| 1 | Uva Health Haymarket Medical Center Haymarket | Haymarket | $7,128 | ★★★★☆ | C |
| 2 | Twin County Regional Hospital Galax | Galax | $7,801 | ★★☆☆☆ | D |
| 3 | Bon Secours Maryview Medical Center Portsmouth | Portsmouth | $8,007 | ★★★☆☆ | C |
| 4 | Hiram W Davis Medical Center Petersburg | Petersburg | $8,382 | Not Rated | C |
| 5 | Carilion Tazewell Community Hospital Tazewell | Tazewell | $8,575 | Not Rated | C |
| 6 | Bon Secours Richmond Community Hospital Richmond | Richmond | $9,308 | Not Rated | C |
| 7 | Chesapeake General Hospital Chesapeake | Chesapeake | $9,549 | ★★★☆☆ | B |
| 8 | Sentara Halifax Regional Hospital South Boston | South Boston | $9,595 | ★★★☆☆ | C |
| 9 | Vcu Health Tappahannock Hospital Tappahannock | Tappahannock | $9,712 | ★★★★☆ | B |
| 10 | Inova Fair Oaks Hospital Fairfax | Fairfax | $10,276 | ★★★★★ | B |
| 11 | Sentara Obici Hospital Suffolk | Suffolk | $10,542 | ★★★★☆ | B |
| 12 | Lewisgale Hospital Alleghany Low Moor | Low Moor | $11,051 | ★★★☆☆ | C |
| 13 | Catawba Hospital Catawba | Catawba | $11,638 | Not Rated | C |
| 14 | Sentara Virginia Beach General Hospital Virginia Beach | Virginia Beach | $11,687 | ★★★★☆ | B |
| 15 | Inova Mount Vernon Hospital Alexandria | Alexandria | $11,743 | ★★★☆☆ | C |
| 16 | Sentara Careplex Hospital Hampton | Hampton | $11,771 | ★★★★☆ | B |
| 17 | Bath Community Hospital Hot Springs | Hot Springs | $11,797 | Not Rated | C |
| 18 | Southside Community Hospital, Inc Farmville | Farmville | $11,837 | ★★★★☆ | B |
| 19 | Bon Secours St Francis Medical Center Midlothian | Midlothian | $12,012 | ★★★☆☆ | C |
| 20 | Childrens Hospital Of The Kings Daughters Inc Norfolk | Norfolk | $12,281 | Not Rated | D |
| 21 | Salem Va Medical Center Salem | Salem | $12,325 | ★★★★★ | B |
| 22 | Fort Belvoir Community Hospital Fort Belvoir | Fort Belvoir | $12,335 | Not Rated | C |
| 23 | Inova Alexandria Hospital Alexandria | Alexandria | $12,362 | ★★★★☆ | B |
| 24 | Western State Hospital Staunton | Staunton | $12,365 | Not Rated | C |
| 25 | Cjw Medical Center Richmond | Richmond | $12,394 | ★★★★☆ | C |
| 26 | Virginia Hospital Center Arlington | Arlington | $12,466 | ★★★★★ | A |
| 27 | Cumberland Hospital Llc New Kent | New Kent | $12,720 | Not Rated | D |
| 28 | Richmond Va Medical Center Richmond | Richmond | $13,190 | ★★★★★ | B |
| 29 | Lewisgale Medical Center Salem | Salem | $13,209 | ★★☆☆☆ | C |
| 30 | Lonesome Pine Hospital Big Stone Gap | Big Stone Gap | $13,583 | ★★☆☆☆ | C |
| 31 | Winchester Medical Center Winchester | Winchester | $13,690 | ★★★★☆ | B |
| 32 | Mary Immaculate Hospital Newport News | Newport News | $13,754 | ★★★☆☆ | C |
| 33 | Carilion Medical Center Roanoke | Roanoke | $13,859 | ★★★★☆ | B |
| 34 | Riverside Walter Reed Hospital Gloucester | Gloucester | $14,128 | ★★★★☆ | B |
| 35 | Johnston Memorial Hospital Abingdon | Abingdon | $14,309 | ★★★☆☆ | C |
| 36 | Clinch Valley Medical Center Richlands | Richlands | $14,527 | ★★★☆☆ | C |
| 37 | Stonesprings Hospital Center Dulles | Dulles | $14,627 | ★★★☆☆ | C |
| 38 | Fauquier Hospital Warrenton | Warrenton | $14,729 | ★★★☆☆ | C |
| 39 | Bon Secours St Marys Hospital Richmond | Richmond | $14,974 | ★★★☆☆ | B |
| 40 | Lewisgale Hospital Pulaski Pulaski | Pulaski | $15,311 | ★★★☆☆ | C |
| 41 | Dominion Hospital Falls Church | Falls Church | $16,008 | Not Rated | C |