| 1 | Augusta Health Fishersville | Fishersville | $25,876 | ★★★★☆ | C |
| 2 | Inova Alexandria Hospital Alexandria | Alexandria | $29,775 | ★★★★☆ | B |
| 3 | Buchanan General Hospital Grundy | Grundy | $34,230 | ★★☆☆☆ | C |
| 4 | Stonesprings Hospital Center Dulles | Dulles | $41,691 | ★★★☆☆ | C |
| 5 | Community Memorial Hospital South Hill | South Hill | $44,626 | ★★★☆☆ | C |
| 6 | Novant Prince William Medical Center Manassas | Manassas | $47,341 | ★★★★☆ | C |
| 7 | Uva Health Culpeper Medical Center Culpeper | Culpeper | $49,278 | ★★★☆☆ | C |
| 8 | Dickenson Community Hospital Clintwood | Clintwood | $49,552 | Not Rated | C |
| 9 | Spotsylvania Regional Medical Center Fredericksburg | Fredericksburg | $52,991 | ★★★☆☆ | D |
| 10 | Virginia Beach Psychiatric Center Virginia Beach | Virginia Beach | $53,348 | Not Rated | D |
| 11 | Childrens Hospital Of The Kings Daughters Inc Norfolk | Norfolk | $53,365 | Not Rated | D |
| 12 | Lewisgale Hospital Montgomery Blacksburg | Blacksburg | $54,492 | ★★★☆☆ | C |
| 13 | Carilion Tazewell Community Hospital Tazewell | Tazewell | $55,293 | Not Rated | C |
| 14 | Bath Community Hospital Hot Springs | Hot Springs | $55,425 | Not Rated | C |
| 15 | Inova Fairfax Hospital Falls Church | Falls Church | $55,642 | ★★★★★ | A |
| 16 | Virginia Hospital Center Arlington | Arlington | $55,920 | ★★★★★ | A |
| 17 | Mary Washington Hospital Fredericksburg | Fredericksburg | $56,081 | ★★☆☆☆ | D |
| 18 | Sentara Obici Hospital Suffolk | Suffolk | $56,101 | ★★★★☆ | B |
| 19 | Nmc Portsmouth Portsmouth | Portsmouth | $58,538 | Not Rated | C |
| 20 | Sentara Northern Virginia Medical Center Woodbridge | Woodbridge | $59,008 | ★★★☆☆ | C |
| 21 | Inova Fair Oaks Hospital Fairfax | Fairfax | $59,105 | ★★★★★ | B |
| 22 | Riverside Doctors' Hospital Of Williamsburg Williamsburg | Williamsburg | $59,366 | ★★★★☆ | B |
| 23 | Inova Loudoun Hospital Leesburg | Leesburg | $59,700 | ★★★★★ | B |
| 24 | Centra Health - Lynchburg Gen Hospital Lynchburg | Lynchburg | $59,814 | ★★★☆☆ | C |
| 25 | Carilion Franklin Memorial Hospital Rocky Mount | Rocky Mount | $60,341 | ★★★★☆ | C |
| 26 | Stafford Hospital, Llc Stafford | Stafford | $60,544 | ★★★☆☆ | C |
| 27 | Sentara Virginia Beach General Hospital Virginia Beach | Virginia Beach | $61,129 | ★★★★☆ | B |
| 28 | Cjw Medical Center Richmond | Richmond | $61,400 | ★★★★☆ | C |
| 29 | Shenandoah Memorial Hospital Woodstock | Woodstock | $61,651 | ★★★☆☆ | C |
| 30 | Richmond Va Medical Center Richmond | Richmond | $62,109 | ★★★★★ | B |
| 31 | Inova Mount Vernon Hospital Alexandria | Alexandria | $62,304 | ★★★☆☆ | C |
| 32 | Hiram W Davis Medical Center Petersburg | Petersburg | $62,353 | Not Rated | C |
| 33 | Henrico Doctors' Hospital Richmond | Richmond | $62,792 | ★★★☆☆ | C |
| 34 | Uva Health Haymarket Medical Center Haymarket | Haymarket | $63,602 | ★★★★☆ | C |
| 35 | Western State Hospital Staunton | Staunton | $66,753 | Not Rated | C |
| 36 | Bon Secours Richmond Community Hospital Richmond | Richmond | $67,109 | Not Rated | C |
| 37 | Reston Hospital Center Reston | Reston | $67,925 | ★★★☆☆ | C |
| 38 | Sentara Halifax Regional Hospital South Boston | South Boston | $68,452 | ★★★☆☆ | C |
| 39 | Southside Community Hospital, Inc Farmville | Farmville | $68,901 | ★★★★☆ | B |
| 40 | Clinch Valley Medical Center Richlands | Richlands | $69,315 | ★★★☆☆ | C |
| 41 | Fort Belvoir Community Hospital Fort Belvoir | Fort Belvoir | $71,854 | Not Rated | C |
| 42 | Warren Memorial Hospital Front Royal | Front Royal | $75,002 | ★★★☆☆ | C |
| 43 | Sentara Leigh Hospital Norfolk | Norfolk | $75,164 | ★★★★☆ | C |
| 44 | Bon Secours Maryview Medical Center Portsmouth | Portsmouth | $78,582 | ★★★☆☆ | C |
| 45 | Bon Secours Southampton Memorial Hospital Franklin | Franklin | $87,159 | ★★★☆☆ | C |