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) |
| Platte County | Urban | No | 131.1 (122.2, 140.4) | 115 (102, 115) | 168 |
falling
|
-1.8 (-2.4, -1.2) |
| Holt County | Rural | No | 134.9 (99.7, 181.4) | 114 (17, 115) | 11 |
stable 
|
-0.6 (-12.9, 3.0) |
| St. Charles County | Urban | No | 137.5 (132.8, 142.2) | 113 (101, 115) | 696 |
falling
|
-1.7 (-2.0, -1.3) |
| Nodaway County | Rural | No | 139.5 (120.0, 161.7) | 112 (58, 115) | 38 |
stable
|
-0.6 (-1.9, 0.6) |
| Cole County | Urban | No | 139.6 (129.2, 150.6) | 111 (87, 115) | 140 |
falling
|
-1.8 (-2.3, -1.3) |
| Carroll County | Rural | No | 140.7 (114.3, 172.6) | 110 (29, 115) | 20 |
stable
|
-1.1 (-2.8, 0.4) |
| Scotland County | Rural | No | 143.3 (104.6, 193.1) | 109 (7, 115) | 9 |
stable
|
-1.8 (-4.0, 0.2) |
| Boone County | Urban | No | 144.9 (137.1, 153.1) | 108 (86, 114) | 266 |
falling
|
-1.5 (-2.1, -0.9) |
| Greene County | Urban | No | 146.5 (141.0, 152.2) | 107 (88, 112) | 552 |
falling
|
-1.5 (-1.8, -1.3) |
| Cape Girardeau County | Urban | No | 146.7 (136.3, 157.8) | 106 (74, 114) | 153 |
falling
|
-3.0 (-7.9, -1.2) |
| Stone County | Rural | No | 147.8 (132.9, 164.3) | 105 (54, 115) | 91 |
stable
|
-0.9 (-2.0, 0.1) |
| St. Louis County | Urban | No | 149.1 (146.2, 152.1) | 104 (88, 109) | 2,047 |
falling
|
-1.3 (-1.5, -1.1) |
| Clark County | Rural | No | 151.3 (119.7, 190.0) | 103 (13, 115) | 16 |
stable
|
4.6 (-5.0, 17.6) |
| Bates County | Urban | No | 151.5 (129.3, 176.8) | 102 (27, 115) | 35 |
falling
|
-13.6 (-26.1, -1.9) |
| Clay County | Urban | No | 152.1 (145.7, 158.7) | 101 (77, 109) | 437 |
falling
|
-1.8 (-3.7, -1.5) |
| Howard County | Urban | No | 152.2 (123.5, 186.1) | 100 (15, 115) | 21 |
falling
|
-1.5 (-2.9, -0.2) |
| Barton County | Rural | No | 152.9 (126.9, 183.2) | 99 (22, 115) | 26 |
falling
|
-3.0 (-10.8, -0.6) |
| Camden County | Rural | No | 154.6 (142.0, 168.3) | 98 (53, 113) | 131 |
stable
|
-0.6 (-1.2, 0.1) |
| Cass County | Urban | No | 154.9 (145.7, 164.4) | 97 (61, 110) | 223 |
falling
|
-1.3 (-1.8, -0.7) |
| Daviess County | Rural | No | 155.5 (124.3, 192.8) | 96 (11, 115) | 19 |
stable
|
-1.3 (-3.1, 0.3) |
| Osage County | Urban | No | 157.6 (131.4, 187.7) | 95 (19, 115) | 27 |
stable
|
-0.5 (-1.9, 0.9) |
| Jackson County | Urban | No | 157.7 (153.9, 161.6) | 94 (72, 100) | 1,340 |
falling
|
-1.7 (-2.0, -1.2) |
| Ste. Genevieve County | Rural | No | 157.8 (137.0, 181.3) | 93 (27, 115) | 44 |
stable
|
-0.8 (-1.8, 0.1) |
| Worth County | Rural | No | 158.6 (103.1, 240.7) | 92 (1, 115) | 6 |
stable
|
0.2 (-2.9, 3.3) |
| Gasconade County | Rural | No | 159.1 (137.2, 184.1) | 91 (22, 115) | 40 |
falling
|
-1.2 (-2.3, -0.3) |
| Christian County | Urban | No | 159.4 (148.8, 170.5) | 90 (51, 109) | 174 |
stable
|
0.6 (-0.7, 4.6) |
| Phelps County | Rural | No | 159.6 (145.0, 175.5) | 89 (37, 111) | 90 |
stable
|
-1.0 (-2.0, 0.1) |
| Warren County | Urban | No | 159.7 (143.7, 177.0) | 88 (33, 113) | 78 |
falling
|
-1.1 (-2.0, -0.1) |
| Harrison County | Rural | No | 159.9 (130.2, 195.3) | 87 (11, 115) | 21 |
falling
|
-1.3 (-3.6, -0.2) |
| Polk County | Urban | No | 159.9 (143.1, 178.3) | 86 (32, 113) | 69 |
stable
|
-1.3 (-2.6, 0.0) |
| Monroe County | Rural | No | 160.2 (130.8, 195.3) | 85 (11, 115) | 23 |
stable
|
-0.7 (-1.9, 0.7) |
| Cedar County | Rural | No | 161.5 (138.6, 187.7) | 84 (18, 115) | 38 |
falling
|
-1.7 (-2.9, -0.5) |
| Callaway County | Urban | No | 163.6 (149.0, 179.5) | 83 (33, 109) | 95 |
falling
|
-1.1 (-1.7, -0.4) |
| Perry County | Rural | No | 163.8 (142.7, 187.6) | 82 (19, 114) | 45 |
stable
|
-0.9 (-2.6, 0.8) |
| Schuyler County | Rural | No | 164.3 (119.2, 222.4) | 81 (2, 115) | 9 |
stable
|
-0.9 (-2.9, 1.0) |
| Pike County | Rural | No | 164.4 (142.0, 189.7) | 80 (19, 114) | 40 |
falling
|
-3.0 (-8.5, -0.9) |
| Cooper County | Urban | No | 164.6 (141.2, 190.9) | 79 (17, 114) | 38 |
stable
|
-0.6 (-1.7, 0.6) |
| Sullivan County | Rural | No | 164.6 (128.2, 209.5) | 78 (4, 115) | 14 |
stable
|
-1.1 (-3.2, 0.8) |
| St. Louis City | Urban | No | 164.8 (158.5, 171.4) | 77 (52, 93) | 551 |
falling
|
-2.6 (-3.0, -2.3) |
| Webster County | Urban | No | 165.8 (149.3, 183.6) | 76 (27, 110) | 77 |
stable
|
-0.2 (-1.0, 0.7) |
| Scott County | Rural | No | 166.4 (150.7, 183.4) | 75 (28, 108) | 86 |
falling
|
-1.4 (-2.1, -0.7) |
| Taney County | Rural | No | 166.7 (154.3, 180.0) | 74 (34, 105) | 143 |
stable
|
4.1 (-1.4, 8.0) |
| Henry County | Rural | No | 167.3 (148.8, 187.9) | 73 (20, 112) | 62 |
falling
|
-2.9 (-9.7, -1.4) |
| Franklin County | Urban | No | 167.9 (158.2, 178.0) | 72 (38, 97) | 240 |
falling
|
-1.1 (-1.7, -0.5) |
| Adair County | Rural | No | 169.1 (148.5, 192.0) | 71 (16, 112) | 49 |
stable
|
-0.4 (-1.4, 0.7) |
| Caldwell County | Urban | No | 171.4 (139.2, 209.3) | 70 (4, 115) | 21 |
stable
|
-0.2 (-2.1, 1.7) |
| Andrew County | Urban | No | 171.4 (149.3, 196.2) | 69 (11, 111) | 44 |
falling
|
-1.4 (-2.6, -0.1) |
| Shelby County | Rural | No | 171.6 (136.1, 215.0) | 68 (3, 115) | 16 |
stable
|
-1.8 (-3.9, 0.1) |
| Moniteau County | Urban | No | 171.9 (146.5, 200.7) | 67 (9, 114) | 33 |
stable
|
-0.5 (-1.9, 0.8) |
| Johnson County | Rural | No | 172.0 (156.4, 188.8) | 66 (21, 103) | 93 |
stable
|
-0.9 (-1.7, 0.0) |
| Wright County | Rural | No | 173.0 (150.6, 198.1) | 65 (10, 112) | 45 |
stable
|
-0.7 (-1.8, 0.3) |
| Knox County | Rural | No | 173.4 (127.2, 233.1) | 64 (1, 115) | 10 |
stable
|
-1.1 (-3.1, 0.7) |
| Livingston County | Rural | No | 173.7 (148.8, 201.9) | 63 (9, 112) | 37 |
falling
|
-1.8 (-9.4, -0.1) |
| Audrain County | Rural | No | 174.1 (154.5, 195.7) | 62 (12, 107) | 59 |
falling
|
-1.3 (-4.5, -0.5) |
| Jefferson County | Urban | No | 174.4 (167.2, 181.8) | 61 (35, 81) | 481 |
falling
|
-1.3 (-1.6, -1.0) |
| DeKalb County | Urban | No | 174.6 (146.5, 207.2) | 60 (6, 114) | 28 |
stable
|
-0.1 (-2.0, 1.8) |
| Putnam County | Rural | No | 174.6 (135.1, 224.4) | 59 (2, 115) | 14 |
stable
|
-0.9 (-2.4, 0.7) |
| Lafayette County | Urban | No | 174.7 (157.8, 193.1) | 58 (16, 104) | 81 |
falling
|
-0.8 (-1.5, -0.2) |
| Miller County | Rural | No | 175.0 (155.7, 196.2) | 57 (13, 107) | 63 |
falling
|
-1.0 (-2.1, -0.1) |
| Newton County | Urban | No | 175.0 (162.2, 188.7) | 56 (21, 93) | 143 |
stable
|
-0.6 (-1.2, 0.0) |
| Ralls County | Rural | No | 175.2 (147.3, 207.8) | 55 (5, 114) | 30 |
stable
|
-0.4 (-1.7, 0.9) |
| Lewis County | Rural | No | 175.3 (143.8, 212.3) | 54 (4, 114) | 23 |
stable
|
-1.6 (-3.9, 0.4) |
| Texas County | Rural | No | 175.5 (156.7, 196.1) | 53 (13, 106) | 67 |
stable
|
-0.5 (-1.4, 0.4) |
| Grundy County | Rural | No | 175.8 (146.2, 210.2) | 52 (5, 114) | 27 |
stable
|
-0.9 (-2.7, 0.7) |
| Jasper County | Urban | No | 175.8 (166.2, 185.8) | 51 (27, 86) | 259 |
stable
|
-0.4 (-1.0, 0.1) |
| Pulaski County | Rural | No | 176.6 (158.3, 196.3) | 50 (13, 105) | 72 |
falling
|
-1.3 (-2.3, -0.3) |
| Mercer County | Rural | No | 176.8 (129.6, 238.1) | 49 (1, 115) | 10 |
stable
|
-0.1 (-2.0, 1.8) |
| Dade County | Rural | No | 177.3 (145.4, 215.4) | 48 (4, 114) | 23 |
stable
|
-1.3 (-2.6, 0.0) |
| Clinton County | Urban | No | 177.4 (156.3, 200.9) | 47 (10, 105) | 53 |
stable
|
-0.7 (-1.4, 0.2) |
| Maries County | Rural | No | 177.6 (146.8, 214.1) | 46 (3, 114) | 24 |
stable
|
-1.5 (-3.2, 0.2) |
| Vernon County | Rural | No | 178.0 (156.1, 202.3) | 45 (9, 105) | 50 |
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) |
| Lincoln County | Urban | No | 178.8 (164.3, 194.3) | 43 (16, 91) | 119 |
stable
|
-0.8 (-1.7, 0.1) |
| Barry County | Rural | No | 179.7 (163.6, 197.2) | 42 (14, 95) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Morgan County | Rural | No | 179.8 (160.0, 201.7) | 41 (10, 103) | 65 |
stable
|
-0.8 (-1.8, 0.1) |
| Marion County | Rural | No | 180.5 (161.5, 201.2) | 40 (10, 101) | 69 |
falling
|
-1.0 (-2.1, -0.1) |
| Mississippi County | Rural | No | 180.6 (152.8, 212.4) | 39 (4, 111) | 31 |
stable
|
-1.2 (-2.7, 0.2) |
| Dallas County | Urban | No | 184.4 (161.0, 210.7) | 38 (6, 103) | 47 |
stable
|
-0.7 (-1.5, 0.1) |
| Buchanan County | Urban | No | 184.9 (173.3, 197.2) | 37 (16, 75) | 196 |
stable
|
-0.7 (-1.5, 0.0) |
| Bollinger County | Urban | No | 185.0 (155.9, 218.7) | 36 (3, 108) | 30 |
stable
|
-0.3 (-1.3, 0.8) |
| Douglas County | Rural | No | 185.1 (159.0, 215.3) | 35 (4, 109) | 38 |
stable
|
-1.2 (-2.8, 0.3) |
| Pettis County | Rural | No | 186.3 (170.3, 203.5) | 34 (10, 87) | 104 |
falling
|
-0.8 (-1.4, -0.1) |
| Benton County | Rural | No | 187.8 (168.3, 209.7) | 33 (6, 93) | 78 |
stable
|
-0.9 (-1.9, 0.1) |
| Howell County | Rural | No | 187.8 (172.0, 204.8) | 32 (10, 82) | 108 |
stable
|
-0.5 (-1.1, 0.1) |
| Reynolds County | Rural | No | 187.9 (151.7, 232.0) | 31 (1, 114) | 20 |
falling
|
-1.7 (-2.9, -0.6) |
| Linn County | Rural | No | 191.0 (162.5, 223.7) | 30 (2, 104) | 34 |
stable
|
-0.4 (-1.9, 1.1) |
| Macon County | Rural | No | 191.9 (166.6, 220.4) | 29 (3, 97) | 44 |
