Death Rates Table
Death Rate Report for Missouri by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| Missouri | N/A | No | 162.2 (160.9, 163.4) | N/A | 13,027 |
falling 
|
-1.2 (-1.2, -1.1) |
| United States | N/A | No | 145.4 (145.2, 145.6) | N/A | 605,771 |
falling
|
-1.3 (-1.5, -1.2) |
| Ripley County | Rural | No | 262.8 (226.2, 304.2) | 1 (1, 26) | 39 |
stable 
|
1.0 (-0.3, 2.2) |
| New Madrid County | Rural | No | 234.5 (207.2, 264.8) | 2 (1, 36) | 55 |
stable
|
0.1 (-0.8, 1.0) |
| Shannon County | Rural | No | 233.3 (194.1, 279.3) | 3 (1, 76) | 27 |
stable
|
3.9 (-1.3, 15.2) |
| Gentry County | Rural | No | 227.3 (184.3, 278.4) | 4 (1, 85) | 20 |
rising 
|
7.9 (0.9, 19.5) |
| Washington County | Rural | No | 221.0 (197.6, 246.8) | 5 (1, 46) | 69 |
stable
|
-0.6 (-1.5, 0.4) |
| Oregon County | Rural | No | 219.7 (184.9, 260.1) | 6 (1, 83) | 30 |
stable
|
0.3 (-1.4, 2.0) |
| Dunklin County | Rural | No | 218.0 (196.9, 241.0) | 7 (1, 48) | 82 |
stable
|
-0.6 (-1.3, 0.1) |
| Pemiscot County | Rural | No | 211.6 (183.6, 243.0) | 8 (1, 68) | 43 |
stable
|
-0.2 (-1.5, 0.9) |
| Atchison County | Rural | No | 211.1 (170.0, 261.3) | 9 (1, 106) | 19 |
stable
|
-0.3 (-2.7, 1.9) |
| St. Clair County | Rural | No | 211.1 (178.8, 248.5) | 10 (1, 89) | 35 |
stable
|
9.4 (-0.5, 19.2) |
| Carter County | Rural | No | 210.1 (166.4, 263.2) | 11 (1, 111) | 16 |
stable
|
-0.9 (-2.7, 0.8) |
| Iron County | Rural | No | 209.7 (177.9, 246.5) | 12 (1, 84) | 32 |
stable
|
-0.8 (-2.3, 0.6) |
| Randolph County | Rural | No | 208.8 (186.6, 233.0) | 13 (2, 64) | 66 |
stable
|
-0.4 (-1.3, 0.4) |
| Dent County | Rural | No | 208.1 (181.7, 237.8) | 14 (1, 73) | 48 |
stable
|
-0.2 (-1.3, 0.8) |
| St. Francois County | Rural | No | 206.4 (192.9, 220.7) | 15 (3, 43) | 178 |
stable
|
0.1 (-0.6, 2.6) |
| Ray County | Urban | No | 204.9 (183.2, 228.8) | 16 (2, 71) | 67 |
stable
|
-0.2 (-1.4, 1.0) |
| Ozark County | Rural | No | 204.4 (173.3, 241.0) | 17 (1, 91) | 35 |
stable
|
-0.9 (-2.1, 0.3) |
| Madison County | Rural | No | 203.5 (174.9, 236.0) | 18 (1, 89) | 37 |
stable
|
-0.5 (-1.5, 0.4) |
| Hickory County | Rural | No | 202.2 (169.1, 241.3) | 19 (1, 99) | 34 |
stable
|
-0.1 (-1.5, 1.2) |
| Wayne County | Rural | No | 200.6 (172.5, 232.9) | 20 (2, 99) | 39 |
falling
|
-1.8 (-12.1, -0.3) |
| Montgomery County | Rural | No | 200.0 (170.5, 233.8) | 21 (1, 99) | 34 |
stable
|
-1.1 (-2.3, 0.0) |
| Laclede County | Rural | No | 198.9 (181.1, 218.2) | 22 (4, 66) | 96 |
stable
|
-0.2 (-1.0, 0.6) |
| McDonald County | Rural | No | 197.8 (174.3, 223.7) | 23 (2, 85) | 54 |
stable
|
-0.7 (-1.9, 0.6) |
| Butler County | Rural | No | 195.7 (179.8, 212.7) | 24 (7, 66) | 116 |
stable
|
-0.7 (-1.4, 0.0) |
| Saline County | Rural | No | 195.7 (173.3, 220.3) | 25 (4, 84) | 59 |
stable
|
-0.5 (-1.8, 0.8) |
| Crawford County | Rural | No | 195.0 (173.8, 218.4) | 26 (4, 82) | 66 |
stable
|
-0.2 (-1.1, 0.6) |
| Lawrence County | Rural | No | 193.1 (176.2, 211.3) | 27 (7, 79) | 99 |
stable
|
2.1 (-0.2, 7.1) |
| Stoddard County | Rural | No | 193.1 (174.6, 213.1) | 28 (5, 80) | 83 |
stable
|
-0.6 (-1.5, 0.2) |
| Macon County | Rural | No | 191.9 (166.6, 220.4) | 29 (3, 97) | 44 |
stable
|
2.4 (0.0, 10.7) |
| Linn County | Rural | No | 191.0 (162.5, 223.7) | 30 (2, 104) | 34 |
stable
|
-0.4 (-1.9, 1.1) |
| Reynolds County | Rural | No | 187.9 (151.7, 232.0) | 31 (1, 114) | 20 |
falling
|
-1.7 (-2.9, -0.6) |
| Howell County | Rural | No | 187.8 (172.0, 204.8) | 32 (10, 82) | 108 |
stable
|
-0.5 (-1.1, 0.1) |
| Benton County | Rural | No | 187.8 (168.3, 209.7) | 33 (6, 93) | 78 |
stable
|
-0.9 (-1.9, 0.1) |
| Pettis County | Rural | No | 186.3 (170.3, 203.5) | 34 (10, 87) | 104 |
falling
|
-0.8 (-1.4, -0.1) |
| Douglas County | Rural | No | 185.1 (159.0, 215.3) | 35 (4, 109) | 38 |
stable
|
-1.2 (-2.8, 0.3) |
| Bollinger County | Urban | No | 185.0 (155.9, 218.7) | 36 (3, 108) | 30 |
stable
|
-0.3 (-1.3, 0.8) |
| Buchanan County | Urban | No | 184.9 (173.3, 197.2) | 37 (16, 75) | 196 |
stable
|
-0.7 (-1.5, 0.0) |
| Dallas County | Urban | No | 184.4 (161.0, 210.7) | 38 (6, 103) | 47 |
stable
|
-0.7 (-1.5, 0.1) |
| Mississippi County | Rural | No | 180.6 (152.8, 212.4) | 39 (4, 111) | 31 |
stable
|
-1.2 (-2.7, 0.2) |
| Marion County | Rural | No | 180.5 (161.5, 201.2) | 40 (10, 101) | 69 |
falling
|
-1.0 (-2.1, -0.1) |
| Morgan County | Rural | No | 179.8 (160.0, 201.7) | 41 (10, 103) | 65 |
stable
|
-0.8 (-1.8, 0.1) |
| Barry County | Rural | No | 179.7 (163.6, 197.2) | 42 (14, 95) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Lincoln County | Urban | No | 178.8 (164.3, 194.3) | 43 (16, 91) | 119 |
stable
|
-0.8 (-1.7, 0.1) |
| Chariton County | Rural | No | 178.1 (144.5, 218.3) | 44 (3, 115) | 23 |
stable
|
-0.4 (-2.0, 1.0) |
| Vernon County | Rural | No | 178.0 (156.1, 202.3) | 45 (9, 105) | 50 |
stable
|
-0.8 (-1.7, 0.1) |
| Maries County | Rural | No | 177.6 (146.8, 214.1) | 46 (3, 114) | 24 |
stable
|
-1.5 (-3.2, 0.2) |
| Clinton County | Urban | No | 177.4 (156.3, 200.9) | 47 (10, 105) | 53 |
stable
|
-0.7 (-1.4, 0.2) |
| Dade County | Rural | No | 177.3 (145.4, 215.4) | 48 (4, 114) | 23 |
stable
|
-1.3 (-2.6, 0.0) |
| Mercer County | Rural | No | 176.8 (129.6, 238.1) | 49 (1, 115) | 10 |
stable
|
-0.1 (-2.0, 1.8) |
| Pulaski County | Rural | No | 176.6 (158.3, 196.3) | 50 (13, 105) | 72 |
falling
|
-1.3 (-2.3, -0.3) |
| Jasper County | Urban | No | 175.8 (166.2, 185.8) | 51 (27, 86) | 259 |
stable
|
-0.4 (-1.0, 0.1) |
| Grundy County | Rural | No | 175.8 (146.2, 210.2) | 52 (5, 114) | 27 |
stable
|
-0.9 (-2.7, 0.7) |
| Texas County | Rural | No | 175.5 (156.7, 196.1) | 53 (13, 106) | 67 |
stable
|
-0.5 (-1.4, 0.4) |
| Lewis County | Rural | No | 175.3 (143.8, 212.3) | 54 (4, 114) | 23 |
stable
|
-1.6 (-3.9, 0.4) |
| Ralls County | Rural | No | 175.2 (147.3, 207.8) | 55 (5, 114) | 30 |
stable
|
-0.4 (-1.7, 0.9) |
| Newton County | Urban | No | 175.0 (162.2, 188.7) | 56 (21, 93) | 143 |
stable
|
-0.6 (-1.2, 0.0) |
| Miller County | Rural | No | 175.0 (155.7, 196.2) | 57 (13, 107) | 63 |
falling
|
-1.0 (-2.1, -0.1) |
| Lafayette County | Urban | No | 174.7 (157.8, 193.1) | 58 (16, 104) | 81 |
falling
|
-0.8 (-1.5, -0.2) |
| Putnam County | Rural | No | 174.6 (135.1, 224.4) | 59 (2, 115) | 14 |
stable
|
-0.9 (-2.4, 0.7) |
| DeKalb County | Urban | No | 174.6 (146.5, 207.2) | 60 (6, 114) | 28 |
stable
|
-0.1 (-2.0, 1.8) |
| Jefferson County | Urban | No | 174.4 (167.2, 181.8) | 61 (35, 81) | 481 |
falling
|
-1.3 (-1.6, -1.0) |
| Audrain County | Rural | No | 174.1 (154.5, 195.7) | 62 (12, 107) | 59 |
falling
|
-1.3 (-4.5, -0.5) |
| Livingston County | Rural | No | 173.7 (148.8, 201.9) | 63 (9, 112) | 37 |
falling
|
-1.8 (-9.4, -0.1) |
| Knox County | Rural | No | 173.4 (127.2, 233.1) | 64 (1, 115) | 10 |
stable
|
-1.1 (-3.1, 0.7) |
| Wright County | Rural | No | 173.0 (150.6, 198.1) | 65 (10, 112) | 45 |
stable
|
-0.7 (-1.8, 0.3) |
| Johnson County | Rural | No | 172.0 (156.4, 188.8) | 66 (21, 103) | 93 |
stable
|
-0.9 (-1.7, 0.0) |
| Moniteau County | Urban | No | 171.9 (146.5, 200.7) | 67 (9, 114) | 33 |
stable
|
-0.5 (-1.9, 0.8) |
| Shelby County | Rural | No | 171.6 (136.1, 215.0) | 68 (3, 115) | 16 |
stable
|
-1.8 (-3.9, 0.1) |
| Andrew County | Urban | No | 171.4 (149.3, 196.2) | 69 (11, 111) | 44 |
falling
|
-1.4 (-2.6, -0.1) |
| Caldwell County | Urban | No | 171.4 (139.2, 209.3) | 70 (4, 115) | 21 |
stable
|
-0.2 (-2.1, 1.7) |
