Hospital rankings
Hospitals in Virginia with the best net Medicare quality adjustments
71 Virginia hospitals ranked by net Medicare quality adjustment 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.
| # | Hospital | Net Medicare quality adjustmenthigher is better | Readmissions penaltyhigher is better | Hospital-acquired condition scorelower is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | −0.48% | −0.34% | 0.00 | 31 | +0.13% | ||
| 1 | Sentara Halifax Regional Hospital | +2.24%, 99th percentile | −0.05%, 69th percentile | −0.18, 59th percentile | 62, 98th percentile | +2.29%, 98th percentile | Compare Sentara Halifax Regional Hospital |
| 2 | Buchanan General Hospital | +1.90%, 98th percentile | 0.00%, 89th percentile | −0.26, 65th percentile | 57, 97th percentile | +1.90%, 97th percentile | Compare Buchanan General Hospital |
| 3 | Centra Bedford Memorial Hospital | +1.65%, 98th percentile | −0.24%, 44th percentile | −0.90, 94th percentile | 56, 97th percentile | +1.89%, 97th percentile | Compare Centra Bedford Memorial Hospital |
| 4 | Riverside Shore Memorial Hospital | +1.55%, 97th percentile | −0.14%, 55th percentile | −0.92, 95th percentile | 54, 96th percentile | +1.69%, 96th percentile | Compare Riverside Shore Memorial Hospital |
| 5 | Clinch Valley Medical Center | +1.19%, 95th percentile | −0.15%, 54th percentile | −0.29, 67th percentile | 49, 92nd percentile | +1.34%, 92nd percentile | Compare Clinch Valley Medical Center |
| 6 | Lewisgale Hospital Pulaski | +1.16%, 94th percentile | −0.09%, 62nd percentile | +0.06, 44th percentile | 47, 91st percentile | +1.25%, 91st percentile | Compare Lewisgale Hospital Pulaski |
| 7 | Sentara Williamsburg Regional Medical Center | +1.15%, 94th percentile | −0.38%, 33rd percentile | −0.52, 80th percentile | 51, 95th percentile | +1.53%, 95th percentile | Compare Sentara Williamsburg Regional Medical Center |
| 8 | Inova Alexandria Hospital | +1.08%, 94th percentile | 0.00%, 89th percentile | −0.47, 78th percentile | 45, 88th percentile | +1.08%, 88th percentile | Compare Inova Alexandria Hospital |
| 9 | Sentara Obici Hospital | +1.07%, 94th percentile | −0.22%, 46th percentile | −0.54, 82nd percentile | 48, 91st percentile | +1.29%, 91st percentile | Compare Sentara Obici Hospital |
| 10 | Sentara RMH Medical Center | +0.96%, 93rd percentile | −0.18%, 51st percentile | −0.18, 60th percentile | 46, 89th percentile | +1.14%, 89th percentile | Compare Sentara RMH Medical Center |
| 11 | Inova Loudoun Hospital | +0.95%, 93rd percentile | 0.00%, 89th percentile | −0.33, 70th percentile | 43, 85th percentile | +0.95%, 85th percentile | Compare Inova Loudoun Hospital |
| 12 | Riverside Walter Reed Hospital | +0.78%, 90th percentile | 0.00%, 89th percentile | +0.28, 31st percentile | 40, 80th percentile | +0.78%, 80th percentile | Compare Riverside Walter Reed Hospital |
| 13 | Sentara Careplex Hospital | +0.75%, 90th percentile | −0.54%, 22nd percentile | −0.83, 92nd percentile | 48, 91st percentile | +1.29%, 91st percentile | Compare Sentara Careplex Hospital |
| 14 | Community Memorial Hospital | +0.74%, 89th percentile | −0.01%, 77th percentile | −0.39, 73rd percentile | 40, 80th percentile | +0.75%, 80th percentile | Compare Community Memorial Hospital |
| 15 | Russell County Hospital | +0.71%, 89th percentile | −0.66%, 17th percentile | −1.46, 99th percentile | 49, 93rd percentile | +1.37%, 93rd percentile | Compare Russell County Hospital |
| 16 | Sentara Princess Anne Hospital | +0.71%, 89th percentile | −0.40%, 31st percentile | −0.40, 74th percentile | 45, 89th percentile | +1.11%, 89th percentile | Compare Sentara Princess Anne Hospital |
| 17 | Wythe County Community Hospital | +0.59%, 87th percentile | 0.00%, 89th percentile | −0.99, 96th percentile | 38, 75th percentile | +0.59%, 75th percentile | Compare Wythe County Community Hospital |
| 18 | Bon Secours Southampton Memorial Hospital | +0.57%, 87th percentile | −0.96%, 9th percentile | −0.93, 95th percentile | 51, 95th percentile | +1.53%, 95th percentile | Compare Bon Secours Southampton Memorial Hospital |
| 19 | Lewisgale Hospital Alleghany | +0.54%, 86th percentile | 0.00%, 89th percentile | −0.74, 89th percentile | 37, 73rd percentile | +0.54%, 73rd percentile | Compare Lewisgale Hospital Alleghany |
| 20 | Stafford Hospital, LLC | +0.41%, 84th percentile | −0.79%, 13th percentile | −0.09, 53rd percentile | 46, 90th percentile | +1.20%, 90th percentile | Compare Stafford Hospital, LLC |
| 21 | Riverside Doctors' Hospital Of Williamsburg | +0.41%, 84th percentile | −0.04%, 71st percentile | +0.62, 16th percentile | 50, 93rd percentile | +1.45%, 93rd percentile | Compare Riverside Doctors' Hospital Of Williamsburg |
| 22 | Sentara Norfolk General Hospital | +0.40%, 83rd percentile | −0.02%, 75th percentile | +0.15, 38th percentile | 35, 69th percentile | +0.42%, 69th percentile | Compare Sentara Norfolk General Hospital |
| 23 | Inova Fair Oaks Hospital | +0.38%, 83rd percentile | −0.55%, 22nd percentile | −0.68, 87th percentile | 43, 85th percentile | +0.93%, 85th percentile | Compare Inova Fair Oaks Hospital |
| 24 | Chesapeake General Hospital | +0.29%, 81st percentile | −0.03%, 73rd percentile | −0.03, 49th percentile | 34, 66th percentile | +0.32%, 66th percentile | Compare Chesapeake General Hospital |
| 25 | Carilion Franklin Memorial Hospital | +0.29%, 81st percentile | 0.00%, 89th percentile | −0.75, 89th percentile | 33, 64th percentile | +0.29%, 64th percentile | Compare Carilion Franklin Memorial Hospital |
| 26 | Smyth County Community Hospital | +0.20%, 79th percentile | 0.00%, 89th percentile | −0.81, 92nd percentile | 32, 60th percentile | +0.20%, 59th percentile | Compare Smyth County Community Hospital |
| 27 | Sentara Virginia Beach General Hospital | +0.16%, 78th percentile | −0.45%, 27th percentile | −0.30, 67th percentile | 38, 75th percentile | +0.61%, 75th percentile | Compare Sentara Virginia Beach General Hospital |
| 28 | Stonesprings Hospital Center | +0.13%, 77th percentile | −0.35%, 35th percentile | −1.02, 96th percentile | 36, 72nd percentile | +0.48%, 71st percentile | Compare Stonesprings Hospital Center |
| 29 | Sentara Leigh Hospital | +0.11%, 77th percentile | −0.71%, 15th percentile | −0.58, 84th percentile | 41, 82nd percentile | +0.82%, 82nd percentile | Compare Sentara Leigh Hospital |
| 30 | Bon Secours Southern Virginia Medical Center | +0.07%, 76th percentile | 0.00%, 89th percentile | −1.46, 99th percentile | 30, 52nd percentile | +0.07%, 52nd percentile | Compare Bon Secours Southern Virginia Medical Center |
| 31 | Southside Community Hospital, Inc | +0.04%, 75th percentile | 0.00%, 89th percentile | −0.23, 63rd percentile | 30, 50th percentile | +0.04%, 50th percentile | Compare Southside Community Hospital, Inc |
| T32 | Bon Secours Richmond Community Hospital | 0.00%, 70th percentile | 0.00%, 89th percentile | −0.94, 95th percentile | — | — | Compare Bon Secours Richmond Community Hospital |
| T32 | Hiram W Davis Medical Center | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | — | Compare Hiram W Davis Medical Center |
| 34 | Augusta Health | 0.00%, 67th percentile | 0.00%, 89th percentile | +0.05, 44th percentile | 29, 49th percentile | 0.00%, 49th percentile | Compare Augusta Health |
| 35 | Inova Fairfax Hospital | −0.09%, 63rd percentile | −0.14%, 55th percentile | −0.11, 54th percentile | 30, 51st percentile | +0.05%, 51st percentile | Compare Inova Fairfax Hospital |
| 36 | Winchester Medical Center | −0.16%, 60th percentile | −0.35%, 35th percentile | −0.26, 65th percentile | 32, 59th percentile | +0.19%, 59th percentile | Compare Winchester Medical Center |
| 37 | Carilion New River Valley Medical Center | −0.20%, 58th percentile | −0.07%, 66th percentile | +0.28, 31st percentile | 27, 42nd percentile | −0.13%, 42nd percentile | Compare Carilion New River Valley Medical Center |
| 38 | Reston Hospital Center | −0.22%, 58th percentile | −0.23%, 45th percentile | −0.83, 92nd percentile | 29, 49th percentile | +0.01%, 49th percentile | Compare Reston Hospital Center |
| 39 | University Of Virginia Medical Center | −0.26%, 56th percentile | −0.06%, 67th percentile | +0.37, 25th percentile | 26, 38th percentile | −0.20%, 38th percentile | Compare University Of Virginia Medical Center |
| 40 | Inova Mount Vernon Hospital | −0.26%, 56th percentile | −0.52%, 23rd percentile | +0.15, 38th percentile | 33, 62nd percentile | +0.26%, 62nd percentile | Compare Inova Mount Vernon Hospital |
| 41 | VCU Health Tappahannock Hospital | −0.29%, 55th percentile | −0.34%, 36th percentile | −0.15, 57th percentile | 30, 51st percentile | +0.05%, 51st percentile | Compare VCU Health Tappahannock Hospital |
| 42 | Virginia Hospital Center | −0.30%, 55th percentile | −0.28%, 41st percentile | +0.13, 40th percentile | 29, 48th percentile | −0.02%, 48th percentile | Compare Virginia Hospital Center |
| 43 | Lewisgale Hospital Montgomery | −0.36%, 52nd percentile | −0.66%, 17th percentile | −0.11, 55th percentile | 33, 65th percentile | +0.30%, 65th percentile | Compare Lewisgale Hospital Montgomery |
| 44 | Sentara Martha Jefferson Hospital | −0.38%, 51st percentile | 0.00%, 89th percentile | +0.41, 24th percentile | 38, 75th percentile | +0.62%, 75th percentile | Compare Sentara Martha Jefferson Hospital |
| 45 | John Randolph Medical Center | −0.39%, 51st percentile | −0.23%, 45th percentile | −0.67, 86th percentile | 27, 40th percentile | −0.16%, 40th percentile | Compare John Randolph Medical Center |
| 46 | CJW Medical Center | −0.42%, 50th percentile | −0.24%, 44th percentile | −0.23, 63rd percentile | 26, 39th percentile | −0.18%, 39th percentile | Compare CJW Medical Center |
| 47 | Centra Health - Lynchburg Gen Hospital | −0.43%, 49th percentile | −0.08%, 64th percentile | +0.22, 34th percentile | 24, 30th percentile | −0.35%, 30th percentile | Compare Centra Health - Lynchburg Gen Hospital |
| 48 | Medical College Of Virginia Hospitals | −0.44%, 49th percentile | −0.17%, 52nd percentile | +0.10, 41st percentile | 25, 34th percentile | −0.27%, 34th percentile | Compare Medical College Of Virginia Hospitals |
| 49 | Bon Secours St Marys Hospital | −0.46%, 48th percentile | 0.00%, 89th percentile | +0.24, 33rd percentile | 22, 25th percentile | −0.46%, 25th percentile | Compare Bon Secours St Marys Hospital |
| 50 | UVA Health Haymarket Medical Center | −0.48%, 47th percentile | −0.66%, 17th percentile | −0.72, 88th percentile | 32, 59th percentile | +0.18%, 58th percentile | Compare UVA Health Haymarket 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.
- 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 score
- Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
- 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..