RANKING · 2020 CENSUS · 87 SHOWN OF 87

Highest Medicaid coverage, Iowa cities · 2020

Iowa cities ranked by the share of people covered by Medicaid or other means-tested public 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

RANKPLACESTATEPOPMEDICAIDVS –

01Osceola, IAIA5,67935.4%–

02Maquoketa, IAIA6,02734.8%–

03Keokuk, IAIA9,51034.6%–

04Centerville, IAIA5,32734.0%–

05Knoxville, IAIA7,46931.1%–

06Washington, IAIA7,26131.0%–

07Charles City, IAIA7,01330.7%–

08Des Moines, IAIA212,08630.7%–

09Fort Madison, IAIA9,93530.3%–

10Oelwein, IAIA5,75730.2%–

11Red Oak, IAIA5,38830.1%–

12Waterloo, IAIA66,91929.9%–

13Burlington, IAIA23,33629.8%–

14Ottumwa, IAIA25,31929.3%–

15Sioux City, IAIA86,35629.2%–

16Marshalltown, IAIA27,53628.5%–

17Clinton, IAIA24,04927.7%–

18Anamosa, IAIA5,90127.5%–

19Fort Dodge, IAIA24,83727.5%–

20Council Bluffs, IAIA62,68026.7%–

21Creston, IAIA7,33526.7%–

22Glenwood, IAIA5,28726.7%–

23Perry, IAIA8,20826.1%–

24Mount Pleasant, IAIA8,50026.0%–

25Atlantic, IAIA6,67625.6%–

26Newton, IAIA15,74125.4%–

27Oskaloosa, IAIA11,49325.3%–

28Davenport, IAIA100,35825.0%–

29Algona, IAIA5,30924.2%–

30Storm Lake, IAIA11,59024.0%–

31Fairfield, IAIA9,22023.5%–

32Denison, IAIA8,21423.3%–

33Spencer, IAIA11,21823.1%–

34Clarinda, IAIA5,27323.1%–

35Webster City, IAIA7,81523.0%–

36Muscatine, IAIA23,16422.7%–

37Hiawatha, IAIA7,43222.5%–

38Vinton, IAIA5,00422.2%–

39Carroll, IAIA10,08522.1%–

40Mason City, IAIA26,85321.6%–

41Manchester, IAIA5,35721.4%–

42Boone, IAIA12,47120.6%–

43Dubuque, IAIA59,14820.5%–

44Cherokee, IAIA5,12220.0%–

45Windsor Heights, IAIA5,05919.9%–

46DeWitt, IAIA5,70419.9%–

47Iowa Falls, IAIA5,01319.3%–

48Estherville, IAIA5,80718.8%–

49Cedar Rapids, IAIA137,93518.7%–

50Independence, IAIA6,31218.7%–

51Nevada, IAIA6,97418.6%–

52Indianola, IAIA16,82918.3%–

53Clear Lake, IAIA7,60118.2%–

54Sheldon, IAIA5,57518.1%–

55Marion, IAIA42,73218.0%–

56Altoona, IAIA22,79617.6%–

57Grimes, IAIA17,40517.2%–

58Pleasant Hill, IAIA11,23916.8%–

59Eldridge, IAIA6,95416.7%–

60Sergeant Bluff, IAIA5,32416.3%–

61Le Mars, IAIA10,76016.0%–

62Waverly, IAIA10,56115.9%–

63Bondurant, IAIA9,64715.2%–

64Asbury, IAIA6,03515.0%–

65Sioux Center, IAIA8,86414.3%–

66Coralville, IAIA23,96014.0%–

67Spirit Lake, IAIA5,52513.7%–

68Iowa City, IAIA76,22913.6%–

69Norwalk, IAIA15,00413.4%–

70Adel, IAIA7,09812.9%–

71Winterset, IAIA5,52012.7%–

72Grinnell, IAIA9,43012.4%–

73Bettendorf, IAIA40,71011.8%–

74West Des Moines, IAIA74,22411.8%–

75Urbandale, IAIA48,57011.5%–

76Tiffin, IAIA7,15611.2%–

77Pella, IAIA10,99211.1%–

78Orange City, IAIA6,46810.9%–

79Clive, IAIA19,86110.6%–

80North Liberty, IAIA21,97610.0%–

81Polk City, IAIA6,6309.9%–

82Cedar Falls, IAIA41,2409.9%–

83Waukee, IAIA34,8909.7%–

84Decorah, IAIA7,4179.7%–

85Ankeny, IAIA77,8339.0%–

86Johnston, IAIA25,0657.8%–

87Ames, IAIA68,2207.7%–

SHOWING 1–87 OF 87

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