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.

IowaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Montgomery County, IAIA10,00232.0%+9.0 pts

02Audubon County, IAIA5,50928.5%+5.9 pts

03Woodbury County, IAIA106,64928.1%+1.6 pts

04Cass County, IAIA12,96027.1%+5.6 pts

05Monona County, IAIA8,53926.9%+4.9 pts

06Lee County, IAIA32,30626.8%+2.5 pts

07Floyd County, IAIA14,90126.7%+6.0 pts

08Lucas County, IAIA8,84726.7%+1.0 pts

09Union County, IAIA11,82926.6%+3.8 pts

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

11Crawford County, IAIA16,23725.8%+4.1 pts

12Page County, IAIA14,85625.7%+3.6 pts

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

14Keokuk County, IAIA9,79725.4%+2.2 pts

15Tama County, IAIA16,79625.2%+3.8 pts

16Ida County, IAIA6,77725.0%+5.0 pts

17Appanoose County, IAIA12,07724.7%−2.7 pts

18Monroe County, IAIA7,40624.7%+3.1 pts

19Pocahontas County, IAIA6,81924.7%+0.9 pts

20Calhoun County, IAIA9,56224.6%+4.1 pts

21Jefferson County, IAIA15,29124.5%+1.2 pts

22Jones County, IAIA21,25324.5%+3.3 pts

23Taylor County, IAIA5,83524.4%+7.2 pts

24Wayne County, IAIA6,73824.4%−3.3 pts

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

26Webster County, IAIA36,83824.3%+1.0 pts

27Wapello County, IAIA35,21024.1%−2.1 pts

28Clinton County, IAIA46,00223.9%+0.2 pts

29Muscatine County, IAIA41,85323.9%+3.1 pts

30Marshall County, IAIA39,89023.8%+0.4 pts

31Decatur County, IAIA7,65523.7%−2.8 pts

32Mahaska County, IAIA21,88023.6%+2.1 pts

33Fayette County, IAIA19,04723.5%+0.8 pts

34Sac County, IAIA9,52523.3%−1.1 pts

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

36Pottawattamie County, IAIA92,99623.0%+0.4 pts

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

38Hardin County, IAIA16,45522.8%+3.9 pts

39Ringgold County, IAIA4,64222.5%−0.2 pts

40Wright County, IAIA12,80122.5%+2.4 pts

41Carroll County, IAIA20,30322.4%+2.7 pts

42Henry County, IAIA19,34922.1%−0.9 pts

43Clay County, IAIA16,20222.0%+2.1 pts

44Hamilton County, IAIA14,94421.4%+4.0 pts

45Humboldt County, IAIA9,40921.3%+0.1 pts

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

47Jasper County, IAIA38,15320.8%+1.2 pts

48Howard County, IAIA9,41520.7%−0.5 pts

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

50Adair County, IAIA7,40320.5%−2.3 pts

51Polk County, IAIA516,54620.4%−0.3 pts

52Washington County, IAIA22,66720.4%−1.1 pts

53Louisa County, IAIA10,41620.3%+2.8 pts

54Shelby County, IAIA11,68920.2%+1.2 pts

55Scott County, IAIA175,25920.0%+0.4 pts

56Greene County, IAIA8,65819.9%−1.2 pts

57Allamakee County, IAIA14,23819.7%−0.2 pts

58Hancock County, IAIA10,52819.5%+2.1 pts

59Davis County, IAIA9,23019.4%+1.0 pts

60Adams County, IAIA3,61719.3%+0.3 pts

61Clayton County, IAIA16,84519.2%−1.9 pts

62Linn County, IAIA232,02819.1%+1.8 pts

63Lyon County, IAIA12,35419.1%+1.9 pts

64Clarke County, IAIA9,57419.0%−7.6 pts

65Osceola County, IAIA5,98019.0%−0.7 pts

66Mitchell County, IAIA10,65018.9%−1.5 pts

67Cherokee County, IAIA11,36918.8%+2.7 pts

68Franklin County, IAIA9,86818.8%+2.6 pts

69Worth County, IAIA7,33818.8%+1.5 pts

70Guthrie County, IAIA10,78218.6%+1.4 pts

71Jackson County, IAIA19,28818.6%−0.8 pts

72Kossuth County, IAIA14,32218.6%−2.0 pts

73Butler County, IAIA14,04918.5%+1.7 pts

74Plymouth County, IAIA25,69718.4%+3.4 pts

75Fremont County, IAIA6,52217.8%−2.7 pts

76Iowa County, IAIA16,50417.8%+2.7 pts

77Emmet County, IAIA9,10717.6%−1.5 pts

78Buchanan County, IAIA20,88317.3%+1.0 pts

79Dickinson County, IAIA18,07717.2%+3.1 pts

80Winnebago County, IAIA10,25117.2%+0.8 pts

81Delaware County, IAIA17,67417.1%+2.8 pts

82Dubuque County, IAIA99,38117.0%+0.4 pts

83Cedar County, IAIA18,35916.9%+2.1 pts

84Marion County, IAIA34,19216.9%−0.4 pts

85Mills County, IAIA14,79316.9%−1.4 pts

86Harrison County, IAIA14,62316.7%+0.2 pts

87Sioux County, IAIA36,77416.6%+1.5 pts

88Winneshiek County, IAIA19,73315.9%+2.5 pts

89Chickasaw County, IAIA11,66315.8%+0.9 pts

90Boone County, IAIA26,79915.7%−0.7 pts

91Madison County, IAIA17,27015.7%+3.9 pts

92Bremer County, IAIA25,29615.2%+1.4 pts

93Benton County, IAIA26,00414.8%−0.8 pts

94Poweshiek County, IAIA18,36814.2%+0.8 pts

95Warren County, IAIA57,33114.1%−0.4 pts

96Grundy County, IAIA12,36113.9%+3.1 pts

97Johnson 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 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES