RANKING · 2020 CENSUS · 87 SHOWN OF 87

Highest uninsured rate, Iowa cities · 2020

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.

IowaAll statesPop > 5KAll rankings

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, IAIA8,21412.0%–

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%–

12Fort Dodge, IAIA24,8376.8%–

13Grimes, IAIA17,4056.8%–

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%–

22Ames, IAIA68,2206.0%–

23Maquoketa, IAIA6,0276.0%–

24Fort Madison, IAIA9,9355.9%–

25Oskaloosa, IAIA11,4935.7%–

26Keokuk, IAIA9,5105.6%–

27Le Mars, IAIA10,7605.6%–

28Sioux Center, IAIA8,8645.4%–

29Waterloo, IAIA66,9195.4%–

30Oelwein, IAIA5,7575.4%–

31Waukee, IAIA34,8905.2%–

32Glenwood, IAIA5,2875.1%–

33Iowa Falls, IAIA5,0135.1%–

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%–

49Boone, IAIA12,4714.0%–

50Pella, IAIA10,9924.0%–

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%–

59Anamosa, IAIA5,9013.3%–

60Sheldon, IAIA5,5753.3%–

61Manchester, IAIA5,3573.3%–

62Ankeny, IAIA77,8333.2%–

63Webster City, IAIA7,8153.1%–

64Pleasant Hill, IAIA11,2393.1%–

65Eldridge, IAIA6,9543.1%–

66Red Oak, IAIA5,3883.1%–

67Indianola, IAIA16,8293.0%–

68Independence, IAIA6,3122.9%–

69Spirit Lake, IAIA5,5252.9%–

70Windsor Heights, IAIA5,0592.9%–

71Bettendorf, IAIA40,7102.8%–

72Johnston, IAIA25,0652.7%–

73Urbandale, IAIA48,5702.7%–

74Bondurant, IAIA9,6472.4%–

75Decorah, IAIA7,4172.4%–

76Mount Pleasant, IAIA8,5002.4%–

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%–

85Orange City, IAIA6,4681.0%–

86Polk City, IAIA6,6301.0%–

87Norwalk, IAIA15,0040.2%–

SHOWING 1–87 OF 87

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