RANKING · 2024 ACS · 99 SHOWN OF 99

Highest Medicaid coverage, Iowa counties

Iowa counties 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 99 counties in Iowa that qualify, ranked against each other statewide. The median across all 99 is 20.5%. Biggest climber in the top 100 since 2020: Taylor County, IA, up 49 places to #23.

IowaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01▲17Montgomery County, IAIA10,00232.0%+9.0 pts

02▲23Audubon County, IAIA5,50928.5%+5.9 pts

03▲2Woodbury County, IAIA106,64928.1%+1.6 pts

04▲28Cass County, IAIA12,96027.1%+5.6 pts

05▲22Monona County, IAIA8,53926.9%+4.9 pts

06▲4Lee County, IAIA32,30626.8%+2.5 pts

07▲36Floyd County, IAIA14,90126.7%+6.0 pts

08▼1Lucas County, IAIA8,84726.7%+1.0 pts

09▲11Union County, IAIA11,82926.6%+3.8 pts

10▼2Des Moines County, IAIA38,07726.5%+1.6 pts

11▲17Crawford County, IAIA16,23725.8%+4.1 pts

12▲14Page County, IAIA14,85625.7%+3.6 pts

13▲22Buena Vista County, IAIA20,44925.5%+4.3 pts

14▲3Keokuk County, IAIA9,79725.4%+2.2 pts

15▲18Tama County, IAIA16,79625.2%+3.8 pts

16▲33Ida County, IAIA6,77725.0%+5.0 pts

17▼15Appanoose County, IAIA12,07724.7%−2.7 pts

18▲11Monroe County, IAIA7,40624.7%+3.1 pts

19▼8Pocahontas County, IAIA6,81924.7%+0.9 pts

20▲25Calhoun County, IAIA9,56224.6%+4.1 pts

21▼6Jefferson County, IAIA15,29124.5%+1.2 pts

22▲16Jones County, IAIA21,25324.5%+3.3 pts

23▲49Taylor County, IAIA5,83524.4%+7.2 pts

24▼23Wayne County, IAIA6,73824.4%−3.3 pts

25▲40Palo Alto County, IAIA8,89924.3%+6.2 pts

26▼10Webster County, IAIA36,83824.3%+1.0 pts

27▼21Wapello County, IAIA35,21024.1%−2.1 pts

28▼16Clinton County, IAIA46,00223.9%+0.2 pts

29▲12Muscatine County, IAIA41,85323.9%+3.1 pts

30▼17Marshall County, IAIA39,89023.8%+0.4 pts

31▼27Decatur County, IAIA7,65523.7%−2.8 pts

32▼2Mahaska County, IAIA21,88023.6%+2.1 pts

33▼10Fayette County, IAIA19,04723.5%+0.8 pts

34▼25Sac County, IAIA9,52523.3%−1.1 pts

35▲23O'Brien County, IAIA14,22023.2%+4.0 pts

36▼12Pottawattamie County, IAIA92,99623.0%+0.4 pts

37▼3Black Hawk County, IAIA131,53223.0%+1.8 pts

38▲24Hardin County, IAIA16,45522.8%+3.9 pts

39▼17Ringgold County, IAIA4,64222.5%−0.2 pts

40▲8Wright County, IAIA12,80122.5%+2.4 pts

41▲13Carroll County, IAIA20,30322.4%+2.7 pts

42▼23Henry County, IAIA19,34922.1%−0.9 pts

43▲8Clay County, IAIA16,20222.0%+2.1 pts

44▲23Hamilton County, IAIA14,94421.4%+4.0 pts

45▼8Humboldt County, IAIA9,40921.3%+0.1 pts

46▲6Cerro Gordo County, IAIA42,37221.1%+1.3 pts

47▲9Jasper County, IAIA38,15320.8%+1.2 pts

48▼12Howard County, IAIA9,41520.7%−0.5 pts

49▼35Van Buren County, IAIA7,13120.6%−2.8 pts

50▼29Adair County, IAIA7,40320.5%−2.3 pts

51▼9Polk County, IAIA516,54620.4%−0.3 pts

52▼21Washington County, IAIA22,66720.4%−1.1 pts

53▲13Louisa County, IAIA10,41620.3%+2.8 pts

54▲7Shelby County, IAIA11,68920.2%+1.2 pts

55Scott County, IAIA175,25920.0%+0.4 pts

56▼17Greene County, IAIA8,65819.9%−1.2 pts

57▼7Allamakee County, IAIA14,23819.7%−0.2 pts

58▲10Hancock County, IAIA10,52819.5%+2.1 pts

59▲4Davis County, IAIA9,23019.4%+1.0 pts

60Adams County, IAIA3,61719.3%+0.3 pts

61▼21Clayton County, IAIA16,84519.2%−1.9 pts

62▲7Linn County, IAIA232,02819.1%+1.8 pts

63▲10Lyon County, IAIA12,35419.1%+1.9 pts

64▼61Clarke County, IAIA9,57419.0%−7.6 pts

65▼12Osceola County, IAIA5,98019.0%−0.7 pts

66▼19Mitchell County, IAIA10,65018.9%−1.5 pts

67▲15Cherokee County, IAIA11,36918.8%+2.7 pts

68▲13Franklin County, IAIA9,86818.8%+2.6 pts

69▲2Worth County, IAIA7,33818.8%+1.5 pts

70▲4Guthrie County, IAIA10,78218.6%+1.4 pts

71▼14Jackson County, IAIA19,28818.6%−0.8 pts

72▼28Kossuth County, IAIA14,32218.6%−2.0 pts

73▲2Butler County, IAIA14,04918.5%+1.7 pts

74▲12Plymouth County, IAIA25,69718.4%+3.4 pts

75▼29Fremont County, IAIA6,52217.8%−2.7 pts

76▲9Iowa County, IAIA16,50417.8%+2.7 pts

77▼18Emmet County, IAIA9,10717.6%−1.5 pts

78▲2Buchanan County, IAIA20,88317.3%+1.0 pts

79▲12Dickinson County, IAIA18,07717.2%+3.1 pts

80▼1Winnebago County, IAIA10,25117.2%+0.8 pts

81▲9Delaware County, IAIA17,67417.1%+2.8 pts

82▼6Dubuque County, IAIA99,38117.0%+0.4 pts

83▲5Cedar County, IAIA18,35916.9%+2.1 pts

84▼14Marion County, IAIA34,19216.9%−0.4 pts

85▼21Mills County, IAIA14,79316.9%−1.4 pts

86▼9Harrison County, IAIA14,62316.7%+0.2 pts

87▼3Sioux County, IAIA36,77416.6%+1.5 pts

88▲6Winneshiek County, IAIA19,73315.9%+2.5 pts

89▼2Chickasaw County, IAIA11,66315.8%+0.9 pts

90▼12Boone County, IAIA26,79915.7%−0.7 pts

91▲5Madison County, IAIA17,27015.7%+3.9 pts

92Bremer County, IAIA25,29615.2%+1.4 pts

93▼10Benton County, IAIA26,00414.8%−0.8 pts

94▼1Poweshiek County, IAIA18,36814.2%+0.8 pts

95▼6Warren County, IAIA57,33114.1%−0.4 pts

96▲1Grundy County, IAIA12,36113.9%+3.1 pts

97▼2Johnson County, IAIA160,04413.7%+0.9 pts

98Dallas County, IAIA118,45712.0%+1.4 pts

99Story County, IAIA101,29110.3%+0.9 pts

SHOWING 1–99 OF 99

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