| 1 | Bon Secours Maryview Medical Center Portsmouth | Portsmouth | $4,932 | ★★★☆☆ | C |
| 2 | Inova Loudoun Hospital Leesburg | Leesburg | $6,461 | ★★★★★ | B |
| 3 | Carilion Medical Center Roanoke | Roanoke | $6,871 | ★★★★☆ | B |
| 4 | Sentara Virginia Beach General Hospital Virginia Beach | Virginia Beach | $7,422 | ★★★★☆ | B |
| 5 | Fort Belvoir Community Hospital Fort Belvoir | Fort Belvoir | $7,504 | Not Rated | C |
| 6 | Inova Mount Vernon Hospital Alexandria | Alexandria | $7,743 | ★★★☆☆ | C |
| 7 | Virginia Hospital Center Arlington | Arlington | $8,850 | ★★★★★ | A |
| 8 | Inova Fair Oaks Hospital Fairfax | Fairfax | $8,858 | ★★★★★ | B |
| 9 | Southern Virginia Mental Health Institute Danville | Danville | $8,881 | Not Rated | C |
| 10 | Lewisgale Hospital Montgomery Blacksburg | Blacksburg | $9,053 | ★★★☆☆ | C |
| 11 | Uva Health Haymarket Medical Center Haymarket | Haymarket | $9,143 | ★★★★☆ | C |
| 12 | Sentara Leigh Hospital Norfolk | Norfolk | $9,579 | ★★★★☆ | C |
| 13 | The Pavilion At Williamsburg Place Williamsburg | Williamsburg | $9,600 | Not Rated | C |
| 14 | Riverside Regional Medical Center Newport News | Newport News | $9,772 | ★★★☆☆ | C |
| 15 | Centra Bedford Memorial Hospital Bedford | Bedford | $9,882 | ★★★★☆ | B |
| 16 | Henrico Doctors' Hospital Richmond | Richmond | $9,894 | ★★★☆☆ | C |
| 17 | Stonesprings Hospital Center Dulles | Dulles | $9,973 | ★★★☆☆ | C |
| 18 | Chesapeake General Hospital Chesapeake | Chesapeake | $10,148 | ★★★☆☆ | B |
| 19 | Sentara Halifax Regional Hospital South Boston | South Boston | $10,620 | ★★★☆☆ | C |
| 20 | Inova Fairfax Hospital Falls Church | Falls Church | $10,703 | ★★★★★ | A |
| 21 | Lewisgale Hospital Alleghany Low Moor | Low Moor | $10,726 | ★★★☆☆ | C |
| 22 | Reston Hospital Center Reston | Reston | $10,778 | ★★★☆☆ | C |
| 23 | Lee County Community Hospital Pennington Gap | Pennington Gap | $10,873 | Not Rated | C |
| 24 | Community Memorial Hospital South Hill | South Hill | $10,997 | ★★★☆☆ | C |
| 25 | John Randolph Medical Center Hopewell | Hopewell | $11,027 | ★★★☆☆ | C |
| 26 | Sovah Health Danville Danville | Danville | $11,279 | ★★☆☆☆ | C |
| 27 | Hiram W Davis Medical Center Petersburg | Petersburg | $11,425 | Not Rated | C |
| 28 | Sentara Princess Anne Hospital Virginia Beach | Virginia Beach | $11,509 | ★★★★☆ | B |
| 29 | Catawba Hospital Catawba | Catawba | $11,742 | Not Rated | C |
| 30 | Dickenson Community Hospital Clintwood | Clintwood | $11,807 | Not Rated | C |
| 31 | Dominion Hospital Falls Church | Falls Church | $11,816 | Not Rated | C |
| 32 | Bath Community Hospital Hot Springs | Hot Springs | $11,848 | Not Rated | C |
| 33 | Salem Va Medical Center Salem | Salem | $11,946 | ★★★★★ | B |
| 34 | Northern Virginia Mental Health Insti Falls Church | Falls Church | $11,984 | Not Rated | C |
| 35 | Sentara Careplex Hospital Hampton | Hampton | $12,071 | ★★★★☆ | B |
| 36 | Carilion New River Valley Medical Center Christiansburg | Christiansburg | $12,239 | ★★★★☆ | B |
| 37 | Lewisgale Hospital Pulaski Pulaski | Pulaski | $12,291 | ★★★☆☆ | C |
| 38 | Mary Immaculate Hospital Newport News | Newport News | $12,435 | ★★★☆☆ | C |
| 39 | Mary Washington Hospital Fredericksburg | Fredericksburg | $12,443 | ★★☆☆☆ | D |
| 40 | Lonesome Pine Hospital Big Stone Gap | Big Stone Gap | $12,938 | ★★☆☆☆ | C |
| 41 | Smyth County Community Hospital Marion | Marion | $12,940 | ★★★☆☆ | C |
| 42 | Winchester Medical Center Winchester | Winchester | $13,228 | ★★★★☆ | B |
| 43 | Richmond Va Medical Center Richmond | Richmond | $13,416 | ★★★★★ | B |
| 44 | Poplar Springs Hospital Petersburg | Petersburg | $13,652 | Not Rated | C |
| 45 | Sentara Rmh Medical Center Harrisonburg | Harrisonburg | $13,708 | ★★★★☆ | B |
| 46 | Bon Secours Southampton Memorial Hospital Franklin | Franklin | $13,801 | ★★★☆☆ | C |
| 47 | Nmc Portsmouth Portsmouth | Portsmouth | $13,803 | Not Rated | C |
| 48 | Virginia Beach Psychiatric Center Virginia Beach | Virginia Beach | $14,362 | Not Rated | D |
| 49 | Wythe County Community Hospital Wytheville | Wytheville | $14,758 | ★★★★☆ | B |