US cities by uninsured rate, 65 and over (US, ACS)

Elgin, TX had the highest uninsured rate, 65 and over (US, ACS) of 3214 cities in 2023, at 23.5%. Zionsville, IN had the lowest, at 0%. The median was 0.4% and the figure for the United States was 0.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest23.5Elgin, TX
Median0.43214 cities
United States0.8History

Top 40 cities, 2023

Elgin, TX: 23.5 %Elgin, TX23.5Clarkston, GA: 13.4 %Clarkston, GA13.4Galena Park, TX: 12.6 %Galena Park, TX12.6Hobbs, NM: 11.7 %Hobbs, NM11.7Doraville, GA: 10.9 %Doraville, GA10.9Commerce, CA: 10.7 %Commerce, CA10.7Coolidge, AZ: 9.2 %Coolidge, AZ9.2Coalinga, CA: 8.8 %Coalinga, CA8.8Mendota, CA: 8.2 %Mendota, CA8.2Brookhaven, GA: 8.2 %Brookhaven, GA8.2Morganton, NC: 8.1 %Morganton, NC8.1Dallas, GA: 8.1 %Dallas, GA8.1Guttenberg, NJ: 8.1 %Guttenberg, NJ8.1Lindsay, CA: 8 %Lindsay, CA8Central Falls, RI: 8 %Central Falls, RI8Harvey, IL: 7.9 %Harvey, IL7.9Cooper City, FL: 7.9 %Cooper City, FL7.9Groves, TX: 7.8 %Groves, TX7.8Pleasantville, NJ: 7.6 %Pleasantville, NJ7.6Jackson, WY: 7.5 %Jackson, WY7.5Federal Heights, CO: 7 %Federal Heights, CO7Doral, FL: 6.9 %Doral, FL6.9Pooler, GA: 6.9 %Pooler, GA6.9Avenal, CA: 6.8 %Avenal, CA6.8Tukwila, WA: 6.8 %Tukwila, WA6.8Roanoke, TX: 6.7 %Roanoke, TX6.7Palisades Park, NJ: 6.6 %Palisades Park, NJ6.6North Lauderdale, FL: 6.5 %North Lauderdale, FL6.5Elizabeth, NJ: 6.4 %Elizabeth, NJ6.4Hamtramck, MI: 6.3 %Hamtramck, MI6.3Hidalgo, TX: 6.2 %Hidalgo, TX6.2Melissa, TX: 6.1 %Melissa, TX6.1Bound Brook, NJ: 6 %Bound Brook, NJ6Seagoville, TX: 6 %Seagoville, TX6San Juan, TX: 5.9 %San Juan, TX5.9Riverdale, IL: 5.8 %Riverdale, IL5.8Northlake, IL: 5.8 %Northlake, IL5.8Carpentersville, IL: 5.7 %Carpentersville, IL5.7Gaithersburg, MD: 5.7 %Gaithersburg, MD5.7Winnetka, IL: 5.7 %Winnetka, IL5.7Elgin, TX: 23.5 %Elgin, TX23.5Clarkston, GA: 13.4 %Clarkston, GA13.4Galena Park, TX: 12.6 %Galena Park, TX12.6Hobbs, NM: 11.7 %Hobbs, NM11.7Doraville, GA: 10.9 %Doraville, GA10.9Commerce, CA: 10.7 %Commerce, CA10.7Coolidge, AZ: 9.2 %Coolidge, AZ9.2Coalinga, CA: 8.8 %Coalinga, CA8.8Mendota, CA: 8.2 %Mendota, CA8.2Brookhaven, GA: 8.2 %Brookhaven, GA8.2Morganton, NC: 8.1 %Morganton, NC8.1Dallas, GA: 8.1 %Dallas, GA8.1Guttenberg, NJ: 8.1 %Guttenberg, NJ8.1Lindsay, CA: 8 %Lindsay, CA8Central Falls, RI: 8 %Central Falls, RI8Harvey, IL: 7.9 %Harvey, IL7.9Cooper City, FL: 7.9 %Cooper City, FL7.9Groves, TX: 7.8 %Groves, TX7.8Pleasantville, NJ: 7.6 %Pleasantville, NJ7.6Jackson, WY: 7.5 %Jackson, WY7.5Federal Heights, CO: 7 %Federal Heights, CO7Doral, FL: 6.9 %Doral, FL6.9Pooler, GA: 6.9 %Pooler, GA6.9Avenal, CA: 6.8 %Avenal, CA6.8Tukwila, WA: 6.8 %Tukwila, WA6.8Roanoke, TX: 6.7 %Roanoke, TX6.7Palisades Park, NJ: 6.6 %Palisades Park, NJ6.6North Lauderdale, FL: 6.5 %North Lauderdale, FL6.5Elizabeth, NJ: 6.4 %Elizabeth, NJ6.4Hamtramck, MI: 6.3 %Hamtramck, MI6.3Hidalgo, TX: 6.2 %Hidalgo, TX6.2Melissa, TX: 6.1 %Melissa, TX6.1Bound Brook, NJ: 6 %Bound Brook, NJ6Seagoville, TX: 6 %Seagoville, TX6San Juan, TX: 5.9 %San Juan, TX5.9Riverdale, IL: 5.8 %Riverdale, IL5.8Northlake, IL: 5.8 %Northlake, IL5.8Carpentersville, IL: 5.7 %Carpentersville, IL5.7Gaithersburg, MD: 5.7 %Gaithersburg, MD5.7Winnetka, IL: 5.7 %Winnetka, IL5.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Elgin, TX23.5-1.4 pts
