Highest Health Savings Account (HSA) Rates in Iowa
29 Iowa-specific products
The Iowa market
Iowa accounts
29
Institutions
29
Top Iowa APY
3.30% APY
Nationally: 1.01% APY
FDIC national average
0.37%
As of Sep 2026
29 health savings accounts (HSAs) are open only to Iowa residents, from 29 institutions. The highest advertised APY among them is 3.30%.
The highest nationally available rate is 1.01% APY, 229 basis points below the Iowa leader.
15 of the 29 Iowa health savings accounts (HSAs) advertise more than the FDIC national average of 0.37% for savings accounts as of Sep 2026.
Iowa-Specific Health Savings (HSA) Accounts
Health Savings (HSA) accounts specifically available to Iowa residents.
| # | Institution & Rate | Earned in a year at $10,000 | Requirements & Features | Minimum Deposit | Actions |
|---|---|---|---|---|---|
| #1 | Show Details | +$305per yearEffective: 3.05% | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #2 | Show Details | +$304per year | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #3 | Show Details | +$304per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $50 | |
| #4 | Show Details | +$245per year | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #5 | Show Details | +$205per year | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #6 | Mount Vernon Bank and Trust Company Health Savings Account Up to2.50%APY Needs at least $25,000 No min. balance for APY Observed: Oct 7, 2026 Show Details | +$200per yearEffective: 2.00% | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $500 | |
| #7 | Farmers State Bank Health Savings Account Up to3.00%APY Needs at least $50,000 No min. balance for APY Observed: Oct 7, 2026 Show Details | +$150per yearEffective: 1.50% | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #8 | Show Details | +$106per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #9 | Show Details | +$90per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #10 | American Bank and Trust Company, National Association Health Savings Account 0.50%APY No min. balance for APY Observed: Oct 7, 2026 Show Details | +$50per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #11 | Show Details | +$50per yearEffective: 0.50% | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #12 | Show Details | +$50per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #13 | Show Details | +$50per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #14 | Show Details | +$40per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $200 | |
| #15 | Show Details | +$30per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #16 | Show Details | +$25per yearEffective: 0.25% | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #17 | Show Details | +$25per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #18 | Farmers Trust and Savings Bank Health Savings Account Up to0.35%APY Needs at least $14,999 No min. balance for APY Observed: Oct 7, 2026 Show Details | +$25per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #19 | Show Details | +$20per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #20 | Nicolet National Bank Health Savings Account (HSA) Up to0.20%APY Needs at least $10,000 Observed: Oct 13, 2026 Show Details | +$20per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #21 | Show Details | +$15per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #22 | Show Details | +$15per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $50 | |
| #23 | Show Details | +$10per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $100 | |
| #24 | Show Details | +$10per year | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #25 | Show Details | +$10per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #26 | Show Details | +$10per year | Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | $0 | |
| #27 | Show Details | +$5per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $50 | |
| #28 | Premier Bank Health Savings Account Up to0.05%APY Needs at least $25,000 No min. balance for APY Observed: Oct 7, 2026 Show Details | +$3per year | We could not confirm: minimum deposit. Deposit Insurance FDIC InsuredFeatures No MinimumsIn-Person Access | N/A | |
| #29 | Show Details | +$2per year | Deposit Insurance FDIC InsuredFeatures Low MinimumsIn-Person Access | $25 |
The Clinton National Bank
CNB Health Savings
Needs at least $15,000
What to Watch
Variable rate. The bank can change the rate on this account at its discretion. Interest is paid on the full balance at the rate for the tier that contains the balance.
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | daily |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 4439) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Green Belt Bank & Trust
Health Savings Account
What to Watch
The stated APY is paid only with electronic statements. Without them the account earns the bank's lower posted rate.
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 26760) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Iowa State Bank
Health Savings Account - Fixed Rate
Show Fine Print & Trends Hide Details
| Min. Deposit | $50 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 15947) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Connection Bank
Health Savings
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | daily |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 955) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Peoples Savings Bank
Health Savings Account
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14868) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Mount Vernon Bank and Trust Company
Health Savings Account
Needs at least $25,000
What to Watch
The account charges a $25.00 setup fee at opening, a $25.00 fee each year, and a $25.00 fee to close it. Electronic statements are free; paper statements cost $3.00 a month plus tax.
