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.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Red Oak, IAIA5,38844.1%+14.0 pts

02Keokuk, IAIA9,51036.3%+1.7 pts

03Charles City, IAIA7,01334.6%+3.9 pts

04Fort Madison, IAIA9,93533.2%+2.9 pts

05Oelwein, IAIA5,75731.7%+1.5 pts

06Centerville, IAIA5,32731.6%−2.4 pts

07Creston, IAIA7,33531.2%+4.5 pts

08Sioux City, IAIA86,35631.1%+1.9 pts

09Waterloo, IAIA66,91931.0%+1.1 pts

10Hiawatha, IAIA7,43230.9%+8.4 pts

11Clinton, IAIA24,04930.9%+3.2 pts

12Des Moines, IAIA212,08630.5%−0.2 pts

13Atlantic, IAIA6,67629.7%+4.1 pts

14Burlington, IAIA23,33629.5%−0.3 pts

15Denison, IAIA8,21429.5%+6.2 pts

16Muscatine, IAIA23,16429.4%+6.7 pts

17Marshalltown, IAIA27,53629.0%+0.5 pts

18Fort Dodge, IAIA24,83728.8%+1.3 pts

19Storm Lake, IAIA11,59028.3%+4.3 pts

20Anamosa, IAIA5,90128.1%+0.6 pts

21Iowa Falls, IAIA5,01327.9%+8.6 pts

22Council Bluffs, IAIA62,68027.4%+0.7 pts

23Clarinda, IAIA5,27327.3%+4.2 pts

24Maquoketa, IAIA6,02727.3%−7.5 pts

25Ottumwa, IAIA25,31927.1%−2.2 pts

26Oskaloosa, IAIA11,49326.8%+1.5 pts

27Knoxville, IAIA7,46926.7%−4.4 pts

28Washington, IAIA7,26126.4%−4.6 pts

29Davenport, IAIA100,35826.0%+1.0 pts

30Webster City, IAIA7,81525.7%+2.7 pts

31Sheldon, IAIA5,57525.1%+7.0 pts

32Spencer, IAIA11,21824.6%+1.5 pts

33Manchester, IAIA5,35724.6%+3.2 pts

34Mount Pleasant, IAIA8,50024.0%−2.0 pts

35Perry, IAIA8,20823.9%−2.2 pts

36Carroll, IAIA10,08523.6%+1.5 pts

37Mason City, IAIA26,85322.9%+1.3 pts

38Cherokee, IAIA5,12222.6%+2.6 pts

39Newton, IAIA15,74122.4%−3.0 pts

40Fairfield, IAIA9,22022.1%−1.4 pts

41Dubuque, IAIA59,14822.0%+1.5 pts

42Cedar Rapids, IAIA137,93521.8%+3.1 pts

43Winterset, IAIA5,52021.7%+9.0 pts

44Glenwood, IAIA5,28721.5%−5.2 pts

45Nevada, IAIA6,97421.3%+2.7 pts

46Windsor Heights, IAIA5,05921.3%+1.4 pts

47Le Mars, IAIA10,76019.5%+3.5 pts

48Boone, IAIA12,47119.4%−1.2 pts

49Spirit Lake, IAIA5,52519.4%+5.7 pts

50Estherville, IAIA5,80718.9%+0.1 pts

51Algona, IAIA5,30918.6%−5.6 pts

52Orange City, IAIA6,46818.4%+7.5 pts

53Waverly, IAIA10,56118.1%+2.2 pts

54Osceola, IAIA5,67917.8%−17.6 pts

55Indianola, IAIA16,82917.4%−0.9 pts

56Vinton, IAIA5,00417.2%−5.0 pts

57Coralville, IAIA23,96016.6%+2.6 pts

58Marion, IAIA42,73216.6%−1.4 pts

59Altoona, IAIA22,79616.5%−1.1 pts

60Clear Lake, IAIA7,60116.4%−1.8 pts

61Decorah, IAIA7,41715.6%+5.9 pts

62Grimes, IAIA17,40515.1%−2.1 pts

63Grinnell, IAIA9,43014.9%+2.5 pts

64Independence, IAIA6,31214.6%−4.1 pts

65West Des Moines, IAIA74,22414.2%+2.4 pts

66Iowa City, IAIA76,22914.0%+0.4 pts

67Bettendorf, IAIA40,71013.4%+1.6 pts

68Waukee, IAIA34,89013.2%+3.5 pts

69Norwalk, IAIA15,00413.2%−0.2 pts

70Polk City, IAIA6,63013.0%+3.1 pts

71Sergeant Bluff, IAIA5,32413.0%−3.3 pts

72Adel, IAIA7,09812.8%−0.1 pts

73Johnston, IAIA25,06512.6%+4.8 pts

74Sioux Center, IAIA8,86412.4%−1.9 pts

75Cedar Falls, IAIA41,24012.1%+2.2 pts

76Pleasant Hill, IAIA11,23911.8%−5.0 pts

77Urbandale, IAIA48,57011.6%+0.1 pts

78North Liberty, IAIA21,97610.9%+0.9 pts

79Pella, IAIA10,99210.8%−0.3 pts

80Bondurant, IAIA9,64710.5%−4.7 pts

81Ankeny, IAIA77,8339.2%+0.2 pts

82Ames, IAIA68,2209.0%+1.3 pts

83Clive, IAIA19,8619.0%−1.6 pts

84DeWitt, IAIA5,7048.3%−11.6 pts

85Eldridge, IAIA6,9548.1%−8.6 pts

86Tiffin, IAIA7,1567.3%−3.9 pts

87Asbury, IAIA6,0355.2%−9.8 pts

SHOWING 1–87 OF 87

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