RANKING · 2024 ACS · 87 SHOWN OF 87

Highest uninsured rate, Iowa cities

Iowa cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 87 cities in Iowa that qualify, ranked against each other statewide. The median across all 87 is 4.4%. Biggest climber in the top 100 since 2020: Clive, IA, up 53 places to #24.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Denison, IAIA8,21410.9%−1.1 pts

02▲8Fairfield, IAIA9,2209.2%+2.3 pts

03▲11Sioux City, IAIA86,3568.4%+1.8 pts

04▲22Keokuk, IAIA9,5107.5%+1.9 pts

05▲6Washington, IAIA7,2617.5%+0.6 pts

06▲10Des Moines, IAIA212,0867.2%+0.8 pts

07▼5Storm Lake, IAIA11,5907.2%−4.6 pts

08▲5Fort Dodge, IAIA24,8377.2%+0.4 pts

09▼1Ottumwa, IAIA25,3197.1%−0.2 pts

10▲48Newton, IAIA15,7417.1%+3.8 pts

11▼2Creston, IAIA7,3357.0%−0.2 pts

12▲18Waterloo, IAIA66,9197.0%+1.6 pts

13▼6Cherokee, IAIA5,1227.0%−0.4 pts

14▲33Spencer, IAIA11,2186.7%+2.5 pts

15▼10Estherville, IAIA5,8076.7%−0.9 pts

16▲2Davenport, IAIA100,3586.6%+0.3 pts

17▲2Nevada, IAIA6,9746.5%+0.3 pts

18▼15Perry, IAIA8,2086.5%−5.1 pts

19▲18Coralville, IAIA23,9606.4%+1.5 pts

20▲8Oelwein, IAIA5,7576.4%+1.0 pts

21▼4Marshalltown, IAIA27,5366.4%0.0 pts

22▲2Fort Madison, IAIA9,9356.4%+0.5 pts

23▲40Webster City, IAIA7,8156.3%+3.2 pts

24▲53Clive, IAIA19,8616.3%+4.0 pts

25▲2Le Mars, IAIA10,7606.3%+0.7 pts

26▼11Clinton, IAIA24,0496.2%−0.3 pts

27▼5Maquoketa, IAIA6,0276.2%+0.2 pts

28▲13Hiawatha, IAIA7,4326.1%+1.4 pts

29▼8Council Bluffs, IAIA62,6805.8%−0.3 pts

30▲9Mason City, IAIA26,8535.6%+0.8 pts

31▼6Oskaloosa, IAIA11,4935.6%−0.1 pts

32▲3Algona, IAIA5,3095.5%+0.6 pts

33▲15Muscatine, IAIA23,1645.0%+0.8 pts

34▼3Waukee, IAIA34,8904.9%−0.3 pts

35▼3Iowa Falls, IAIA5,0134.8%−0.3 pts

36▲18West Des Moines, IAIA74,2244.8%+1.2 pts

37▼1Burlington, IAIA23,3364.8%−0.1 pts

38▲4Cedar Rapids, IAIA137,9354.8%+0.2 pts

39▲1Atlantic, IAIA6,6764.7%−0.1 pts

40▲33Urbandale, IAIA48,5704.7%+2.0 pts

41▼3Iowa City, IAIA76,2294.5%−0.4 pts

42▼19Ames, IAIA68,2204.4%−1.6 pts

43▲6Boone, IAIA12,4714.4%+0.4 pts

44▲15Manchester, IAIA5,3574.4%+1.1 pts

45▲41Polk City, IAIA6,6304.3%+3.3 pts

46▲30Mount Pleasant, IAIA8,5004.3%+1.9 pts

47▲10Adel, IAIA7,0984.2%+0.9 pts

48▲23Bettendorf, IAIA40,7104.1%+1.3 pts

49▲17Red Oak, IAIA5,3884.0%+0.9 pts

50▼6Dubuque, IAIA59,1483.9%−0.6 pts

51▲11Ankeny, IAIA77,8333.7%+0.5 pts

52▼23Sioux Center, IAIA8,8643.7%−1.7 pts

53▲3Marion, IAIA42,7323.7%+0.3 pts

54▲10Pleasant Hill, IAIA11,2393.6%+0.5 pts

55▼3Knoxville, IAIA7,4693.6%−0.2 pts

56▼36Grinnell, IAIA9,4303.5%−2.6 pts

57▲18Decorah, IAIA7,4173.5%+1.1 pts

58▼54Centerville, IAIA5,3273.4%−4.7 pts

59▲9Independence, IAIA6,3123.2%+0.3 pts

60▼54Osceola, IAIA5,6793.2%−4.3 pts

61▼11Pella, IAIA10,9923.2%−0.8 pts

62▼50Grimes, IAIA17,4053.2%−3.6 pts

63▲22Orange City, IAIA6,4683.1%+2.1 pts

64▼30Clarinda, IAIA5,2733.1%−1.9 pts

65▼5Sheldon, IAIA5,5753.0%−0.3 pts

66▼13Waverly, IAIA10,5613.0%−0.6 pts

67▼12Cedar Falls, IAIA41,2403.0%−0.4 pts

68▲13Vinton, IAIA5,0042.9%+1.3 pts

69▲9Carroll, IAIA10,0852.8%+1.0 pts

70▼37Glenwood, IAIA5,2872.6%−2.5 pts

71▲8Altoona, IAIA22,7962.5%+0.7 pts

72▼21Clear Lake, IAIA7,6012.4%−1.5 pts

73▲10DeWitt, IAIA5,7042.4%+1.1 pts

74▼31North Liberty, IAIA21,9762.4%−2.2 pts

75▲5Winterset, IAIA5,5202.4%+0.7 pts

76▼15Anamosa, IAIA5,9012.3%−1.0 pts

77▼31Charles City, IAIA7,0131.8%−2.6 pts

78▼6Johnston, IAIA25,0651.7%−1.0 pts

79▼10Spirit Lake, IAIA5,5251.7%−1.2 pts

80▼10Windsor Heights, IAIA5,0591.6%−1.3 pts

81▼14Indianola, IAIA16,8291.5%−1.5 pts

82▼37Sergeant Bluff, IAIA5,3241.2%−3.2 pts

83▲4Norwalk, IAIA15,0041.2%+1.0 pts

84▼2Asbury, IAIA6,0351.2%−0.4 pts

85▼20Eldridge, IAIA6,9541.2%−1.9 pts

86▼2Tiffin, IAIA7,1561.1%−0.1 pts

87▼13Bondurant, IAIA9,6470.6%−1.8 pts

SHOWING 1–87 OF 87

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