Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

University of Iowa Hospitals and Clinics

Lung screening gap across 27 counties in Illinois and Iowa

73,000to120,000adults in its service area qualify for lung cancer screening and are not being screened

About 1,600 people here are diagnosed with lung cancer each year, and 65% are found at a late stage, when it is hardest to treat.

Explore the screening network
WIMOILMNIA
27 counties2 acute care hospitalsService area
89,000 to 150,000adults likely qualify under USPSTF 2021 criteria (estimate)
900lung cancer deaths a year in these counties, 2020 to 2024
18.5%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of University of Iowa Hospitals and Clinics's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Adults likely eligible, per neighborhood

0+180+230+260+300+360+410+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Polk CountyIowa19,900 to 34,50037.81,803
Linn CountyIowa9,900 to 17,10033.31,245
Scott CountyIowa8,100 to 13,90033.8532
Rock Island CountyIllinois6,900 to 11,80035.1383
Black Hawk CountyIowa6,200 to 9,90035.4306
Johnson CountyIowa4,500 to 9,10020.4901
Dubuque CountyIowa4,500 to 7,80027.9305
Clinton CountyIowa2,800 to 4,10044.4None billed locally
Henry CountyIllinois2,400 to 4,10038.2None billed locally
Muscatine CountyIowa2,300 to 3,50031.4None billed locally
Des Moines CountyIowa2,200 to 3,40040.028
Marshall CountyIowa2,000 to 3,30034.5None billed locally
Lee CountyIowa2,100 to 3,10036.2None billed locally
Wapello CountyIowa2,100 to 3,00052.7None billed locally
Benton CountyIowa1,400 to 2,20029.8None billed locally
Jones CountyIowa1,300 to 1,80038.7None billed locally
Washington CountyIowa1,200 to 1,80033.1None billed locally
Mahaska CountyIowa1,200 to 1,80042.9None billed locally
Fayette CountyIowa1,200 to 1,80031.7None billed locally
Jackson CountyIowa1,200 to 1,80043.4None billed locally
Jefferson CountyIowa870 to 1,70021.2None billed locally
Cedar CountyIowa1,000 to 1,60030.6None billed locally
Henry CountyIowa1,100 to 1,60047.876
Delaware CountyIowa1,100 to 1,60031.0None billed locally
Iowa CountyIowa890 to 1,40030.1None billed locally
Louisa CountyIowa600 to 97048.0None billed locally
Keokuk CountyIowa630 to 93028.1None billed locally

18 of the 27 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 18.5% to 23.5%, five points above today, about 4,500 to 7,500 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 65% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

1,600new lung cancers
1,000found at a late stage
900lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at University of Iowa Hospitals and Clinics today

Clinicians at University of Iowa Hospitals and Clinics locations billed 751 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 1,400 to 3,800 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 1,215 primary care clinicians, 48 pulmonologists and 22 thoracic surgeons practicing at University of Iowa Hospitals and Clinics locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to University of Iowa Hospitals and Clinics by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (45%, CMS) and, at the high end, by the share of eligible adults under 65 (64%).

2 acute care hospitals

  • University of Iowa Hosp & ClinicsIowa City, IA
  • Keokuk County Health CenterSigourney, IA

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of University of Iowa Hospitals and Clinics patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See University of Iowa Hospitals and Clinics's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.

Request a private screening review