RANKING · 2024 ACS · 87 SHOWN OF 87

Highest employer health coverage, Iowa cities

Iowa cities ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2024 ACS). This list covers the 87 cities in Iowa that qualify, ranked against each other statewide. The median across all 87 is 58.6%. Biggest climber in the top 100 since 2020: Osceola, IA, up 60 places to #24.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01▲1Tiffin, IAIA7,15686.1%+5.3 pts

02▲9Asbury, IAIA6,03581.2%+8.8 pts

03▲2Bondurant, IAIA9,64781.2%+4.1 pts

04▼1North Liberty, IAIA21,97677.6%−1.5 pts

05▲4Adel, IAIA7,09876.1%+3.3 pts

06▲17Grimes, IAIA17,40575.3%+6.1 pts

07▲11Sergeant Bluff, IAIA5,32475.0%+4.3 pts

08Norwalk, IAIA15,00474.3%+0.2 pts

09▼3Ankeny, IAIA77,83373.7%−1.9 pts

10▲12Eldridge, IAIA6,95473.0%+3.2 pts

11▼10Polk City, IAIA6,63072.0%−10.4 pts

12▼8Johnston, IAIA25,06571.7%−6.9 pts

13▼1Ames, IAIA68,22071.4%−0.6 pts

14▼7Waukee, IAIA34,89070.3%−4.9 pts

15▲5DeWitt, IAIA5,70469.3%−0.7 pts

16▼3Cedar Falls, IAIA41,24069.0%−2.6 pts

17▲2Altoona, IAIA22,79668.6%−2.0 pts

18▼8Urbandale, IAIA48,57068.1%−4.7 pts

19▲23Sioux Center, IAIA8,86467.9%+7.2 pts

20▼3Clive, IAIA19,86167.6%−3.4 pts

21▼6Pella, IAIA10,99267.6%−3.8 pts

22▲11Independence, IAIA6,31267.1%+2.9 pts

23▼2Bettendorf, IAIA40,71066.8%−3.0 pts

24▲60Osceola, IAIA5,67966.5%+22.5 pts

25▼9West Des Moines, IAIA74,22466.4%−4.9 pts

26▲2Indianola, IAIA16,82965.8%−0.1 pts

27▲17Boone, IAIA12,47165.3%+5.7 pts

28▼14Coralville, IAIA23,96064.3%−7.3 pts

29Marion, IAIA42,73263.8%−1.9 pts

30▲34Vinton, IAIA5,00463.7%+10.9 pts

31▲3Iowa City, IAIA76,22963.6%−0.3 pts

32▼7Pleasant Hill, IAIA11,23962.4%−4.5 pts

33▲14Spirit Lake, IAIA5,52561.4%+3.4 pts

34▼10Waverly, IAIA10,56161.3%−6.1 pts

35▲3Grinnell, IAIA9,43060.7%−0.8 pts

36▲32Glenwood, IAIA5,28760.0%+7.9 pts

37▲4Dubuque, IAIA59,14859.9%−0.9 pts

38▲24Storm Lake, IAIA11,59059.9%+6.7 pts

39▼9Le Mars, IAIA10,76059.4%−5.2 pts

40▼9Winterset, IAIA5,52059.3%−5.1 pts

41▲5Nevada, IAIA6,97458.9%+0.7 pts

42▼6Cedar Rapids, IAIA137,93558.8%−3.5 pts

43▼17Orange City, IAIA6,46858.7%−7.9 pts

44▼4Windsor Heights, IAIA5,05958.6%−2.4 pts

45▲16Perry, IAIA8,20858.3%+5.1 pts

46▼7Knoxville, IAIA7,46957.8%−3.5 pts

47▼4Mount Pleasant, IAIA8,50057.8%−2.0 pts

48▼21Sheldon, IAIA5,57557.3%−8.9 pts

49▲2Clear Lake, IAIA7,60156.7%+1.5 pts

50▲3Estherville, IAIA5,80756.6%+1.8 pts

51▼14Muscatine, IAIA23,16456.2%−5.8 pts

52▲28Algona, IAIA5,30956.1%+9.8 pts

53▼21Decorah, IAIA7,41755.7%−8.6 pts

54▲2Webster City, IAIA7,81554.9%+0.4 pts

55▲30Maquoketa, IAIA6,02754.8%+11.1 pts

56▼7Davenport, IAIA100,35854.6%−1.2 pts

57▼9Anamosa, IAIA5,90154.3%−2.8 pts

58▼23Hiawatha, IAIA7,43253.1%−10.2 pts

59▼9Mason City, IAIA26,85352.9%−2.8 pts

60▼3Newton, IAIA15,74152.7%−1.4 pts

61▲4Council Bluffs, IAIA62,68052.6%0.0 pts

62▼4Des Moines, IAIA212,08652.4%−1.6 pts

63▼9Ottumwa, IAIA25,31952.3%−2.4 pts

64▼19Cherokee, IAIA5,12252.1%−7.2 pts

65▲12Burlington, IAIA23,33651.2%+2.8 pts

66▼3Oskaloosa, IAIA11,49351.1%−1.8 pts

67Marshalltown, IAIA27,53651.0%−1.3 pts

68▲1Manchester, IAIA5,35750.9%−1.0 pts

69▼3Carroll, IAIA10,08549.9%−2.5 pts

70▲2Fort Dodge, IAIA24,83749.9%−0.5 pts

71▼19Sioux City, IAIA86,35649.5%−5.4 pts

72▼12Waterloo, IAIA66,91949.4%−4.2 pts

73▼18Clarinda, IAIA5,27347.2%−7.4 pts

74▼15Iowa Falls, IAIA5,01346.6%−7.3 pts

75▲4Charles City, IAIA7,01346.6%+0.1 pts

76▼3Denison, IAIA8,21446.5%−3.0 pts

77▼2Fort Madison, IAIA9,93546.0%−2.9 pts

78▼8Spencer, IAIA11,21846.0%−4.8 pts

79▼3Creston, IAIA7,33545.7%−2.9 pts

80▼9Clinton, IAIA24,04945.0%−5.6 pts

81▼3Atlantic, IAIA6,67644.7%−3.2 pts

82▼1Washington, IAIA7,26144.6%−1.4 pts

83▲4Centerville, IAIA5,32744.3%+9.4 pts

84▼2Oelwein, IAIA5,75743.8%−1.5 pts

85▼2Keokuk, IAIA9,51041.0%−3.3 pts

86▼12Red Oak, IAIA5,38841.0%−7.9 pts

87▼1Fairfield, IAIA9,22035.5%−4.4 pts

SHOWING 1–87 OF 87

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES