Rural hospitals in Iowa
92 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.
CMS snapshot: Q2 2026. Not a live status check.
Iowa
Three types. One directory.
Critical access (CAH)
Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.
Rural emergency (REH)
Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.
Rural PPS
Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.
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92 hospitals in Iowa
| Hospital | Type | Beds* |
|---|---|---|
Adair County Memorial Hospital Greenfield, IA 50849 | CAH | 25 |
Audubon County Memorial Hospital Audubon, IA 50025 | CAH | 25 |
Avera Holy Family Hospital Estherville, IA 51334 | CAH | 25 |
Avera Merrill Pioneer Hospital Rock Rapids, IA 51246 | CAH | 25 |
Boone County Hospital Boone, IA 50036 | CAH | 25 |
Buchanan County Health Center Independence, IA 50644 | CAH | 25 |
Buena Vista Regional Medical Center Storm Lake, IA 50588 | CAH | 35 |
Burgess Health Center Onawa, IA 51040 | CAH | 25 |
Cass County Memorial Hospital Atlantic, IA 50022 | CAH | 29 |
Cherokee Regional Medical Center Cherokee, IA 51012 | CAH | 25 |
Chi Health - Mercy Corning Corning, IA 50841 | CAH | 22 |
Chi Health Missouri Valley Missouri Valley, IA 51555 | CAH | 25 |
Clarinda Regional Health Center Clarinda, IA 51632 | CAH | 25 |
Clarke County Hospital Osceola, IA 50213 | CAH | 25 |
Community Memorial Hospital Medical Center Sumner, IA 50674 | CAH | 25 |
Compass Memorial Healthcare Marengo, IA 52301 | CAH | 25 |
Crawford County Memorial Hospital Denison, IA 51442 | CAH | 25 |
Dallas County Hospital Perry, IA 50220 | CAH | 25 |
Davis County Hospital Bloomfield, IA 52537 | CAH | 25 |
Decatur County Hospital Leon, IA 50144 | CAH | 25 |
Floyd County Medical Center Charles City, IA 50616 | CAH | 25 |
Floyd Valley Healthcare Le Mars, IA 51031 | CAH | 25 |
Franklin General Hospital Hampton, IA 50441 | CAH | 77 |
George C Grape Community Hospital Hamburg, IA 51640 | CAH | 25 |
Greater Regional Medical Center Creston, IA 50801 | CAH | 25 |
Greene County Medical Center Jefferson, IA 50129 | CAH | 25 |
Grinnell Regional Medical Center Grinnell, IA 50112 | Rural PPS | 49 |
Grundy County Memorial Hospital Grundy Center, IA 50638 | CAH | 25 |
Gundersen Palmer Lutheran Hospital And Clinics West Union, IA 52175 | CAH | 25 |
Guthrie County Hospital Guthrie Center, IA 50115 | CAH | 25 |
Guttenberg Municipal Hospital Guttenberg, IA 52052 | CAH | 25 |
Hancock County Health System Britt, IA 50423 | CAH | 25 |
Hansen Family Hospital Iowa Falls, IA 50126 | CAH | 25 |
Hawarden Regional Healthcare Hawarden, IA 51023 | CAH | 25 |
Hegg Memorial Health Center Rock Valley, IA 51247 | CAH | 25 |
Henry County Health Center Mount Pleasant, IA 52641 | CAH | 74 |
Horn Memorial Hospital Ida Grove, IA 51445 | CAH | 25 |
Humboldt County Memorial Hospital Humboldt, IA 50548 | CAH | 21 |
Iowa Specialty Hospital - Belmond Belmond, IA 50421 | CAH | 25 |
Iowa Specialty Hospital - Clarion Clarion, IA 50525 | CAH | 25 |
Jackson County Regional Health Center Maquoketa, IA 52060 | CAH | 25 |
Jefferson County Health Center Fairfield, IA 52556 | CAH | 25 |
Jones Regional Medical Center Anamosa, IA 52205 | CAH | 25 |
Keokuk County Health Center Sigourney, IA 52591 | CAH | 14 |
Knoxville Hospital & Clinics Knoxville, IA 50138 | CAH | 25 |
Kossuth Regional Health Center Algona, IA 50511 | CAH | 25 |
Lakes Regional Healthcare Spirit Lake, IA 51360 | Rural PPS | 49 |
Loring Hospital Sac City, IA 50583 | CAH | 25 |
Lucas County Health Center Chariton, IA 50049 | CAH | 25 |
Madison County Health Care System Winterset, IA 50273 | CAH | 25 |
*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.
About this list
CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.
Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.
- CMS Provider of Services — Q2 2026 hospital file
- CMS FY 2026 IPPS final-rule impact file
- CMS provider-type and field definitions
Downloaded November 6, 2026. Different CMS files can have different counts and dates.