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. The median across all 87 is 59.6%.

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 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS