Adair County Memorial Hospital Greenfield | Greenfield | $6,663 | Not Rated | C |
| 25 | Winnmed Decorah | Decorah | $6,764 | ★★☆☆☆ | C |
| 26 | Clive Behavioral Health Clive | Clive | $6,765 | Not Rated | C |
| 27 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $6,768 | Not Rated | C |
| 28 | Story County Hospital Nevada | Nevada | $6,790 | Not Rated | B |
| 29 | Pocahontas Community Hospital Pocahontas | Pocahontas | $6,904 | Not Rated | C |
| 30 | Clarinda Regional Health Center Clarinda | Clarinda | $6,907 | ★★★★☆ | B |
| 31 | Mercy Medical Center-New Hampton New Hampton | New Hampton | $6,955 | Not Rated | C |
| 32 | University Of Iowa Hospital & Clinics Iowa City | Iowa City | $6,971 | ★★★☆☆ | B |
| 33 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $6,982 | Not Rated | C |
| 34 | Mercyone Clinton Medical Center Clinton | Clinton | $7,123 | ★★★★☆ | B |
| 35 | Franklin General Hospital Hampton | Hampton | $7,258 | Not Rated | B |
| 36 | Crawford County Memorial Hospital Denison | Denison | $7,261 | ★★☆☆☆ | C |
| 37 | Hancock County Health System Britt | Britt | $7,389 | Not Rated | C |
| 38 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $7,466 | Not Rated | C |
| 39 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $7,500 | Not Rated | B |
| 40 | Madison County Health Care System Winterset | Winterset | $7,615 | Not Rated | C |
| 41 | Stewart Memorial Community Hospital Lake City | Lake City | $7,670 | Not Rated | C |
| 42 | Mercyone Elkader Medical Center Elkader | Elkader | $7,697 | Not Rated | C |
| 43 | Finley Hospital Dubuque | Dubuque | $7,728 | ★★★★☆ | B |
| 44 | Grundy County Memorial Hospital Grundy Center | Grundy Center | $7,752 | Not Rated | C |
| 45 | Jackson County Regional Health Center Maquoketa | Maquoketa | $7,958 | Not Rated | B |
| 46 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $7,961 | ★★☆☆☆ | C |
| 47 | Lakes Regional Healthcare Spirit Lake | Spirit Lake | $8,043 | ★★☆☆☆ | C |
| 48 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $8,073 | ★☆☆☆☆ | D |
| 49 | Hegg Memorial Health Center Rock Valley | Rock Valley | $8,521 | Not Rated | C |
| 50 | Mercyone Centerville Medical Center Centerville | Centerville | $8,610 | Not Rated | C |
| 51 | Orange City Area Health System Orange City | Orange City | $8,784 | Not Rated | B |
| 52 | Loring Hospital Sac City | Sac City | $9,713 | Not Rated | C |