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Iowa · October 2026

Iowa medical practices: what missed calls and empty slots cost

We analyzed 81 medical practices in Iowa. A typical one is losing an estimated $106,200 to $177,000 a year. Iowa ranks 51 of 51 states (1 = highest loss).

$8,850–$14,750estimated lost each month by a typical practice
73%of practice websites don’t offer real online booking
84%of practice websites don’t show a way to reach the office after hours

What patients can do on Iowa practice websites

Online booking
27%
A way to reach the office after hours
16%
Texting the office
48%
A chat or message box
25%
Office hours a patient can find
84%
New-patient forms online
91%
Tap-to-call on a phone
94%

Online booking in Iowa: 27%, 12% fewer than the national 40%. Front-desk time valued at $20.57 an hour, the Iowa average.

Cities in Iowa

CityPracticesNo online bookingEst. lost / month
Des Moines1090%$8,900–$14,850
West Des Moines1471%$8,750–$14,600

Smaller towns and rural Iowa

Across 57 medical practices in these communities, a typical practice loses an estimated $8,900 to $14,800 a month, and 70% have no online booking. Towns where we analyzed fewer than 10 practices are counted in the Iowa figures above.

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Questions

How much do medical practices in Iowa lose to missed calls and no-shows?

A typical medical practice in Iowa loses an estimated $8,850 to $14,750 a month, based on 81 practices we analyzed. Front-desk time is valued at $20.57 an hour, the average for medical front-desk staff in Iowa.

Do medical practices in Iowa offer online booking?

27% do, 12% fewer than the national figure of 40%. The option most often missing is a way to reach the office after hours (84% of websites lack it).

How does Iowa rank?

Iowa ranks 51 of 51 for estimated monthly loss per typical medical practice (1 = highest loss).

How these figures were built. From the public websites of 81 medical practices in Iowa that we could read clearly. Each site was checked for seven things that decide whether a patient who can’t get through by phone still reaches the schedule. Dollar figures are estimates for a typical independent practice: our working figures for missed calls, no-shows, cancellations and overdue patients, adjusted for what each site offers and valued at the local front-desk wage (U.S. Bureau of Labor Statistics, May 2025). They are estimates, not measurements of any one practice. No practice is named on this page.

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Missed-Patient Report · updated October 2026