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. The median across all 87 is 20.0%.

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