Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate)
Hidalgo County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2015, at 43.4%. Roberts County had the lowest, at 11.4%. The median was 24.1% and the figure for Texas was 23.3%. Source: the U.S. Census Bureau.
Map of counties, 2015
- Under 20
- 20 to 22
- 22 to 24
- 24 to 26
- 26 to 29
- 29 and over
Top 40 counties, 2015
Full ranking
| Rank | Counties | 2015 (%) | Change on 2014 |
|---|---|---|---|
| 1 | Hidalgo County | 43.4 | -2.6 pts |
| 2 | Starr County | 41.2 | -1.6 pts |
| 3 | Gaines County | 38.8 | +1.7 pts |
| 4 | Zapata County | 38.7 | +0.4 pts |
| 5 | Cameron County | 38.6 | -5 pts |
| 6 | Collingsworth County | 38.2 | +1.8 pts |
| 7 | Webb County | 37.7 | -3.8 pts |
| 8 | Maverick County | 37.4 | -2.5 pts |
| 9 | Bailey County | 37.3 | -0.1 pts |
| 10 | Presidio County | 37 | -1.7 pts |
| 11 | Hudspeth County | 36.7 | -1.5 pts |
| 12 | Castro County | 36.5 | -3 pts |
| 13 | Briscoe County | 36.4 | -1.4 pts |
| 14 | Hall County | 34.7 | -0.9 pts |
| 15 | Dallam County | 34.6 | -0.9 pts |
| 16 | Edwards County | 34.1 | -0.8 pts |
| 17 | Menard County | 33.8 | -0.5 pts |
| 17 | Parmer County | 33.8 | -2.1 pts |
| 19 | Cochran County | 33.5 | -0.3 pts |
| 20 | Culberson County | 33.3 | +0.1 pts |
| 21 | Moore County | 32.8 | +1.5 pts |
| 22 | Lamb County | 32.5 | +0.5 pts |
| 23 | Sherman County | 32.3 | +1.5 pts |
| 24 | Terry County | 32 | +1 pts |
| 25 | Hansford County | 31.8 | +1.7 pts |
| 26 | Deaf Smith County | 31.4 | -2.9 pts |
| 27 | Cottle County | 31.3 | +0.2 pts |
| 28 | San Saba County | 31.1 | -2.9 pts |
| 29 | Mason County | 30.9 | -5.2 pts |
| 30 | Potter County | 30.6 | -0.3 pts |
| 31 | Comanche County | 30.3 | -3.5 pts |
| 31 | Jeff Davis County | 30.3 | +0.2 pts |
| 31 | Ochiltree County | 30.3 | -0.2 pts |
| 34 | Titus County | 30.2 | -1.4 pts |
| 34 | Willacy County | 30.2 | -2.7 pts |
| 36 | Gonzales County | 29.9 | -2.1 pts |
| 37 | Real County | 29.8 | -3.2 pts |
| 38 | Lynn County | 29.6 | +1.8 pts |
| 39 | El Paso County | 29.5 | -2.3 pts |
| 40 | Crosby County | 29.3 | -1.8 pts |
| 40 | Swisher County | 29.3 | +0.7 pts |
| 42 | Hale County | 29 | -0.6 pts |
| 42 | Shelby County | 29 | -3.1 pts |
| 44 | Floyd County | 28.8 | -1 pts |
| 44 | Motley County | 28.8 | -2.4 pts |
| 44 | Uvalde County | 28.8 | -5.7 pts |
| 44 | Val Verde County | 28.8 | -3.1 pts |
| 48 | Dawson County | 28.3 | -1.6 pts |
| 48 | Stephens County | 28.3 | -1.9 pts |
| 50 | Camp County | 28.2 | -2.2 pts |
| 50 | Reagan County | 28.2 | +0.3 pts |
| 52 | Hamilton County | 28.1 | -0.3 pts |
| 53 | Waller County | 28 | -1.8 pts |
| 54 | Erath County | 27.6 | -2.2 pts |
| 55 | Kimble County | 27.5 | -3.6 pts |
| 55 | Mills County | 27.5 | -4.3 pts |
| 57 | Dallas County | 27.4 | -2.8 pts |
| 57 | Garza County | 27.4 | +0.6 pts |
| 59 | Knox County | 27 | -5.1 pts |
| 60 | Navarro County | 26.9 | -1.5 pts |
| 61 | Jefferson County | 26.8 | -1 pts |
| 62 | Caldwell County | 26.6 | -2.1 pts |
| 62 | Schleicher County | 26.6 | +0.5 pts |
| 62 | Yoakum County | 26.6 | -1.2 pts |
| 65 | Young County | 26.5 | -0.8 pts |
| 66 | Angelina County | 26.4 | -0.9 pts |
| 66 | Cherokee County | 26.4 | -4 pts |
| 66 | Polk County | 26.4 | -1 pts |
| 66 | Zavala County | 26.4 | -4.9 pts |
| 70 | Frio County | 26.3 | -1.6 pts |
| 70 | Gray County | 26.3 | +0.5 pts |
| 70 | Wharton County | 26.3 | -3.5 pts |
| 73 | Dickens County | 26 | -2.4 pts |
| 73 | Hardeman County | 26 | -2.5 pts |
| 73 | Kenedy County | 26 | -3.7 pts |
| 76 | Bosque County | 25.9 | -1.9 pts |
| 76 | Ector County | 25.9 | -0.8 pts |
| 76 | Hill County | 25.9 | -1.9 pts |
| 76 | Palo Pinto County | 25.9 | -4.5 pts |
| 80 | Harris County | 25.8 | -3.2 pts |
| 80 | Liberty County | 25.8 | -2.4 pts |
| 80 | Pecos County | 25.8 | -0.4 pts |
| 80 | Reeves County | 25.8 | -2.6 pts |
| 80 | San Jacinto County | 25.8 | -0.1 pts |
| 85 | Burnet County | 25.7 | -1 pts |
| 85 | Coleman County | 25.7 | -3 pts |
| 85 | Sutton County | 25.7 | -0.7 pts |
| 88 | Jim Wells County | 25.6 | +0.9 pts |
| 88 | Madison County | 25.6 | -2.4 pts |
| 88 | Terrell County | 25.6 | -2.9 pts |
| 91 | Matagorda County | 25.5 | -1 pts |
| 92 | Gillespie County | 25.4 | -1.9 pts |
| 92 | Henderson County | 25.4 | -4.4 pts |
| 92 | Jack County | 25.4 | -1 pts |
| 95 | McCulloch County | 25.3 | -1.2 pts |
| 95 | Van Zandt County | 25.3 | -1 pts |
| 95 | Wheeler County | 25.3 | -1.6 pts |
| 98 | Hopkins County | 25.2 | -4.6 pts |
| 98 | Leon County | 25.2 | -2.5 pts |
| 98 | Rusk County | 25.2 | -0.3 pts |
| 101 | Falls County | 25.1 | -3.5 pts |
| 102 | Kleberg County | 25 | -3.5 pts |
| 103 | Foard County | 24.9 | -2.9 pts |
| 104 | Kinney County | 24.8 | -4.4 pts |
| 104 | Winkler County | 24.8 | -0.6 pts |
| 106 | Brooks County | 24.7 | -5.2 pts |
| 106 | Crockett County | 24.7 | -1.6 pts |
| 108 | Aransas County | 24.6 | -1.8 pts |
| 108 | Bastrop County | 24.6 | -1.7 pts |
| 108 | Duval County | 24.6 | -2.8 pts |
| 108 | Gregg County | 24.6 | -1.5 pts |
| 108 | Jim Hogg County | 24.6 | -5.7 pts |
| 108 | Limestone County | 24.6 | -2.3 pts |
| 108 | Red River County | 24.6 | -3.1 pts |
| 108 | Runnels County | 24.6 | -3.2 pts |
| 108 | Trinity County | 24.6 | -2.3 pts |
| 108 | Wilbarger County | 24.6 | -1.9 pts |
| 118 | Martin County | 24.5 | -0.1 pts |
| 119 | Donley County | 24.3 | -3.2 pts |
| 119 | Eastland County | 24.3 | -2 pts |
| 119 | Grimes County | 24.3 | -3.6 pts |
| 119 | Lamar County | 24.3 | -2.6 pts |
| 123 | Kerr County | 24.2 | -1.9 pts |
| 123 | King County | 24.2 | 0 pts |
| 123 | Montague County | 24.2 | -1.4 pts |
| 126 | Nacogdoches County | 24.1 | -5.8 pts |
| 126 | Ward County | 24.1 | -0.6 pts |
| 128 | Haskell County | 24 | -2.8 pts |
| 128 | Houston County | 24 | -3 pts |
| 128 | Rains County | 24 | -3.5 pts |
| 128 | Robertson County | 24 | -4.5 pts |
| 132 | Hemphill County | 23.9 | -0.6 pts |
| 133 | Burleson County | 23.8 | -2.4 pts |
| 133 | Grayson County | 23.8 | -2.2 pts |
| 133 | Hockley County | 23.8 | -1 pts |
| 136 | Throckmorton County | 23.7 | -4.6 pts |
| 137 | Dimmit County | 23.6 | -2.4 pts |
| 137 | Lipscomb County | 23.6 | -4.2 pts |
| 139 | Calhoun County | 23.4 | -0.4 pts |
| 139 | Lee County | 23.4 | +0.4 pts |
| 141 | Freestone County | 23.2 | -2.9 pts |
| 141 | Nueces County | 23.2 | -2.2 pts |
| 143 | Atascosa County | 23.1 | -1.6 pts |
| 143 | Bee County | 23.1 | -1.4 pts |
| 143 | La Salle County | 23.1 | -8 pts |
| 146 | Fayette County | 23 | -0.8 pts |
| 146 | Hartley County | 23 | -2.5 pts |
| 146 | Smith County | 23 | -2.7 pts |
| 146 | Wood County | 23 | -2.2 pts |
| 150 | Colorado County | 22.9 | -0.6 pts |
| 150 | San Patricio County | 22.9 | -0.8 pts |
| 152 | Crane County | 22.8 | -2.3 pts |
| 152 | Scurry County | 22.8 | -1.5 pts |
| 154 | Andrews County | 22.7 | -1.8 pts |
| 154 | Cooke County | 22.7 | -2.3 pts |
| 154 | Hutchinson County | 22.7 | -2.1 pts |
| 154 | Jones County | 22.7 | -1.9 pts |
| 154 | Milam County | 22.7 | -2.4 pts |
| 159 | Anderson County | 22.6 | -2.4 pts |
| 160 | Blanco County | 22.5 | -3 pts |
| 160 | Lampasas County | 22.5 | -4.4 pts |
| 160 | Mitchell County | 22.5 | -3.7 pts |
| 160 | Stonewall County | 22.5 | -2.9 pts |
| 164 | Baylor County | 22.4 | -2.6 pts |
| 164 | Hood County | 22.4 | -0.5 pts |
| 164 | Morris County | 22.4 | -1.9 pts |
| 167 | Fannin County | 22.3 | -2.6 pts |
| 168 | San Augustine County | 22.2 | -3.3 pts |
| 169 | Kaufman County | 22 | -2.4 pts |
| 169 | Nolan County | 22 | -2.9 pts |
| 169 | Sterling County | 22 | +0.9 pts |
| 172 | Upton County | 21.9 | -3.9 pts |
| 173 | Johnson County | 21.8 | -2.9 pts |
| 173 | Llano County | 21.8 | -2.6 pts |
| 173 | McLennan County | 21.8 | -3.5 pts |
| 173 | Victoria County | 21.8 | -1.1 pts |
| 177 | Sabine County | 21.7 | -4.2 pts |
| 177 | Tom Green County | 21.7 | -2.5 pts |
| 177 | Upshur County | 21.7 | -2.2 pts |
| 180 | Brewster County | 21.6 | -2.8 pts |
| 180 | Harrison County | 21.6 | -2 pts |
| 180 | Washington County | 21.6 | -0.2 pts |
| 180 | Wise County | 21.6 | -1.5 pts |
| 184 | Medina County | 21.5 | -2 pts |
| 185 | Refugio County | 21.4 | -1.1 pts |
| 185 | Tarrant County | 21.4 | -2.8 pts |
| 187 | Callahan County | 21.3 | -2.3 pts |
| 187 | Howard County | 21.3 | -2.7 pts |
| 189 | Concho County | 21.1 | -0.6 pts |
| 189 | Jackson County | 21.1 | -1.5 pts |
| 191 | Franklin County | 21 | -3 pts |
| 192 | Bexar County | 20.9 | -2.1 pts |
| 193 | Hunt County | 20.8 | -5.6 pts |
| 194 | Walker County | 20.7 | -3.2 pts |
| 195 | Kent County | 20.6 | -2.4 pts |
| 196 | Brown County | 20.5 | -4.3 pts |
| 196 | Ellis County | 20.5 | -3.3 pts |
| 198 | Jasper County | 20.4 | -0.6 pts |
| 198 | Lubbock County | 20.4 | -1.8 pts |
| 198 | Marion County | 20.4 | -3.6 pts |
| 201 | DeWitt County | 20.2 | -0.1 pts |
| 201 | Wichita County | 20.2 | -0.2 pts |
| 203 | Delta County | 20.1 | -4.6 pts |
| 204 | Austin County | 20 | -1.9 pts |
| 204 | Brazos County | 20 | -2 pts |
| 204 | Panola County | 20 | -3.2 pts |
| 204 | Tyler County | 20 | -3.1 pts |
| 208 | Lavaca County | 19.9 | -4.3 pts |