2Clarkston, GA13.4+12 pts
3Galena Park, TX12.6+5.8 pts
4Hobbs, NM11.7-1 pts
5Doraville, GA10.9+3.7 pts
6Commerce, CA10.7-0 pts
7Coolidge, AZ9.2+2.4 pts
8Coalinga, CA8.8-0.1 pts
9Mendota, CA8.2-1.1 pts
10Brookhaven, GA8.2+2.4 pts
11Morganton, NC8.1+8.1 pts
12Dallas, GA8.1-0.7 pts
13Guttenberg, NJ8.1+5 pts
14Lindsay, CA8-0.3 pts
15Central Falls, RI8+2.5 pts
16Harvey, IL7.9+3.5 pts
17Cooper City, FL7.9+2.7 pts
18Groves, TX7.8-1.4 pts
19Pleasantville, NJ7.6+1.5 pts
20Jackson, WY7.5-3.8 pts
21Federal Heights, CO7-1.7 pts
22Doral, FL6.9+1.5 pts
23Pooler, GA6.9-1.5 pts
24Avenal, CA6.8+2.3 pts
25Tukwila, WA6.8+1.1 pts
26Roanoke, TX6.7-1.5 pts
27Palisades Park, NJ6.6-1.3 pts
28North Lauderdale, FL6.5-0.3 pts
29Elizabeth, NJ6.4+1.3 pts
30Hamtramck, MI6.3-2.7 pts
31Hidalgo, TX6.2+3.7 pts
32Melissa, TX6.1+1.5 pts
33Bound Brook, NJ6+1.4 pts
34Seagoville, TX6-1.5 pts
35San Juan, TX5.9+0.1 pts
36Riverdale, IL5.8+0.8 pts
37Northlake, IL5.8-0.4 pts
38Carpentersville, IL5.7-3.9 pts
38Gaithersburg, MD5.7+2.4 pts
40Winnetka, IL5.7-0 pts
41Edinburg, TX5.60 pts
42South Houston, TX5.6+0.5 pts
43Pharr, TX5.5-0.2 pts
44Lexington, NE5.5+3 pts
45Wood River, IL5.5-0.2 pts
46Malvern, AR5.5+2.3 pts
47Perth Amboy, NJ5.4+2.3 pts
48Pineville, NC5.4+0.9 pts
49Blacksburg, VA5.3+0.1 pts
49Katy, TX5.3+3.3 pts
51Huntington Park, CA5.2-0.4 pts
52Auburn, GA5.2+1.9 pts
53Haverstraw, NY5.2-1.3 pts
54Schiller Park, IL5.1+5.1 pts
55Fate, TX5.1+0.2 pts
55Plainfield, IL5.1-1.6 pts
57Parkland, FL5-0.2 pts
58Marathon, FL4.9+0.2 pts
59West New York, NJ4.9+1.8 pts
60Laredo, TX4.9-0.1 pts
61Davenport, FL4.9-1.1 pts
62Paterson, NJ4.8+0.6 pts
63Carthage, MO4.8-0.6 pts
63Coppell, TX4.8-0.4 pts
65Cudahy, CA4.8-0.6 pts
66McAllen, TX4.8-0.5 pts
67Andrews, TX4.7+4.7 pts
67James Island, SC4.7+1.5 pts
69Snoqualmie, WA4.7+0.5 pts
70Harrison, NJ4.7-1.6 pts
71Brownsville, TX4.7-0.8 pts
71Carrboro, NC4.7+3.9 pts
73Cheney, WA4.7-0.4 pts
74Carrollton, TX4.60 pts
75Hasbrouck Heights, NJ4.5+1 pts
76Lauderhill, FL4.5+1.3 pts
76Russellville, AL4.5+2.9 pts
78Ridgefield Park, NJ4.5+1.9 pts
79East Palo Alto, CA4.5-0.8 pts
80Helotes, TX4.5+3.4 pts
81Cicero, IL4.4+1.1 pts
82Somerville, NJ4.4+4.1 pts
83Livingston, CA4.4+1.1 pts
84Parlier, CA4.4-3.4 pts
85Freehold, NJ4.4+3.5 pts
86Roma, TX4.4+2.6 pts
87Tomball, TX4.4-0.1 pts
88Hutto, TX4.3-1.6 pts
89Northfield, MN4.3+2.2 pts
90Greenfield, CA4.3-0.6 pts
91Lake Mary, FL4.2+0.8 pts
91Sunland Park, NM4.2+0.8 pts
93Norwood, OH4.2+0.3 pts
94Brookhaven, MS4.1+4.1 pts
95Red Oak, TX4.1+0.1 pts
96Garland, TX4.1+0.9 pts
96Romeoville, IL4.1-0.4 pts
98Manassas Park, VA4.1+0.7 pts
99Irving, TX40 pts
100Belle Glade, FL4-1.5 pts
101San Elizario, TX4-3.9 pts
102Pasadena, TX4+0.1 pts
