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

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Denison, IAIA8,21410.9%−1.1 pts

02Fairfield, IAIA9,2209.2%+2.3 pts

03Sioux City, IAIA86,3568.4%+1.8 pts

04Keokuk, IAIA9,5107.5%+1.9 pts

05Washington, IAIA7,2617.5%+0.6 pts

06Des Moines, IAIA212,0867.2%+0.8 pts

07Storm Lake, IAIA11,5907.2%−4.6 pts

08Fort Dodge, IAIA24,8377.2%+0.4 pts

09Ottumwa, IAIA25,3197.1%−0.2 pts

10Newton, IAIA15,7417.1%+3.8 pts

11Cherokee, IAIA5,1227.0%−0.4 pts

12Waterloo, IAIA66,9197.0%+1.6 pts

13Creston, IAIA7,3357.0%−0.2 pts

14Spencer, IAIA11,2186.7%+2.5 pts

15Estherville, IAIA5,8076.7%−0.9 pts

16Davenport, IAIA100,3586.6%+0.3 pts

17Nevada, IAIA6,9746.5%+0.3 pts

18Perry, IAIA8,2086.5%−5.1 pts

19Marshalltown, IAIA27,5366.4%+0.0 pts

20Oelwein, IAIA5,7576.4%+1.0 pts

21Coralville, IAIA23,9606.4%+1.5 pts

22Fort Madison, IAIA9,9356.4%+0.5 pts

23Webster City, IAIA7,8156.3%+3.2 pts

24Le Mars, IAIA10,7606.3%+0.7 pts

25Clive, IAIA19,8616.3%+4.0 pts

26Clinton, IAIA24,0496.2%−0.3 pts

27Maquoketa, IAIA6,0276.2%+0.2 pts

28Hiawatha, IAIA7,4326.1%+1.4 pts

29Council Bluffs, IAIA62,6805.8%−0.3 pts

30Mason City, IAIA26,8535.6%+0.8 pts

31Oskaloosa, IAIA11,4935.6%−0.1 pts

32Algona, IAIA5,3095.5%+0.6 pts

33Muscatine, IAIA23,1645.0%+0.8 pts

34Waukee, IAIA34,8904.9%−0.3 pts

35Burlington, IAIA23,3364.8%−0.1 pts

36Cedar Rapids, IAIA137,9354.8%+0.2 pts

37Iowa Falls, IAIA5,0134.8%−0.3 pts

38West Des Moines, IAIA74,2244.8%+1.2 pts

39Urbandale, IAIA48,5704.7%+2.0 pts

40Atlantic, IAIA6,6764.7%−0.1 pts

41Iowa City, IAIA76,2294.5%−0.4 pts

42Manchester, IAIA5,3574.4%+1.1 pts

43Ames, IAIA68,2204.4%−1.6 pts

44Boone, IAIA12,4714.4%+0.4 pts

45Polk City, IAIA6,6304.3%+3.3 pts

46Mount Pleasant, IAIA8,5004.3%+1.9 pts

47Adel, IAIA7,0984.2%+0.9 pts

48Bettendorf, IAIA40,7104.1%+1.3 pts

49Red Oak, IAIA5,3884.0%+0.9 pts

50Dubuque, IAIA59,1483.9%−0.6 pts

51Ankeny, IAIA77,8333.7%+0.5 pts

52Marion, IAIA42,7323.7%+0.3 pts

53Sioux Center, IAIA8,8643.7%−1.7 pts

54Pleasant Hill, IAIA11,2393.6%+0.5 pts

55Knoxville, IAIA7,4693.6%−0.2 pts

56Grinnell, IAIA9,4303.5%−2.6 pts

57Decorah, IAIA7,4173.5%+1.1 pts

58Centerville, IAIA5,3273.4%−4.7 pts

59Grimes, IAIA17,4053.2%−3.6 pts

60Osceola, IAIA5,6793.2%−4.3 pts

61Pella, IAIA10,9923.2%−0.8 pts

62Independence, IAIA6,3123.2%+0.3 pts

63Orange City, IAIA6,4683.1%+2.1 pts

64Clarinda, IAIA5,2733.1%−1.9 pts

65Cedar Falls, IAIA41,2403.0%−0.4 pts

66Waverly, IAIA10,5613.0%−0.6 pts

67Sheldon, IAIA5,5753.0%−0.3 pts

68Vinton, IAIA5,0042.9%+1.3 pts

69Carroll, IAIA10,0852.8%+1.0 pts

70Glenwood, IAIA5,2872.6%−2.5 pts

71Altoona, IAIA22,7962.5%+0.7 pts

72North Liberty, IAIA21,9762.4%−2.2 pts

73Clear Lake, IAIA7,6012.4%−1.5 pts

74DeWitt, IAIA5,7042.4%+1.1 pts

75Winterset, IAIA5,5202.4%+0.7 pts

76Anamosa, IAIA5,9012.3%−1.0 pts

77Charles City, IAIA7,0131.8%−2.6 pts

78Johnston, IAIA25,0651.7%−1.0 pts

79Spirit Lake, IAIA5,5251.7%−1.2 pts

80Windsor Heights, IAIA5,0591.6%−1.3 pts

81Indianola, IAIA16,8291.5%−1.5 pts

82Sergeant Bluff, IAIA5,3241.2%−3.2 pts

83Norwalk, IAIA15,0041.2%+1.0 pts

84Eldridge, IAIA6,9541.2%−1.9 pts

85Asbury, IAIA6,0351.2%−0.4 pts

86Tiffin, IAIA7,1561.1%−0.1 pts

87Bondurant, IAIA9,6470.6%−1.8 pts

SHOWING 1–87 OF 87

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