RANKING · 2020 CENSUS · 87 SHOWN OF 87

Highest uninsured rate, Iowa cities · 2020

Iowa cities ranked by the share of residents without health insurance (2020 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 –

01Denison, IAIA8,21412.0%–

02Storm Lake, IAIA11,59011.8%–

03Perry, IAIA8,20811.6%–

04Centerville, IAIA5,3278.1%–

05Estherville, IAIA5,8077.6%–

06Osceola, IAIA5,6797.5%–

07Cherokee, IAIA5,1227.4%–

08Ottumwa, IAIA25,3197.3%–

09Creston, IAIA7,3357.2%–

10Fairfield, IAIA9,2206.9%–

11Washington, IAIA7,2616.9%–

12Grimes, IAIA17,4056.8%–

13Fort Dodge, IAIA24,8376.8%–

14Sioux City, IAIA86,3566.6%–

15Clinton, IAIA24,0496.5%–

16Des Moines, IAIA212,0866.4%–

17Marshalltown, IAIA27,5366.4%–

18Davenport, IAIA100,3586.3%–

19Nevada, IAIA6,9746.2%–

20Grinnell, IAIA9,4306.1%–

21Council Bluffs, IAIA62,6806.1%–

22Maquoketa, IAIA6,0276.0%–

23Ames, IAIA68,2206.0%–

24Fort Madison, IAIA9,9355.9%–

25Oskaloosa, IAIA11,4935.7%–

26Keokuk, IAIA9,5105.6%–

27Le Mars, IAIA10,7605.6%–

28Waterloo, IAIA66,9195.4%–

29Oelwein, IAIA5,7575.4%–

30Sioux Center, IAIA8,8645.4%–

31Waukee, IAIA34,8905.2%–

32Iowa Falls, IAIA5,0135.1%–

33Glenwood, IAIA5,2875.1%–

34Clarinda, IAIA5,2735.0%–

35Algona, IAIA5,3094.9%–

36Burlington, IAIA23,3364.9%–

37Coralville, IAIA23,9604.9%–

38Iowa City, IAIA76,2294.9%–

39Mason City, IAIA26,8534.8%–

40Atlantic, IAIA6,6764.8%–

41Hiawatha, IAIA7,4324.7%–

42Cedar Rapids, IAIA137,9354.6%–

43North Liberty, IAIA21,9764.6%–

44Dubuque, IAIA59,1484.5%–

45Sergeant Bluff, IAIA5,3244.4%–

46Charles City, IAIA7,0134.4%–

47Spencer, IAIA11,2184.2%–

48Muscatine, IAIA23,1644.2%–

49Pella, IAIA10,9924.0%–

50Boone, IAIA12,4714.0%–

51Clear Lake, IAIA7,6013.9%–

52Knoxville, IAIA7,4693.8%–

53Waverly, IAIA10,5613.6%–

54West Des Moines, IAIA74,2243.6%–

55Cedar Falls, IAIA41,2403.4%–

56Marion, IAIA42,7323.4%–

57Adel, IAIA7,0983.3%–

58Newton, IAIA15,7413.3%–

59Manchester, IAIA5,3573.3%–

60Anamosa, IAIA5,9013.3%–

61Sheldon, IAIA5,5753.3%–

62Ankeny, IAIA77,8333.2%–

63Pleasant Hill, IAIA11,2393.1%–

64Webster City, IAIA7,8153.1%–

65Eldridge, IAIA6,9543.1%–

66Red Oak, IAIA5,3883.1%–

67Indianola, IAIA16,8293.0%–

68Windsor Heights, IAIA5,0592.9%–

69Independence, IAIA6,3122.9%–

70Spirit Lake, IAIA5,5252.9%–

71Bettendorf, IAIA40,7102.8%–

72Urbandale, IAIA48,5702.7%–

73Johnston, IAIA25,0652.7%–

74Mount Pleasant, IAIA8,5002.4%–

75Decorah, IAIA7,4172.4%–

76Bondurant, IAIA9,6472.4%–

77Clive, IAIA19,8612.3%–

78Carroll, IAIA10,0851.8%–

79Altoona, IAIA22,7961.8%–

80Winterset, IAIA5,5201.7%–

81Vinton, IAIA5,0041.6%–

82Asbury, IAIA6,0351.6%–

83DeWitt, IAIA5,7041.3%–

84Tiffin, IAIA7,1561.2%–

85Polk City, IAIA6,6301.0%–

86Orange City, IAIA6,4681.0%–

87Norwalk, IAIA15,0040.2%–

SHOWING 1–87 OF 87

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS