Data / Rankings / High cholesterol in screened adults, local model estimate / US counties

US counties by high cholesterol in screened adults, local model estimate, 2023

Sumter County had the highest high cholesterol in screened adults, local model estimate of 2956 counties in 2023, at 51.4%. Madison County had the lowest, at 21.2%. The median was 38.3%. Source: the Centers for Disease Control and Prevention.

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Highest51.4Sumter County
Lowest21.2Madison County
Median38.32956 counties

Map of counties, 2023

%, 2023. Hatched areas have no value for this period. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Sumter County: 51.4 %Sumter County51.4Sussex County: 48.5 %Sussex County48.5McCormick County: 47.7 %McCormick County47.7Jeff Davis County: 47.4 %Jeff Davis County47.4Pendleton County: 47.2 %Pendleton County47.2Webster County: 47.1 %Webster County47.1Calhoun County: 46.8 %Calhoun County46.8Lancaster County: 46.7 %Lancaster County46.7Pocahontas County: 46.6 %Pocahontas County46.6Ritchie County: 46.6 %Ritchie County46.6Hickory County: 46.5 %Hickory County46.5Highlands County: 46.5 %Highlands County46.5Tyler County: 46.5 %Tyler County46.5Charlotte County: 46.3 %Charlotte County46.3Mingo County: 46.3 %Mingo County46.3Monroe County: 46.3 %Monroe County46.3Wyoming County: 46.3 %Wyoming County46.3Citrus County: 46.1 %Citrus County46.1Cumberland County: 46.1 %Cumberland County46.1Highland County: 46.1 %Highland County46.1Quitman County: 46 %Quitman County46Cape May County: 45.9 %Cape May County45.9Cherokee County: 45.9 %Cherokee County45.9Pickett County: 45.9 %Pickett County45.9Tucker County: 45.9 %Tucker County45.9Winston County: 45.9 %Winston County45.9Fannin County: 45.8 %Fannin County45.8Roane County: 45.7 %Roane County45.7Wirt County: 45.7 %Wirt County45.7Bath County: 45.6 %Bath County45.6Fayette County: 45.6 %Fayette County45.6Clay County: 45.5 %Clay County45.5Summers County: 45.5 %Summers County45.5Hardy County: 45.4 %Hardy County45.4Towns County: 45.4 %Towns County45.4Wetzel County: 45.4 %Wetzel County45.4Choctaw County: 45.3 %Choctaw County45.3Montgomery County: 45.3 %Montgomery County45.3Delaware County: 45.2 %Delaware County45.2Hampshire County: 45.2 %Hampshire County45.2Sumter County: 51.4 %Sumter County51.4Sussex County: 48.5 %Sussex County48.5McCormick County: 47.7 %McCormick County47.7Jeff Davis County: 47.4 %Jeff Davis County47.4Pendleton County: 47.2 %Pendleton County47.2Webster County: 47.1 %Webster County47.1Calhoun County: 46.8 %Calhoun County46.8Lancaster County: 46.7 %Lancaster County46.7Pocahontas County: 46.6 %Pocahontas County46.6Ritchie County: 46.6 %Ritchie County46.6Hickory County: 46.5 %Hickory County46.5Highlands County: 46.5 %Highlands County46.5Tyler County: 46.5 %Tyler County46.5Charlotte County: 46.3 %Charlotte County46.3Mingo County: 46.3 %Mingo County46.3Monroe County: 46.3 %Monroe County46.3Wyoming County: 46.3 %Wyoming County46.3Citrus County: 46.1 %Citrus County46.1Cumberland County: 46.1 %Cumberland County46.1Highland County: 46.1 %Highland County46.1Quitman County: 46 %Quitman County46Cape May County: 45.9 %Cape May County45.9Cherokee County: 45.9 %Cherokee County45.9Pickett County: 45.9 %Pickett County45.9Tucker County: 45.9 %Tucker County45.9Winston County: 45.9 %Winston County45.9Fannin County: 45.8 %Fannin County45.8Roane County: 45.7 %Roane County45.7Wirt County: 45.7 %Wirt County45.7Bath County: 45.6 %Bath County45.6Fayette County: 45.6 %Fayette County45.6Clay County: 45.5 %Clay County45.5Summers County: 45.5 %Summers County45.5Hardy County: 45.4 %Hardy County45.4Towns County: 45.4 %Towns County45.4Wetzel County: 45.4 %Wetzel County45.4Choctaw County: 45.3 %Choctaw County45.3Montgomery County: 45.3 %Montgomery County45.3Delaware County: 45.2 %Delaware County45.2Hampshire County: 45.2 %Hampshire County45.2
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)
1Sumter County51.4
2Sussex County48.5
3McCormick County47.7
4Jeff Davis County47.4
5Pendleton County47.2
6Webster County47.1
7Calhoun County46.8
8Lancaster County46.7
9Pocahontas County46.6
9Ritchie County46.6
11Hickory County46.5
11Highlands County46.5
11Tyler County46.5
14Charlotte County46.3
14Mingo County46.3
14Monroe County46.3
14Wyoming County46.3
18Citrus County46.1
18Cumberland County46.1
18Highland County46.1
21Quitman County46
22Cape May County45.9
22Cherokee County45.9
22Pickett County45.9
22Tucker County45.9
22Winston County45.9
27Fannin County45.8
28Roane County45.7
28Wirt County45.7
30Bath County45.6
30Fayette County45.6
32Clay County45.5
32Summers County45.5
34Hardy County45.4
34Towns County45.4
34Wetzel County45.4
37Choctaw County45.3
37Montgomery County45.3
39Delaware County45.2
39Hampshire County45.2
39Logan County45.2
42Boone County45.1
42Greene County45.1
42Lamar County45.1
42Mason County45.1
42Northumberland County45.1
42Tallapoosa County45.1
42Union County45.1
49Conecuh County45
49Mercer County45
49Northampton County45
49Tensas Parish45
53Esmeralda County44.9
53McIntosh County44.9
53Middlesex County44.9
53Morgan County44.9
53Searcy County44.9
58Coosa County44.8
58Martin County44.8
58McDowell County44.8
58Nye County44.8
58Stone County44.8
63Benton County44.7
63Braxton County44.7
63Carroll County44.7
63Jackson County44.7
63Llano County44.7
68Flagler County44.6
68Mathews County44.6
68Nicholas County44.6
71Clay County44.5
71Covington County44.5
73Accomack County44.4
73DeSoto County44.4
73Hancock County44.4
73Raleigh County44.4
73Randolph County44.4
73Stone County44.4
79Marengo County44.3
79Rabun County44.3
79Taylor County44.3
82Gilmer County44.2
82Grayson County44.2
82Marion County44.2
82Ontonagon County44.2
82Sarasota County44.2
87Camden County44.1
87Carter County44.1
87Clay County44.1
87Dallas County44.1
87Grant County44.1
87Jackson County44.1
87Scott County44.1
87Upshur County44.1
95Ozark County44
96Baker County43.9
96Greene County43.9
96Hamilton County43.9
96Henry County43.9
96McIntosh County43.9
96Pittsylvania County43.9
96Wilcox County43.9
103Barbour County43.8
103Cocke County43.8
103Franklin County43.8
103Marion County43.8
103Menard County43.8
103Nelson County43.8
103Rappahannock County43.8
103Storey County43.8
103Westmoreland County43.8
112Catron County43.7
112Edwards County43.7
112Franklin County43.7
112Garrett County43.7
112Greenbrier County43.7
112Noble County43.7
112Wayne County43.7
119Aransas County43.6
119Buchanan County43.6
119Doddridge County43.6
119Fentress County43.6
119Fulton County43.6
119Geneva County43.6
119Kanawha County43.6
119Loudon County43.6
119Newton County43.6
119Real County43.6
129Alcona County43.5
129Bandera County43.5
129Crawford County43.5
129Decatur County43.5
129Halifax County43.5
129Horry County43.5
129Lincoln County43.5
129Perry County43.5
129Russell County43.5
129Unicoi County43.5
129Van Buren County43.5
129Van Buren County43.5
141Amite County43.4
141Butler County43.4
141Cherokee County43.4
141Fayette County43.4
141Harrison County43.4
141Johnson County43.4
141La Paz County43.4
141Lafayette County43.4
141Lincoln County43.4
141Patrick County43.4
141Sharp County43.4
141Talbot County43.4
141Wahkiakum County43.4
154Chilton County43.3
154Grainger County43.3
154Harding County43.3
154Kimble County43.3
154Mecklenburg County43.3
154Mineral County43.3
154Pushmataha County43.3
154Randolph County43.3
154Sabine County43.3
154Union Parish43.3
154Washington County43.3
165Bienville Parish43.2
165Brooke County43.2
165Bullock County43.2
165Cleburne County43.2
165Hamilton County43.2
165Hancock County43.2
165Jackson County43.2
165Jefferson County43.2
165Jefferson County43.2
165Lee County43.2
165Lewis County43.2
165Monroe County43.2
165Rockbridge County43.2
165San Augustine County43.2
179Clay County43.1
179Greene County43.1
179Hawkins County43.1
179Holmes County43.1
179Putnam County43.1
179Taliaferro County43.1
179Webster County43.1
186Barbour County43
186Benton County43
186Dickenson County43
186Fairfield County43
186Lowndes County43
186Twiggs County43
186Wood County43
193Bayfield County42.9
193Charlotte County42.9
193Hardin County42.9
193Marion County42.9
193Montmorency County42.9
198Baldwin County42.8
198Brooks County42.8
198Clay County42.8
198Escambia County42.8
198Essex County42.8
198Monroe County42.8
198Monroe County42.8
198Ocean County42.8
198Sierra County42.8
207Brown County42.7
207Charles City County42.7
207Colbert County42.7
207Douglas County42.7
207Franklin County42.7
207Jefferson County42.7
207Jefferson Davis County42.7
207Jewell County42.7
207Lawrence County42.7
207Manatee County42.7
207Marshall County42.7
207Morehouse Parish42.7
207Pacific County42.7
207Page County42.7
207Pleasants County42.7
207Sharkey County42.7
207St. Clair County42.7
207St. Mary Parish42.7
225Alleghany County42.6
225Carroll County42.6
225Craig County42.6
225DeKalb County42.6
225Ellis County42.6
225Glades County42.6
225Indian River County42.6
225Pickens County42.6
225Presque Isle County42.6
225Preston County42.6
225Pulaski County42.6
225Seminole County42.6
225Wayne County42.6
238Amelia County42.5
238Cleburne County42.5
238Crenshaw County42.5
238Etowah County42.5
238Foard County42.5
238Forest County42.5
238Henry County42.5
238Henry County42.5
238King County42.5
238Marion County42.5
238Marshall County42.5
238Mason County42.5
238Meigs County42.5

Showing the top 250 of 2956. The Excel download has every row.

Other periods

About this ranking

Percentage of adults who have ever had their cholesterol checked and were told by a doctor, nurse or other health professional that it was high. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2021; its eight former counties are not served. The question is asked in odd years only.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. 188 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence (US counties by high cholesterol in screened adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, US counties by high cholesterol in screened adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. US counties by high cholesterol in screened adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, US counties by high cholesterol in screened adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_high_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: US counties by high cholesterol in screened adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: US counties by high cholesterol in screened adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank US counties by high cholesterol in screened adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest high cholesterol in screened adults, local model estimate?

Sumter County, with 51.4% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest high cholesterol in screened adults, local model estimate?

Madison County, with 21.2% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12. 188 counties have no value for 2023 and are not ranked.

High cholesterol in screened adults, local model estimate: other rankings

US counties: more rankings