Death Rates Table
Death Rate Report for Missouri by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, Ages 50+
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 | 546.0 (541.7, 550.4) | N/A | 12,464 |
falling 
|
-1.1 (-1.2, -1.0) |
| United States | N/A | No | 488.7 (488.1, 489.2) | N/A | 576,743 |
falling
|
-1.5 (-1.7, -1.3) |
| New Madrid County | Rural | No | 819.7 (724.2, 924.4) | 1 (1, 24) | 54 |
stable 
|
0.5 (-0.6, 1.5) |
| Shannon County | Rural | No | 804.2 (669.3, 958.7) | 2 (1, 65) | 26 |
stable
|
4.2 (-0.1, 14.3) |
| Ripley County | Rural | No | 796.4 (683.2, 923.2) | 3 (1, 47) | 36 |
stable
|
0.7 (-0.4, 1.8) |
| Gentry County | Rural | No | 779.3 (631.0, 952.2) | 4 (1, 82) | 19 |
rising 
|
8.6 (0.8, 20.9) |
| Washington County | Rural | No | 762.0 (680.2, 851.1) | 5 (1, 38) | 67 |
stable
|
-0.3 (-1.3, 0.7) |
| Atchison County | Rural | No | 729.8 (588.1, 895.4) | 6 (1, 100) | 19 |
stable
|
0.1 (-2.1, 2.3) |
| Oregon County | Rural | No | 727.0 (612.5, 856.9) | 7 (1, 80) | 29 |
stable
|
0.4 (-1.0, 1.9) |
| Carter County | Rural | No | 724.1 (573.3, 903.0) | 8 (1, 107) | 16 |
stable
|
-0.7 (-2.0, 0.6) |
| Iron County | Rural | No | 711.1 (603.2, 833.0) | 9 (1, 85) | 31 |
stable
|
-0.7 (-1.8, 0.4) |
| Randolph County | Rural | No | 709.3 (632.8, 792.6) | 10 (1, 62) | 63 |
stable
|
-0.3 (-1.1, 0.5) |
| Pemiscot County | Rural | No | 703.0 (609.0, 807.5) | 11 (1, 82) | 41 |
stable
|
0.1 (-1.1, 1.3) |
| St. Francois County | Rural | No | 700.9 (654.2, 750.1) | 12 (3, 43) | 171 |
stable
|
0.1 (-3.6, 3.6) |
| Dunklin County | Rural | No | 700.8 (631.9, 775.2) | 13 (2, 57) | 77 |
stable
|
-0.6 (-1.4, 0.2) |
| Madison County | Rural | No | 700.7 (601.8, 811.4) | 14 (1, 81) | 36 |
stable
|
0.0 (-1.0, 1.0) |
| Dent County | Rural | No | 699.5 (610.9, 797.4) | 15 (1, 79) | 46 |
stable
|
10.1 (-0.4, 17.7) |
| Ozark County | Rural | No | 691.9 (588.8, 808.3) | 16 (1, 86) | 34 |
stable
|
-0.8 (-2.0, 0.4) |
| Ray County | Urban | No | 691.8 (617.6, 772.4) | 17 (2, 72) | 65 |
stable
|
-0.2 (-1.3, 0.9) |
| Montgomery County | Rural | No | 674.3 (574.6, 786.3) | 18 (1, 98) | 33 |
stable
|
-0.9 (-2.0, 0.2) |
| Butler County | Rural | No | 673.9 (619.0, 732.5) | 19 (4, 59) | 113 |
stable
|
-0.5 (-1.2, 0.2) |
| Wayne County | Rural | No | 671.6 (578.9, 775.2) | 20 (2, 90) | 38 |
falling
|
-1.8 (-9.4, -0.4) |
| Stoddard County | Rural | No | 662.4 (599.0, 730.7) | 21 (3, 76) | 81 |
stable
|
-0.5 (-1.4, 0.5) |
| McDonald County | Rural | No | 661.0 (580.4, 749.6) | 22 (2, 88) | 51 |
stable
|
-0.5 (-1.7, 0.8) |
| Laclede County | Rural | No | 660.7 (600.7, 725.0) | 23 (5, 70) | 91 |
stable
|
-0.3 (-1.0, 0.6) |
| St. Clair County | Rural | No | 653.6 (556.8, 762.7) | 24 (2, 105) | 33 |
stable
|
1.5 (-1.0, 10.6) |
| Douglas County | Rural | No | 652.9 (560.9, 755.9) | 25 (2, 102) | 37 |
stable
|
1.7 (-1.9, 13.4) |
| Crawford County | Rural | No | 645.1 (574.8, 721.6) | 26 (4, 87) | 63 |
stable
|
-0.1 (-0.9, 0.8) |
| Benton County | Rural | No | 644.9 (579.6, 715.6) | 27 (6, 85) | 76 |
stable
|
-0.7 (-1.7, 0.3) |
| Lawrence County | Rural | No | 637.0 (580.5, 697.6) | 28 (6, 83) | 94 |
stable
|
1.8 (-0.2, 6.7) |
| Howell County | Rural | No | 636.8 (582.8, 694.4) | 29 (9, 77) | 104 |
stable
|
-0.2 (-0.9, 0.5) |
| Bollinger County | Urban | No | 635.9 (535.4, 749.9) | 30 (2, 109) | 29 |
stable
|
-0.1 (-1.1, 0.9) |
| Hickory County | Rural | No | 632.5 (535.5, 741.8) | 31 (3, 107) | 33 |
stable
|
-0.3 (-1.4, 0.9) |
| Reynolds County | Rural | No | 631.1 (511.1, 771.2) | 32 (1, 113) | 19 |
falling
|
-1.6 (-2.9, -0.3) |
| Pettis County | Rural | No | 629.6 (574.8, 688.2) | 33 (9, 83) | 99 |
stable
|
-0.6 (-1.4, 0.3) |
| Dallas County | Urban | No | 628.2 (548.4, 716.4) | 34 (4, 101) | 46 |
stable
|
-0.5 (-1.4, 0.4) |
| Macon County | Rural | No | 624.6 (542.2, 716.1) | 35 (4, 107) | 42 |
stable
|
2.3 (-0.8, 13.1) |
| Linn County | Rural | No | 624.5 (531.2, 729.5) | 36 (3, 109) | 32 |
stable
|
-0.3 (-1.6, 1.0) |
| Morgan County | Rural | No | 624.4 (556.4, 698.6) | 37 (6, 94) | 64 |
stable
|
-0.6 (-1.5, 0.3) |
| Saline County | Rural | No | 623.8 (551.5, 703.0) | 38 (5, 98) | 55 |
stable
|
-0.5 (-1.8, 0.8) |
| Shelby County | Rural | No | 620.9 (492.5, 772.9) | 39 (1, 115) | 16 |
stable
|
-1.4 (-3.3, 0.3) |
| Buchanan County | Urban | No | 619.7 (580.0, 661.4) | 40 (16, 77) | 186 |
stable
|
-0.8 (-1.5, 0.0) |
| Maries County | Rural | No | 618.3 (511.5, 741.1) | 41 (3, 113) | 24 |
stable
|
-1.2 (-3.1, 0.8) |
| Pulaski County | Rural | No | 615.8 (550.9, 686.3) | 42 (9, 98) | 68 |
stable
|
-1.1 (-2.3, 0.1) |
| Barry County | Rural | No | 612.2 (557.4, 671.0) | 43 (12, 90) | 94 |
stable
|
-0.6 (-1.3, 0.1) |
| Mercer County | Rural | No | 611.3 (448.7, 813.5) | 44 (1, 115) | 10 |
stable
|
0.1 (-2.0, 2.2) |
| Putnam County | Rural | No | 610.7 (473.0, 776.5) | 45 (1, 115) | 13 |
stable
|
-0.2 (-1.8, 1.4) |
