| 1 | Jackson County Regional Health Center Maquoketa | Maquoketa | $5,051 | Not Rated | B |
| 2 | Regional Health Services Of Howard County Cresco | Cresco | $6,091 | Not Rated | C |
| 3 | Washington County Hospital And Clinics Washington | Washington | $8,088 | Not Rated | B |
| 4 | Decatur County Hospital Leon | Leon | $8,273 | Not Rated | C |
| 5 | Stewart Memorial Community Hospital Lake City | Lake City | $8,840 | Not Rated | C |
| 6 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $8,889 | Not Rated | C |
| 7 | Story County Hospital Nevada | Nevada | $8,946 | Not Rated | B |
| 8 | Finley Hospital Dubuque | Dubuque | $9,074 | ★★★★☆ | B |
| 9 | Va Central Iowa Healthcare System Des Moines | Des Moines | $9,325 | ★★★★☆ | B |
| 10 | Franklin General Hospital Hampton | Hampton | $9,330 | Not Rated | B |
| 11 | Allen Hospital Waterloo | Waterloo | $9,421 | ★★★☆☆ | B |
| 12 | Avera Merrill Pioneer Hospital Rock Rapids | Rock Rapids | $9,426 | Not Rated | C |
| 13 | Shenandoah Medical Center Shenandoah | Shenandoah | $9,596 | Not Rated | B |
| 14 | Floyd Valley Healthcare Le Mars | Le Mars | $9,633 | Not Rated | B |
| 15 | Crawford County Memorial Hospital Denison | Denison | $9,721 | ★★☆☆☆ | C |
| 16 | Clarke County Hospital Osceola | Osceola | $9,764 | Not Rated | C |
| 17 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $9,800 | Not Rated | C |
| 18 | Van Buren County Hospital Keosauqua | Keosauqua | $9,867 | Not Rated | B |
| 19 | Trinity - Bettendorf Bettendorf | Bettendorf | $9,925 | ★★★☆☆ | C |
| 20 | Mental Health Institute Cherokee | Cherokee | $10,066 | Not Rated | B |
| 21 | Hegg Memorial Health Center Rock Valley | Rock Valley | $10,176 | Not Rated | C |
| 22 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $10,230 | Not Rated | B |
| 23 | Henry County Health Center Mount Pleasant | Mount Pleasant | $10,353 | Not Rated | C |
| 24 | Buchanan County Health Center Independence | Independence | $10,354 | Not Rated | B |
| 25 | Pocahontas Community Hospital Pocahontas | Pocahontas | $10,371 | Not Rated | C |
| 26 | Mary Greeley Medical Center Ames | Ames | $10,682 | ★★★★☆ | B |
| 27 | Clive Behavioral Health Clive | Clive | $10,818 | Not Rated | C |
| 28 | Virginia Gay Hospital Vinton | Vinton | $10,877 | Not Rated | B |
| 29 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $11,030 | ★★★☆☆ | C |
| 30 | Cherokee Regional Medical Center Cherokee | Cherokee | $11,072 | Not Rated | C |
| 31 | Sioux Center Health Sioux Center | Sioux Center | $11,078 | Not Rated | C |
| 32 | Mercyone Oelwein Medical Center Oelwein | Oelwein | $11,106 | Not Rated | C |
| 33 | Mercy Medical Center-New Hampton New Hampton | New Hampton | $11,149 | Not Rated | C |
| 34 | St Lukes Regional Medical Center Sioux City | Sioux City | $11,343 | ★☆☆☆☆ | D |
| 35 | Lakes Regional Healthcare Spirit Lake | Spirit Lake | $11,528 | ★★☆☆☆ | C |
| 36 | Jefferson County Health Center Fairfield | Fairfield | $11,544 | Not Rated | C |
| 37 | Mercyone North Iowa Medical Center Mason City | Mason City | $11,561 | ★★★☆☆ | B |
| 38 | Unitypoint Health - Marshalltown Marshalltown | Marshalltown | $11,570 | Not Rated | C |
| 39 | Keokuk County Health Center Sigourney | Sigourney | $11,674 | Not Rated | B |
| 40 | Floyd County Medical Center Charles City | Charles City | $11,806 | ★★★☆☆ | B |
| 41 | Mercyone Dubuque Medical Center Dubuque | Dubuque | $11,952 | ★★★★★ | A |
| 42 | George C Grape Community Hospital Hamburg | Hamburg | $11,958 | Not Rated | C |
| 43 | Hawarden Regional Healthcare Hawarden | Hawarden | $12,329 | Not Rated | C |
| 44 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $12,483 | Not Rated | C |
| 45 | Mercyone Elkader Medical Center Elkader | Elkader | $12,506 | Not Rated | C |
| 46 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $12,597 | Not Rated | C |
| 47 | University Of Iowa Health Care Medical Center Down Iowa City | Iowa City | $12,611 | ★★★☆☆ | B |
| 48 | Greene County Medical Center Jefferson | Jefferson | $12,659 | Not Rated | C |
| 49 | Chi Health Mercy Council Bluffs Council Bluffs | Council Bluffs | $13,170 | ★★★☆☆ | B |
| 50 | Boone County Hospital Boone | Boone | $13,438 | Not Rated | B |
| 51 | Mercyone Dyersville Medical Center Dyersville | Dyersville | $14,181 | Not Rated | C |
| 52 | Community Memorial Hospital Medical Center Sumner | Sumner | $14,213 | Not Rated | C |
| 53 | Manning Regional Healthcare Center Manning | Manning | $14,327 | Not Rated | C |
| 54 | Sanford Sheldon Medical Center Sheldon | Sheldon | $14,845 | Not Rated | B |
| 55 | Knoxville Hospital & Clinics Knoxville | Knoxville | $15,281 | Not Rated | C |
| 56 | Avera Holy Family Hospital Estherville | Estherville | $15,347 | Not Rated | C |
| 57 | Mercyone Centerville Medical Center Centerville | Centerville | $16,245 | Not Rated | C |