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 2016, at 40.7%. Roberts County had the lowest, at 11%. The median was 23.6% and the figure for Texas was 22.6%. Source: the U.S. Census Bureau.
Map of counties, 2016
- Under 20
- 20 to 22
- 22 to 24
- 24 to 25
- 25 to 28
- 28 and over
Top 40 counties, 2016
Full ranking
| Rank | Counties | 2016 (%) | Change on 2015 |
|---|---|---|---|
| 1 | Hidalgo County | 40.7 | -2.7 pts |
| 2 | Starr County | 39.7 | -1.5 pts |
| 3 | Zapata County | 39.5 | +0.8 pts |
| 4 | Cameron County | 38.7 | +0.1 pts |
| 5 | Webb County | 37.6 | -0.1 pts |
| 6 | Hudspeth County | 37.4 | +0.7 pts |
| 7 | Gaines County | 36.7 | -2.1 pts |
| 8 | Presidio County | 36.6 | -0.4 pts |
| 9 | Maverick County | 35.9 | -1.5 pts |
| 10 | Hall County | 35.8 | +1.1 pts |
| 11 | Collingsworth County | 35.3 | -2.9 pts |
| 12 | Cochran County | 34.8 | +1.3 pts |
| 13 | Bailey County | 34.4 | -2.9 pts |
| 14 | Briscoe County | 34 | -2.4 pts |
| 15 | Castro County | 33.9 | -2.6 pts |
| 16 | Moore County | 32.2 | -0.6 pts |
| 17 | Ochiltree County | 31.4 | +1.1 pts |
| 18 | Dallam County | 31.3 | -3.3 pts |
| 19 | San Saba County | 31.1 | 0 pts |
| 20 | Gonzales County | 31 | +1.1 pts |
| 20 | Sherman County | 31 | -1.3 pts |
| 22 | Titus County | 30.6 | +0.4 pts |
| 23 | Parmer County | 30.5 | -3.3 pts |
| 24 | Hansford County | 30.4 | -1.4 pts |
| 25 | Deaf Smith County | 30.3 | -1.1 pts |
| 25 | Terry County | 30.3 | -1.7 pts |
| 27 | Cottle County | 30 | -1.3 pts |
| 27 | Shelby County | 30 | +1 pts |
| 29 | Jeff Davis County | 29.8 | -0.5 pts |
| 29 | Lamb County | 29.8 | -2.7 pts |
| 29 | Willacy County | 29.8 | -0.4 pts |
| 32 | Culberson County | 29.6 | -3.7 pts |
| 33 | Val Verde County | 29.4 | +0.6 pts |
| 34 | Hale County | 29.3 | +0.3 pts |
| 35 | Menard County | 29.2 | -4.6 pts |
| 35 | Potter County | 29.2 | -1.4 pts |
| 37 | Swisher County | 28.8 | -0.5 pts |
| 38 | Comanche County | 28.7 | -1.6 pts |
| 39 | Waller County | 28.5 | +0.5 pts |
| 40 | Mason County | 28.4 | -2.5 pts |
| 40 | Yoakum County | 28.4 | +1.8 pts |
| 42 | Motley County | 28.3 | -0.5 pts |
| 42 | Uvalde County | 28.3 | -0.5 pts |
| 44 | Floyd County | 28.1 | -0.7 pts |
| 45 | Real County | 28 | -1.8 pts |
| 46 | Edwards County | 27.9 | -6.2 pts |
| 47 | Hardeman County | 27.7 | +1.7 pts |
| 48 | Cherokee County | 27.4 | +1 pts |
| 49 | Gray County | 27.3 | +1 pts |
| 50 | Dickens County | 27.2 | +1.2 pts |
| 50 | El Paso County | 27.2 | -2.3 pts |
| 52 | Crosby County | 27.1 | -2.2 pts |
| 52 | Stephens County | 27.1 | -1.2 pts |
| 52 | Zavala County | 27.1 | +0.7 pts |
| 55 | Garza County | 26.9 | -0.5 pts |
| 55 | Mills County | 26.9 | -0.6 pts |
| 57 | Dawson County | 26.8 | -1.5 pts |
| 57 | Foard County | 26.8 | +1.9 pts |
| 57 | Knox County | 26.8 | -0.2 pts |
| 57 | Navarro County | 26.8 | -0.1 pts |
| 61 | Hill County | 26.6 | +0.7 pts |
| 62 | Lipscomb County | 26.5 | +2.9 pts |
| 63 | Dallas County | 26.4 | -1 pts |
| 63 | Hamilton County | 26.4 | -1.7 pts |
| 65 | Jim Hogg County | 26.2 | +1.6 pts |
| 66 | Madison County | 26.1 | +0.5 pts |
| 66 | Van Zandt County | 26.1 | +0.8 pts |
| 68 | Kleberg County | 26 | +1 pts |
| 68 | Pecos County | 26 | +0.2 pts |
| 68 | Polk County | 26 | -0.4 pts |
| 68 | Reagan County | 26 | -2.2 pts |
| 72 | Bosque County | 25.9 | 0 pts |
| 73 | Haskell County | 25.8 | +1.8 pts |
| 73 | Wharton County | 25.8 | -0.5 pts |
| 75 | Kimble County | 25.7 | -1.8 pts |
| 75 | Schleicher County | 25.7 | -0.9 pts |
| 77 | Gillespie County | 25.6 | +0.2 pts |
| 77 | Leon County | 25.6 | +0.4 pts |
| 79 | Frio County | 25.5 | -0.8 pts |
| 79 | Nacogdoches County | 25.5 | +1.4 pts |
| 79 | Palo Pinto County | 25.5 | -0.4 pts |
| 82 | San Jacinto County | 25.4 | -0.4 pts |
| 83 | Bastrop County | 25.3 | +0.7 pts |
| 83 | Donley County | 25.3 | +1 pts |
| 83 | Harris County | 25.3 | -0.5 pts |
| 83 | Reeves County | 25.3 | -0.5 pts |
| 87 | Caldwell County | 25.2 | -1.4 pts |
| 87 | Camp County | 25.2 | -3 pts |
| 87 | Ector County | 25.2 | -0.7 pts |
| 87 | Henderson County | 25.2 | -0.2 pts |
| 87 | Trinity County | 25.2 | +0.6 pts |
| 92 | Rusk County | 25.1 | -0.1 pts |
| 93 | Grimes County | 25 | +0.7 pts |
| 93 | Liberty County | 25 | -0.8 pts |
| 95 | Lynn County | 24.9 | -4.7 pts |
| 96 | Erath County | 24.8 | -2.8 pts |
| 96 | Montague County | 24.8 | +0.6 pts |
| 96 | Young County | 24.8 | -1.7 pts |
| 99 | Fannin County | 24.7 | +2.4 pts |
| 100 | Kenedy County | 24.6 | -1.4 pts |
| 100 | Limestone County | 24.6 | 0 pts |
| 100 | McCulloch County | 24.6 | -0.7 pts |
| 103 | Hopkins County | 24.5 | -0.7 pts |
| 103 | Jefferson County | 24.5 | -2.3 pts |
| 103 | Jim Wells County | 24.5 | -1.1 pts |
| 103 | Kinney County | 24.5 | -0.3 pts |
| 103 | Wheeler County | 24.5 | -0.8 pts |
| 108 | Angelina County | 24.4 | -2 pts |
| 108 | Aransas County | 24.4 | -0.2 pts |
| 108 | Crockett County | 24.4 | -0.3 pts |
| 111 | Freestone County | 24.3 | +1.1 pts |
| 111 | Matagorda County | 24.3 | -1.2 pts |
| 113 | Hockley County | 24.2 | +0.4 pts |
| 113 | Sutton County | 24.2 | -1.5 pts |
| 115 | Coleman County | 24.1 | -1.6 pts |
| 115 | Eastland County | 24.1 | -0.2 pts |
| 115 | Jack County | 24.1 | -1.3 pts |
| 115 | King County | 24.1 | -0.1 pts |
| 115 | Martin County | 24.1 | -0.4 pts |
| 120 | Brooks County | 24 | -0.7 pts |
| 120 | Kerr County | 24 | -0.2 pts |
| 120 | Upton County | 24 | +2.1 pts |
| 123 | Gregg County | 23.9 | -0.7 pts |
| 124 | Mitchell County | 23.8 | +1.3 pts |
| 124 | Rains County | 23.8 | -0.2 pts |
| 126 | Duval County | 23.6 | -1 pts |
| 126 | Morris County | 23.6 | +1.2 pts |
| 126 | Red River County | 23.6 | -1 pts |