| Lincoln County | Urban | No | 609.6 (558.9, 663.6) | 46 (12, 89) | 114 |
stable
|
-0.7 (-1.6, 0.3) |
| Mississippi County | Rural | No | 609.4 (514.8, 716.6) | 47 (4, 112) | 29 |
stable
|
-1.1 (-2.5, 0.3) |
| Adair County | Rural | No | 607.6 (533.5, 689.0) | 48 (7, 104) | 49 |
stable
|
-0.2 (-1.3, 0.9) |
| Grundy County | Rural | No | 603.6 (502.8, 718.7) | 49 (3, 112) | 26 |
stable
|
-0.9 (-2.9, 0.9) |
| DeKalb County | Urban | No | 603.1 (505.1, 714.6) | 50 (5, 113) | 27 |
stable
|
4.4 (-0.5, 20.3) |
| Marion County | Rural | No | 598.6 (534.8, 667.9) | 51 (11, 103) | 66 |
falling
|
-0.9 (-1.8, -0.1) |
| Clinton County | Urban | No | 598.4 (526.6, 677.4) | 52 (10, 105) | 51 |
stable
|
-0.6 (-1.5, 0.3) |
| Miller County | Rural | No | 595.5 (529.6, 667.3) | 53 (11, 103) | 61 |
stable
|
-0.9 (-1.9, 0.0) |
| Wright County | Rural | No | 595.3 (517.8, 681.1) | 54 (10, 109) | 44 |
stable
|
-0.6 (-1.6, 0.4) |
| Jasper County | Urban | No | 594.5 (561.4, 629.0) | 55 (26, 84) | 247 |
stable
|
-0.3 (-0.8, 0.2) |
| Dade County | Rural | No | 592.0 (486.4, 714.1) | 56 (4, 115) | 22 |
falling
|
-1.2 (-2.4, -0.1) |
| Audrain County | Rural | No | 591.2 (523.9, 664.9) | 57 (11, 106) | 57 |
falling
|
-1.1 (-4.8, -0.1) |
| Andrew County | Urban | No | 590.7 (514.1, 675.5) | 58 (7, 110) | 43 |
stable
|
-1.0 (-2.3, 0.3) |
| Texas County | Rural | No | 589.3 (526.1, 658.0) | 59 (14, 104) | 65 |
stable
|
-0.3 (-1.2, 0.7) |
| Jefferson County | Urban | No | 589.1 (564.2, 614.7) | 60 (36, 81) | 458 |
falling
|
-1.3 (-1.6, -0.9) |
| Henry County | Rural | No | 587.5 (522.6, 658.3) | 61 (14, 108) | 61 |
falling
|
-2.7 (-9.8, -1.1) |
| Ralls County | Rural | No | 586.6 (493.9, 692.2) | 62 (6, 114) | 29 |
stable
|
-0.5 (-1.7, 0.8) |
| Lafayette County | Urban | No | 583.7 (526.8, 645.2) | 63 (17, 104) | 78 |
stable
|
-0.7 (-1.5, 0.1) |
| Newton County | Urban | No | 582.6 (539.3, 628.5) | 64 (26, 96) | 136 |
stable
|
-0.6 (-1.3, 0.1) |
| Vernon County | Rural | No | 582.4 (510.2, 662.0) | 65 (11, 111) | 48 |
stable
|
-0.7 (-1.9, 0.4) |
| Livingston County | Rural | No | 579.5 (495.6, 673.4) | 66 (8, 115) | 35 |
stable
|
-1.8 (-10.9, 0.0) |
| Johnson County | Rural | No | 579.1 (525.3, 636.9) | 67 (22, 107) | 88 |
stable
|
-0.8 (-1.6, 0.0) |
| Moniteau County | Urban | No | 577.4 (490.5, 675.4) | 68 (8, 113) | 31 |
stable
|
-0.6 (-2.2, 1.1) |
| Knox County | Rural | No | 571.5 (421.3, 758.9) | 69 (1, 115) | 9 |
stable
|
-1.3 (-4.0, 0.9) |
