countyscore

Health · Iowa

Healthiest Counties in Iowa 2026

Ranked by life expectancy, uninsured rates, and health care access.

Top 10 — Health in Iowa

Score reflects health only — not overall county quality.

1Dallas County, IA
98.8
2Winneshiek County, IA
98.2
3Story County, IA
95.7
4Johnson County, IA
95.2
5Madison County, IA
93.7
6Grundy County, IA
93.5
7Bremer County, IA
93.1
8Lyon County, IA
92.2
9Marion County, IA
92.2
10Cedar County, IA
91.6

All Iowa Counties — Health Rankings

99 counties ranked by health score. Overall Score shown for context.

#CountyHealth ScoreOverall Score
1Dallas County, IA
98.8
42
2Winneshiek County, IA
98.2
67.8
3Story County, IA
95.7
46.9
4Johnson County, IA
95.2
41
5Madison County, IA
93.7
58.6
6Grundy County, IA
93.5
69.1
7Bremer County, IA
93.1
58.6
8Lyon County, IA
92.2
65.1
9Marion County, IA
92.2
59.2
10Cedar County, IA
91.6
58
11Butler County, IA
91.4
62.1
12Delaware County, IA
91.1
60.2
13Jones County, IA
90.8
60.7
14Buchanan County, IA
90.5
62.4
15Linn County, IA
90.4
40.6
16Winnebago County, IA
90
68.8
17Sioux County, IA
89.8
59.1
18Iowa County, IA
89.4
56.6
19Plymouth County, IA
89.3
47.3
20Dickinson County, IA
88.5
59.1
21Jasper County, IA
88.3
54.1
22Worth County, IA
88.2
70.4
23Benton County, IA
88
56
24Clay County, IA
87.2
59.7
25Warren County, IA
87.2
51.7
26Guthrie County, IA
86.1
60.2
27Boone County, IA
85.8
57.7
28Poweshiek County, IA
84.6
46.8
29Carroll County, IA
84.5
61.5
30Fremont County, IA
84.1
58.6
31Hamilton County, IA
83.8
57.6
32Adams County, IA
83.5
61.1
33Ida County, IA
83.4
71.2
34Dubuque County, IA
83.3
45.4
35Kossuth County, IA
83.3
66.6
36Sac County, IA
83.1
63.9
37Calhoun County, IA
82.8
65.9
38Hancock County, IA
82.8
61.6
39Adair County, IA
82.1
62.5
40Chickasaw County, IA
82.1
66.7
41Palo Alto County, IA
82
62.4
42Mahaska County, IA
81.9
51.4
43Shelby County, IA
81.9
66.5
44Scott County, IA
81.7
37.2
45Cherokee County, IA
81.6
66.8
46Mitchell County, IA
81.6
66.2
47Clayton County, IA
81.5
59.9
48Washington County, IA
81.4
51.6
49Audubon County, IA
81.3
59.7
50Humboldt County, IA
81
63.4
51Jackson County, IA
80.9
55.6
52Mills County, IA
79.7
46.7
53Floyd County, IA
79.4
56.7
54Cerro Gordo County, IA
78.1
42.5
55Keokuk County, IA
77.9
58.5
56Greene County, IA
77.3
58.4
57Henry County, IA
76.9
52.5
58Muscatine County, IA
76.7
41.3
59Howard County, IA
76.4
68.1
60Monroe County, IA
76.2
59
61Polk County, IA
76.1
36.6
62Des Moines County, IA
75.5
34.7
63Allamakee County, IA
75.3
60.2
64Wright County, IA
75.1
59.7
65Clinton County, IA
74.4
38.6
66Page County, IA
74.3
52.7
67Hardin County, IA
74.2
48.1
68Black Hawk County, IA
73.7
40.7
69O'Brien County, IA
72.9
61.5
70Webster County, IA
72.9
41.6
71Fayette County, IA
71.9
57
72Pocahontas County, IA
71.8
65.2
73Osceola County, IA
71
65.3
74Decatur County, IA
70.6
59.4
75Louisa County, IA
70.5
61.3
76Harrison County, IA
69.8
58.5
77Union County, IA
69.7
53.6
78Pottawattamie County, IA
69.1
36.1
79Lucas County, IA
68.5
55.8
80Emmet County, IA
68.4
61.6
81Tama County, IA
68.4
56.6
82Taylor County, IA
68.4
64.2
83Monona County, IA
68
59.3
84Montgomery County, IA
67.9
53.5
85Jefferson County, IA
67.1
48.4
86Lee County, IA
66.9
42.8
87Appanoose County, IA
66.8
48.6
88Ringgold County, IA
66.7
60.8
89Buena Vista County, IA
64
46.7
90Cass County, IA
63.8
42.7
91Wayne County, IA
63.7
62.9
92Van Buren County, IA
63.4
60.5
93Franklin County, IA
60
65.5
94Marshall County, IA
58.3
42
95Woodbury County, IA
58.1
50.9
96Crawford County, IA
57.1
55.3
97Clarke County, IA
56.3
43.6
98Wapello County, IA
54.1
33.1
99Davis County, IA
51
56

Explore More

Best overall counties in IowaFull Health data on HealthByCounty