Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / Cities in Alabama

Cities in Alabama by uninsured rate, ages 35 to 64 (US, ACS)

Gadsden, AL had the highest uninsured rate, ages 35 to 64 (US, ACS) of 66 cities in 2023, at 24%. Mountain Brook, AL had the lowest, at 0.8%. The median was 12.1% and the figure for Alabama was 12.5%. Source: the U.S. Census Bureau.

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Highest24Gadsden, AL
Lowest0.8Mountain Brook, AL
Median12.166 cities
Alabama12.5History

Top 40 cities, 2023

Gadsden, AL: 24 %Gadsden, AL24Prichard, AL: 23.8 %Prichard, AL23.8Fort Payne, AL: 22.5 %Fort Payne, AL22.5Albertville, AL: 20.8 %Albertville, AL20.8Russellville, AL: 20.6 %Russellville, AL20.6Hueytown, AL: 18.6 %Hueytown, AL18.6Boaz, AL: 18.3 %Boaz, AL18.3Leeds, AL: 18.2 %Leeds, AL18.2Anniston, AL: 17.8 %Anniston, AL17.8Birmingham, AL: 17.7 %Birmingham, AL17.7Decatur, AL: 16.7 %Decatur, AL16.7Pell City, AL: 15.6 %Pell City, AL15.6Talladega, AL: 15.6 %Talladega, AL15.6Foley, AL: 15.5 %Foley, AL15.5Bessemer, AL: 15.4 %Bessemer, AL15.4Gulf Shores, AL: 15.3 %Gulf Shores, AL15.3Selma, AL: 14.8 %Selma, AL14.8Ozark, AL: 14.8 %Ozark, AL14.8Montgomery, AL: 14.4 %Montgomery, AL14.4Dothan, AL: 14.3 %Dothan, AL14.3Scottsboro, AL: 14.1 %Scottsboro, AL14.1Phenix City, AL: 14 %Phenix City, AL14Cullman, AL: 14 %Cullman, AL14Eufaula, AL: 13.9 %Eufaula, AL13.9Mobile, AL: 13.8 %Mobile, AL13.8Florence, AL: 13.7 %Florence, AL13.7Valley, AL: 13.5 %Valley, AL13.5Rainbow City, AL: 13.5 %Rainbow City, AL13.5Alexander City, AL: 13.2 %Alexander City, AL13.2Jacksonville, AL: 12.9 %Jacksonville, AL12.9Clay, AL: 12.7 %Clay, AL12.7Irondale, AL: 12.7 %Irondale, AL12.7Athens, AL: 12.3 %Athens, AL12.3Center Point, AL: 12 %Center Point, AL12Huntsville, AL: 11.9 %Huntsville, AL11.9Opelika, AL: 11.2 %Opelika, AL11.2Tuscaloosa, AL: 10.9 %Tuscaloosa, AL10.9Oxford, AL: 10.8 %Oxford, AL10.8Troy, AL: 10.3 %Troy, AL10.3Jasper, AL: 10.2 %Jasper, AL10.2Gadsden, AL: 24 %Gadsden, AL24Prichard, AL: 23.8 %Prichard, AL23.8Fort Payne, AL: 22.5 %Fort Payne, AL22.5Albertville, AL: 20.8 %Albertville, AL20.8Russellville, AL: 20.6 %Russellville, AL20.6Hueytown, AL: 18.6 %Hueytown, AL18.6Boaz, AL: 18.3 %Boaz, AL18.3Leeds, AL: 18.2 %Leeds, AL18.2Anniston, AL: 17.8 %Anniston, AL17.8Birmingham, AL: 17.7 %Birmingham, AL17.7Decatur, AL: 16.7 %Decatur, AL16.7Pell City, AL: 15.6 %Pell City, AL15.6Talladega, AL: 15.6 %Talladega, AL15.6Foley, AL: 15.5 %Foley, AL15.5Bessemer, AL: 15.4 %Bessemer, AL15.4Gulf Shores, AL: 15.3 %Gulf Shores, AL15.3Selma, AL: 14.8 %Selma, AL14.8Ozark, AL: 14.8 %Ozark, AL14.8Montgomery, AL: 14.4 %Montgomery, AL14.4Dothan, AL: 14.3 %Dothan, AL14.3Scottsboro, AL: 14.1 %Scottsboro, AL14.1Phenix City, AL: 14 %Phenix City, AL14Cullman, AL: 14 %Cullman, AL14Eufaula, AL: 13.9 %Eufaula, AL13.9Mobile, AL: 13.8 %Mobile, AL13.8Florence, AL: 13.7 %Florence, AL13.7Valley, AL: 13.5 %Valley, AL13.5Rainbow City, AL: 13.5 %Rainbow City, AL13.5Alexander City, AL: 13.2 %Alexander City, AL13.2Jacksonville, AL: 12.9 %Jacksonville, AL12.9Clay, AL: 12.7 %Clay, AL12.7Irondale, AL: 12.7 %Irondale, AL12.7Athens, AL: 12.3 %Athens, AL12.3Center Point, AL: 12 %Center Point, AL12Huntsville, AL: 11.9 %Huntsville, AL11.9Opelika, AL: 11.2 %Opelika, AL11.2Tuscaloosa, AL: 10.9 %Tuscaloosa, AL10.9Oxford, AL: 10.8 %Oxford, AL10.8Troy, AL: 10.3 %Troy, AL10.3Jasper, AL: 10.2 %Jasper, AL10.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Gadsden, AL24+1 pts
2Prichard, AL23.8-3.2 pts
