RANKING · 2020 CENSUS · 87 SHOWN OF 87

Highest employer health coverage, Iowa cities · 2020

Iowa cities ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2020 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 –

01Polk City, IAIA6,63082.4%–

02Tiffin, IAIA7,15680.8%–

03North Liberty, IAIA21,97679.1%–

04Johnston, IAIA25,06578.6%–

05Bondurant, IAIA9,64777.1%–

06Ankeny, IAIA77,83375.6%–

07Waukee, IAIA34,89075.2%–

08Norwalk, IAIA15,00474.1%–

09Adel, IAIA7,09872.8%–

10Urbandale, IAIA48,57072.8%–

11Asbury, IAIA6,03572.4%–

12Ames, IAIA68,22072.0%–

13Cedar Falls, IAIA41,24071.6%–

14Coralville, IAIA23,96071.6%–

15Pella, IAIA10,99271.4%–

16West Des Moines, IAIA74,22471.3%–

17Clive, IAIA19,86171.0%–

18Sergeant Bluff, IAIA5,32470.7%–

19Altoona, IAIA22,79670.6%–

20DeWitt, IAIA5,70470.0%–

21Bettendorf, IAIA40,71069.8%–

22Eldridge, IAIA6,95469.8%–

23Grimes, IAIA17,40569.2%–

24Waverly, IAIA10,56167.4%–

25Pleasant Hill, IAIA11,23966.9%–

26Orange City, IAIA6,46866.6%–

27Sheldon, IAIA5,57566.2%–

28Indianola, IAIA16,82965.9%–

29Marion, IAIA42,73265.7%–

30Le Mars, IAIA10,76064.6%–

31Winterset, IAIA5,52064.4%–

32Decorah, IAIA7,41764.3%–

33Independence, IAIA6,31264.2%–

34Iowa City, IAIA76,22963.9%–

35Hiawatha, IAIA7,43263.3%–

36Cedar Rapids, IAIA137,93562.3%–

37Muscatine, IAIA23,16462.0%–

38Grinnell, IAIA9,43061.5%–

39Knoxville, IAIA7,46961.3%–

40Windsor Heights, IAIA5,05961.0%–

41Dubuque, IAIA59,14860.8%–

42Sioux Center, IAIA8,86460.7%–

43Mount Pleasant, IAIA8,50059.8%–

44Boone, IAIA12,47159.6%–

45Cherokee, IAIA5,12259.3%–

46Nevada, IAIA6,97458.2%–

47Spirit Lake, IAIA5,52558.0%–

48Anamosa, IAIA5,90157.1%–

49Davenport, IAIA100,35855.8%–

50Mason City, IAIA26,85355.7%–

51Clear Lake, IAIA7,60155.2%–

52Sioux City, IAIA86,35654.9%–

53Estherville, IAIA5,80754.8%–

54Ottumwa, IAIA25,31954.7%–

55Clarinda, IAIA5,27354.6%–

56Webster City, IAIA7,81554.5%–

57Newton, IAIA15,74154.1%–

58Des Moines, IAIA212,08654.0%–

59Iowa Falls, IAIA5,01353.9%–

60Waterloo, IAIA66,91953.6%–

61Perry, IAIA8,20853.2%–

62Storm Lake, IAIA11,59053.2%–

63Oskaloosa, IAIA11,49352.9%–

64Vinton, IAIA5,00452.8%–

65Council Bluffs, IAIA62,68052.6%–

66Carroll, IAIA10,08552.4%–

67Marshalltown, IAIA27,53652.3%–

68Glenwood, IAIA5,28752.1%–

69Manchester, IAIA5,35751.9%–

70Spencer, IAIA11,21850.8%–

71Clinton, IAIA24,04950.6%–

72Fort Dodge, IAIA24,83750.4%–

73Denison, IAIA8,21449.5%–

74Red Oak, IAIA5,38848.9%–

75Fort Madison, IAIA9,93548.9%–

76Creston, IAIA7,33548.6%–

77Burlington, IAIA23,33648.4%–

78Atlantic, IAIA6,67647.9%–

79Charles City, IAIA7,01346.5%–

80Algona, IAIA5,30946.3%–

81Washington, IAIA7,26146.0%–

82Oelwein, IAIA5,75745.3%–

83Keokuk, IAIA9,51044.3%–

84Osceola, IAIA5,67944.0%–

85Maquoketa, IAIA6,02743.7%–

86Fairfield, IAIA9,22039.9%–

87Centerville, IAIA5,32734.9%–

SHOWING 1–87 OF 87

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS