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Hospital rankings

Hospitals in Virginia with the highest value-based purchasing score

68 Virginia hospitals ranked by value-based purchasing score in the 2026 Medicare (CMS) data. Leading: Sentara Halifax Regional Hospital, Buchanan General Hospital, Centra Bedford Memorial Hospital. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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68 hospitals ranked in Virginia by value-based purchasing score; 28 more match but have no reported value.

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Hospital rankings, page 1 of 2. Columns can be sorted.
#HospitalValue-based purchasing scorehigher is betterNet Medicare quality adjustmenthigher is betterReadmissions penaltyhigher is betterHospital-acquired condition scorelower is betterValue-based purchasing adjustmenthigher is betterCompare
National average31−0.48%−0.34%0.00+0.13%
1Sentara Halifax Regional HospitalSouth Boston, VA · Acute care62, 98th percentile+2.24%, 99th percentile−0.05%, 69th percentile−0.18, 59th percentile+2.29%, 98th percentileCompare Sentara Halifax Regional Hospital
2Buchanan General HospitalGrundy, VA · Acute care57, 97th percentile+1.90%, 98th percentile0.00%, 89th percentile−0.26, 65th percentile+1.90%, 97th percentileCompare Buchanan General Hospital
3Centra Bedford Memorial HospitalBedford, VA · Acute care56, 97th percentile+1.65%, 98th percentile−0.24%, 44th percentile−0.90, 94th percentile+1.89%, 97th percentileCompare Centra Bedford Memorial Hospital
4Riverside Shore Memorial HospitalOnancock, VA · Acute care54, 96th percentile+1.55%, 97th percentile−0.14%, 55th percentile−0.92, 95th percentile+1.69%, 96th percentileCompare Riverside Shore Memorial Hospital
5Bon Secours Southampton Memorial HospitalFranklin, VA · Acute care51, 95th percentile+0.57%, 87th percentile−0.96%, 9th percentile−0.93, 95th percentile+1.53%, 95th percentileCompare Bon Secours Southampton Memorial Hospital
6Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · Acute care51, 95th percentile+1.15%, 94th percentile−0.38%, 33rd percentile−0.52, 80th percentile+1.53%, 95th percentileCompare Sentara Williamsburg Regional Medical Center
7Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · Acute care50, 93rd percentile+0.41%, 84th percentile−0.04%, 71st percentile+0.62, 16th percentile+1.45%, 93rd percentileCompare Riverside Doctors' Hospital Of Williamsburg
8Russell County HospitalLebanon, VA · Acute care49, 93rd percentile+0.71%, 89th percentile−0.66%, 17th percentile−1.46, 99th percentile+1.37%, 93rd percentileCompare Russell County Hospital
9Clinch Valley Medical CenterRichlands, VA · Acute care49, 92nd percentile+1.19%, 95th percentile−0.15%, 54th percentile−0.29, 67th percentile+1.34%, 92nd percentileCompare Clinch Valley Medical Center
10Sentara Careplex HospitalHampton, VA · Acute care48, 91st percentile+0.75%, 90th percentile−0.54%, 22nd percentile−0.83, 92nd percentile+1.29%, 91st percentileCompare Sentara Careplex Hospital
11Sentara Obici HospitalSuffolk, VA · Acute care48, 91st percentile+1.07%, 94th percentile−0.22%, 46th percentile−0.54, 82nd percentile+1.29%, 91st percentileCompare Sentara Obici Hospital
12Lewisgale Hospital PulaskiPulaski, VA · Acute care47, 91st percentile+1.16%, 94th percentile−0.09%, 62nd percentile+0.06, 44th percentile+1.25%, 91st percentileCompare Lewisgale Hospital Pulaski
13Stafford Hospital, LLCStafford, VA · Acute care46, 90th percentile+0.41%, 84th percentile−0.79%, 13th percentile−0.09, 53rd percentile+1.20%, 90th percentileCompare Stafford Hospital, LLC
14Sentara RMH Medical CenterHarrisonburg, VA · Acute care46, 89th percentile+0.96%, 93rd percentile−0.18%, 51st percentile−0.18, 60th percentile+1.14%, 89th percentileCompare Sentara RMH Medical Center
15Sentara Princess Anne HospitalVirginia Beach, VA · Acute care45, 89th percentile+0.71%, 89th percentile−0.40%, 31st percentile−0.40, 74th percentile+1.11%, 89th percentileCompare Sentara Princess Anne Hospital
16Inova Alexandria HospitalAlexandria, VA · Acute care45, 88th percentile+1.08%, 94th percentile0.00%, 89th percentile−0.47, 78th percentile+1.08%, 88th percentileCompare Inova Alexandria Hospital
17Inova Loudoun HospitalLeesburg, VA · Acute care43, 85th percentile+0.95%, 93rd percentile0.00%, 89th percentile−0.33, 70th percentile+0.95%, 85th percentileCompare Inova Loudoun Hospital
18Inova Fair Oaks HospitalFairfax, VA · Acute care43, 85th percentile+0.38%, 83rd percentile−0.55%, 22nd percentile−0.68, 87th percentile+0.93%, 85th percentileCompare Inova Fair Oaks Hospital
19Sentara Leigh HospitalNorfolk, VA · Acute care41, 82nd percentile+0.11%, 77th percentile−0.71%, 15th percentile−0.58, 84th percentile+0.82%, 82nd percentileCompare Sentara Leigh Hospital
20Riverside Walter Reed HospitalGloucester, VA · Acute care40, 80th percentile+0.78%, 90th percentile0.00%, 89th percentile+0.28, 31st percentile+0.78%, 80th percentileCompare Riverside Walter Reed Hospital
21Community Memorial HospitalSouth Hill, VA · Acute care40, 80th percentile+0.74%, 89th percentile−0.01%, 77th percentile−0.39, 73rd percentile+0.75%, 80th percentileCompare Community Memorial Hospital
22Sentara Martha Jefferson HospitalCharlottesville, VA · Acute care38, 75th percentile−0.38%, 51st percentile0.00%, 89th percentile+0.41, 24th percentile+0.62%, 75th percentileCompare Sentara Martha Jefferson Hospital
23Sentara Virginia Beach General HospitalVirginia Beach, VA · Acute care38, 75th percentile+0.16%, 78th percentile−0.45%, 27th percentile−0.30, 67th percentile+0.61%, 75th percentileCompare Sentara Virginia Beach General Hospital
24Wythe County Community HospitalWytheville, VA · Acute care38, 75th percentile+0.59%, 87th percentile0.00%, 89th percentile−0.99, 96th percentile+0.59%, 75th percentileCompare Wythe County Community Hospital
25Lewisgale Hospital AlleghanyLow Moor, VA · Acute care37, 73rd percentile+0.54%, 86th percentile0.00%, 89th percentile−0.74, 89th percentile+0.54%, 73rd percentileCompare Lewisgale Hospital Alleghany
26Stonesprings Hospital CenterDulles, VA · Acute care36, 72nd percentile+0.13%, 77th percentile−0.35%, 35th percentile−1.02, 96th percentile+0.48%, 71st percentileCompare Stonesprings Hospital Center
27Sentara Norfolk General HospitalNorfolk, VA · Acute care35, 69th percentile+0.40%, 83rd percentile−0.02%, 75th percentile+0.15, 38th percentile+0.42%, 69th percentileCompare Sentara Norfolk General Hospital
28Chesapeake General HospitalChesapeake, VA · Acute care34, 66th percentile+0.29%, 81st percentile−0.03%, 73rd percentile−0.03, 49th percentile+0.32%, 66th percentileCompare Chesapeake General Hospital
29Lewisgale Hospital MontgomeryBlacksburg, VA · Acute care33, 65th percentile−0.36%, 52nd percentile−0.66%, 17th percentile−0.11, 55th percentile+0.30%, 65th percentileCompare Lewisgale Hospital Montgomery
30Carilion Franklin Memorial HospitalRocky Mount, VA · Acute care33, 64th percentile+0.29%, 81st percentile0.00%, 89th percentile−0.75, 89th percentile+0.29%, 64th percentileCompare Carilion Franklin Memorial Hospital
31Warren Memorial HospitalFront Royal, VA · Acute care33, 64th percentile−1.04%, 27th percentile−0.32%, 38th percentile+0.70, 13th percentile+0.28%, 63rd percentileCompare Warren Memorial Hospital
32Inova Mount Vernon HospitalAlexandria, VA · Acute care33, 62nd percentile−0.26%, 56th percentile−0.52%, 23rd percentile+0.15, 38th percentile+0.26%, 62nd percentileCompare Inova Mount Vernon Hospital
33Mary Immaculate HospitalNewport News, VA · Acute care32, 60th percentile−0.80%, 36th percentile−1.01%, 8th percentile−1.07, 97th percentile+0.21%, 60th percentileCompare Mary Immaculate Hospital
34Smyth County Community HospitalMarion, VA · Acute care32, 60th percentile+0.20%, 79th percentile0.00%, 89th percentile−0.81, 92nd percentile+0.20%, 59th percentileCompare Smyth County Community Hospital
