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.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Tiffin, IAIA7,15686.1%+5.3 pts

02Asbury, IAIA6,03581.2%+8.8 pts

03Bondurant, IAIA9,64781.2%+4.1 pts

04North Liberty, IAIA21,97677.6%−1.5 pts

05Adel, IAIA7,09876.1%+3.3 pts

06Grimes, IAIA17,40575.3%+6.1 pts

07Sergeant Bluff, IAIA5,32475.0%+4.3 pts

08Norwalk, IAIA15,00474.3%+0.2 pts

09Ankeny, IAIA77,83373.7%−1.9 pts

10Eldridge, IAIA6,95473.0%+3.2 pts

11Polk City, IAIA6,63072.0%−10.4 pts

12Johnston, IAIA25,06571.7%−6.9 pts

13Ames, IAIA68,22071.4%−0.6 pts

14Waukee, IAIA34,89070.3%−4.9 pts

15DeWitt, IAIA5,70469.3%−0.7 pts

16Cedar Falls, IAIA41,24069.0%−2.6 pts

17Altoona, IAIA22,79668.6%−2.0 pts

18Urbandale, IAIA48,57068.1%−4.7 pts

19Sioux Center, IAIA8,86467.9%+7.2 pts

20Clive, IAIA19,86167.6%−3.4 pts

21Pella, IAIA10,99267.6%−3.8 pts

22Independence, IAIA6,31267.1%+2.9 pts

23Bettendorf, IAIA40,71066.8%−3.0 pts

24Osceola, IAIA5,67966.5%+22.5 pts

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

26Indianola, IAIA16,82965.8%−0.1 pts

27Boone, IAIA12,47165.3%+5.7 pts

28Coralville, IAIA23,96064.3%−7.3 pts

29Marion, IAIA42,73263.8%−1.9 pts

30Vinton, IAIA5,00463.7%+10.9 pts

31Iowa City, IAIA76,22963.6%−0.3 pts

32Pleasant Hill, IAIA11,23962.4%−4.5 pts

33Spirit Lake, IAIA5,52561.4%+3.4 pts

34Waverly, IAIA10,56161.3%−6.1 pts

35Grinnell, IAIA9,43060.7%−0.8 pts

36Glenwood, IAIA5,28760.0%+7.9 pts

37Dubuque, IAIA59,14859.9%−0.9 pts

38Storm Lake, IAIA11,59059.9%+6.7 pts

39Le Mars, IAIA10,76059.4%−5.2 pts

40Winterset, IAIA5,52059.3%−5.1 pts

41Nevada, IAIA6,97458.9%+0.7 pts

42Cedar Rapids, IAIA137,93558.8%−3.5 pts

43Orange City, IAIA6,46858.7%−7.9 pts

44Windsor Heights, IAIA5,05958.6%−2.4 pts

45Perry, IAIA8,20858.3%+5.1 pts

46Knoxville, IAIA7,46957.8%−3.5 pts

47Mount Pleasant, IAIA8,50057.8%−2.0 pts

48Sheldon, IAIA5,57557.3%−8.9 pts

49Clear Lake, IAIA7,60156.7%+1.5 pts

50Estherville, IAIA5,80756.6%+1.8 pts

51Muscatine, IAIA23,16456.2%−5.8 pts

52Algona, IAIA5,30956.1%+9.8 pts

53Decorah, IAIA7,41755.7%−8.6 pts

54Webster City, IAIA7,81554.9%+0.4 pts

55Maquoketa, IAIA6,02754.8%+11.1 pts

56Davenport, IAIA100,35854.6%−1.2 pts

57Anamosa, IAIA5,90154.3%−2.8 pts

58Hiawatha, IAIA7,43253.1%−10.2 pts

59Mason City, IAIA26,85352.9%−2.8 pts

60Newton, IAIA15,74152.7%−1.4 pts

61Council Bluffs, IAIA62,68052.6%+0.0 pts

62Des Moines, IAIA212,08652.4%−1.6 pts

63Ottumwa, IAIA25,31952.3%−2.4 pts

64Cherokee, IAIA5,12252.1%−7.2 pts

65Burlington, IAIA23,33651.2%+2.8 pts

66Oskaloosa, IAIA11,49351.1%−1.8 pts

67Marshalltown, IAIA27,53651.0%−1.3 pts

68Manchester, IAIA5,35750.9%−1.0 pts

69Carroll, IAIA10,08549.9%−2.5 pts

70Fort Dodge, IAIA24,83749.9%−0.5 pts

71Sioux City, IAIA86,35649.5%−5.4 pts

72Waterloo, IAIA66,91949.4%−4.2 pts

73Clarinda, IAIA5,27347.2%−7.4 pts

74Iowa Falls, IAIA5,01346.6%−7.3 pts

75Charles City, IAIA7,01346.6%+0.1 pts

76Denison, IAIA8,21446.5%−3.0 pts

77Fort Madison, IAIA9,93546.0%−2.9 pts

78Spencer, IAIA11,21846.0%−4.8 pts

79Creston, IAIA7,33545.7%−2.9 pts

80Clinton, IAIA24,04945.0%−5.6 pts

81Atlantic, IAIA6,67644.7%−3.2 pts

82Washington, IAIA7,26144.6%−1.4 pts

83Centerville, IAIA5,32744.3%+9.4 pts

84Oelwein, IAIA5,75743.8%−1.5 pts

85Keokuk, IAIA9,51041.0%−3.3 pts

86Red Oak, IAIA5,38841.0%−7.9 pts

87Fairfield, IAIA9,22035.5%−4.4 pts

SHOWING 1–87 OF 87

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES