| 1 | Keokuk County Health Center Sigourney | Sigourney | $5,336 | Not Rated | B |
| 2 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $5,530 | Not Rated | C |
| 3 | Orange City Area Health System Orange City | Orange City | $6,512 | Not Rated | B |
| 4 | Broadlawns Medical Center Des Moines | Des Moines | $6,649 | ★★☆☆☆ | C |
| 5 | Mercyone Dubuque Medical Center Dubuque | Dubuque | $6,685 | ★★★★★ | A |
| 6 | Manning Regional Healthcare Center Manning | Manning | $6,746 | Not Rated | C |
| 7 | Allen Hospital Waterloo | Waterloo | $6,808 | ★★★☆☆ | B |
| 8 | Regional Health Services Of Howard County Cresco | Cresco | $7,280 | Not Rated | C |
| 9 | Monroe County Hospital Albia | Albia | $7,298 | Not Rated | B |
| 10 | Story County Hospital Nevada | Nevada | $7,333 | Not Rated | B |
| 11 | Mercyone Oelwein Medical Center Oelwein | Oelwein | $7,344 | Not Rated | C |
| 12 | Spencer Municipal Hospital Spencer | Spencer | $7,488 | ★★★★☆ | B |
| 13 | Waverly Health Center Waverly | Waverly | $7,586 | Not Rated | C |
| 14 | Osceola Community Hospital Sibley | Sibley | $7,825 | Not Rated | B |
| 15 | Van Buren County Hospital Keosauqua | Keosauqua | $7,895 | Not Rated | B |
| 16 | Grinnell Regional Medical Center Grinnell | Grinnell | $7,897 | ★★★★☆ | B |
| 17 | Guttenberg Municipal Hospital Guttenberg | Guttenberg | $7,973 | Not Rated | C |
| 18 | Floyd County Medical Center Charles City | Charles City | $8,087 | ★★★☆☆ | B |
| 19 | Burgess Health Center Onawa | Onawa | $8,144 | Not Rated | C |
| 20 | Madison County Health Care System Winterset | Winterset | $8,195 | Not Rated | C |
| 21 | Finley Hospital Dubuque | Dubuque | $8,210 | ★★★★☆ | B |
| 22 | George C Grape Community Hospital Hamburg | Hamburg | $8,300 | Not Rated | C |
| 23 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $8,336 | ★★★☆☆ | B |
| 24 | Guthrie County Hospital Guthrie Center | Guthrie Center | $8,351 | Not Rated | C |
| 25 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $8,537 | ★★★☆☆ | C |
| 26 | Mercyone Clinton Medical Center Clinton | Clinton | $8,626 | ★★★★☆ | B |
| 27 | Mental Health Institute Independence | Independence | $8,683 | Not Rated | C |
| 28 | Crawford County Memorial Hospital Denison | Denison | $8,701 | ★★☆☆☆ | C |
| 29 | Jackson County Regional Health Center Maquoketa | Maquoketa | $8,704 | Not Rated | B |
| 30 | Pella Regional Health Center Pella | Pella | $8,708 | ★★★★☆ | B |
| 31 | Iowa City Va Medical Center Iowa City | Iowa City | $8,726 | ★★★★★ | A |
| 32 | Boone County Hospital Boone | Boone | $8,774 | Not Rated | B |
| 33 | Decatur County Hospital Leon | Leon | $8,789 | Not Rated | C |
| 34 | Unitypoint Health - Marshalltown Marshalltown | Marshalltown | $9,173 | Not Rated | C |
| 35 | Hegg Memorial Health Center Rock Valley | Rock Valley | $9,223 | Not Rated | C |
| 36 | Mercyone Waterloo Medical Center Waterloo | Waterloo | $9,358 | ★★★★☆ | B |
| 37 | Genesis Medical Center-Dewitt Dewitt | Dewitt | $9,474 | Not Rated | B |
| 38 | Sioux Center Health Sioux Center | Sioux Center | $9,482 | Not Rated | C |
| 39 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $9,488 | Not Rated | C |
| 40 | Winnmed Decorah | Decorah | $9,502 | ★★☆☆☆ | C |
| 41 | Mary Greeley Medical Center Ames | Ames | $9,530 | ★★★★☆ | B |
| 42 | Myrtue Medical Center Harlan | Harlan | $9,568 | ★★★★☆ | B |
| 43 | Ringgold County Hospital Mount Ayr | Mount Ayr | $9,652 | Not Rated | B |
| 44 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $9,782 | Not Rated | C |
| 45 | Dallas County Hospital Perry | Perry | $9,783 | Not Rated | C |
| 46 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $9,833 | Not Rated | C |
| 47 | Montgomery County Memorial Hospital Red Oak | Red Oak | $9,908 | ★★★☆☆ | B |
| 48 | Horn Memorial Hospital Ida Grove | Ida Grove | $10,096 | Not Rated | C |
| 49 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $10,146 | Not Rated | B |
| 50 | Mercyone North Iowa Medical Center Mason City | Mason City | $10,262 | ★★★☆☆ | B |
| 51 | Clarinda Regional Health Center Clarinda | Clarinda | $10,406 | ★★★★☆ | B |
| 52 | University Of Iowa Health Care Medical Center Down Iowa City | Iowa City | $10,937 | ★★★☆☆ | B |
| 53 | Clarke County Hospital Osceola | Osceola | $10,943 | Not Rated | C |
| 54 | Mercyone Siouxland Medical Center Sioux City | Sioux City | $11,093 | ★☆☆☆☆ | D |
| 55 | Floyd Valley Healthcare Le Mars | Le Mars | $11,112 | Not Rated | B |
| 56 | Pocahontas Community Hospital Pocahontas | Pocahontas | $11,432 | Not Rated | C |
| 57 | St Anthony Regional Hospital & Nursing Home Carroll | Carroll | $12,783 | Not Rated | C |
| 58 | Sanford Sheldon Medical Center Sheldon | Sheldon | $12,938 | Not Rated | B |
| 59 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $13,244 | ★★☆☆☆ | C |
| 60 | St Lukes Regional Medical Center Sioux City | Sioux City | $13,323 | ★☆☆☆☆ | D |
| 61 | Mercyone Elkader Medical Center Elkader | Elkader | $13,561 | Not Rated | C |
| 62 | St Lukes Hospital Cedar Rapids | Cedar Rapids | $13,933 | ★★★★☆ | A |