35Winchester Medical CenterWinchester, VA · Acute care32, 59th percentile−0.16%, 60th percentile−0.35%, 35th percentile−0.26, 65th percentile+0.19%, 59th percentileCompare Winchester Medical Center
36UVA Health Haymarket Medical CenterHaymarket, VA · Acute care32, 59th percentile−0.48%, 47th percentile−0.66%, 17th percentile−0.72, 88th percentile+0.18%, 58th percentileCompare UVA Health Haymarket Medical Center
37Bon Secours Southern Virginia Medical CenterEmporia, VA · Acute care30, 52nd percentile+0.07%, 76th percentile0.00%, 89th percentile−1.46, 99th percentile+0.07%, 52nd percentileCompare Bon Secours Southern Virginia Medical Center
38VCU Health Tappahannock HospitalTappahannock, VA · Acute care30, 51st percentile−0.29%, 55th percentile−0.34%, 36th percentile−0.15, 57th percentile+0.05%, 51st percentileCompare VCU Health Tappahannock Hospital
39Inova Fairfax HospitalFalls Church, VA · Acute care30, 51st percentile−0.09%, 63rd percentile−0.14%, 55th percentile−0.11, 54th percentile+0.05%, 51st percentileCompare Inova Fairfax Hospital
40Southside Community Hospital, IncFarmville, VA · Acute care30, 50th percentile+0.04%, 75th percentile0.00%, 89th percentile−0.23, 63rd percentile+0.04%, 50th percentileCompare Southside Community Hospital, Inc
41Reston Hospital CenterReston, VA · Acute care29, 49th percentile−0.22%, 58th percentile−0.23%, 45th percentile−0.83, 92nd percentile+0.01%, 49th percentileCompare Reston Hospital Center
42Augusta HealthFishersville, VA · Acute care29, 49th percentile0.00%, 67th percentile0.00%, 89th percentile+0.05, 44th percentile0.00%, 49th percentileCompare Augusta Health
43Virginia Hospital CenterArlington, VA · Acute care29, 48th percentile−0.30%, 55th percentile−0.28%, 41st percentile+0.13, 40th percentile−0.02%, 48th percentileCompare Virginia Hospital Center
44Fauquier HospitalWarrenton, VA · Acute care28, 43rd percentile−0.65%, 41st percentile−0.55%, 22nd percentile−0.05, 51st percentile−0.10%, 43rd percentileCompare Fauquier Hospital
45Mary Washington HospitalFredericksburg, VA · Acute care27, 42nd percentile−2.07%, 7th percentile−1.95%, 1st percentile+0.25, 32nd percentile−0.12%, 42nd percentileCompare Mary Washington Hospital
46Carilion New River Valley Medical CenterChristiansburg, VA · Acute care27, 42nd percentile−0.20%, 58th percentile−0.07%, 66th percentile+0.28, 31st percentile−0.13%, 42nd percentileCompare Carilion New River Valley Medical Center
47John Randolph Medical CenterHopewell, VA · Acute care27, 40th percentile−0.39%, 51st percentile−0.23%, 45th percentile−0.67, 86th percentile−0.16%, 40th percentileCompare John Randolph Medical Center
48CJW Medical CenterRichmond, VA · Acute care26, 39th percentile−0.42%, 50th percentile−0.24%, 44th percentile−0.23, 63rd percentile−0.18%, 39th percentileCompare CJW Medical Center
49University Of Virginia Medical CenterCharlottesville, VA · Acute care26, 38th percentile−0.26%, 56th percentile−0.06%, 67th percentile+0.37, 25th percentile−0.20%, 38th percentileCompare University Of Virginia Medical Center
50Bon Secours Maryview Medical CenterPortsmouth, VA · Acute care26, 36th percentile−0.77%, 37th percentile−0.53%, 23rd percentile−0.52, 81st percentile−0.24%, 36th percentileCompare Bon Secours Maryview Medical Center

About these rankings

Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.

Value-based purchasing score
Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
Net Medicare quality adjustment
Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
Readmissions penalty
Change to Medicare payments under the Hospital Readmissions Reduction Program, which cuts payments (by up to 3%) to hospitals with more readmissions than expected. 0% means no penalty..
Hospital-acquired condition score
Total score in the Hospital-Acquired Condition Reduction Program, from patient safety events and infections (weighted z-scores; 0 is about average, higher is worse). Medicare cuts payments 1% for the worst-scoring quarter of hospitals..
Value-based purchasing adjustment
Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..