| Adair County | Rural | No | 169.1 (148.5, 192.0) | 71 (16, 112) | 49 |
stable
|
-0.4 (-1.4, 0.7) |
| Franklin County | Urban | No | 167.9 (158.2, 178.0) | 72 (38, 97) | 240 |
falling
|
-1.1 (-1.7, -0.5) |
| Henry County | Rural | No | 167.3 (148.8, 187.9) | 73 (20, 112) | 62 |
falling
|
-2.9 (-9.7, -1.4) |
| Taney County | Rural | No | 166.7 (154.3, 180.0) | 74 (34, 105) | 143 |
stable
|
4.1 (-1.4, 8.0) |
| Scott County | Rural | No | 166.4 (150.7, 183.4) | 75 (28, 108) | 86 |
falling
|
-1.4 (-2.1, -0.7) |
| Webster County | Urban | No | 165.8 (149.3, 183.6) | 76 (27, 110) | 77 |
stable
|
-0.2 (-1.0, 0.7) |
| St. Louis City | Urban | No | 164.8 (158.5, 171.4) | 77 (52, 93) | 551 |
falling
|
-2.6 (-3.0, -2.3) |
| Sullivan County | Rural | No | 164.6 (128.2, 209.5) | 78 (4, 115) | 14 |
stable
|
-1.1 (-3.2, 0.8) |
| Cooper County | Urban | No | 164.6 (141.2, 190.9) | 79 (17, 114) | 38 |
stable
|
-0.6 (-1.7, 0.6) |
| Pike County | Rural | No | 164.4 (142.0, 189.7) | 80 (19, 114) | 40 |
falling
|
-3.0 (-8.5, -0.9) |
| Schuyler County | Rural | No | 164.3 (119.2, 222.4) | 81 (2, 115) | 9 |
stable
|
-0.9 (-2.9, 1.0) |
| Perry County | Rural | No | 163.8 (142.7, 187.6) | 82 (19, 114) | 45 |
stable
|
-0.9 (-2.6, 0.8) |
| Callaway County | Urban | No | 163.6 (149.0, 179.5) | 83 (33, 109) | 95 |
falling
|
-1.1 (-1.7, -0.4) |
| Cedar County | Rural | No | 161.5 (138.6, 187.7) | 84 (18, 115) | 38 |
falling
|
-1.7 (-2.9, -0.5) |
| Monroe County | Rural | No | 160.2 (130.8, 195.3) | 85 (11, 115) | 23 |
stable
|
-0.7 (-1.9, 0.7) |
| Polk County | Urban | No | 159.9 (143.1, 178.3) | 86 (32, 113) | 69 |
stable
|
-1.3 (-2.6, 0.0) |
| Harrison County | Rural | No | 159.9 (130.2, 195.3) | 87 (11, 115) | 21 |
falling
|
-1.3 (-3.6, -0.2) |
| Warren County | Urban | No | 159.7 (143.7, 177.0) | 88 (33, 113) | 78 |
falling
|
-1.1 (-2.0, -0.1) |
| Phelps County | Rural | No | 159.6 (145.0, 175.5) | 89 (37, 111) | 90 |
stable
|
-1.0 (-2.0, 0.1) |
| Christian County | Urban | No | 159.4 (148.8, 170.5) | 90 (51, 109) | 174 |
stable
|
0.6 (-0.7, 4.6) |
| Gasconade County | Rural | No | 159.1 (137.2, 184.1) | 91 (22, 115) | 40 |
falling
|
-1.2 (-2.3, -0.3) |
| Worth County | Rural | No | 158.6 (103.1, 240.7) | 92 (1, 115) | 6 |
stable
|
0.2 (-2.9, 3.3) |
| Ste. Genevieve County | Rural | No | 157.8 (137.0, 181.3) | 93 (27, 115) | 44 |
stable
|
-0.8 (-1.8, 0.1) |
| Jackson County | Urban | No | 157.7 (153.9, 161.6) | 94 (72, 100) | 1,340 |
falling
|
-1.7 (-2.0, -1.2) |
| Osage County | Urban | No | 157.6 (131.4, 187.7) | 95 (19, 115) | 27 |
stable
|
-0.5 (-1.9, 0.9) |
| Daviess County | Rural | No | 155.5 (124.3, 192.8) | 96 (11, 115) | 19 |
stable
|
-1.3 (-3.1, 0.3) |
| Cass County | Urban | No | 154.9 (145.7, 164.4) | 97 (61, 110) | 223 |
falling
|
-1.3 (-1.8, -0.7) |
| Camden County | Rural | No | 154.6 (142.0, 168.3) | 98 (53, 113) | 131 |
stable
|
-0.6 (-1.2, 0.1) |
| Barton County | Rural | No | 152.9 (126.9, 183.2) | 99 (22, 115) | 26 |
falling
|
-3.0 (-10.8, -0.6) |
| Howard County | Urban | No | 152.2 (123.5, 186.1) | 100 (15, 115) | 21 |
falling
|
-1.5 (-2.9, -0.2) |
| Clay County | Urban | No | 152.1 (145.7, 158.7) | 101 (77, 109) | 437 |
falling
|
-1.8 (-3.7, -1.5) |
| Bates County | Urban | No | 151.5 (129.3, 176.8) | 102 (27, 115) | 35 |
falling
|
-13.6 (-26.1, -1.9) |
| Clark County | Rural | No | 151.3 (119.7, 190.0) | 103 (13, 115) | 16 |
stable
|
4.6 (-5.0, 17.6) |
| St. Louis County | Urban | No | 149.1 (146.2, 152.1) | 104 (88, 109) | 2,047 |
falling
|
-1.3 (-1.5, -1.1) |
| Stone County | Rural | No | 147.8 (132.9, 164.3) | 105 (54, 115) | 91 |
stable
|
-0.9 (-2.0, 0.1) |
| Cape Girardeau County | Urban | No | 146.7 (136.3, 157.8) | 106 (74, 114) | 153 |
falling
|
-3.0 (-7.9, -1.2) |
| Greene County | Urban | No | 146.5 (141.0, 152.2) | 107 (88, 112) | 552 |
falling
|
-1.5 (-1.8, -1.3) |
| Boone County | Urban | No | 144.9 (137.1, 153.1) | 108 (86, 114) | 266 |
falling
|
-1.5 (-2.1, -0.9) |
| Scotland County | Rural | No | 143.3 (104.6, 193.1) | 109 (7, 115) | 9 |
stable
|
-1.8 (-4.0, 0.2) |
| Carroll County | Rural | No | 140.7 (114.3, 172.6) | 110 (29, 115) | 20 |
stable
|
-1.1 (-2.8, 0.4) |
| Cole County | Urban | No | 139.6 (129.2, 150.6) | 111 (87, 115) | 140 |
falling
|
-1.8 (-2.3, -1.3) |
| Nodaway County | Rural | No | 139.5 (120.0, 161.7) | 112 (58, 115) | 38 |
stable
|
-0.6 (-1.9, 0.6) |
| St. Charles County | Urban | No | 137.5 (132.8, 142.2) | 113 (101, 115) | 696 |
falling
|
-1.7 (-2.0, -1.3) |
| Holt County | Rural | No | 134.9 (99.7, 181.4) | 114 (17, 115) | 11 |
stable
|
-0.6 (-12.9, 3.0) |
| Platte County | Urban | No | 131.1 (122.2, 140.4) | 115 (102, 115) | 168 |
falling
|
-1.8 (-2.4, -1.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 6:03 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).
The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal.
Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.
Data for United States does not include Puerto Rico.