| Chariton County | Rural | No | 570.4 (465.7, 692.1) | 70 (4, 115) | 22 |
stable
|
-0.5 (-1.6, 0.7) |
| Schuyler County | Rural | No | 569.9 (412.8, 766.6) | 71 (1, 115) | 9 |
stable
|
-1.0 (-3.1, 1.0) |
| Harrison County | Rural | No | 566.5 (461.6, 688.3) | 72 (6, 115) | 21 |
stable
|
-0.4 (-1.6, 0.7) |
| Pike County | Rural | No | 563.2 (485.9, 649.4) | 73 (12, 113) | 38 |
stable
|
-0.7 (-1.3, 0.0) |
| Scott County | Rural | No | 561.9 (508.4, 619.5) | 74 (26, 108) | 82 |
falling
|
-1.2 (-1.9, -0.5) |
| Webster County | Urban | No | 560.8 (504.1, 622.1) | 75 (26, 109) | 73 |
stable
|
-0.2 (-1.2, 0.9) |
| Callaway County | Urban | No | 560.2 (509.3, 614.8) | 76 (26, 108) | 92 |
stable
|
-0.8 (-1.6, 0.1) |
| Taney County | Rural | No | 557.6 (516.1, 601.6) | 77 (36, 102) | 138 |
falling
|
-1.1 (-1.8, -0.3) |
| St. Louis City | Urban | No | 556.0 (534.1, 578.5) | 78 (53, 93) | 523 |
falling
|
-2.5 (-2.8, -2.2) |
| Gasconade County | Rural | No | 550.2 (474.8, 634.3) | 79 (17, 115) | 39 |
falling
|
-1.0 (-2.0, -0.1) |
| Sullivan County | Rural | No | 547.0 (426.3, 691.5) | 80 (4, 115) | 14 |
stable
|
-1.0 (-2.7, 0.6) |
| Franklin County | Urban | No | 545.7 (513.8, 579.0) | 81 (50, 104) | 226 |
falling
|
-1.3 (-1.9, -0.6) |
| Lewis County | Rural | No | 541.9 (443.9, 655.2) | 82 (8, 115) | 21 |
falling
|
-1.8 (-3.6, -0.1) |
| Cedar County | Rural | No | 539.8 (464.2, 624.4) | 83 (19, 115) | 37 |
falling
|
-1.6 (-2.9, -0.4) |
| Ste. Genevieve County | Rural | No | 536.4 (465.3, 615.4) | 84 (26, 115) | 42 |
stable
|
-0.6 (-1.4, 0.3) |
| Phelps County | Rural | No | 535.6 (485.8, 589.0) | 85 (40, 112) | 87 |
stable
|
-1.0 (-2.0, 0.0) |
| Perry County | Rural | No | 535.5 (465.7, 612.7) | 86 (26, 115) | 43 |
stable
|
-1.0 (-2.5, 0.5) |
| Warren County | Urban | No | 534.0 (480.0, 592.4) | 87 (35, 113) | 74 |
stable
|
-0.9 (-1.7, 0.0) |
| Clark County | Rural | No | 531.1 (421.0, 661.7) | 88 (8, 115) | 16 |
stable
|
6.4 (-3.6, 20.1) |
| Jackson County | Urban | No | 530.8 (517.6, 544.2) | 89 (72, 99) | 1,275 |
falling
|
-1.6 (-1.9, -1.4) |
| Christian County | Urban | No | 529.1 (493.0, 567.2) | 90 (56, 108) | 164 |
stable
|
0.5 (-0.9, 4.8) |
| Polk County | Urban | No | 527.5 (471.6, 588.2) | 91 (36, 114) | 66 |
stable
|
-1.1 (-2.2, 0.1) |
| Caldwell County | Urban | No | 522.6 (423.4, 638.1) | 92 (14, 115) | 19 |
stable
|
-0.6 (-2.3, 1.1) |
| Monroe County | Rural | No | 518.2 (424.8, 626.4) | 93 (20, 115) | 22 |
