| 1 | Winnmed Decorah | Decorah | $3,867 | ★★☆☆☆ | C |
| 2 | Horn Memorial Hospital Ida Grove | Ida Grove | $4,317 | Not Rated | C |
| 3 | Floyd Valley Healthcare Le Mars | Le Mars | $4,383 | Not Rated | B |
| 4 | Franklin General Hospital Hampton | Hampton | $4,512 | Not Rated | B |
| 5 | Jefferson County Health Center Fairfield | Fairfield | $4,568 | Not Rated | C |
| 6 | Audubon County Memorial Hospital Audubon | Audubon | $4,707 | Not Rated | C |
| 7 | Adair County Memorial Hospital Greenfield | Greenfield | $4,915 | Not Rated | C |
| 8 | Mitchell County Regional Health Osage | Osage | $4,928 | Not Rated | C |
| 9 | Keokuk County Health Center Sigourney | Sigourney | $5,151 | Not Rated | B |
| 10 | Lakes Regional Healthcare Spirit Lake | Spirit Lake | $5,204 | ★★☆☆☆ | C |
| 11 | Regional Health Services Of Howard County Cresco | Cresco | $5,253 | Not Rated | C |
| 12 | Mercyone Siouxland Medical Center Sioux City | Sioux City | $5,316 | ★☆☆☆☆ | D |
| 13 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $5,336 | ★★★☆☆ | C |
| 14 | Broadlawns Medical Center Des Moines | Des Moines | $5,372 | ★★☆☆☆ | C |
| 15 | Hansen Family Hospital Iowa Falls | Iowa Falls | $5,493 | Not Rated | C |
| 16 | Ringgold County Hospital Mount Ayr | Mount Ayr | $5,543 | Not Rated | B |
| 17 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $5,633 | Not Rated | C |
| 18 | Mercyone Elkader Medical Center Elkader | Elkader | $5,653 | Not Rated | C |
| 19 | Iowa City Va Medical Center Iowa City | Iowa City | $5,731 | ★★★★★ | A |
| 20 | Trinity - Bettendorf Bettendorf | Bettendorf | $5,754 | ★★★☆☆ | C |
| 21 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $5,837 | Not Rated | C |
| 22 | Monroe County Hospital Albia | Albia | $5,889 | Not Rated | B |
| 23 | Sioux Center Health Sioux Center | Sioux Center | $5,900 | Not Rated | C |
| 24 | Dallas County Hospital Perry | Perry | $5,923 | Not Rated | C |
| 25 | Genesis Medical Center-Dewitt Dewitt | Dewitt | $5,944 | Not Rated | B |
| 26 | Community Memorial Hospital Medical Center Sumner | Sumner | $5,951 | Not Rated | C |
| 27 | Jackson County Regional Health Center Maquoketa | Maquoketa | $6,005 | Not Rated | B |
| 28 | Mercyone North Iowa Medical Center Mason City | Mason City | $6,056 | ★★★☆☆ | B |
| 29 | Grinnell Regional Medical Center Grinnell | Grinnell | $6,113 | ★★★★☆ | B |
| 30 | Unitypoint Health - Marshalltown Marshalltown | Marshalltown | $6,154 | Not Rated | C |
| 31 | Floyd County Medical Center Charles City | Charles City | $6,165 | ★★★☆☆ | B |
| 32 | Washington County Hospital And Clinics Washington | Washington | $6,205 | Not Rated | B |
| 33 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $6,244 | Not Rated | B |
| 34 | Spencer Municipal Hospital Spencer | Spencer | $6,275 | ★★★★☆ | B |
| 35 | Regional Medical Center Manchester | Manchester | $6,298 | Not Rated | C |
| 36 | Mercyone Des Moines Medical Center Des Moines | Des Moines | $6,304 | ★★☆☆☆ | C |
| 37 | Boone County Hospital Boone | Boone | $6,321 | Not Rated | B |
| 38 | Allen Hospital Waterloo | Waterloo | $6,521 | ★★★☆☆ | B |
| 39 | Clive Behavioral Health Clive | Clive | $6,560 | Not Rated | C |
| 40 | Kossuth Regional Health Center Algona | Algona | $6,570 | ★★☆☆☆ | C |
| 41 | Crawford County Memorial Hospital Denison | Denison | $6,637 | ★★☆☆☆ | C |
| 42 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $6,671 | Not Rated | C |
| 43 | Pella Regional Health Center Pella | Pella | $6,678 | ★★★★☆ | B |
| 44 | Story County Hospital Nevada | Nevada | $6,773 | Not Rated | B |
| 45 | Mercyone Oelwein Medical Center Oelwein | Oelwein | $6,799 | Not Rated | C |
| 46 | Veterans Memorial Hospital Waukon | Waukon | $6,867 | Not Rated | C |
| 47 | Orange City Area Health System Orange City | Orange City | $6,911 | Not Rated | B |
| 48 | Mercyone Dyersville Medical Center Dyersville | Dyersville | $6,964 | Not Rated | C |
| 49 | Stewart Memorial Community Hospital Lake City | Lake City | $6,984 | Not Rated | C |
| 50 | Sanford Sheldon Medical Center Sheldon | Sheldon | $7,026 | Not Rated | B |
| 51 | Van Diest Medical Center Webster City | Webster City | $7,094 | Not Rated | C |
| 52 | Mental Health Institute Independence | Independence | $7,145 | Not Rated | C |
| 53 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $7,160 | Not Rated | C |
| 54 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $7,210 | ★★☆☆☆ | C |
| 55 | Clarke County Hospital Osceola | Osceola | $7,226 | Not Rated | C |
| 56 | Avera Merrill Pioneer Hospital Rock Rapids | Rock Rapids | $7,271 | Not Rated | C |
| 57 | Guttenberg Municipal Hospital Guttenberg | Guttenberg | $7,377 | Not Rated | C |
| 58 | Osceola Community Hospital Sibley | Sibley | $7,409 | Not Rated | B |
| 59 | Virginia Gay Hospital Vinton | Vinton | $7,411 | Not Rated | B |
| 60 | Chi Health Mercy Council Bluffs Council Bluffs | Council Bluffs | $7,499 | ★★★☆☆ | B |
| 61 | Myrtue Medical Center Harlan | Harlan | $7,622 | ★★★★☆ | B |
| 62 | Burgess Health Center Onawa | Onawa | $7,644 | Not Rated | C |
| 63 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $7,690 | Not Rated | C |
| 64 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $7,692 | ★☆☆☆☆ | D |
| 65 | Lucas County Health Center Chariton | Chariton | $8,212 | Not Rated | C |
| 66 | Hegg Memorial Health Center Rock Valley | Rock Valley | $8,425 | Not Rated | C |
| 67 | Shenandoah Medical Center Shenandoah | Shenandoah | $9,333 | Not Rated | B |