| 1 | Guttenberg Municipal Hospital Guttenberg | Guttenberg | $3,426 | Not Rated | C |
| 2 | Mary Greeley Medical Center Ames | Ames | $3,637 | ★★★★☆ | B |
| 3 | Iowa Specialty Hospital - Clarion Clarion | Clarion | $3,688 | Not Rated | B |
| 4 | Iowa Specialty Hospital - Belmond Belmond | Belmond | $3,697 | Not Rated | C |
| 5 | Cass County Memorial Hospital Atlantic | Atlantic | $3,722 | ★★★★☆ | B |
| 6 | Virginia Gay Hospital Vinton | Vinton | $3,725 | Not Rated | B |
| 7 | Sanford Sheldon Medical Center Sheldon | Sheldon | $3,776 | Not Rated | B |
| 8 | Madison County Health Care System Winterset | Winterset | $3,777 | Not Rated | C |
| 9 | Sartori Memorial Hospital, Inc Cedar Falls | Cedar Falls | $3,792 | Not Rated | C |
| 10 | Guthrie County Hospital Guthrie Center | Guthrie Center | $3,904 | Not Rated | C |
| 11 | Chi Health - Mercy Corning Corning | Corning | $3,953 | Not Rated | B |
| 12 | Trinity Regional Medical Center Fort Dodge | Fort Dodge | $3,991 | ★☆☆☆☆ | D |
| 13 | Mental Health Institute Independence | Independence | $4,027 | Not Rated | C |
| 14 | Hancock County Health System Britt | Britt | $4,036 | Not Rated | C |
| 15 | Dallas County Hospital Perry | Perry | $4,078 | Not Rated | C |
| 16 | Mercy Medical Center - Cedar Rapids Cedar Rapids | Cedar Rapids | $4,114 | ★★★☆☆ | C |
| 17 | Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines | Des Moines | $4,168 | ★★★☆☆ | B |
| 18 | Jackson County Regional Health Center Maquoketa | Maquoketa | $4,251 | Not Rated | B |
| 19 | Mercyone Centerville Medical Center Centerville | Centerville | $4,358 | Not Rated | C |
| 20 | Allen Hospital Waterloo | Waterloo | $4,384 | ★★★☆☆ | B |
| 21 | Orange City Area Health System Orange City | Orange City | $4,425 | Not Rated | B |
| 22 | Ringgold County Hospital Mount Ayr | Mount Ayr | $4,441 | Not Rated | B |
| 23 | Mercyone North Iowa Medical Center Mason City | Mason City | $4,498 | ★★★☆☆ | B |
| 24 | Mercyone Dyersville Medical Center Dyersville | Dyersville | $4,552 | Not Rated | C |
| 25 | Loring Hospital Sac City | Sac City | $4,566 | Not Rated | C |
| 26 | Decatur County Hospital Leon | Leon | $4,569 | Not Rated | C |
| 27 | Buchanan County Health Center Independence | Independence | $4,621 | Not Rated | B |
| 28 | Wayne County Hospital Corydon | Corydon | $4,627 | Not Rated | B |
| 29 | Mental Health Institute Cherokee | Cherokee | $4,661 | Not Rated | B |
| 30 | Iowa City Va Medical Center Iowa City | Iowa City | $4,666 | ★★★★★ | A |
| 31 | Va Central Iowa Healthcare System Des Moines | Des Moines | $4,808 | ★★★★☆ | B |
| 32 | Mercyone Des Moines Medical Center Des Moines | Des Moines | $4,870 | ★★☆☆☆ | C |
| 33 | Myrtue Medical Center Harlan | Harlan | $4,888 | ★★★★☆ | B |
| 34 | Greene County Medical Center Jefferson | Jefferson | $4,899 | Not Rated | C |
| 35 | Unitypoint Health - Marshalltown Marshalltown | Marshalltown | $4,928 | Not Rated | C |
| 36 | Spencer Municipal Hospital Spencer | Spencer | $4,934 | ★★★★☆ | B |
| 37 | Chi Health Missouri Valley Missouri Valley | Missouri Valley | $4,952 | Not Rated | C |
| 38 | Gundersen Palmer Lutheran Hospital And Clinics West Union | West Union | $5,008 | Not Rated | C |
| 39 | Avera Merrill Pioneer Hospital Rock Rapids | Rock Rapids | $5,073 | Not Rated | C |
| 40 | Mercyone Oelwein Medical Center Oelwein | Oelwein | $5,074 | Not Rated | C |
| 41 | Floyd County Medical Center Charles City | Charles City | $5,109 | ★★★☆☆ | B |
| 42 | Franklin General Hospital Hampton | Hampton | $5,139 | Not Rated | B |
| 43 | Regional Medical Center Manchester | Manchester | $5,221 | Not Rated | C |
| 44 | Community Memorial Hospital Medical Center Sumner | Sumner | $5,231 | Not Rated | C |
| 45 | St Lukes Regional Medical Center Sioux City | Sioux City | $5,275 | ★☆☆☆☆ | D |
| 46 | Waverly Health Center Waverly | Waverly | $5,366 | Not Rated | C |
| 47 | Grundy County Memorial Hospital Grundy Center | Grundy Center | $5,372 | Not Rated | C |
| 48 | Sioux Center Health Sioux Center | Sioux Center | $5,485 | Not Rated | C |
| 49 | Humboldt County Memorial Hospital Humboldt | Humboldt | $5,548 | Not Rated | C |
| 50 | Trinity - Bettendorf Bettendorf | Bettendorf | $5,602 | ★★★☆☆ | C |
| 51 | Methodist Jennie Edmundson Council Bluffs | Council Bluffs | $5,822 | ★★★★☆ | B |
| 52 | Mercyone Siouxland Medical Center Sioux City | Sioux City | $5,902 | ★☆☆☆☆ | D |
| 53 | Jefferson County Health Center Fairfield | Fairfield | $5,929 | Not Rated | C |
| 54 | Henry County Health Center Mount Pleasant | Mount Pleasant | $5,929 | Not Rated | C |
| 55 | St Anthony Regional Hospital & Nursing Home Carroll | Carroll | $5,970 | Not Rated | C |