| 1 | Hegg Memorial Health Center Rock Valley | Rock Valley | $3,439 | Not Rated | C |
| 2 | Hansen Family Hospital Iowa Falls | Iowa Falls | $3,730 | Not Rated | C |
| 3 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $3,821 | ★★★☆☆ | B |
| 4 | Myrtue Medical Center Harlan | Harlan | $3,860 | ★★★★☆ | B |
| 5 | Winnmed Decorah | Decorah | $4,051 | ★★☆☆☆ | C |
| 6 | Osceola Community Hospital Sibley | Sibley | $4,090 | Not Rated | B |
| 7 | St Lukes Regional Medical Center Sioux City | Sioux City | $4,206 | ★☆☆☆☆ | D |
| 8 | Cass County Memorial Hospital Atlantic | Atlantic | $4,282 | ★★★★☆ | B |
| 9 | Va Central Iowa Healthcare System Des Moines | Des Moines | $4,356 | ★★★★☆ | B |
| 10 | Story County Hospital Nevada | Nevada | $4,481 | Not Rated | B |
| 11 | Mercyone North Iowa Medical Center Mason City | Mason City | $4,620 | ★★★☆☆ | B |
| 12 | Compass Memorial Healthcare Marengo | Marengo | $4,679 | Not Rated | C |
| 13 | Franklin General Hospital Hampton | Hampton | $4,699 | Not Rated | B |
| 14 | Dallas County Hospital Perry | Perry | $4,763 | Not Rated | C |
| 15 | Pocahontas Community Hospital Pocahontas | Pocahontas | $4,769 | Not Rated | C |
| 16 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $4,813 | Not Rated | C |
| 17 | Mitchell County Regional Health Osage | Osage | $4,836 | Not Rated | C |
| 18 | Genesis Medical Center-Dewitt Dewitt | Dewitt | $4,861 | Not Rated | B |
| 19 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $4,867 | Not Rated | C |
| 20 | Greater Regional Medical Center Creston | Creston | $4,868 | ★★★★☆ | B |
| 21 | Methodist Jennie Edmundson Council Bluffs | Council Bluffs | $5,063 | ★★★★☆ | B |
| 22 | Genesis Medical Center-Davenport Davenport | Davenport | $5,125 | ★☆☆☆☆ | D |
| 23 | Shenandoah Medical Center Shenandoah | Shenandoah | $5,132 | Not Rated | B |
| 24 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $5,135 | Not Rated | C |
| 25 | University Of Iowa Health Care Medical Center Down Iowa City | Iowa City | $5,288 | ★★★☆☆ | B |
| 26 | Mental Health Institute Cherokee | Cherokee | $5,311 | Not Rated | B |
| 27 | Mercyone Clinton Medical Center Clinton | Clinton | $5,312 | ★★★★☆ | B |
| 28 | Waverly Health Center Waverly | Waverly | $5,410 | Not Rated | C |
| 29 | Mercyone Elkader Medical Center Elkader | Elkader | $5,450 | Not Rated | C |
| 30 | Allen Hospital Waterloo | Waterloo | $5,516 | ★★★☆☆ | B |
| 31 | Hawarden Regional Healthcare Hawarden | Hawarden | $5,560 | Not Rated | C |
| 32 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $5,614 | Not Rated | B |
| 33 | Orange City Area Health System Orange City | Orange City | $5,852 | Not Rated | B |
| 34 | Lucas County Health Center Chariton | Chariton | $5,899 | Not Rated | C |
| 35 | Henry County Health Center Mount Pleasant | Mount Pleasant | $5,945 | Not Rated | C |
| 36 | Finley Hospital Dubuque | Dubuque | $6,047 | ★★★★☆ | B |
| 37 | Buchanan County Health Center Independence | Independence | $6,064 | Not Rated | B |
| 38 | Mercyone Centerville Medical Center Centerville | Centerville | $6,079 | Not Rated | C |
| 39 | Van Buren County Hospital Keosauqua | Keosauqua | $6,120 | Not Rated | B |
| 40 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $6,348 | Not Rated | C |
| 41 | Monroe County Hospital Albia | Albia | $6,467 | Not Rated | B |
| 42 | Cherokee Regional Medical Center Cherokee | Cherokee | $6,537 | Not Rated | C |
| 43 | Lakes Regional Healthcare Spirit Lake | Spirit Lake | $6,599 | ★★☆☆☆ | C |
| 44 | Southeast Iowa Regional Medical Center West Burlington | West Burlington | $6,781 | ★★☆☆☆ | C |
| 45 | Greene County Medical Center Jefferson | Jefferson | $6,863 | Not Rated | C |
| 46 | St Lukes Hospital Cedar Rapids | Cedar Rapids | $7,380 | ★★★★☆ | A |
| 47 | Mercyone Des Moines Medical Center Des Moines | Des Moines | $7,537 | ★★☆☆☆ | C |
| 48 | Knoxville Hospital & Clinics Knoxville | Knoxville | $7,626 | Not Rated | C |