stable
|
2.4 (0.0, 10.7) |
| Stoddard County | Rural | No | 193.1 (174.6, 213.1) | 28 (5, 80) | 83 |
stable
|
-0.6 (-1.5, 0.2) |
| Lawrence County | Rural | No | 193.1 (176.2, 211.3) | 27 (7, 79) | 99 |
stable
|
2.1 (-0.2, 7.1) |
| Crawford County | Rural | No | 195.0 (173.8, 218.4) | 26 (4, 82) | 66 |
stable
|
-0.2 (-1.1, 0.6) |
| Saline County | Rural | No | 195.7 (173.3, 220.3) | 25 (4, 84) | 59 |
stable
|
-0.5 (-1.8, 0.8) |
| Butler County | Rural | No | 195.7 (179.8, 212.7) | 24 (7, 66) | 116 |
stable
|
-0.7 (-1.4, 0.0) |
| McDonald County | Rural | No | 197.8 (174.3, 223.7) | 23 (2, 85) | 54 |
stable
|
-0.7 (-1.9, 0.6) |
| Laclede County | Rural | No | 198.9 (181.1, 218.2) | 22 (4, 66) | 96 |
stable
|
-0.2 (-1.0, 0.6) |
| Montgomery County | Rural | No | 200.0 (170.5, 233.8) | 21 (1, 99) | 34 |
stable
|
-1.1 (-2.3, 0.0) |
| Wayne County | Rural | No | 200.6 (172.5, 232.9) | 20 (2, 99) | 39 |
falling
|
-1.8 (-12.1, -0.3) |
| Hickory County | Rural | No | 202.2 (169.1, 241.3) | 19 (1, 99) | 34 |
stable
|
-0.1 (-1.5, 1.2) |
| Madison County | Rural | No | 203.5 (174.9, 236.0) | 18 (1, 89) | 37 |
stable
|
-0.5 (-1.5, 0.4) |
| Ozark County | Rural | No | 204.4 (173.3, 241.0) | 17 (1, 91) | 35 |
stable
|
-0.9 (-2.1, 0.3) |
| Ray County | Urban | No | 204.9 (183.2, 228.8) | 16 (2, 71) | 67 |
stable
|
-0.2 (-1.4, 1.0) |
| St. Francois County | Rural | No | 206.4 (192.9, 220.7) | 15 (3, 43) | 178 |
stable
|
0.1 (-0.6, 2.6) |
| Dent County | Rural | No | 208.1 (181.7, 237.8) | 14 (1, 73) | 48 |
stable
|
-0.2 (-1.3, 0.8) |
| Randolph County | Rural | No | 208.8 (186.6, 233.0) | 13 (2, 64) | 66 |
stable
|
-0.4 (-1.3, 0.4) |
| Iron County | Rural | No | 209.7 (177.9, 246.5) | 12 (1, 84) | 32 |
stable
|
-0.8 (-2.3, 0.6) |
| Carter County | Rural | No | 210.1 (166.4, 263.2) | 11 (1, 111) | 16 |
stable
|
-0.9 (-2.7, 0.8) |
| St. Clair County | Rural | No | 211.1 (178.8, 248.5) | 10 (1, 89) | 35 |
stable
|
9.4 (-0.5, 19.2) |
| Atchison County | Rural | No | 211.1 (170.0, 261.3) | 9 (1, 106) | 19 |
stable
|
-0.3 (-2.7, 1.9) |
| Pemiscot County | Rural | No | 211.6 (183.6, 243.0) | 8 (1, 68) | 43 |
stable
|
-0.2 (-1.5, 0.9) |
| Dunklin County | Rural | No | 218.0 (196.9, 241.0) | 7 (1, 48) | 82 |
stable
|
-0.6 (-1.3, 0.1) |
| Oregon County | Rural | No | 219.7 (184.9, 260.1) | 6 (1, 83) | 30 |
stable
|
0.3 (-1.4, 2.0) |
| Washington County | Rural | No | 221.0 (197.6, 246.8) | 5 (1, 46) | 69 |
stable
|
-0.6 (-1.5, 0.4) |
| Gentry County | Rural | No | 227.3 (184.3, 278.4) | 4 (1, 85) | 20 |
rising 
|
7.9 (0.9, 19.5) |
| Shannon County | Rural | No | 233.3 (194.1, 279.3) | 3 (1, 76) | 27 |
stable
|
3.9 (-1.3, 15.2) |
| New Madrid County | Rural | No | 234.5 (207.2, 264.8) | 2 (1, 36) | 55 |
stable
|
0.1 (-0.8, 1.0) |
| Ripley County | Rural | No | 262.8 (226.2, 304.2) | 1 (1, 26) | 39 |
stable
|
1.0 (-0.3, 2.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/30/2026 11:46 am.
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.