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.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

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

02Sioux City, IAIA86,3567,126+33%

03Davenport, IAIA100,3586,590+4%

04Cedar Rapids, IAIA137,9356,464+6%

05Waterloo, IAIA66,9194,663+28%

06Council Bluffs, IAIA62,6803,608−3%

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

08Iowa City, IAIA76,2293,360−9%

09Ames, IAIA68,2202,981−25%

10Ankeny, IAIA77,8332,636+26%

11Dubuque, IAIA59,1482,243−13%

12Urbandale, IAIA48,5702,155+80%

13Ottumwa, IAIA25,3191,789+1%

14Marshalltown, IAIA27,5361,701+3%

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

16Bettendorf, IAIA40,7101,615+62%

17Marion, IAIA42,7321,521+13%

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

19Clinton, IAIA24,0491,489−8%

20Waukee, IAIA34,8901,434+22%

21Coralville, IAIA23,9601,424+42%

22Cedar Falls, IAIA41,2401,208−12%

23Clive, IAIA19,8611,187+195%

24Muscatine, IAIA23,1641,150+17%

25Burlington, IAIA23,3361,129−6%

26Newton, IAIA15,7411,091+125%

27Denison, IAIA8,214888−9%

28Fairfield, IAIA9,220852+22%

29Storm Lake, IAIA11,590815−34%

30Spencer, IAIA11,218751+64%

31Keokuk, IAIA9,510713+26%

32Le Mars, IAIA10,760659+18%

33Oskaloosa, IAIA11,493629−4%

34Fort Madison, IAIA9,935594+5%

35Altoona, IAIA22,796541+56%

36Washington, IAIA7,261533+9%

37Boone, IAIA12,471531+7%

38Grimes, IAIA17,405517−45%

39Creston, IAIA7,335513−7%

40Perry, IAIA8,208513−41%

41North Liberty, IAIA21,976512−42%

42Webster City, IAIA7,815478+103%

43Nevada, IAIA6,974449+9%

44Hiawatha, IAIA7,432434+26%

45Johnston, IAIA25,065415−30%

46Pleasant Hill, IAIA11,239398+30%

47Estherville, IAIA5,807384−10%

48Maquoketa, IAIA6,027370+5%

49Oelwein, IAIA5,757362+16%

50Cherokee, IAIA5,122346+2%

51Mount Pleasant, IAIA8,500336+85%

52Pella, IAIA10,992336−19%

53Grinnell, IAIA9,430329−39%

54Sioux Center, IAIA8,864308−23%

55Atlantic, IAIA6,676308+0%

56Waverly, IAIA10,561306−14%

57Algona, IAIA5,309283+11%

58Carroll, IAIA10,085276+58%

59Adel, IAIA7,098266+65%

60Knoxville, IAIA7,469261−3%

61Decorah, IAIA7,417260+45%

62Polk City, IAIA6,630258+427%

63Indianola, IAIA16,829238−49%

64Iowa Falls, IAIA5,013235−7%

65Manchester, IAIA5,357223+38%

66Red Oak, IAIA5,388216+35%

67Orange City, IAIA6,468197+234%

68Independence, IAIA6,312195+15%

69Clear Lake, IAIA7,601183−38%

70Centerville, IAIA5,327176−59%

71Osceola, IAIA5,679175−53%

72Norwalk, IAIA15,004168+630%

73Sheldon, IAIA5,575161−5%

74Vinton, IAIA5,004140+77%

75Clarinda, IAIA5,273137−37%

76Glenwood, IAIA5,287130−50%

77DeWitt, IAIA5,704130+97%

78Charles City, IAIA7,013126−60%

79Winterset, IAIA5,520125+39%

80Anamosa, IAIA5,901106−27%

81Spirit Lake, IAIA5,52590−39%

82Windsor Heights, IAIA5,05980−44%

83Eldridge, IAIA6,95479−62%

84Asbury, IAIA6,03573−21%

85Tiffin, IAIA7,15661+39%

86Sergeant Bluff, IAIA5,32459−73%

87Bondurant, IAIA9,64752−67%

SHOWING 1–87 OF 87

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