| 1 | Pella Regional Health Center Pella | Pella | $4,078 | ★★★★☆ | B |
| 2 | Regional Medical Center Manchester | Manchester | $4,393 | Not Rated | C |
| 3 | Van Diest Medical Center Webster City | Webster City | $4,419 | Not Rated | C |
| 4 | Greene County Medical Center Jefferson | Jefferson | $4,595 | Not Rated | C |
| 5 | Boone County Hospital Boone | Boone | $4,619 | Not Rated | B |
| 6 | Palo Alto County Hospital Emmetsburg | Emmetsburg | $4,665 | Not Rated | C |
| 7 | Hansen Family Hospital Iowa Falls | Iowa Falls | $4,757 | Not Rated | C |
| 8 | Guthrie County Hospital Guthrie Center | Guthrie Center | $4,814 | Not Rated | C |
| 9 | Buena Vista Regional Medical Center Storm Lake | Storm Lake | $4,930 | ★★★☆☆ | B |
| 10 | Henry County Health Center Mount Pleasant | Mount Pleasant | $4,939 | Not Rated | C |
| 11 | Story County Hospital Nevada | Nevada | $5,097 | Not Rated | B |
| 12 | Buchanan County Health Center Independence | Independence | $5,153 | Not Rated | B |
| 13 | Trinity Muscatine Muscatine | Muscatine | $5,155 | ★★★☆☆ | C |
| 14 | Genesis Medical Center-Dewitt Dewitt | Dewitt | $5,157 | Not Rated | B |
| 15 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $5,208 | Not Rated | B |
| 16 | Greater Regional Medical Center Creston | Creston | $5,273 | ★★★★☆ | B |
| 17 | Mary Greeley Medical Center Ames | Ames | $5,292 | ★★★★☆ | B |
| 18 | Mental Health Institute Cherokee | Cherokee | $5,293 | Not Rated | B |
| 19 | Mercyone Dubuque Medical Center Dubuque | Dubuque | $5,379 | ★★★★★ | A |
| 20 | Mercy Medical Center-New Hampton New Hampton | New Hampton | $5,464 | Not Rated | C |
| 21 | Dallas County Hospital Perry | Perry | $5,580 | Not Rated | C |
| 22 | Virginia Gay Hospital Vinton | Vinton | $5,632 | Not Rated | B |
| 23 | Montgomery County Memorial Hospital Red Oak | Red Oak | $5,680 | ★★★☆☆ | B |
| 24 | Ottumwa Regional Health Center Ottumwa | Ottumwa | $5,729 | ★★☆☆☆ | C |
| 25 | Jackson County Regional Health Center Maquoketa | Maquoketa | $5,784 | Not Rated | B |
| 26 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $5,886 | ★★★☆☆ | C |
| 27 | Cherokee Regional Medical Center Cherokee | Cherokee | $5,894 | Not Rated | C |
| 28 | Myrtue Medical Center Harlan | Harlan | $5,920 | ★★★★☆ | B |
| 29 | Guttenberg Municipal Hospital Guttenberg | Guttenberg | $5,921 | Not Rated | C |
| 30 | Spencer Municipal Hospital Spencer | Spencer | $5,928 | ★★★★☆ | B |
| 31 | Genesis Medical Center-Davenport Davenport | Davenport | $5,936 | ★☆☆☆☆ | D |
| 32 | George C Grape Community Hospital Hamburg | Hamburg | $5,950 | Not Rated | C |
| 33 | Sioux Center Health Sioux Center | Sioux Center | $6,015 | Not Rated | C |
| 34 | Mercyone North Iowa Medical Center Mason City | Mason City | $6,074 | ★★★☆☆ | B |
| 35 | Keokuk County Health Center Sigourney | Sigourney | $6,091 | Not Rated | B |
| 36 | Floyd County Medical Center Charles City | Charles City | $6,115 | ★★★☆☆ | B |
| 37 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $6,175 | ★★★☆☆ | B |
| 38 | Madison County Health Care System Winterset | Winterset | $6,183 | Not Rated | C |
| 39 | Allen Hospital Waterloo | Waterloo | $6,202 | ★★★☆☆ | B |
| 40 | Wayne County Hospital Corydon | Corydon | $6,213 | Not Rated | B |
| 41 | Clarke County Hospital Osceola | Osceola | $6,225 | Not Rated | C |
| 42 | St Lukes Regional Medical Center Sioux City | Sioux City | $6,242 | ★☆☆☆☆ | D |
| 43 | Chi Health Mercy Council Bluffs Council Bluffs | Council Bluffs | $6,247 | ★★★☆☆ | B |
| 44 | Avera Holy Family Hospital Estherville | Estherville | $6,298 | Not Rated | C |
| 45 | Orange City Area Health System Orange City | Orange City | $6,384 | Not Rated | B |
| 46 | University Of Iowa Hospital & Clinics Iowa City | Iowa City | $6,468 | ★★★☆☆ | B |
| 47 | Winnmed Decorah | Decorah | $6,470 | ★★☆☆☆ | C |
| 48 | Lucas County Health Center Chariton | Chariton | $6,575 | Not Rated | C |
| 49 | Grinnell Regional Medical Center Grinnell | Grinnell | $6,651 | ★★★★☆ | B |
| 50 | Chi Health - Mercy Corning Corning | Corning | $6,698 | Not Rated | B |
| 51 | St Lukes Hospital Cedar Rapids | Cedar Rapids | $6,703 | ★★★★☆ | A |
| 52 | Mercyone Clinton Medical Center Clinton | Clinton | $6,781 | ★★★★☆ | B |
| 53 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $6,836 | ★☆☆☆☆ | D |
| 54 | Trinity - Bettendorf Bettendorf | Bettendorf | $6,867 | ★★★☆☆ | C |
| 55 | Decatur County Hospital Leon | Leon | $6,868 | Not Rated | C |
| 56 | University Of Iowa Health Care Medical Center Down Iowa City | Iowa City | $6,990 | ★★★☆☆ | B |
| 57 | Veterans Memorial Hospital Waukon | Waukon | $7,088 | Not Rated | C |
| 58 | Sanford Sheldon Medical Center Sheldon | Sheldon | $7,203 | Not Rated | B |
| 59 | Pocahontas Community Hospital Pocahontas | Pocahontas | $7,236 | Not Rated | C |
| 60 | Manning Regional Healthcare Center Manning | Manning | $7,823 | Not Rated | C |
| 61 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $7,826 | Not Rated | C |
| 62 | Waverly Health Center Waverly | Waverly | $8,507 | Not Rated | C |
| 63 | Clive Behavioral Health Clive | Clive | $8,708 | Not Rated | C |