103Davie, FL40 pts
104Greenacres, FL3.9-0.4 pts
105Geneva, IL3.9+1.3 pts
106Goleta, CA3.9-0.8 pts
107North Chicago, IL3.9+0.3 pts
107South Gate, CA3.9-0.6 pts
109Passaic, NJ3.9+0.9 pts
110Hopewell, VA3.9+1.8 pts
111Lynwood, CA3.8-0.9 pts
111Wasco, CA3.8+2.3 pts
113Lebanon, OR3.8+0.1 pts
114Azusa, CA3.8+0.3 pts
115Seaside, CA3.8+0.5 pts
116Lantana, FL3.8+1.8 pts
117Mission, TX3.7+0.3 pts
117North Miami, FL3.7+1 pts
119Harrisonburg, VA3.7+2.6 pts
119Hyattsville, MD3.7+1.1 pts
121Broussard, LA3.7+3.7 pts
122Dinuba, CA3.7+2.2 pts
122Dumas, TX3.70 pts
122Gadsden, AL3.7+0.6 pts
125Chambersburg, PA3.7+0.2 pts
125Sedro-Woolley, WA3.7-0.4 pts
127Sanford, NC3.7+0.5 pts
128Miami Gardens, FL3.6+0.3 pts
129Cutler Bay, FL3.6+0.1 pts
130Coconut Creek, FL3.6-0.5 pts
131Houston, TX3.6-0.1 pts
132Miami Springs, FL3.6-0.6 pts
133Donna, TX3.5-0.2 pts
133Prospect Heights, IL3.5+1 pts
135Weslaco, TX3.5-1.7 pts
136Union City, NJ3.5-1.5 pts
137Athens, OH3.5-0.7 pts
137Cedar Hill, TX3.5+0.7 pts
137Pleasanton, TX3.5+0.7 pts
137Springdale, AR3.5+0.4 pts
141Lilburn, GA3.5+0.2 pts
142Compton, CA3.4+0.5 pts
142Lowell, AR3.4+0.8 pts
144Newark, NJ3.4+0.3 pts
145Beloit, WI3.4+2.6 pts
145The Dalles, OR3.4+0.8 pts
147Des Moines, WA3.3+1.3 pts
147Miami Shores, FL3.3+0.8 pts
149Grand Prairie, TX3.3-0.5 pts
150Apopka, FL3.3-1.3 pts
151Hialeah Gardens, FL3.3-0.5 pts
151Santa Paula, CA3.3-0.4 pts
153Lathrop, CA3.3+2.3 pts
153Sammamish, WA3.3-0.9 pts
155San Luis, AZ3.3-0.2 pts
156El Monte, CA3.3+0.7 pts
157Morrisville, NC3.3-2.5 pts
158Alice, TX3.3-0.8 pts
159Blue Island, IL3.2+1.2 pts
159South Plainfield, NJ3.2-0.2 pts
161Burlington, VT3.2+0.3 pts
161Lauderdale Lakes, FL3.2-1 pts
161Palmdale, CA3.2+0.8 pts
164Ceres, CA3.2-0.6 pts
165Ridgefield, NJ3.2+0.3 pts
165Sugar Land, TX3.20 pts
167New London, CT3.2+0.5 pts
168Alton, TX3.2-1.3 pts
169Kilgore, TX3.1+0.4 pts
169Oakland, NJ3.1-0.4 pts
171Secaucus, NJ3.1-2.7 pts
172Eagle Pass, TX3.1-0.3 pts
172Randolph Town, MA3.1+1.6 pts
174Eastvale, CA3.1+0.2 pts
175Dixon, CA3.1-1.2 pts
175Edgewater, NJ3.1+0.3 pts
175Norwalk, CA3.1-0 pts
178Blackfoot, ID3.1-0.6 pts
178Greenville, TX3.1+0.9 pts
178Miramar, FL3.1-1.4 pts
178Orlando, FL3.1+1 pts
182Milpitas, CA3.1+2.1 pts
183Milton, GA3+0.3 pts
183Salinas, CA3+0.6 pts
185West Valley City, UT3-0.5 pts
186Killeen, TX3+0.7 pts
187Miami Beach, FL3-0.4 pts
188Grantsville, UT3-0.9 pts
188North Plainfield, NJ3+1.3 pts
190Midlothian, TX3+1.8 pts
191Maywood, CA3-0.9 pts
192Parker, CO2.9-0.4 pts
193Coral Springs, FL2.9+1 pts
194Provo, UT2.9+0.2 pts
195Bell Gardens, CA2.9-0.9 pts
195Mountain House, CA2.9+0.1 pts
197Farmers Branch, TX2.9-0.5 pts
197Jersey City, NJ2.9-0.3 pts
197Norcross, GA2.9-1 pts
197Shawnee, OK2.9+0.3 pts
197Statesville, NC2.9-0 pts
202Federal Way, WA2.9+0.3 pts
202Stonecrest, GA2.9-4.3 pts
204Rialto, CA2.9+0.1 pts
205Haltom City, TX2.9+1 pts
206San Ramon, CA2.9+0.8 pts
207Bellefontaine Neighbors, MO2.8+0.7 pts
207Chapel Hill, NC2.8-0.2 pts
209Bergenfield, NJ2.8-1.3 pts
210Glenn Heights, TX2.8-3.8 pts
211Jacksonville, TX2.8+1 pts
212Belmont, CA2.8+2 pts
212Sevierville, TN2.8-0.8 pts
212Trenton, NJ2.8+1.1 pts
215Palmview, TX2.8-1.3 pts
216Little Ferry, NJ2.8-1.8 pts
217Alexandria, VA2.8-0.2 pts
217Paramount, CA2.8+0.8 pts
217Spring Valley, NY2.8+1.7 pts
220Calumet City, IL2.7+0.5 pts
220Dolton, IL2.7+0.8 pts
220Riverdale, GA2.7+1.3 pts
220San Pablo, CA2.7+1.9 pts
224Flowood, MS2.7+2.7 pts
225New Brunswick, NJ2.7+0.4 pts
226Balch Springs, TX2.7+1.1 pts
227Duncanville, TX2.7-0.2 pts
227Glen Cove, NY2.7+0.2 pts
227Miami, FL2.7-0.1 pts
227North Salt Lake, UT2.7+0.9 pts
227Palm Springs, FL2.7-1.1 pts
232Burlington, WA2.7-0.4 pts
233Gardena, CA2.7+0.1 pts
234Hollywood, FL2.7+0.2 pts
235Chowchilla, CA2.6+0.4 pts
235El Paso, TX2.6+0.2 pts
235Forest Hill, TX2.6+2.1 pts
235Homestead, FL2.6+0.4 pts
235Smithfield, NC2.6+0.2 pts
235Woonsocket, RI2.6-0.1 pts
241Burlingame, CA2.6+0.5 pts
241Hawaiian Gardens, CA2.6+0.1 pts
243Fort Worth, TX2.6+0.4 pts
243Lackawanna, NY2.6+1.7 pts
245Ogden, UT2.60 pts
245Wood Dale, IL2.6-0.8 pts
247Deerfield Beach, FL2.6-0.5 pts
247Hempstead, NY2.6-0.4 pts
247Hermiston, OR2.6+0.7 pts
250Lake Elsinore, CA2.6-0.5 pts

Showing the top 250 of 3214. The Excel download has every row.

Other periods

About this ranking

People aged 65 and over without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 65 and over. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the cities are compared on one definition. 5 cities 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

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.

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

U.S. Census Bureau. (2026). American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (US cities by uninsured rate, 65 and over (US, ACS), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more), US cities by uninsured rate, 65 and over (US, ACS), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). US cities by uninsured rate, 65 and over (US, ACS), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more), US cities by uninsured rate, 65 and over (US, ACS), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_cities_by_uninsured_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more): US cities by uninsured rate, 65 and over (US, ACS), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more): US cities by uninsured rate, 65 and over (US, ACS), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank US cities by uninsured rate, 65 and over (US, ACS) using official data, and cite the source.
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Questions

Which city has the highest uninsured rate, 65 and over (US, ACS)?

Elgin, TX, with 23.5% in 2023, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, 65 and over (US, ACS)?

Zionsville, IN, with 0% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12. 5 cities have no value for 2023 and are not ranked.

Uninsured rate, 65 and over (US, ACS): other rankings

US cities: more rankings