| 1 | Keokuk County Health Center Sigourney | Sigourney | $4,583 | Not Rated | B |
| 2 | George C Grape Community Hospital Hamburg | Hamburg | $7,488 | Not Rated | C |
| 3 | Kossuth Regional Health Center Algona | Algona | $8,040 | ★★☆☆☆ | C |
| 4 | Winnmed Decorah | Decorah | $8,922 | ★★☆☆☆ | C |
| 5 | Mercyone Dyersville Medical Center Dyersville | Dyersville | $9,059 | Not Rated | C |
| 6 | Veterans Memorial Hospital Waukon | Waukon | $9,108 | Not Rated | C |
| 7 | Davis County Hospital Bloomfield | Bloomfield | $9,119 | Not Rated | C |
| 8 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $9,131 | Not Rated | C |
| 9 | Mercyone North Iowa Medical Center Mason City | Mason City | $9,177 | ★★★☆☆ | B |
| 10 | Monroe County Hospital Albia | Albia | $9,490 | Not Rated | B |
| 11 | Regional Medical Center Manchester | Manchester | $9,539 | Not Rated | C |
| 12 | Audubon County Memorial Hospital Audubon | Audubon | $9,713 | Not Rated | C |
| 13 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $10,108 | ★☆☆☆☆ | D |
| 14 | Compass Memorial Healthcare Marengo | Marengo | $10,191 | Not Rated | C |
| 15 | Pocahontas Community Hospital Pocahontas | Pocahontas | $10,319 | Not Rated | C |
| 16 | Chi Health - Mercy Corning Corning | Corning | $10,538 | Not Rated | B |
| 17 | Cherokee Regional Medical Center Cherokee | Cherokee | $10,572 | Not Rated | C |
| 18 | Henry County Health Center Mount Pleasant | Mount Pleasant | $10,626 | Not Rated | C |
| 19 | Grinnell Regional Medical Center Grinnell | Grinnell | $10,938 | ★★★★☆ | B |
| 20 | Van Diest Medical Center Webster City | Webster City | $10,975 | Not Rated | C |
| 21 | Montgomery County Memorial Hospital Red Oak | Red Oak | $11,054 | ★★★☆☆ | B |
| 22 | Trinity Muscatine Muscatine | Muscatine | $11,238 | ★★★☆☆ | C |
| 23 | Hansen Family Hospital Iowa Falls | Iowa Falls | $11,280 | Not Rated | C |
| 24 | Stewart Memorial Community Hospital Lake City | Lake City | $11,305 | Not Rated | C |
| 25 | Burgess Health Center Onawa | Onawa | $11,482 | Not Rated | C |
| 26 | Lakes Regional Healthcare Spirit Lake | Spirit Lake | $11,590 | ★★☆☆☆ | C |
| 27 | University Of Iowa Hospital & Clinics Iowa City | Iowa City | $11,602 | ★★★☆☆ | B |
| 28 | Guthrie County Hospital Guthrie Center | Guthrie Center | $11,605 | Not Rated | C |
| 29 | Buena Vista Regional Medical Center Storm Lake | Storm Lake | $11,694 | ★★★☆☆ | B |
| 30 | Jefferson County Health Center Fairfield | Fairfield | $11,696 | Not Rated | C |
| 31 | Regional Health Services Of Howard County Cresco | Cresco | $11,758 | Not Rated | C |
| 32 | Waverly Health Center Waverly | Waverly | $11,856 | Not Rated | C |
| 33 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $12,066 | ★★★☆☆ | B |
| 34 | Mercy Medical Center-New Hampton New Hampton | New Hampton | $12,068 | Not Rated | C |
| 35 | Floyd Valley Healthcare Le Mars | Le Mars | $12,079 | Not Rated | B |
| 36 | Ringgold County Hospital Mount Ayr | Mount Ayr | $12,101 | Not Rated | B |
| 37 | Madison County Health Care System Winterset | Winterset | $12,173 | Not Rated | C |
| 38 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $12,234 | Not Rated | C |
| 39 | Mercyone Centerville Medical Center Centerville | Centerville | $12,301 | Not Rated | C |
| 40 | Mercyone Dubuque Medical Center Dubuque | Dubuque | $12,371 | ★★★★★ | A |
| 41 | Sanford Sheldon Medical Center Sheldon | Sheldon | $12,547 | Not Rated | B |
| 42 | Mental Health Institute Independence | Independence | $12,569 | Not Rated | C |
| 43 | Story County Hospital Nevada | Nevada | $12,628 | Not Rated | B |
| 44 | Mercyone Elkader Medical Center Elkader | Elkader | $12,760 | Not Rated | C |
| 45 | Osceola Community Hospital Sibley | Sibley | $12,760 | Not Rated | B |
| 46 | Dallas County Hospital Perry | Perry | $12,893 | Not Rated | C |
| 47 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $12,927 | Not Rated | B |
| 48 | Avera Merrill Pioneer Hospital Rock Rapids | Rock Rapids | $12,936 | Not Rated | C |
| 49 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $13,099 | ★★☆☆☆ | C |
| 50 | Mercyone Newton Medical Center Newton | Newton | $13,584 | Not Rated | C |
| 51 | Mercyone Des Moines Medical Center Des Moines | Des Moines | $14,432 | ★★☆☆☆ | C |
| 52 | Adair County Memorial Hospital Greenfield | Greenfield | $14,819 | Not Rated | C |
| 53 | Orange City Area Health System Orange City | Orange City | $15,337 | Not Rated | B |
| 54 | Clive Behavioral Health Clive | Clive | $16,881 | Not Rated | C |