RANKING · 2020 CENSUS · 87 SHOWN OF 87

Most uninsured people, Iowa cities · 2020

Iowa cities with the most residents lacking health insurance, as of the 2020 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 –

01Des Moines, IAIA212,08613,605–

02Davenport, IAIA100,3586,328–

03Cedar Rapids, IAIA137,9356,118–

04Sioux City, IAIA86,3565,365–

05Ames, IAIA68,2203,988–

06Council Bluffs, IAIA62,6803,721–

07Iowa City, IAIA76,2293,681–

08Waterloo, IAIA66,9193,645–

09Dubuque, IAIA59,1482,571–

10West Des Moines, IAIA74,2242,371–

11Ankeny, IAIA77,8332,084–

12Ottumwa, IAIA25,3191,771–

13Marshalltown, IAIA27,5361,648–

14Clinton, IAIA24,0491,619–

15Fort Dodge, IAIA24,8371,535–

16Cedar Falls, IAIA41,2401,378–

17Marion, IAIA42,7321,345–

18Mason City, IAIA26,8531,292–

19Storm Lake, IAIA11,5901,229–

20Burlington, IAIA23,3361,203–

21Urbandale, IAIA48,5701,194–

22Waukee, IAIA34,8901,172–

23Coralville, IAIA23,9601,000–

24Bettendorf, IAIA40,710996–

25Muscatine, IAIA23,164981–

26Denison, IAIA8,214979–

27Grimes, IAIA17,405938–

28North Liberty, IAIA21,976883–

29Perry, IAIA8,208870–

30Fairfield, IAIA9,220701–

31Oskaloosa, IAIA11,493654–

32Johnston, IAIA25,065597–

33Keokuk, IAIA9,510567–

34Fort Madison, IAIA9,935566–

35Le Mars, IAIA10,760558–

36Creston, IAIA7,335550–

37Grinnell, IAIA9,430540–

38Boone, IAIA12,471496–

39Washington, IAIA7,261488–

40Newton, IAIA15,741485–

41Indianola, IAIA16,829468–

42Spencer, IAIA11,218457–

43Centerville, IAIA5,327433–

44Estherville, IAIA5,807428–

45Pella, IAIA10,992413–

46Nevada, IAIA6,974412–

47Clive, IAIA19,861403–

48Sioux Center, IAIA8,864402–

49Osceola, IAIA5,679374–

50Waverly, IAIA10,561356–

51Maquoketa, IAIA6,027352–

52Altoona, IAIA22,796346–

53Hiawatha, IAIA7,432344–

54Cherokee, IAIA5,122340–

55Charles City, IAIA7,013313–

56Oelwein, IAIA5,757313–

57Atlantic, IAIA6,676307–

58Pleasant Hill, IAIA11,239306–

59Clear Lake, IAIA7,601297–

60Knoxville, IAIA7,469268–

61Glenwood, IAIA5,287262–

62Algona, IAIA5,309255–

63Iowa Falls, IAIA5,013253–

64Webster City, IAIA7,815236–

65Clarinda, IAIA5,273219–

66Sergeant Bluff, IAIA5,324217–

67Eldridge, IAIA6,954209–

68Mount Pleasant, IAIA8,500182–

69Decorah, IAIA7,417179–

70Carroll, IAIA10,085175–

71Independence, IAIA6,312170–

72Sheldon, IAIA5,575169–

73Manchester, IAIA5,357162–

74Adel, IAIA7,098161–

75Red Oak, IAIA5,388160–

76Bondurant, IAIA9,647156–

77Spirit Lake, IAIA5,525147–

78Anamosa, IAIA5,901146–

79Windsor Heights, IAIA5,059143–

80Asbury, IAIA6,03592–

81Winterset, IAIA5,52090–

82Vinton, IAIA5,00479–

83DeWitt, IAIA5,70466–

84Orange City, IAIA6,46859–

85Polk City, IAIA6,63049–

86Tiffin, IAIA7,15644–

87Norwalk, IAIA15,00423–

SHOWING 1–87 OF 87

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS