Health in Iowa

How much is spent on healthcare in Iowa? What is the death rate in Iowa?

Latest update on August 7, 2023
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What are the basic healthcare issues in Iowa?

Death rate in Iowa (age-adjusted)

In 2021, the age-adjusted death rate in Iowa was 841.8 deaths per 100,000 residents.

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United States
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Source:CDC Wonder

Percent of Iowa residents without health insurance

In 2021, 4.80% of Iowa's residents weren't covered by health insurance.

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United States
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Healthcare spending per capita in Iowa (inflation-adjusted)

In 2020, $11,437 was spent on healthcare per Iowa resident.

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Death rate (age-adjusted)

In 2021 in Iowa, the death rate was 841.8 per 100,000 people.

After accounting for differences in age makeup between states, Iowa had the 32nd-highest death rate.

The death rate, also known as mortality rate, is determined using this data in combination with population data. A simple per capita calculation — called the crude death rate — isn't ideal for comparisons, as it doesn't account for differences in age makeup between two groups. For example, an area where more than 50% of the population is over 65 will likely have a higher crude death rate than a place where 10% is 65 or older. Age-adjusted death rates, shown here, allow for comparison between two populations with different age makeups. (Explore Iowa's demographics.)

The Centers for Disease Control and Prevention is the primary federal agency tracking deaths nationwide. It maintains the National Vital Statistics System, which gathers death information from every state.

Iowa's age-adjusted death rate was 14.97% higher in 2021 than in 2019, the year before the COVID-19 pandemic was declared.

Death rate in Iowa (age-adjusted)

In 2021, the age-adjusted death rate in Iowa was 841.8 deaths per 100,000 residents.

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Iowa
United States
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Source:CDC Wonder

Death rate per 100,000 people (age-adjusted): 2021

No data
630
729.85
829.7
929.55
1.03K
1.13K
1.23K

Death rate (age-adjusted per 100,000 people), by state: 2021

Iowa had the 32nd-highest death rate.

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Source:CDC Wonder

Top causes of death in Iowa

In 2021, the top cause of death in Iowa was heart disease.

The age-adjusted death rate of heart disease was 184.9 per 100,000 Iowa residents. That's 6.39% higher than the overall heart disease death rate in the US (173.8).

The National Vital Statistics System tracks the underlying (or primary) cause of death by recording information from death certificates. The leading causes of death differ by state.

Leading causes of death, by death rate: 2021

In 2021, the age-adjusted death rate of heart disease was 184.9 per 100,000 Iowa residents.

Life expectancy at birth

In 2020, Iowa had the 20th-highest based on life expectancy. A newborn in Iowa was expected to live 77.5 years.

Life expectancy in Iowa is 0.5 years higher than life expectancy in the US overall.

Life expectancy is a projection estimating the average age of death for people born today. The calculation uses data from the Centers for Disease Control and Prevention. The data can be a way to assess the impact of health issues such as overdoses and COVID-19.

Life expectancy at birth: 2020

In 2020, a newborn in Iowa was expected to live 77.5 years.

No data
71.9
73.37
74.83
76.3
77.77
79.23
80.7

Healthcare spending per capita

In 2020, healthcare spending by businesses, insurance agencies, households, and governments cost $11,437 per Iowa resident.

Iowa ranks 33rd-highest based on healthcare spending per person.

The Centers for Medicare & Medicaid Services provides estimates of healthcare spending in its National Health Expenditure Accounts (NHEA). The data is further broken down into other categories, including the state of residence of the recipient of care. The estimates are calculated from several sources, including the Census Bureau and the Bureau of Economic Analysis.

While healthcare spending is expected to grow with the population, per-capita trends can provide context on how costs have changed over time.

Learn more about the economy in Iowa.

Healthcare spending per capita in Iowa (inflation-adjusted)

In 2020, $11,437 was spent on healthcare per Iowa resident.

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Iowa
United States
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Healthcare spending per capita: 2020 (inflation-adjusted)

No data
$8.79K
$10.12K
$11.46K
$12.8K
$14.13K
$15.47K
$16.8K

Healthcare spending per capita, by state: 2020

Iowa is ranked 33rd-highest in healthcare spending per capita.

Share of Iowa's population without health insurance

Iowa has the 45th-highest share of the uninsured population.

Health insurance in Iowa is available through various avenues. The primary way to get insurance is privately through employers. Publicly funded options include Medicare (primarily for people 65 and older), Medicaid (for low-income individuals), and plans available for active-duty military members and veterans. The Affordable Care Act expanded access to Medicaid in some states and established an online marketplace where people could buy private coverage.

The share of the uninsured population in Iowa in 2021 was 3.0 percentage points lower than in 2013, the year before most ACA provisions went into effect. Data from the Census Bureau’s American Community Survey shows that the decrease in the share of uninsured residents occurred in every state.

Percentage of Iowa residents without health insurance

In 2021, 4.80% of Iowa's residents weren't covered by health insurance.

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Iowa
United States
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Percentage of residents without health insurance: 2021

No data
2.5%
5.08%
7.66%
10.23%
12.81%
15.39%
17.97%
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Percentage of residents without health insurance, by state: 2021

Iowa has the 45th-highest share of the uninsured population.

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Health insurance coverage by type

In 2021, 22.34% of Iowa's population was covered by public health insurance plans funded by governments at the federal, state, or local level.

The Census Bureau’s American Community Survey asks respondents in Iowa about their health insurance coverage source, including private plans (employer-based, direct-purchase, and Tricare or military) and publicly funded plans (like Medicaid, Medicare, or VA healthcare). The values in this chart may add up to more than 100%, because some people may be covered by multiple insurance types.

Additionally, 58.16% of Iowa's population were covered by private health insurance plans.

Health insurance coverage, by type (2021): United States vs Iowa

In 2021, 95.20% of Iowa's population was covered by at least one health insurance plan.

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Birth rate

In 2021, there were 11.2 babies born per 1,000 Iowa residents.

Like most states, Iowa's birth rate has been trending down in recent years.

The birth rate is the number of live births per 1,000 people. The data shown here is from the Census Bureau. Looking at the data as a rate rather than just the number of births allows a better understanding of changes over time.

Due to its role in population growth, the birth rate impacts various issues, including health and education. The CDC has attributed a recent drop in the birth rate to "changing patterns in social and cultural norms, as well as increases in educational attainment and contraceptive use."

Birth rate in Iowa

In 2021, there were 11.2 babies born per 1,000 Iowa residents.

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United States
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