RANKING · 2024 ACS · 87 SHOWN OF 87

Most uninsured people, Iowa cities

Iowa cities with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 87 cities in Iowa that qualify, ranked against each other statewide. The median across all 87 is 434. Biggest climber in the top 100 since 2020: Clive, IA, up 24 places to #23.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Des Moines, IAIA212,08615,194+12%

02▲2Sioux City, IAIA86,3567,126+33%

03▼1Davenport, IAIA100,3586,590+4%

04▼1Cedar Rapids, IAIA137,9356,464+6%

05▲3Waterloo, IAIA66,9194,663+28%

06Council Bluffs, IAIA62,6803,608−3%

07▲3West Des Moines, IAIA74,2243,388+43%

08▼1Iowa City, IAIA76,2293,360−9%

09▼4Ames, IAIA68,2202,981−25%

10▲1Ankeny, IAIA77,8332,636+26%

11▼2Dubuque, IAIA59,1482,243−13%

12▲9Urbandale, IAIA48,5702,155+80%

13▼1Ottumwa, IAIA25,3191,789+1%

14▼1Marshalltown, IAIA27,5361,701+3%

15Fort Dodge, IAIA24,8371,655+8%

16▲8Bettendorf, IAIA40,7101,615+62%

17Marion, IAIA42,7321,521+13%

18Mason City, IAIA26,8531,501+16%

19▼5Clinton, IAIA24,0491,489−8%

20▲2Waukee, IAIA34,8901,434+22%

21▲2Coralville, IAIA23,9601,424+42%

22▼6Cedar Falls, IAIA41,2401,208−12%

23▲24Clive, IAIA19,8611,187+195%

24▲1Muscatine, IAIA23,1641,150+17%

25▼5Burlington, IAIA23,3361,129−6%

26▲14Newton, IAIA15,7411,091+125%

27▼1Denison, IAIA8,214888−9%

28▲2Fairfield, IAIA9,220852+22%

29▼10Storm Lake, IAIA11,590815−34%

30▲12Spencer, IAIA11,218751+64%

31▲2Keokuk, IAIA9,510713+26%

32▲3Le Mars, IAIA10,760659+18%

33▼2Oskaloosa, IAIA11,493629−4%

34Fort Madison, IAIA9,935594+5%

35▲17Altoona, IAIA22,796541+56%

36▲3Washington, IAIA7,261533+9%

37▲1Boone, IAIA12,471531+7%

38▼11Grimes, IAIA17,405517−45%

39▼3Creston, IAIA7,335513−7%

40▼11Perry, IAIA8,208513−41%

41▼13North Liberty, IAIA21,976512−42%

42▲22Webster City, IAIA7,815478+103%

43▲3Nevada, IAIA6,974449+9%

44▲9Hiawatha, IAIA7,432434+26%

45▼13Johnston, IAIA25,065415−30%

46▲12Pleasant Hill, IAIA11,239398+30%

47▼3Estherville, IAIA5,807384−10%

48▲3Maquoketa, IAIA6,027370+5%

49▲7Oelwein, IAIA5,757362+16%

50▲4Cherokee, IAIA5,122346+2%

51▲17Mount Pleasant, IAIA8,500336+85%

52▼7Pella, IAIA10,992336−19%

53▼16Grinnell, IAIA9,430329−39%

54▼6Sioux Center, IAIA8,864308−23%

55▲2Atlantic, IAIA6,6763080%

56▼6Waverly, IAIA10,561306−14%

57▲5Algona, IAIA5,309283+11%

58▲12Carroll, IAIA10,085276+58%

59▲15Adel, IAIA7,098266+65%

60Knoxville, IAIA7,469261−3%

61▲8Decorah, IAIA7,417260+45%

62▲23Polk City, IAIA6,630258+427%

63▼22Indianola, IAIA16,829238−49%

64▼1Iowa Falls, IAIA5,013235−7%

65▲8Manchester, IAIA5,357223+38%

66▲9Red Oak, IAIA5,388216+35%

67▲17Orange City, IAIA6,468197+234%

68▲3Independence, IAIA6,312195+15%

69▼10Clear Lake, IAIA7,601183−38%

70▼27Centerville, IAIA5,327176−59%

71▼22Osceola, IAIA5,679175−53%

72▲15Norwalk, IAIA15,004168+630%

73▼1Sheldon, IAIA5,575161−5%

74▲8Vinton, IAIA5,004140+77%

75▼10Clarinda, IAIA5,273137−37%

76▼15Glenwood, IAIA5,287130−50%

77▲6DeWitt, IAIA5,704130+97%

78▼23Charles City, IAIA7,013126−60%

79▲2Winterset, IAIA5,520125+39%

80▼2Anamosa, IAIA5,901106−27%

81▼4Spirit Lake, IAIA5,52590−39%

82▼3Windsor Heights, IAIA5,05980−44%

83▼16Eldridge, IAIA6,95479−62%

84▼4Asbury, IAIA6,03573−21%

85▲1Tiffin, IAIA7,15661+39%

86▼20Sergeant Bluff, IAIA5,32459−73%

87▼11Bondurant, IAIA9,64752−67%

SHOWING 1–87 OF 87

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES