Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Iowa

Counties in Iowa by uninsured rate, under 19 (US model-based estimate)

Davis County had the highest uninsured rate, under 19 (US model-based estimate) of 99 counties in 2022, at 16.6%. Dallas County had the lowest, at 2.3%. The median was 3.9% and the figure for Iowa was 3.6%. Source: the U.S. Census Bureau.

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Highest16.6Davis County
Lowest2.3Dallas County
Median3.999 counties
Iowa3.6History

Map of counties, 2022

Adair County: 3.7 %Adams County: 3.6 %Allamakee County: 5.2 %Appanoose County: 3.8 %Audubon County: 4.1 %Benton County: 3.1 %Black Hawk County: 3.5 %Boone County: 3.2 %Bremer County: 2.7 %Buchanan County: 4.8 %Buena Vista County: 6.4 %Butler County: 3.9 %Calhoun County: 4 %Carroll County: 3.3 %Cass County: 4.7 %Cedar County: 3.4 %Cerro Gordo County: 3.6 %Cherokee County: 4 %Chickasaw County: 4.8 %Clarke County: 4.5 %Clay County: 3.6 %Clayton County: 4.9 %Clinton County: 3.4 %Crawford County: 5.7 %Dallas County: 2.3 %Davis County: 16.6 %Decatur County: 4 %Delaware County: 4.1 %Des Moines County: 3.2 %Dickinson County: 3.8 %Dubuque County: 3.1 %Emmet County: 4.6 %Fayette County: 4 %Floyd County: 3.7 %Franklin County: 5.5 %Fremont County: 3.5 %Greene County: 4.5 %Grundy County: 3.4 %Guthrie County: 4.7 %Hamilton County: 3.7 %Hancock County: 4.4 %Hardin County: 4.7 %Harrison County: 4.8 %Henry County: 3.9 %Howard County: 6.4 %Humboldt County: 3.8 %Ida County: 5.1 %Iowa County: 3.5 %Jackson County: 3.6 %Jasper County: 3.3 %Jefferson County: 4 %Johnson County: 3 %Jones County: 3.3 %Keokuk County: 3.3 %Kossuth County: 4 %Lee County: 3.1 %Linn County: 2.7 %Louisa County: 4.7 %Lucas County: 3.6 %Lyon County: 4.5 %Madison County: 3.5 %Mahaska County: 3.5 %Marion County: 2.9 %Marshall County: 4.4 %Mills County: 3.3 %Mitchell County: 5.1 %Monona County: 4 %Monroe County: 3.7 %Montgomery County: 3.9 %Muscatine County: 3.6 %O'Brien County: 4.6 %Osceola County: 5 %Page County: 3.8 %Palo Alto County: 3.8 %Plymouth County: 3.2 %Pocahontas County: 5.7 %Polk County: 3.2 %Pottawattamie County: 3.9 %Poweshiek County: 3.3 %Ringgold County: 4.3 %Sac County: 4.6 %Scott County: 4 %Shelby County: 4.5 %Sioux County: 4.3 %Story County: 2.7 %Tama County: 3.9 %Taylor County: 4.5 %Union County: 3.8 %Van Buren County: 6.5 %Wapello County: 4.3 %Warren County: 2.7 %Washington County: 4.8 %Wayne County: 3.9 %Webster County: 4.1 %Winnebago County: 4 %Winneshiek County: 3.1 %Woodbury County: 4.5 %Worth County: 4.3 %Wright County: 3.8 %
  • Under 3.3
  • 3.3 to 3.6
  • 3.6 to 3.9
  • 3.9 to 4.3
  • 4.3 to 4.7
  • 4.7 and over
%, 2022. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Davis County: 16.6 %Davis County16.6Van Buren County: 6.5 %Van Buren County6.5Buena Vista County: 6.4 %Buena Vista County6.4Howard County: 6.4 %Howard County6.4Crawford County: 5.7 %Crawford County5.7Pocahontas County: 5.7 %Pocahontas County5.7Franklin County: 5.5 %Franklin County5.5Allamakee County: 5.2 %Allamakee County5.2Ida County: 5.1 %Ida County5.1Mitchell County: 5.1 %Mitchell County5.1Osceola County: 5 %Osceola County5Clayton County: 4.9 %Clayton County4.9Buchanan County: 4.8 %Buchanan County4.8Chickasaw County: 4.8 %Chickasaw County4.8Harrison County: 4.8 %Harrison County4.8Washington County: 4.8 %Washington County4.8Cass County: 4.7 %Cass County4.7Guthrie County: 4.7 %Guthrie County4.7Hardin County: 4.7 %Hardin County4.7Louisa County: 4.7 %Louisa County4.7Emmet County: 4.6 %Emmet County4.6O'Brien County: 4.6 %O'Brien County4.6Sac County: 4.6 %Sac County4.6Clarke County: 4.5 %Clarke County4.5Greene County: 4.5 %Greene County4.5Lyon County: 4.5 %Lyon County4.5Shelby County: 4.5 %Shelby County4.5Taylor County: 4.5 %Taylor County4.5Woodbury County: 4.5 %Woodbury County4.5Hancock County: 4.4 %Hancock County4.4Marshall County: 4.4 %Marshall County4.4Ringgold County: 4.3 %Ringgold County4.3Sioux County: 4.3 %Sioux County4.3Wapello County: 4.3 %Wapello County4.3Worth County: 4.3 %Worth County4.3Audubon County: 4.1 %Audubon County4.1Delaware County: 4.1 %Delaware County4.1Webster County: 4.1 %Webster County4.1Calhoun County: 4 %Calhoun County4Cherokee County: 4 %Cherokee County4Davis County: 16.6 %Davis County16.6Van Buren County: 6.5 %Van Buren County6.5Buena Vista County: 6.4 %Buena Vista County6.4Howard County: 6.4 %Howard County6.4Crawford County: 5.7 %Crawford County5.7Pocahontas County: 5.7 %Pocahontas County5.7Franklin County: 5.5 %Franklin County5.5Allamakee County: 5.2 %Allamakee County5.2Ida County: 5.1 %Ida County5.1Mitchell County: 5.1 %Mitchell County5.1Osceola County: 5 %Osceola County5Clayton County: 4.9 %Clayton County4.9Buchanan County: 4.8 %Buchanan County4.8Chickasaw County: 4.8 %Chickasaw County4.8Harrison County: 4.8 %Harrison County4.8Washington County: 4.8 %Washington County4.8Cass County: 4.7 %Cass County4.7Guthrie County: 4.7 %Guthrie County4.7Hardin County: 4.7 %Hardin County4.7Louisa County: 4.7 %Louisa County4.7Emmet County: 4.6 %Emmet County4.6O'Brien County: 4.6 %O'Brien County4.6Sac County: 4.6 %Sac County4.6Clarke County: 4.5 %Clarke County4.5Greene County: 4.5 %Greene County4.5Lyon County: 4.5 %Lyon County4.5Shelby County: 4.5 %Shelby County4.5Taylor County: 4.5 %Taylor County4.5Woodbury County: 4.5 %Woodbury County4.5Hancock County: 4.4 %Hancock County4.4Marshall County: 4.4 %Marshall County4.4Ringgold County: 4.3 %Ringgold County4.3Sioux County: 4.3 %Sioux County4.3Wapello County: 4.3 %Wapello County4.3Worth County: 4.3 %Worth County4.3Audubon County: 4.1 %Audubon County4.1Delaware County: 4.1 %Delaware County4.1Webster County: 4.1 %Webster County4.1Calhoun County: 4 %Calhoun County4Cherokee County: 4 %Cherokee County4
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Davis County16.6+6.7 pts
2Van Buren County6.5+1.5 pts
3Buena Vista County6.4-0.4 pts
3Howard County6.4+2.7 pts
5Crawford County5.7-1.1 pts
5Pocahontas County5.70 pts
7Franklin County5.5+0.4 pts
8Allamakee County5.2+0.7 pts
9Ida County5.1+0.3 pts
9Mitchell County5.1+0.4 pts
11Osceola County5+0.4 pts
12Clayton County4.90 pts
13Buchanan County4.8+1.5 pts
13Chickasaw County4.8+0.9 pts
13Harrison County4.8+1.4 pts
13Washington County4.80 pts
17Cass County4.7+0.4 pts
17Guthrie County4.7-0.1 pts
17Hardin County4.7+1 pts
17Louisa County4.7-0.8 pts
21Emmet County4.6+0.5 pts
21O'Brien County4.6+0.9 pts
21Sac County4.6+0.5 pts
24Clarke County4.5+0.4 pts
24Greene County4.5+0.9 pts
24Lyon County4.5+0.3 pts
24Shelby County4.5+0.6 pts
24Taylor County4.5-0.5 pts
24Woodbury County4.5+0.7 pts
30Hancock County4.4+1 pts
30Marshall County4.40 pts
32Ringgold County4.3+0.3 pts
32Sioux County4.3-0.5 pts
32Wapello County4.3+0.7 pts
32Worth County4.3+0.6 pts
36Audubon County4.1-0.3 pts
36Delaware County4.1+0.6 pts
36Webster County4.1+1.1 pts
39Calhoun County4+0.6 pts
39Cherokee County4+0.4 pts
39Decatur County4-0.6 pts
39Fayette County4+0.5 pts
39Jefferson County4-0.3 pts
39Kossuth County4+0.6 pts
39Monona County4+0.7 pts
39Scott County4+1.5 pts
39Winnebago County4+0.5 pts
48Butler County3.9+0.4 pts
48Henry County3.9+0.8 pts
48Montgomery County3.9+0.4 pts
48Pottawattamie County3.9+0.8 pts
48Tama County3.9-0.5 pts
48Wayne County3.9-1.1 pts
54Appanoose County3.8+0.6 pts
54Dickinson County3.8+0.3 pts
54Humboldt County3.8-0.1 pts
54Page County3.8+0.9 pts
54Palo Alto County3.8+0.7 pts
54Union County3.8+0.1 pts
54Wright County3.8+0.1 pts
61Adair County3.7+0.1 pts
61Floyd County3.7+0.1 pts
61Hamilton County3.7+0.3 pts
61Monroe County3.7+0.5 pts
65Adams County3.6-0.2 pts
65Cerro Gordo County3.6+0.9 pts
65Clay County3.6+0.1 pts
65Jackson County3.6+0.6 pts
65Lucas County3.6+0.6 pts
65Muscatine County3.6+0.5 pts
71Black Hawk County3.5+0.3 pts
71Fremont County3.5-0.2 pts
71Iowa County3.5+0.6 pts
71Madison County3.5-0.1 pts
71Mahaska County3.5+0.3 pts
76Cedar County3.4+0.7 pts
76Clinton County3.4+0.6 pts
76Grundy County3.4+0.3 pts
79Carroll County3.3+0.3 pts
79Jasper County3.3+0.6 pts
79Jones County3.3-0.1 pts
79Keokuk County3.3-0.3 pts
79Mills County3.3-0.1 pts
79Poweshiek County3.3+0.4 pts
85Boone County3.2+0.2 pts
85Des Moines County3.2+0.7 pts
85Plymouth County3.2-0.5 pts
85Polk County3.2+0.5 pts
89Benton County3.1-0.2 pts
89Dubuque County3.1+0.7 pts
89Lee County3.1+0.6 pts
89Winneshiek County3.1+0.9 pts
93Johnson County3+0.3 pts
94Marion County2.9+0.4 pts
95Bremer County2.7+0.3 pts
95Linn County2.7+0.5 pts
95Story County2.7+0.4 pts
95Warren County2.7+0.3 pts
99Dallas County2.3-0.5 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2022,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Iowa by uninsured rate, under 19 (US model-based estimate), 2022
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/iowa-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Davis County, with 16.6% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

Dallas County, with 2.3% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Iowa: more rankings