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.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Denison, IAIA8,21410.9%−9%

02Fairfield, IAIA9,2209.2%+33%

03Sioux City, IAIA86,3568.4%+27%

04Keokuk, IAIA9,5107.5%+34%

05Washington, IAIA7,2617.5%+9%

06Des Moines, IAIA212,0867.2%+12%

07Fort Dodge, IAIA24,8377.2%+6%

08Storm Lake, IAIA11,5907.2%−39%

09Ottumwa, IAIA25,3197.1%−3%

10Newton, IAIA15,7417.1%+115%

11Cherokee, IAIA5,1227.0%−5%

12Creston, IAIA7,3357.0%−3%

13Waterloo, IAIA66,9197.0%+30%

14Spencer, IAIA11,2186.7%+60%

15Estherville, IAIA5,8076.7%−12%

16Davenport, IAIA100,3586.6%+5%

17Nevada, IAIA6,9746.5%+5%

18Perry, IAIA8,2086.5%−44%

19Coralville, IAIA23,9606.4%+31%

20Fort Madison, IAIA9,9356.4%+8%

21Marshalltown, IAIA27,5366.4%+0%

22Oelwein, IAIA5,7576.4%+19%

23Webster City, IAIA7,8156.3%+103%

24Clive, IAIA19,8616.3%+174%

25Le Mars, IAIA10,7606.3%+13%

26Clinton, IAIA24,0496.2%−5%

27Maquoketa, IAIA6,0276.2%+3%

28Hiawatha, IAIA7,4326.1%+30%

29Council Bluffs, IAIA62,6805.8%−5%

30Mason City, IAIA26,8535.6%+17%

31Oskaloosa, IAIA11,4935.6%−2%

32Algona, IAIA5,3095.5%+12%

33Muscatine, IAIA23,1645.0%+19%

34Waukee, IAIA34,8904.9%−6%

35Burlington, IAIA23,3364.8%−2%

36Cedar Rapids, IAIA137,9354.8%+4%

37West Des Moines, IAIA74,2244.8%+33%

38Iowa Falls, IAIA5,0134.8%−6%

39Atlantic, IAIA6,6764.7%−2%

40Urbandale, IAIA48,5704.7%+74%

41Iowa City, IAIA76,2294.5%−8%

42Ames, IAIA68,2204.4%−27%

43Manchester, IAIA5,3574.4%+33%

44Boone, IAIA12,4714.4%+10%

45Polk City, IAIA6,6304.3%+330%

46Mount Pleasant, IAIA8,5004.3%+79%

47Adel, IAIA7,0984.2%+27%

48Bettendorf, IAIA40,7104.1%+46%

49Red Oak, IAIA5,3884.0%+29%

50Dubuque, IAIA59,1483.9%−13%

51Ankeny, IAIA77,8333.7%+16%

52Marion, IAIA42,7323.7%+9%

53Sioux Center, IAIA8,8643.7%−31%

54Pleasant Hill, IAIA11,2393.6%+16%

55Knoxville, IAIA7,4693.6%−5%

56Grinnell, IAIA9,4303.5%−43%

57Decorah, IAIA7,4173.5%+46%

58Centerville, IAIA5,3273.4%−58%

59Grimes, IAIA17,4053.2%−53%

60Pella, IAIA10,9923.2%−20%

61Independence, IAIA6,3123.2%+10%

62Osceola, IAIA5,6793.2%−57%

63Orange City, IAIA6,4683.1%+210%

64Clarinda, IAIA5,2733.1%−38%

65Cedar Falls, IAIA41,2403.0%−12%

66Sheldon, IAIA5,5753.0%−9%

67Waverly, IAIA10,5613.0%−17%

68Vinton, IAIA5,0042.9%+81%

69Carroll, IAIA10,0852.8%+56%

70Glenwood, IAIA5,2872.6%−49%

71Altoona, IAIA22,7962.5%+39%

72Clear Lake, IAIA7,6012.4%−38%

73Winterset, IAIA5,5202.4%+41%

74DeWitt, IAIA5,7042.4%+85%

75North Liberty, IAIA21,9762.4%−48%

76Anamosa, IAIA5,9012.3%−30%

77Charles City, IAIA7,0131.8%−59%

78Spirit Lake, IAIA5,5251.7%−41%

79Johnston, IAIA25,0651.7%−37%

80Windsor Heights, IAIA5,0591.6%−45%

81Indianola, IAIA16,8291.5%−50%

82Sergeant Bluff, IAIA5,3241.2%−73%

83Norwalk, IAIA15,0041.2%+500%

84Asbury, IAIA6,0351.2%−25%

85Eldridge, IAIA6,9541.2%−61%

86Tiffin, IAIA7,1561.1%−8%

87Bondurant, IAIA9,6470.6%−75%

SHOWING 1–87 OF 87

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES