Madison County Health Data

Madison County, Iowa

CDC County Health Rankings

Health Score

94/100

Excellent

Life Expectancy

78.8 yr

Uninsured Rate

4.6%

Health Statistics

Life Expectancy

78.8 yr

State avg 77.7 yr

National avg 77.5 yr

Uninsured Rate

4.6%

State avg 5.7%

National avg 9%

Primary Care Providers

54

per 100K population

National avg 82

Mental Health Providers

71

per 100K population

National avg 350

Poor / Fair Health

11.7%

State avg 15.8%

National avg 19.6%

Healthcare Access

Primary Care Physicians

6.0

per 100K residentsCDC: 53.7 per 100K

Dentists

6.0

per 100K residents

Provider counts from CMS NPPES (National Provider Identifier Registry). Data current as of 2026.

Chronic Disease & Behavioral Health

These prevalence estimates come from the CDC PLACES program (Population-Level Analysis and Community Estimates), which combines BRFSS survey data with statistical modeling to produce county-level rates. Estimates are age-adjusted to enable fair comparisons across counties with different age distributions. Use them to spot where Madison County differs most from state and national norms.

Most prevalent chronic conditions

MeasureMadisonState avgNational avgVs state
Obesity36.6%39.5%37.6%2.9 pts better than state
Diabetes8.5%9.8%11.2%1.3 pts better than state
High Blood Pressure28.8%31.1%33.5%2.3 pts better than state
Depression21.3%21.5%24.1%near state average

Health-risk behaviors

MeasureMadisonState avgNational avgVs state
Current Cigarette Smoking14.1%16.2%16.3%2.1 pts better than state
Binge Drinking23.5%22.5%17.8%1.0 pts worse than state
Physical Inactivity21.6%25.1%27.0%3.5 pts better than state

Preventive-care uptake

MeasureMadisonState avgNational avgVs state
Annual Routine Checkup75.1%75.1%74.9%near state average
Dental Visit (past year)72.5%65.6%57.3%6.9 pts better than state
Mammography (women 50–74)81.8%77.4%73.3%4.4 pts better than state

Daily-life impact

MeasureMadisonState avgNational avgVs state
Frequent Mental Distress17.1%17.8%18.6%0.7 pts better than state
Short Sleep Duration31.3%33.7%37.3%2.4 pts better than state

These rates are part of the CDC PLACES survey. Compare Madison County nationally on dental visit (past year).

Source: CDC PLACES, 2023 release · age-adjusted prevalence (%). Confidence intervals are available on individual rankings pages.

Data Story

Mental Health Provider Ratio Trails National Median in Madison County

Health data brief for Madison County, Iowa.

By Logan Johnson, Founder & Data EditorPublished Reviewed by Logan Johnson, Founder & Data Editor
Lead metric:Mental health access

Madison County has 71 mental health providers per 100,000 residents, which is lower than the national median of 250 per 100,000. In comparison, the county records 54 primary care providers per 100,000 residents, also lower than the national median of 70 per 100,000. Other health metrics for the county include a life expectancy of 78.8 years, which is longer than the Iowa state average of 77.7 years and the national average of 77 years. Additionally, 11.7% of adults report being in poor or fair health, a rate that is lower than the national average of 17%. The uninsured rate in Madison County is 4.6%, which sits lower than the Iowa average of 5.7% and the national average of 10%. See the CDC County Health Rankings methodology.

Get Care in Madison County, Iowa

Direct contact information for hospitals and community health resources serving this county. Hospital quality ratings come from CMS Care Compare — the federal program that measures hospital performance on safety, patient experience, and outcomes.

Madison County Health Care System

ER
Not rated by CMS
(515) 462-2373
300 West Hutchings Street, Winterset, IA 50273
Critical Access HospitalsGovernment - Local

Sources: Hospital data: CMS Care Compare. Quality ratings: Centers for Medicare & Medicaid Services. Community health center directory: HRSA. Last reviewed 2026-05-14.

Information is for general guidance only and is not medical advice. Always call ahead to confirm services, hours, and insurance accepted. In a medical emergency, dial 911.

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Frequently Asked Questions

What is the health ranking of Madison County, IA?
Madison County has a health score of 94/100, rated "Excellent." It ranks #5 out of 99 counties in Iowa (1 = healthiest). The score is based on CDC County Health Rankings data, combining life expectancy, uninsured rates, provider access, and behavioral health indicators.
What is the life expectancy in Madison County?
Life expectancy in Madison County is 78.8 years. The Iowa state average is 77.7 years, making Madison County above the state average.
How does Madison County health compare to the Iowa average?
Madison County's health score of 94/100 is above the Iowa average of 78/100. Life expectancy is 78.8 years vs. the state average of 77.7 years. The uninsured rate is 4.6% vs. 5.7% statewide.
What health factors affect Madison County?
Key health factors for Madison County include: life expectancy (78.8 years), uninsured rate (4.6%), and primary care physician access (54:1 (population to primary care physicians)). Mental health provider access is 71:1 population-to-provider ratio. These metrics are sourced from the CDC County Health Rankings & Roadmaps program.
Is Madison County a healthy place to live?
With a health score of 94/100 ("Excellent"), Madison County is one of the healthier counties in Iowa. Residents have a life expectancy of 78.8 years. 4.6% of adults lack health insurance. Factors like healthcare access, environmental quality, and socioeconomic conditions all contribute to these outcomes.
Why is Madison County healthier than the Iowa average?
Madison County's health score of 94/100 exceeds the Iowa average of 78/100. Higher health scores often correlate with better access to healthcare providers, lower uninsured rates, higher median incomes, and environmental factors. Madison County has better primary care access (54:1 ratio) than the state average (54:1).

Counties with Similar Health Profile

By Logan Johnson, Founder & Data EditorUpdated Reviewed by Logan Johnson, Founder & Data Editor

Data Sources

Health data sourced from the County Health Rankings & Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

Data is informational only. Not medical or health advice. Coverage varies by county and reporting year.