| 126 | Runnels County | 23.6 | -1 pts |
| 126 | Terrell County | 23.6 | -2 pts |
| 126 | Ward County | 23.6 | -0.5 pts |
| 132 | Dimmit County | 23.5 | -0.1 pts |
| 132 | Hunt County | 23.5 | +2.7 pts |
| 134 | Blanco County | 23.4 | +0.9 pts |
| 134 | Cooke County | 23.4 | +0.7 pts |
| 134 | Crane County | 23.4 | +0.6 pts |
| 134 | Hemphill County | 23.4 | -0.5 pts |
| 134 | Lamar County | 23.4 | -0.9 pts |
| 139 | Falls County | 23.3 | -1.8 pts |
| 139 | Milam County | 23.3 | +0.6 pts |
| 141 | Hartley County | 23.2 | +0.2 pts |
| 142 | Jones County | 23.1 | +0.4 pts |
| 142 | San Patricio County | 23.1 | +0.2 pts |
| 142 | Victoria County | 23.1 | +1.3 pts |
| 142 | Winkler County | 23.1 | -1.7 pts |
| 146 | Burnet County | 23 | -2.7 pts |
| 146 | Robertson County | 23 | -1 pts |
| 146 | Wood County | 23 | 0 pts |
| 149 | Hutchinson County | 22.9 | +0.2 pts |
| 149 | Shackelford County | 22.9 | +3.2 pts |
| 151 | Nueces County | 22.8 | -0.4 pts |
| 151 | Throckmorton County | 22.8 | -0.9 pts |
| 153 | Grayson County | 22.7 | -1.1 pts |
| 153 | Smith County | 22.7 | -0.3 pts |
| 155 | Atascosa County | 22.6 | -0.5 pts |
| 155 | Houston County | 22.6 | -1.4 pts |
| 157 | Bee County | 22.5 | -0.6 pts |
| 157 | Wilbarger County | 22.5 | -2.1 pts |
| 159 | Colorado County | 22.3 | -0.6 pts |
| 160 | Jackson County | 22.1 | +1 pts |
| 160 | Lampasas County | 22.1 | -0.4 pts |
| 162 | Fayette County | 22 | -1 pts |
| 162 | Kent County | 22 | +1.4 pts |
| 164 | Live Oak County | 21.9 | +2.1 pts |
| 164 | Sabine County | 21.9 | +0.2 pts |
| 166 | Burleson County | 21.8 | -2 pts |
| 166 | Calhoun County | 21.8 | -1.6 pts |
| 166 | Callahan County | 21.8 | +0.5 pts |
| 169 | Austin County | 21.7 | +1.7 pts |
| 169 | Glasscock County | 21.7 | +3.5 pts |
| 169 | San Augustine County | 21.7 | -0.5 pts |
| 172 | Andrews County | 21.6 | -1.1 pts |
| 173 | Kaufman County | 21.5 | -0.5 pts |
| 173 | McLennan County | 21.5 | -0.3 pts |
| 173 | Upshur County | 21.5 | -0.2 pts |
| 176 | Lee County | 21.4 | -2 pts |
| 176 | Scurry County | 21.4 | -1.4 pts |
| 178 | Johnson County | 21.3 | -0.5 pts |
| 178 | Llano County | 21.3 | -0.5 pts |
| 180 | Nolan County | 21.2 | -0.8 pts |
| 181 | Loving County | 21.1 | +6.8 pts |
| 181 | Sterling County | 21.1 | -0.9 pts |
| 183 | Concho County | 21 | -0.1 pts |
| 183 | Delta County | 21 | +0.9 pts |
| 183 | La Salle County | 21 | -2.1 pts |
| 186 | Somervell County | 20.9 | +1.5 pts |
| 187 | Tarrant County | 20.8 | -0.6 pts |
| 188 | Harrison County | 20.7 | -0.9 pts |
| 189 | Stonewall County | 20.6 | -1.9 pts |
| 190 | Anderson County | 20.5 | -2.1 pts |
| 190 | Brown County | 20.5 | 0 pts |
| 190 | Franklin County | 20.5 | -0.5 pts |
| 190 | Tom Green County | 20.5 | -1.2 pts |
| 190 | Washington County | 20.5 | -1.1 pts |
| 195 | Ellis County | 20.4 | -0.1 pts |
