| 1 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $7,283 | Not Rated | C |
| 2 | Floyd County Medical Center Charles City | Charles City | $7,357 | ★★★☆☆ | B |
| 3 | Sanford Sheldon Medical Center Sheldon | Sheldon | $7,366 | Not Rated | B |
| 4 | Winnmed Decorah | Decorah | $7,673 | ★★☆☆☆ | C |
| 5 | Broadlawns Medical Center Des Moines | Des Moines | $8,254 | ★★☆☆☆ | C |
| 6 | Crawford County Memorial Hospital Denison | Denison | $8,721 | ★★☆☆☆ | C |
| 7 | Mercyone North Iowa Medical Center Mason City | Mason City | $9,075 | ★★★☆☆ | B |
| 8 | Monroe County Hospital Albia | Albia | $9,123 | Not Rated | B |
| 9 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $9,134 | Not Rated | B |
| 10 | Buena Vista Regional Medical Center Storm Lake | Storm Lake | $9,135 | ★★★☆☆ | B |
| 11 | Trinity Muscatine Muscatine | Muscatine | $9,231 | ★★★☆☆ | C |
| 12 | St Lukes Hospital Cedar Rapids | Cedar Rapids | $9,240 | ★★★★☆ | A |
| 13 | Mercyone Newton Medical Center Newton | Newton | $9,293 | Not Rated | C |
| 14 | Mercyone Dyersville Medical Center Dyersville | Dyersville | $9,718 | Not Rated | C |
| 15 | Waverly Health Center Waverly | Waverly | $9,858 | Not Rated | C |
| 16 | Greene County Medical Center Jefferson | Jefferson | $10,006 | Not Rated | C |
| 17 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $10,125 | Not Rated | C |
| 18 | Avera Merrill Pioneer Hospital Rock Rapids | Rock Rapids | $10,167 | Not Rated | C |
| 19 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $10,210 | Not Rated | C |
| 20 | Regional Medical Center Manchester | Manchester | $10,274 | Not Rated | C |
| 21 | Knoxville Hospital & Clinics Knoxville | Knoxville | $10,346 | Not Rated | C |
| 22 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $10,368 | ★★★☆☆ | C |
| 23 | Lucas County Health Center Chariton | Chariton | $10,384 | Not Rated | C |
| 24 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $10,432 | ★☆☆☆☆ | D |
| 25 | Jackson County Regional Health Center Maquoketa | Maquoketa | $10,467 | Not Rated | B |
| 26 | Spencer Municipal Hospital Spencer | Spencer | $10,606 | ★★★★☆ | B |
| 27 | Decatur County Hospital Leon | Leon | $10,618 | Not Rated | C |
| 28 | Pella Regional Health Center Pella | Pella | $10,736 | ★★★★☆ | B |
| 29 | Story County Hospital Nevada | Nevada | $10,958 | Not Rated | B |
| 30 | Allen Hospital Waterloo | Waterloo | $10,996 | ★★★☆☆ | B |
| 31 | Southeast Iowa Regional Medical Center West Burlington | West Burlington | $11,119 | ★★☆☆☆ | C |
| 32 | Cass County Memorial Hospital Atlantic | Atlantic | $11,373 | ★★★★☆ | B |
| 33 | Methodist Jennie Edmundson Council Bluffs | Council Bluffs | $11,406 | ★★★★☆ | B |
| 34 | Manning Regional Healthcare Center Manning | Manning | $11,410 | Not Rated | C |
| 35 | Guthrie County Hospital Guthrie Center | Guthrie Center | $11,462 | Not Rated | C |
| 36 | Loring Hospital Sac City | Sac City | $11,502 | Not Rated | C |
| 37 | University Of Iowa Hospital & Clinics Iowa City | Iowa City | $11,679 | ★★★☆☆ | B |
| 38 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $11,748 | ★★☆☆☆ | C |
| 39 | Burgess Health Center Onawa | Onawa | $11,781 | Not Rated | C |
| 40 | Mitchell County Regional Health Osage | Osage | $12,252 | Not Rated | C |
| 41 | Ringgold County Hospital Mount Ayr | Mount Ayr | $12,299 | Not Rated | B |
| 42 | Compass Memorial Healthcare Marengo | Marengo | $12,320 | Not Rated | C |
| 43 | Grinnell Regional Medical Center Grinnell | Grinnell | $12,419 | ★★★★☆ | B |
| 44 | Davis County Hospital Bloomfield | Bloomfield | $12,422 | Not Rated | C |
| 45 | St Anthony Regional Hospital & Nursing Home Carroll | Carroll | $12,470 | Not Rated | C |
| 46 | Pocahontas Community Hospital Pocahontas | Pocahontas | $12,512 | Not Rated | C |
| 47 | Montgomery County Memorial Hospital Red Oak | Red Oak | $12,515 | ★★★☆☆ | B |
| 48 | Trinity - Bettendorf Bettendorf | Bettendorf | $12,594 | ★★★☆☆ | C |
| 49 | University Of Iowa Health Care Medical Center Down Iowa City | Iowa City | $12,594 | ★★★☆☆ | B |
| 50 | Orange City Area Health System Orange City | Orange City | $12,609 | Not Rated | B |
| 51 | St Lukes Regional Medical Center Sioux City | Sioux City | $12,639 | ★☆☆☆☆ | D |
| 52 | Guttenberg Municipal Hospital Guttenberg | Guttenberg | $12,651 | Not Rated | C |
| 53 | Stewart Memorial Community Hospital Lake City | Lake City | $12,802 | Not Rated | C |
| 54 | Shenandoah Medical Center Shenandoah | Shenandoah | $12,890 | Not Rated | B |
| 55 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $13,162 | Not Rated | C |
| 56 | Jefferson County Health Center Fairfield | Fairfield | $13,163 | Not Rated | C |
| 57 | Keokuk County Health Center Sigourney | Sigourney | $13,373 | Not Rated | B |
| 58 | Veterans Memorial Hospital Waukon | Waukon | $13,619 | Not Rated | C |
| 59 | George C Grape Community Hospital Hamburg | Hamburg | $14,083 | Not Rated | C |
| 60 | Mental Health Institute Independence | Independence | $14,174 | Not Rated | C |
| 61 | Hawarden Regional Healthcare Hawarden | Hawarden | $14,216 | Not Rated | C |
| 62 | Va Central Iowa Healthcare System Des Moines | Des Moines | $14,558 | ★★★★☆ | B |
| 63 | Finley Hospital Dubuque | Dubuque | $14,639 | ★★★★☆ | B |
| 64 | Unitypoint Health - Marshalltown Marshalltown | Marshalltown | $14,780 | Not Rated | C |
| 65 | Mercyone Clinton Medical Center Clinton | Clinton | $14,857 | ★★★★☆ | B |
| 66 | Van Buren County Hospital Keosauqua | Keosauqua | $14,903 | Not Rated | B |
| 67 | Hegg Memorial Health Center Rock Valley | Rock Valley | $14,980 | Not Rated | C |
| 68 | Chi Health Mercy Council Bluffs Council Bluffs | Council Bluffs | $15,225 | ★★★☆☆ | B |
| 69 | Mercyone Centerville Medical Center Centerville | Centerville | $15,262 | Not Rated | C |
| 70 | Community Memorial Hospital Medical Center Sumner | Sumner | $15,941 | Not Rated | C |
| 71 | Sioux Center Health Sioux Center | Sioux Center | $16,769 | Not Rated | C |