US cities by uninsured rate, ages 19 to 34 (US, ACS)

San Elizario, TX had the highest uninsured rate, ages 19 to 34 (US, ACS) of 3211 cities in 2021, at 62.4%. West University Place, TX had the lowest, at 0%. The median was 12.3% and the figure for the United States was 15%. Source: the U.S. Census Bureau.

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Highest62.4San Elizario, TX
Median12.33211 cities
United States15History

Top 40 cities, 2021

San Elizario, TX: 62.4 %San Elizario, TX62.4Alton, TX: 58.2 %Alton, TX58.2Robstown, TX: 57.3 %Robstown, TX57.3Palmview, TX: 56.9 %Palmview, TX56.9Alamo, TX: 54.1 %Alamo, TX54.1Athens, TX: 53.9 %Athens, TX53.9Pharr, TX: 53.9 %Pharr, TX53.9Garden City, GA: 53.5 %Garden City, GA53.5San Juan, TX: 53.5 %San Juan, TX53.5Roma, TX: 53 %Roma, TX53Mission, TX: 52.9 %Mission, TX52.9Hidalgo, TX: 52.2 %Hidalgo, TX52.2Doraville, GA: 50.7 %Doraville, GA50.7Lake Worth Beach, FL: 50.6 %Lake Worth Beach, FL50.6South Houston, TX: 49.9 %South Houston, TX49.9Humble, TX: 49.3 %Humble, TX49.3Socorro, TX: 49.2 %Socorro, TX49.2Eagle Pass, TX: 48.9 %Eagle Pass, TX48.9Freeport, TX: 48.5 %Freeport, TX48.5Brownsville, TX: 48.3 %Brownsville, TX48.3West Park, FL: 47.7 %West Park, FL47.7Laredo, TX: 47.4 %Laredo, TX47.4El Reno, OK: 47.3 %El Reno, OK47.3San Benito, TX: 47.2 %San Benito, TX47.2Mercedes, TX: 46.2 %Mercedes, TX46.2McAllen, TX: 45.9 %McAllen, TX45.9Balch Springs, TX: 45.5 %Balch Springs, TX45.5Florida City, FL: 45.3 %Florida City, FL45.3Donna, TX: 45.1 %Donna, TX45.1Fairview, NJ: 44.9 %Fairview, NJ44.9Rio Grande City, TX: 44.9 %Rio Grande City, TX44.9Weslaco, TX: 44.8 %Weslaco, TX44.8Carthage, MO: 44.4 %Carthage, MO44.4Port Arthur, TX: 44.4 %Port Arthur, TX44.4Brunswick, GA: 43.9 %Brunswick, GA43.9Orange, TX: 43.8 %Orange, TX43.8Pasadena, TX: 43.6 %Pasadena, TX43.6Moss Point, MS: 43.5 %Moss Point, MS43.5Galena Park, TX: 43.4 %Galena Park, TX43.4North Myrtle Beach, SC: 43.3 %North Myrtle Beach, SC43.3San Elizario, TX: 62.4 %San Elizario, TX62.4Alton, TX: 58.2 %Alton, TX58.2Robstown, TX: 57.3 %Robstown, TX57.3Palmview, TX: 56.9 %Palmview, TX56.9Alamo, TX: 54.1 %Alamo, TX54.1Athens, TX: 53.9 %Athens, TX53.9Pharr, TX: 53.9 %Pharr, TX53.9Garden City, GA: 53.5 %Garden City, GA53.5San Juan, TX: 53.5 %San Juan, TX53.5Roma, TX: 53 %Roma, TX53Mission, TX: 52.9 %Mission, TX52.9Hidalgo, TX: 52.2 %Hidalgo, TX52.2Doraville, GA: 50.7 %Doraville, GA50.7Lake Worth Beach, FL: 50.6 %Lake Worth Beach, FL50.6South Houston, TX: 49.9 %South Houston, TX49.9Humble, TX: 49.3 %Humble, TX49.3Socorro, TX: 49.2 %Socorro, TX49.2Eagle Pass, TX: 48.9 %Eagle Pass, TX48.9Freeport, TX: 48.5 %Freeport, TX48.5Brownsville, TX: 48.3 %Brownsville, TX48.3West Park, FL: 47.7 %West Park, FL47.7Laredo, TX: 47.4 %Laredo, TX47.4El Reno, OK: 47.3 %El Reno, OK47.3San Benito, TX: 47.2 %San Benito, TX47.2Mercedes, TX: 46.2 %Mercedes, TX46.2McAllen, TX: 45.9 %McAllen, TX45.9Balch Springs, TX: 45.5 %Balch Springs, TX45.5Florida City, FL: 45.3 %Florida City, FL45.3Donna, TX: 45.1 %Donna, TX45.1Fairview, NJ: 44.9 %Fairview, NJ44.9Rio Grande City, TX: 44.9 %Rio Grande City, TX44.9Weslaco, TX: 44.8 %Weslaco, TX44.8Carthage, MO: 44.4 %Carthage, MO44.4Port Arthur, TX: 44.4 %Port Arthur, TX44.4Brunswick, GA: 43.9 %Brunswick, GA43.9Orange, TX: 43.8 %Orange, TX43.8Pasadena, TX: 43.6 %Pasadena, TX43.6Moss Point, MS: 43.5 %Moss Point, MS43.5Galena Park, TX: 43.4 %Galena Park, TX43.4North Myrtle Beach, SC: 43.3 %North Myrtle Beach, SC43.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1San Elizario, TX62.4
2Alton, TX58.2
3Robstown, TX57.3
4Palmview, TX56.9
5Alamo, TX54.1
6Athens, TX53.9
7Pharr, TX53.9
8Garden City, GA53.5
8San Juan, TX53.5
10Roma, TX53
11Mission, TX52.9
12Hidalgo, TX52.2
13Doraville, GA50.7
14Lake Worth Beach, FL50.6
15South Houston, TX49.9
16Humble, TX49.3
17Socorro, TX49.2
18Eagle Pass, TX48.9
19Freeport, TX48.5
20Brownsville, TX48.3
21West Park, FL47.7
22Laredo, TX47.4
23El Reno, OK47.3
24San Benito, TX47.2
25Mercedes, TX46.2
26McAllen, TX45.9
27Balch Springs, TX45.5
28Florida City, FL45.3
29Donna, TX45.1
30Fairview, NJ44.9
30Rio Grande City, TX44.9
32Weslaco, TX44.8
33Carthage, MO44.4
34Port Arthur, TX44.4
35Brunswick, GA43.9
36Orange, TX43.8
37Pasadena, TX43.6
38Moss Point, MS43.5
39Galena Park, TX43.4
40North Myrtle Beach, SC43.3
41Kennett, MO43
42Palm Springs, FL42.9
43Gulf Shores, AL42.6
44Bellmead, TX42.4
45Foley, AL42.2
46Norcross, GA41.3
47Mascotte, FL41.1
48Lilburn, GA40.9
49Forest Hill, TX40.9
50Pleasanton, TX40.9
51Seagoville, TX40.9
52Forest Park, GA40.7
53Bridgeton, NJ40.7
54Holly Hill, FL40.5
55Guttenberg, NJ40.5
56Waycross, GA40.2
57Marathon, FL40.2
58Raymondville, TX40.2
59Hereford, TX40
60Alice, TX40
61Bainbridge, GA39.9
61Paris, TX39.9
63Baytown, TX39.8
64Guymon, OK39.8
65Waynesville, NC39.8
66Jesup, GA39.8
67Homestead, FL39.6
68Ennis, TX39.4
69McAlester, OK39.1
70Durant, OK38.5
71Passaic, NJ38.4
72Leesburg, FL38.3
73Anniston, AL38.3
74Garland, TX38.2
75Callaway, FL38.1
76Clarkston, GA37.9
77Corsicana, TX37.7
77Pompano Beach, FL37.7
79Belle Glade, FL37.5
80Richmond, TX37.5
81Gadsden, AL37.4
82Edinburg, TX37.3
83Union City, NJ37.3
84Rome, GA37.2
85Pampa, TX37.2
86Cairo, GA37.1
87Myrtle Beach, SC37
88Asheboro, NC36.8
89Del Rio, TX36.6
90Plainfield, NJ36.6
91Gautier, MS36.4
92Natchez, MS36.2
93Dover, NJ36
94Elk City, OK36
95Bay City, TX35.8
96Beaumont, TX35.8
97Brookhaven, MS35.8
98Leon Valley, TX35.7
98Sebastian, FL35.7
100Jacksonville, TX35.7
101North Lauderdale, FL35.5
102Fort Pierce, FL35.4
103Morganton, NC35.3
104Harlingen, TX35.2
105Texas City, TX35.2
106El Paso, TX35.1
106Warr Acres, OK35.1
108New Albany, OH35
109Ingleside, TX34.9
110Greenwood, MS34.8
111Big Spring, TX34.7
111West Plains, MO34.7
113Grovetown, GA34.6
114Key West, FL34.6
115Miami Gardens, FL34.6
116North Miami, FL34.5
117Locust Grove, GA34.4
118Houston, TX34.4
118Woodward, OK34.4
120Angleton, TX34.3
121Lexington, NC34.2
121Snyder, TX34.2
123Haltom City, TX34.1
124White Settlement, TX33.9
125Hendersonville, NC33.9
126Ardmore, OK33.8
127Mesquite, TX33.8
128Cleburne, TX33.8
129Opa-locka, FL33.8
130Plainview, TX33.7
131North Miami Beach, FL33.7
132Elizabeth, NJ33.7
133Alcoa, TN33.6
133Miami, OK33.6
135Morristown, TN33.6
136Sikeston, MO33.5
137New Carrollton, MD33.5
138Okmulgee, OK33.4
139Liberty Hill, TX33.3
140Lufkin, TX33.3
141Oakland Park, FL33.3
142Palmetto, FL33.3
143Dayton, TX33.2
144Freehold, NJ33.1
145Bradenton, FL33.1
145Summit, IL33.1
147Andrews, TX33
148Burkburnett, TX32.9
149Sevierville, TN32.9
150Texarkana, TX32.9
151Grandview, WA32.8
152Greenacres, FL32.8
153Gainesville, TX32.7
154Princeton, TX32.7
155Fort Payne, AL32.7
156Long Beach, MS32.6
157Gulfport, MS32.6
157Hollywood, FL32.6
159Union City, GA32.6
160Vernal, UT32.6
161Moultrie, GA32.5
162Talladega, AL32.5
163Corpus Christi, TX32.4
164Dallas, TX32.4
165Guthrie, OK32.3
166El Campo, TX32.3
167Panama City, FL32.3
168Marco Island, FL32.2
169Monroe, GA32.2
170Brownwood, TX32.1
170Malvern, AR32.1
172North Plainfield, NJ32.1
173Horizon City, TX32
174Lockhart, TX32
175Avon Park, FL31.9
176Atlantic City, NJ31.9
177Borger, TX31.8
178Sebring, FL31.8
179Winder, GA31.8
180Auburn, GA31.7
180Mount Pleasant, TX31.7
182Longview, TX31.6
183Somerton, AZ31.6
183South Miami, FL31.6
185Deerfield Beach, FL31.5
186Douglas, GA31.5
187Columbus, MS31.5
188Tahlequah, OK31.4
189Ozark, AL31.4
190Greenville, TX31.3
191La Marque, TX31.2
192Great Bend, KS31.2
193Dalton, GA31
193La Porte, TX31
195Avenal, CA31
196Sanford, NC30.9
197Perth Amboy, NJ30.8
198Enid, OK30.8
199Conroe, TX30.7
200Fredericksburg, TX30.7
201Valdosta, GA30.7
202Long Branch, NJ30.6
203Albertville, AL30.5
204Fountain Inn, SC30.4
205Duncan, OK30.4
206Boynton Beach, FL30.4
206Sweetwater, TX30.4
208Ada, OK30.3
209Mesquite, NV30.3
210Rainbow City, AL30.3
211Tifton, GA30.3
212Kennedale, TX30.2
213Calhoun, GA30.2
214Haines City, FL30.1
215Galveston, TX30
216Wasilla, AK30
217Show Low, AZ30
218Liberal, KS29.9
219Terrell, TX29.9
220Chamblee, GA29.9
221Arlington, TX29.8
221Justice, IL29.8
223Clarksdale, MS29.8
224Sarasota, FL29.7
225St. Ann, MO29.7
226Canton, GA29.7
226Denison, TX29.7
228Española, NM29.6
229Muskogee, OK29.6
230Holly Springs, GA29.6
231Lenoir, NC29.5
232Grand Prairie, TX29.5
232Melrose Park, IL29.5
234Beeville, TX29.4
235Tulsa, OK29.4
236Lauderdale Lakes, FL29.4
237Santa Maria, CA29.3
238Corinth, MS29.3
239Amarillo, TX29.2
240Eustis, FL29.2
241Tyler, TX29.2
242Shelbyville, TN29.1
243Wichita Falls, TX29.1
244North Port, FL29.1
245Clayton, NC29
246Greenville, MS29
247Kansas City, KS28.9
248Leeds, AL28.9
249Nogales, AZ28.9
250Brenham, TX28.9

Showing the top 250 of 3211. The Excel download has every row.

Other periods

About this ranking

People aged 19 to 34 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 19 to 34. 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. 8 cities with data in other periods have no value for 2021 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 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more), US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more). US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more), US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_cities_by_uninsured_2021,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more): US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more): US cities by uninsured rate, ages 19 to 34 (US, ACS), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/us-cities?period=2021.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank US cities by uninsured rate, ages 19 to 34 (US, ACS) using official data, and cite the source.
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Questions

Which city has the highest uninsured rate, ages 19 to 34 (US, ACS)?

San Elizario, TX, with 62.4% in 2021, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, ages 19 to 34 (US, ACS)?

West University Place, TX, with 0% in 2021.

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 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12. 8 cities have no value for 2021 and are not ranked.

Uninsured rate, ages 19 to 34 (US, ACS): other rankings

US cities: more rankings