Show Fine Print & Trends Hide Details
| Min. Deposit | $500 |
| Min. Balance | $0.01 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 10494) |
| Eligibility | You must be enrolled in a High Deductible Health Plan to open this account. |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Farmers State Bank
Health Savings Account
Needs at least $50,000
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | $0 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14209) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
First Nebraska Bank
Health Savings Account
What to Watch
A $15 setup fee applies. There is no annual fee.
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 12248) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Union State Bank
Health Savings Account
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14982) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
American Bank and Trust Company, National Association
Health Savings Account
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | $0 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 34955) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Direct Link to Product Page (Not Sponsored)
Chelsea Savings Bank
Health Savings Account
Needs at least $50,000
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 15427) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Iowa State Bank and Trust Company of Fairfield, Iowa
Health Savings
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14413) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Direct Link to Product Page (Not Sponsored)
Primebank
HSA Checking
Needs at least $10,000
What to Watch
The account can be opened with $100, but balances below $500 earn no interest.
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | $500 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 8101) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Washington State Bank
HSA
Show Fine Print & Trends Hide Details
| Min. Deposit | $200 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | quarterly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 214) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Marion County State Bank
Health Savings Account (HSA)
What to Watch
A custodial fee of $15.00 is charged once a year, each January, rather than each month. Closing the account costs a further $25.00.
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | An annual custodial fee of $15.00 is charged each January. An exit fee of $25.00 is charged at account closing. |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 15272) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Bank Plus
Health Savings Account
Needs at least $75,000.01
What to Watch
Variable rate. The rate can change at any time after the account is opened.
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 16547) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Farmers & Merchants Bank & Trust
Health Savings
What to Watch
The monthly service charge does not apply to accounts signed up for e-statements.
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 13737) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Farmers Trust and Savings Bank
Health Savings Account
Needs at least $14,999
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | $0.01 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 12858) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Boone Bank & Trust Co.
HSA
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 33552) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Nicolet National Bank
Health Savings Account (HSA)
Needs at least $10,000
What to Watch
A $10 set-up fee applies when the account is opened. A $5 monthly fee applies to paper statements.
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | $5 monthly fee for paper statements. |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 57038) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Exchange State Bank
Health Savings Account
Needs at least $2,500
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | unknown |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 10132) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating | Not Rated(Not BBB Accredited) |
Rate Stability
Fidelity Bank & Trust
Health Savings Account
Show Fine Print & Trends Hide Details
| Min. Deposit | $50 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14382) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
BankOrion
Health Savings Account
What to Watch
Variable rate. The rate can change after the account is open. A service charge applies when the balance falls below $100.
Show Fine Print & Trends Hide Details
| Min. Deposit | $100 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 11739) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
FreedomBank
FreedomBank HSA
Needs at least $10,000
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 11767) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Lincoln Savings Bank
Health Savings
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | $0.01 |
| Maintenance Fee | $0 |
| Compound Freq | monthly |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14207) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
TruBank
Health Savings Account
Show Fine Print & Trends Hide Details
| Min. Deposit | $0 |
| Min. Balance | $0 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 25267) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Federation Bank
HSA Checking
Show Fine Print & Trends Hide Details
| Min. Deposit | $50 |
| Min. Balance | $0.01 |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 14352) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Premier Bank
Health Savings Account
Needs at least $25,000
We could not confirm: minimum deposit.
Show Fine Print & Trends Hide Details
| Min. Deposit | N/A |
| Min. Balance | $0 |
| Maintenance Fee | A monthly maintenance fee of $2.50 will be imposed if the average daily balance for the statement cycle in your HSA Account falls below $1,500. |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 34849) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
No movement is shown for an “Up to” rate.
Great Southern Bank
Health Savings Account (HSA)
Show Fine Print & Trends Hide Details
| Min. Deposit | $25 |
| Min. Balance | N/A |
| Maintenance Fee | $0 |
| Compound Freq | N/A |
| Direct Deposit | Not required |
| Deposit Insurance | FDIC Insured(Cert: 29546) |
| Eligibility | United States |
| Mobile Ratings | |
| BBB Rating |
Rate Stability
Nationally Available Health Savings (HSA) Accounts
The 2 highest-rate health savings (hsa) accounts available nationwide, including in Iowa.