stable
|
-0.6 (-2.0, 0.9) |
| Worth County | Rural | No | 517.4 (342.3, 753.2) | 94 (1, 115) | 6 |
stable
|
0.1 (-3.2, 3.5) |
| Camden County | Rural | No | 515.0 (474.4, 558.3) | 95 (57, 113) | 127 |
stable
|
-0.4 (-1.0, 0.4) |
| Cass County | Urban | No | 515.0 (484.1, 547.2) | 96 (64, 110) | 212 |
falling
|
-1.3 (-1.8, -0.7) |
| Cooper County | Urban | No | 513.8 (439.4, 597.1) | 97 (28, 115) | 35 |
stable
|
-0.9 (-1.9, 0.0) |
| Clay County | Urban | No | 513.1 (490.9, 536.1) | 98 (73, 108) | 414 |
falling
|
-1.5 (-1.8, -1.2) |
| Daviess County | Rural | No | 509.3 (408.0, 628.4) | 99 (10, 115) | 18 |
stable
|
-1.4 (-3.2, 0.3) |
| Carroll County | Rural | No | 509.2 (413.5, 620.6) | 100 (16, 115) | 20 |
stable
|
-0.6 (-2.4, 1.2) |
| Bates County | Urban | No | 506.5 (431.8, 590.4) | 101 (32, 115) | 33 |
falling
|
-7.2 (-19.4, -1.8) |
| Osage County | Urban | No | 506.3 (420.6, 604.3) | 102 (22, 115) | 25 |
stable
|
0.2 (-1.0, 4.7) |
| St. Louis County | Urban | No | 500.3 (490.3, 510.4) | 103 (88, 107) | 1,960 |
falling
|
-1.3 (-1.5, -1.1) |
| Scotland County | Rural | No | 496.8 (362.3, 665.5) | 104 (7, 115) | 9 |
stable
|
-1.7 (-3.8, 0.2) |
| Greene County | Urban | No | 494.4 (475.6, 513.8) | 105 (85, 111) | 529 |
falling
|
-1.4 (-1.7, -1.2) |
| Howard County | Urban | No | 493.3 (399.5, 602.5) | 106 (18, 115) | 19 |
falling
|
-1.7 (-3.2, -0.3) |
| Barton County | Rural | No | 492.2 (408.7, 587.9) | 107 (29, 115) | 25 |
falling
|
-4.2 (-8.3, -2.2) |
| Boone County | Urban | No | 487.7 (460.6, 516.0) | 108 (82, 114) | 251 |
falling
|
-1.5 (-2.0, -1.0) |
| Cape Girardeau County | Urban | No | 477.3 (442.7, 513.9) | 109 (80, 115) | 144 |
falling
|
-3.8 (-10.0, -1.5) |
| St. Charles County | Urban | No | 472.4 (456.3, 488.9) | 110 (96, 114) | 671 |
falling
|
-1.6 (-1.9, -1.2) |
| Nodaway County | Rural | No | 472.2 (406.0, 546.3) | 111 (53, 115) | 37 |
stable
|
-0.7 (-2.1, 0.6) |
| Stone County | Rural | No | 461.7 (417.4, 509.5) | 112 (77, 115) | 87 |
falling
|
-1.1 (-2.0, -0.2) |
| Cole County | Urban | No | 461.6 (426.7, 498.6) | 113 (89, 115) | 133 |
falling
|
-6.7 (-11.1, -2.1) |
| Holt County | Rural | No | 461.5 (343.7, 607.2) | 114 (21, 115) | 10 |
stable
|
-1.0 (-12.3, 1.7) |
| Platte County | Urban | No | 446.6 (415.8, 479.2) | 115 (96, 115) | 160 |
falling
|
-1.8 (-2.3, -1.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 10:41 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.