RANKING · 2024 ACS · 87 SHOWN OF 87

Highest uninsured rate, Iowa cities

Iowa cities ranked by the share of residents without health insurance (2023 ACS). This list covers the 87 cities in Iowa that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

RELATEDOldest by median age Youngest by median age Most foreign-born residents Most women Most men Highest disability rate

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2000

01Denison, IAIA8,21410.9%–

02Fairfield, IAIA9,2209.2%–

03Sioux City, IAIA86,3568.4%–

04Keokuk, IAIA9,5107.5%–

05Washington, IAIA7,2617.5%–

06Des Moines, IAIA212,0867.2%–

07Storm Lake, IAIA11,5907.2%–

08Fort Dodge, IAIA24,8377.2%–

09Newton, IAIA15,7417.1%–

10Ottumwa, IAIA25,3197.1%–

11Cherokee, IAIA5,1227.0%–

12Creston, IAIA7,3357.0%–

13Waterloo, IAIA66,9197.0%–

14Spencer, IAIA11,2186.7%–

15Estherville, IAIA5,8076.7%–

16Davenport, IAIA100,3586.6%–

17Nevada, IAIA6,9746.5%–

18Perry, IAIA8,2086.5%–

19Coralville, IAIA23,9606.4%–

20Oelwein, IAIA5,7576.4%–

21Fort Madison, IAIA9,9356.4%–

22Marshalltown, IAIA27,5366.4%–

23Webster City, IAIA7,8156.3%–

24Clive, IAIA19,8616.3%–

25Le Mars, IAIA10,7606.3%–

26Clinton, IAIA24,0496.2%–

27Maquoketa, IAIA6,0276.2%–

28Hiawatha, IAIA7,4326.1%–

29Council Bluffs, IAIA62,6805.8%–

30Mason City, IAIA26,8535.6%–

31Oskaloosa, IAIA11,4935.6%–

32Algona, IAIA5,3095.5%–

33Muscatine, IAIA23,1645.0%–

34Waukee, IAIA34,8904.9%–

35Burlington, IAIA23,3364.8%–

36Cedar Rapids, IAIA137,9354.8%–

37Iowa Falls, IAIA5,0134.8%–

38West Des Moines, IAIA74,2244.8%–

39Urbandale, IAIA48,5704.7%–

40Atlantic, IAIA6,6764.7%–

41Iowa City, IAIA76,2294.5%–

42Boone, IAIA12,4714.4%–

43Ames, IAIA68,2204.4%–

44Manchester, IAIA5,3574.4%–

45Polk City, IAIA6,6304.3%–

46Mount Pleasant, IAIA8,5004.3%–

47Adel, IAIA7,0984.2%–

48Bettendorf, IAIA40,7104.1%–

49Red Oak, IAIA5,3884.0%–

50Dubuque, IAIA59,1483.9%–

51Ankeny, IAIA77,8333.7%–

52Sioux Center, IAIA8,8643.7%–

53Marion, IAIA42,7323.7%–

54Pleasant Hill, IAIA11,2393.6%–

55Knoxville, IAIA7,4693.6%–

56Grinnell, IAIA9,4303.5%–

57Decorah, IAIA7,4173.5%–

58Centerville, IAIA5,3273.4%–

59Grimes, IAIA17,4053.2%–

60Osceola, IAIA5,6793.2%–

61Pella, IAIA10,9923.2%–

62Independence, IAIA6,3123.2%–

63Orange City, IAIA6,4683.1%–

64Clarinda, IAIA5,2733.1%–

65Cedar Falls, IAIA41,2403.0%–

66Sheldon, IAIA5,5753.0%–

67Waverly, IAIA10,5613.0%–

68Vinton, IAIA5,0042.9%–

69Carroll, IAIA10,0852.8%–

70Glenwood, IAIA5,2872.6%–

71Altoona, IAIA22,7962.5%–

72Clear Lake, IAIA7,6012.4%–

73North Liberty, IAIA21,9762.4%–

74DeWitt, IAIA5,7042.4%–

75Winterset, IAIA5,5202.4%–

76Anamosa, IAIA5,9012.3%–

77Charles City, IAIA7,0131.8%–

78Spirit Lake, IAIA5,5251.7%–

79Johnston, IAIA25,0651.7%–

80Windsor Heights, IAIA5,0591.6%–

81Indianola, IAIA16,8291.5%–

82Sergeant Bluff, IAIA5,3241.2%–

83Norwalk, IAIA15,0041.2%–

84Eldridge, IAIA6,9541.2%–

85Asbury, IAIA6,0351.2%–

86Tiffin, IAIA7,1561.1%–

87Bondurant, IAIA9,6470.6%–

SHOWING 1–87 OF 87

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES