| 1 | Uva Health Culpeper Medical Center Culpeper | Culpeper | $26,948 | ★★★☆☆ | C |
| 2 | Vcu Health Tappahannock Hospital Tappahannock | Tappahannock | $28,443 | ★★★★☆ | B |
| 3 | Western State Hospital Staunton | Staunton | $29,008 | Not Rated | C |
| 4 | Rappahannock General Hospital Kilmarnock | Kilmarnock | $31,124 | ★★★★☆ | B |
| 5 | Sentara Halifax Regional Hospital South Boston | South Boston | $31,640 | ★★★☆☆ | C |
| 6 | Inova Alexandria Hospital Alexandria | Alexandria | $32,773 | ★★★★☆ | B |
| 7 | John Randolph Medical Center Hopewell | Hopewell | $35,507 | ★★★☆☆ | C |
| 8 | Sentara Virginia Beach General Hospital Virginia Beach | Virginia Beach | $35,573 | ★★★★☆ | B |
| 9 | Sentara Careplex Hospital Hampton | Hampton | $36,784 | ★★★★☆ | B |
| 10 | Inova Fairfax Hospital Falls Church | Falls Church | $37,199 | ★★★★★ | A |
| 11 | Johnston Memorial Hospital Abingdon | Abingdon | $38,086 | ★★★☆☆ | C |
| 12 | Catawba Hospital Catawba | Catawba | $38,785 | Not Rated | C |
| 13 | Inova Loudoun Hospital Leesburg | Leesburg | $42,515 | ★★★★★ | B |
| 14 | Bon Secours Richmond Community Hospital Richmond | Richmond | $42,837 | Not Rated | C |
| 15 | Poplar Springs Hospital Petersburg | Petersburg | $42,964 | Not Rated | C |
| 16 | Carilion New River Valley Medical Center Christiansburg | Christiansburg | $43,152 | ★★★★☆ | B |
| 17 | Inova Mount Vernon Hospital Alexandria | Alexandria | $43,158 | ★★★☆☆ | C |
| 18 | Southern Virginia Mental Health Institute Danville | Danville | $44,172 | Not Rated | C |
| 19 | Hampton Va Medical Center Hampton | Hampton | $44,561 | ★★★★☆ | C |
| 20 | Smyth County Community Hospital Marion | Marion | $44,904 | ★★★☆☆ | C |
| 21 | Southwestern Virginia Mental Health Institute Marion | Marion | $45,401 | Not Rated | C |
| 22 | Mary Immaculate Hospital Newport News | Newport News | $46,232 | ★★★☆☆ | C |
| 23 | Bon Secours Maryview Medical Center Portsmouth | Portsmouth | $46,525 | ★★★☆☆ | C |
| 24 | Nmc Portsmouth Portsmouth | Portsmouth | $46,864 | Not Rated | C |
| 25 | Stafford Hospital, Llc Stafford | Stafford | $47,175 | ★★★☆☆ | C |
| 26 | Southside Community Hospital, Inc Farmville | Farmville | $47,925 | ★★★★☆ | B |
| 27 | Bon Secours St Francis Medical Center Midlothian | Midlothian | $48,405 | ★★★☆☆ | C |
| 28 | Warren Memorial Hospital Front Royal | Front Royal | $48,553 | ★★★☆☆ | C |
| 29 | Page Memorial Hospital, Inc Luray | Luray | $48,570 | Not Rated | C |
| 30 | Clinch Valley Medical Center Richlands | Richlands | $48,768 | ★★★☆☆ | C |
| 31 | Fort Belvoir Community Hospital Fort Belvoir | Fort Belvoir | $49,194 | Not Rated | C |
| 32 | Wythe County Community Hospital Wytheville | Wytheville | $50,168 | ★★★★☆ | B |
| 33 | Inova Fair Oaks Hospital Fairfax | Fairfax | $50,730 | ★★★★★ | B |
| 34 | Winchester Medical Center Winchester | Winchester | $50,872 | ★★★★☆ | B |
| 35 | Hiram W Davis Medical Center Petersburg | Petersburg | $50,911 | Not Rated | C |
| 36 | Childrens Hospital Of The Kings Daughters Inc Norfolk | Norfolk | $51,512 | Not Rated | D |
| 37 | Reston Hospital Center Reston | Reston | $51,783 | ★★★☆☆ | C |
| 38 | Cjw Medical Center Richmond | Richmond | $51,956 | ★★★★☆ | C |
| 39 | Salem Va Medical Center Salem | Salem | $52,057 | ★★★★★ | B |
| 40 | Augusta Health Fishersville | Fishersville | $53,232 | ★★★★☆ | C |
| 41 | Sentara Northern Virginia Medical Center Woodbridge | Woodbridge | $55,082 | ★★★☆☆ | C |
| 42 | Cumberland Hospital Llc New Kent | New Kent | $56,750 | Not Rated | D |
| 43 | Lewisgale Hospital Montgomery Blacksburg | Blacksburg | $58,007 | ★★★☆☆ | C |
| 44 | Twin County Regional Hospital Galax | Galax | $60,579 | ★★☆☆☆ | D |
| 45 | Sentara Leigh Hospital Norfolk | Norfolk | $61,139 | ★★★★☆ | C |
| 46 | Uva Health Haymarket Medical Center Haymarket | Haymarket | $61,265 | ★★★★☆ | C |
| 47 | Buchanan General Hospital Grundy | Grundy | $62,866 | ★★☆☆☆ | C |
| 48 | Virginia Beach Psychiatric Center Virginia Beach | Virginia Beach | $63,771 | Not Rated | D |
| 49 | Carilion Franklin Memorial Hospital Rocky Mount | Rocky Mount | $64,309 | ★★★★☆ | C |
| 50 | Lewisgale Hospital Alleghany Low Moor | Low Moor | $69,684 | ★★★☆☆ | C |