| 195 | Panola County | 20.4 | +0.4 pts |
| 195 | Refugio County | 20.4 | -1 pts |
| 198 | Bexar County | 20.3 | -0.6 pts |
| 198 | DeWitt County | 20.3 | +0.1 pts |
| 198 | Hood County | 20.3 | -2.1 pts |
| 198 | Montgomery County | 20.3 | +1.3 pts |
| 198 | Walker County | 20.3 | -0.4 pts |
| 203 | Brewster County | 20.2 | -1.4 pts |
| 203 | Midland County | 20.2 | +0.4 pts |
| 203 | Wise County | 20.2 | -1.4 pts |
| 206 | Childress County | 20 | +3.8 pts |
| 206 | Howard County | 20 | -1.3 pts |
| 206 | Marion County | 20 | -0.4 pts |
| 206 | Newton County | 20 | +0.4 pts |
| 210 | Fisher County | 19.9 | +1.2 pts |
| 210 | Taylor County | 19.9 | +0.4 pts |
| 212 | Archer County | 19.8 | +0.3 pts |
| 212 | Medina County | 19.8 | -1.7 pts |
| 214 | Bandera County | 19.7 | +1 pts |
| 215 | Baylor County | 19.5 | -2.9 pts |
| 215 | Clay County | 19.5 | +0.7 pts |
| 215 | Coke County | 19.5 | +0.5 pts |
| 215 | Tyler County | 19.5 | -0.5 pts |
| 219 | Lavaca County | 19.3 | -0.6 pts |
| 220 | Bowie County | 19.1 | -0.1 pts |
| 221 | Brazos County | 19 | -1 pts |
| 222 | Jasper County | 18.9 | -1.5 pts |
| 223 | Galveston County | 18.7 | +0.6 pts |
| 224 | Hays County | 18.5 | -0.1 pts |
| 224 | Wichita County | 18.5 | -1.7 pts |
| 226 | Chambers County | 18.4 | +0.3 pts |
| 226 | Karnes County | 18.4 | -0.4 pts |
| 228 | Cass County | 18.3 | -1.1 pts |
| 228 | Lubbock County | 18.3 | -2.1 pts |
| 230 | Parker County | 18.2 | -0.2 pts |
| 231 | Brazoria County | 18 | -0.4 pts |
| 231 | Wilson County | 18 | 0 pts |
| 233 | Guadalupe County | 17.7 | 0 pts |
| 233 | Hardin County | 17.7 | +0.4 pts |
| 235 | Travis County | 17.5 | -1.4 pts |
| 236 | Armstrong County | 17.4 | -1.9 pts |
| 237 | Orange County | 17.2 | -1.4 pts |
| 238 | Bell County | 16.9 | +0.5 pts |
| 238 | Carson County | 16.9 | -0.5 pts |
| 240 | Oldham County | 16.7 | -1.1 pts |
| 241 | Coryell County | 16.6 | +0.1 pts |
| 242 | McMullen County | 16.5 | +0.4 pts |
| 243 | Comal County | 16 | -2.1 pts |
| 243 | Kendall County | 16 | -2.2 pts |
| 245 | Goliad County | 15.9 | +0.8 pts |
| 246 | Rockwall County | 15.4 | +0.2 pts |
| 247 | Borden County | 15.2 | -0.9 pts |
| 247 | Randall County | 15.2 | -0.8 pts |
| 249 | Irion County | 15 | +0.9 pts |
| 250 | Fort Bend County | 14.6 | -0.9 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016.
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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2016,
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), 2016}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2016.
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-2016-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 40.7% in 2016, 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% in 2016.
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.