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RANKING · 2024 ACS · 87 SHOWN OF 87

Highest Medicaid coverage, Iowa cities

Iowa cities ranked by the share of people covered by Medicaid or other means-tested public 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 21.5%. Biggest climber in the top 100 since 2020: Winterset, IA, up 28 places to #43.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01▲10Red Oak, IAIA5,38844.1%+14.0 pts
02▲1Keokuk, IAIA9,51036.3%+1.7 pts
03▲4Charles City, IAIA7,01334.6%+3.9 pts
04▲5Fort Madison, IAIA9,93533.2%+2.9 pts
05▲5Oelwein, IAIA5,75731.7%+1.5 pts
06▼2Centerville, IAIA5,32731.6%−2.4 pts
07▲14Creston, IAIA7,33531.2%+4.5 pts
08▲7Sioux City, IAIA86,35631.1%+1.9 pts
09▲3Waterloo, IAIA66,91931.0%+1.1 pts
10▲27Hiawatha, IAIA7,43230.9%+8.4 pts
11▲6Clinton, IAIA24,04930.9%+3.2 pts
12▼4Des Moines, IAIA212,08630.5%−0.2 pts
13▲12Atlantic, IAIA6,67629.7%+4.1 pts
14▼1Burlington, IAIA23,33629.5%−0.3 pts
15▲17Denison, IAIA8,21429.5%+6.2 pts
16▲20Muscatine, IAIA23,16429.4%+6.7 pts
17▼1Marshalltown, IAIA27,53629.0%+0.5 pts
18▲1Fort Dodge, IAIA24,83728.8%+1.3 pts
19▲11Storm Lake, IAIA11,59028.3%+4.3 pts
20▼2Anamosa, IAIA5,90128.1%+0.6 pts
21▲26Iowa Falls, IAIA5,01327.9%+8.6 pts
22▼2Council Bluffs, IAIA62,68027.4%+0.7 pts
23▲11Clarinda, IAIA5,27327.3%+4.2 pts
24▼22Maquoketa, IAIA6,02727.3%−7.5 pts
25▼11Ottumwa, IAIA25,31927.1%−2.2 pts
26▲1Oskaloosa, IAIA11,49326.8%+1.5 pts
27▼22Knoxville, IAIA7,46926.7%−4.4 pts
28▼22Washington, IAIA7,26126.4%−4.6 pts
29▼1Davenport, IAIA100,35826.0%+1.0 pts
30▲5Webster City, IAIA7,81525.7%+2.7 pts
31▲23Sheldon, IAIA5,57525.1%+7.0 pts
32▲1Spencer, IAIA11,21824.6%+1.5 pts
33▲8Manchester, IAIA5,35724.6%+3.2 pts
34▼10Mount Pleasant, IAIA8,50024.0%−2.0 pts
35▼12Perry, IAIA8,20823.9%−2.2 pts
36▲3Carroll, IAIA10,08523.6%+1.5 pts
37▲3Mason City, IAIA26,85322.9%+1.3 pts
38▲6Cherokee, IAIA5,12222.6%+2.6 pts
39▼13Newton, IAIA15,74122.4%−3.0 pts
40▼9Fairfield, IAIA9,22022.1%−1.4 pts
41▲2Dubuque, IAIA59,14822.0%+1.5 pts
42▲7Cedar Rapids, IAIA137,93521.8%+3.1 pts
43▲28Winterset, IAIA5,52021.7%+9.0 pts
44▼22Glenwood, IAIA5,28721.5%−5.2 pts
45▲6Nevada, IAIA6,97421.3%+2.7 pts
46▼1Windsor Heights, IAIA5,05921.3%+1.4 pts
47▲14Le Mars, IAIA10,76019.5%+3.5 pts
48▼6Boone, IAIA12,47119.4%−1.2 pts
49▲18Spirit Lake, IAIA5,52519.4%+5.7 pts
50▼2Estherville, IAIA5,80718.9%+0.1 pts
51▼22Algona, IAIA5,30918.6%−5.6 pts
52▲26Orange City, IAIA6,46818.4%+7.5 pts
53▲9Waverly, IAIA10,56118.1%+2.2 pts
54▼53Osceola, IAIA5,67917.8%−17.6 pts
55▼3Indianola, IAIA16,82917.4%−0.9 pts
56▼18Vinton, IAIA5,00417.2%−5.0 pts
57▲9Coralville, IAIA23,96016.6%+2.6 pts
58▼3Marion, IAIA42,73216.6%−1.4 pts
59▼3Altoona, IAIA22,79616.5%−1.1 pts
60▼7Clear Lake, IAIA7,60116.4%−1.8 pts
61▲23Decorah, IAIA7,41715.6%+5.9 pts
62▼5Grimes, IAIA17,40515.1%−2.1 pts
63▲9Grinnell, IAIA9,43014.9%+2.5 pts
64▼14Independence, IAIA6,31214.6%−4.1 pts
65▲9West Des Moines, IAIA74,22414.2%+2.4 pts
66▲2Iowa City, IAIA76,22914.0%+0.4 pts
67▲6Bettendorf, IAIA40,71013.4%+1.6 pts
68▲15Waukee, IAIA34,89013.2%+3.5 pts
69Norwalk, IAIA15,00413.2%−0.2 pts
70▲11Polk City, IAIA6,63013.0%+3.1 pts
71▼11Sergeant Bluff, IAIA5,32413.0%−3.3 pts
72▼2Adel, IAIA7,09812.8%−0.1 pts
73▲13Johnston, IAIA25,06512.6%+4.8 pts
74▼9Sioux Center, IAIA8,86412.4%−1.9 pts
75▲7Cedar Falls, IAIA41,24012.1%+2.2 pts
76▼18Pleasant Hill, IAIA11,23911.8%−5.0 pts
77▼2Urbandale, IAIA48,57011.6%+0.1 pts
78▲2North Liberty, IAIA21,97610.9%+0.9 pts
79▼2Pella, IAIA10,99210.8%−0.3 pts
80▼17Bondurant, IAIA9,64710.5%−4.7 pts
81▲4Ankeny, IAIA77,8339.2%+0.2 pts
82▲5Ames, IAIA68,2209.0%+1.3 pts
83▼4Clive, IAIA19,8619.0%−1.6 pts
84▼38DeWitt, IAIA5,7048.3%−11.6 pts
85▼26Eldridge, IAIA6,9548.1%−8.6 pts
86▼10Tiffin, IAIA7,1567.3%−3.9 pts
87▼23Asbury, IAIA6,0355.2%−9.8 pts
SHOWING 1–87 OF 87

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