| 209 | Live Oak County | 19.8 | -1.4 pts |
| 209 | Midland County | 19.8 | -2.2 pts |
| 211 | Shackelford County | 19.7 | -2.6 pts |
| 212 | Newton County | 19.6 | -1.7 pts |
| 213 | Archer County | 19.5 | -1.9 pts |
| 213 | Taylor County | 19.5 | -3.2 pts |
| 215 | Cass County | 19.4 | -2.9 pts |
| 215 | Somervell County | 19.4 | -0.6 pts |
| 217 | Armstrong County | 19.3 | -2.7 pts |
| 218 | Bowie County | 19.2 | -2.9 pts |
| 219 | Coke County | 19 | -5.4 pts |
| 219 | Montgomery County | 19 | -1.3 pts |
| 221 | Travis County | 18.9 | -2.4 pts |
| 222 | Clay County | 18.8 | -3.1 pts |
| 222 | Karnes County | 18.8 | -1.7 pts |
| 224 | Bandera County | 18.7 | -4.1 pts |
| 224 | Fisher County | 18.7 | -4.7 pts |
| 226 | Hays County | 18.6 | -4.5 pts |
| 226 | Orange County | 18.6 | -0.4 pts |
| 228 | Brazoria County | 18.4 | 0 pts |
| 228 | Parker County | 18.4 | -0.5 pts |
| 230 | Glasscock County | 18.2 | -2.9 pts |
| 230 | Kendall County | 18.2 | -0.5 pts |
| 232 | Chambers County | 18.1 | -1.6 pts |
| 232 | Comal County | 18.1 | -0.3 pts |
| 232 | Galveston County | 18.1 | -3.5 pts |
| 235 | Wilson County | 18 | -2.5 pts |
| 236 | Oldham County | 17.8 | +0.6 pts |
| 237 | Guadalupe County | 17.7 | -2.2 pts |
| 238 | Carson County | 17.4 | -2.6 pts |
| 239 | Hardin County | 17.3 | -3.4 pts |
| 240 | Coryell County | 16.5 | -1.4 pts |
| 241 | Bell County | 16.4 | -2.1 pts |
| 242 | Childress County | 16.2 | -3.4 pts |
| 243 | Borden County | 16.1 | +1.5 pts |
| 243 | McMullen County | 16.1 | +0.1 pts |
| 245 | Randall County | 16 | -2 pts |
| 246 | Fort Bend County | 15.5 | -1.6 pts |
| 247 | Denton County | 15.2 | -1.7 pts |
| 247 | Rockwall County | 15.2 | -0.9 pts |
| 249 | Goliad County | 15.1 | -2.9 pts |
| 250 | Loving County | 14.3 | -5.7 pts |
Other periods
About this ranking
People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.
A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.
Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.
How to cite
U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.
Citation styles
APA 7
U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip
MLA 9
Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015. Accessed 12 Oct. 2026.
Chicago (author-date)
U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015.
Harvard
U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2015,
author = {{U.S. Census Bureau}},
title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY - DATA
AU - U.S. Census Bureau
TI - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2015
PY - 2026
DA - 2026/08/06
PB - U.S. Census Bureau
DB - Invokely
UR - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2015.
N1 - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Texas&limit=10
Questions
Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?
Hidalgo County, with 43.4% in 2015, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?
Roberts County, with 11.4% in 2015.
Where does this ranking come from?
Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.