3Fort Payne, AL22.5+0.9 pts
4Albertville, AL20.8-0.5 pts
5Russellville, AL20.6-2.6 pts
6Hueytown, AL18.6+3.5 pts
7Boaz, AL18.3-0.3 pts
8Leeds, AL18.2+1.1 pts
9Anniston, AL17.8+1.3 pts
10Birmingham, AL17.7-0.2 pts
11Decatur, AL16.7+1.6 pts
12Pell City, AL15.6+3.1 pts
13Talladega, AL15.6-3.3 pts
14Foley, AL15.5-6.6 pts
15Bessemer, AL15.4-0.6 pts
16Gulf Shores, AL15.3-3.6 pts
17Selma, AL14.8-0.7 pts
18Ozark, AL14.8+2.2 pts
19Montgomery, AL14.4-0 pts
20Dothan, AL14.3+0.3 pts
21Scottsboro, AL14.1-0.3 pts
22Phenix City, AL14-1.1 pts
23Cullman, AL14+2.5 pts
24Eufaula, AL13.9+1 pts
25Mobile, AL13.8-0.9 pts
26Florence, AL13.7-1.4 pts
27Valley, AL13.5+3.4 pts
28Rainbow City, AL13.5+5.9 pts
29Alexander City, AL13.2-2.8 pts
30Jacksonville, AL12.9+2.3 pts
31Clay, AL12.7+1.1 pts
32Irondale, AL12.7+2 pts
33Athens, AL12.3+0.3 pts
34Center Point, AL12+0.5 pts
35Huntsville, AL11.9+0.3 pts
36Opelika, AL11.2-1.2 pts
37Tuscaloosa, AL10.9+0.3 pts
38Oxford, AL10.8+0.8 pts
39Troy, AL10.3-2.9 pts
40Jasper, AL10.2-0.7 pts
41Sylacauga, AL10+0.1 pts
42Enterprise, AL9.8-0 pts
43Alabaster, AL9.8+0.7 pts
44Muscle Shoals, AL9.6-0.3 pts
45Saraland, AL9.1+0.2 pts
46Calera, AL8.4+1.7 pts
47Auburn, AL7.8+1.9 pts
48Gardendale, AL7.7+1.2 pts
49Moody, AL7.6-1.4 pts
50Millbrook, AL7.60 pts
50Pelham, AL7.6+0.7 pts
52Hartselle, AL7.3+0.1 pts
53Northport, AL6.6-0.5 pts
54Chelsea, AL6.5+1.3 pts
55Hoover, AL5.9+0.5 pts
56Daphne, AL5.9-0.3 pts
57Helena, AL5.9-0.4 pts
58Fairhope, AL5.8+1.6 pts
59Prattville, AL5.7-0.5 pts
60Homewood, AL5.3+0.4 pts
61Vestavia Hills, AL4.8+1.8 pts
62Madison, AL4.7+1 pts
63Trussville, AL3.6-0.9 pts
64Spanish Fort, AL3.3-3 pts
65Pike Road, AL3.3-1.6 pts
66Mountain Brook, AL0.8-0 pts

Other periods

About this ranking

People aged 35 to 64 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 35 to 64. 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. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, ages 35 to 64 (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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, ages 35 to 64 (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-ages-35-64/alabama-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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, ages 35 to 64 (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-ages-35-64/alabama-cities?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, ages 35 to 64 (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-ages-35-64/alabama-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, ages 35 to 64 (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-ages-35-64/alabama-cities?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, ages 35 to 64 (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-ages-35-64/alabama-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-cities?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, 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 Cities in Alabama by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_35_64","level":"municipality","within":"Alabama","limit":10}
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Questions

Which city has the highest uninsured rate, ages 35 to 64 (US, ACS)?

Gadsden, AL, with 24% in 2023, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, ages 35 to 64 (US, ACS)?

Mountain Brook, AL, with 0.8% 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, ages 35 to 64 (US, ACS): other rankings

Cities in Alabama: more rankings