Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / Counties in Missouri

Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS)

Ripley County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 115 counties in 2022, at 29.4%. Osage County had the lowest, at 5.5%. The median was 14.7% and the figure for Missouri was 11.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest29.4Ripley County
Lowest5.5Osage County
Median14.7115 counties
Missouri11.7History

Map of counties, 2022

Adair County: 9.2 %Andrew County: 8 %Atchison County: 16.3 %Audrain County: 13.8 %Barry County: 18.7 %Barton County: 14.5 %Bates County: 15.8 %Benton County: 15.6 %Bollinger County: 11 %Boone County: 8.3 %Buchanan County: 16.4 %Butler County: 17.5 %Caldwell County: 15.5 %Callaway County: 13.2 %Camden County: 18.2 %Cape Girardeau County: 7.6 %Carroll County: 8.1 %Carter County: 23.8 %Cass County: 9.2 %Cedar County: 24.7 %Chariton County: 11.2 %Christian County: 10.7 %Clark County: 16.1 %Clay County: 9.3 %Clinton County: 10.2 %Cole County: 8.5 %Cooper County: 9.2 %Crawford County: 18.2 %Dade County: 12.7 %Dallas County: 17.6 %Daviess County: 16.7 %DeKalb County: 11.9 %Dent County: 17.9 %Douglas County: 15.2 %Dunklin County: 22.1 %Franklin County: 10.8 %Gasconade County: 11 %Gentry County: 16.6 %Greene County: 12.5 %Grundy County: 21.7 %Harrison County: 12.4 %Henry County: 12.8 %Hickory County: 18 %Holt County: 14.9 %Howard County: 10.3 %Howell County: 20.5 %Iron County: 16 %Jackson County: 14.2 %Jasper County: 17.8 %Jefferson County: 10.3 %Johnson County: 12.6 %Knox County: 19.7 %Laclede County: 16.7 %Lafayette County: 9.5 %Lawrence County: 18.5 %Lewis County: 15.4 %Lincoln County: 9 %Linn County: 10.4 %Livingston County: 9.5 %McDonald County: 27.4 %Macon County: 13.7 %Madison County: 18 %Maries County: 8.2 %Marion County: 11 %Mercer County: 10.9 %Miller County: 15.6 %Mississippi County: 15.9 %Moniteau County: 12 %Monroe County: 14.6 %Montgomery County: 14.8 %Morgan County: 25.9 %New Madrid County: 21.2 %Newton County: 17.5 %Nodaway County: 9.1 %Oregon County: 27.2 %Osage County: 5.5 %Ozark County: 23 %Pemiscot County: 17.4 %Perry County: 8.5 %Pettis County: 16.6 %Phelps County: 12.8 %Pike County: 15.5 %Platte County: 7.3 %Polk County: 15.7 %Pulaski County: 13 %Putnam County: 15.2 %Ralls County: 8.7 %Randolph County: 11.3 %Ray County: 11.2 %Reynolds County: 18.2 %Ripley County: 29.4 %St. Charles County: 5.5 %St. Clair County: 25 %Ste. Genevieve County: 7.9 %St. Francois County: 15 %St. Louis County: 6.9 %Saline County: 7.8 %Schuyler County: 17.5 %Scotland County: 27.7 %Scott County: 12.1 %Shannon County: 15 %Shelby County: 14.7 %Stoddard County: 17 %Stone County: 12.5 %Sullivan County: 13.1 %Taney County: 22.7 %Texas County: 21.2 %Vernon County: 19.4 %Warren County: 8.4 %Washington County: 17 %Wayne County: 20.9 %Webster County: 14.4 %Worth County: 14.4 %Wright County: 16.1 %St. Louis city: 13.6 %
  • Under 9.2
  • 9.2 to 12
  • 12 to 15
  • 15 to 16
  • 16 to 19
  • 19 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Ripley County: 29.4 %Ripley County29.4Scotland County: 27.7 %Scotland County27.7McDonald County: 27.4 %McDonald County27.4Oregon County: 27.2 %Oregon County27.2Morgan County: 25.9 %Morgan County25.9St. Clair County: 25 %St. Clair County25Cedar County: 24.7 %Cedar County24.7Carter County: 23.8 %Carter County23.8Ozark County: 23 %Ozark County23Taney County: 22.7 %Taney County22.7Dunklin County: 22.1 %Dunklin County22.1Grundy County: 21.7 %Grundy County21.7New Madrid County: 21.2 %New Madrid County21.2Texas County: 21.2 %Texas County21.2Wayne County: 20.9 %Wayne County20.9Howell County: 20.5 %Howell County20.5Knox County: 19.7 %Knox County19.7Vernon County: 19.4 %Vernon County19.4Barry County: 18.7 %Barry County18.7Lawrence County: 18.5 %Lawrence County18.5Reynolds County: 18.2 %Reynolds County18.2Camden County: 18.2 %Camden County18.2Crawford County: 18.2 %Crawford County18.2Hickory County: 18 %Hickory County18Madison County: 18 %Madison County18Dent County: 17.9 %Dent County17.9Jasper County: 17.8 %Jasper County17.8Dallas County: 17.6 %Dallas County17.6Schuyler County: 17.5 %Schuyler County17.5Butler County: 17.5 %Butler County17.5Newton County: 17.5 %Newton County17.5Pemiscot County: 17.4 %Pemiscot County17.4Washington County: 17 %Washington County17Stoddard County: 17 %Stoddard County17Laclede County: 16.7 %Laclede County16.7Daviess County: 16.7 %Daviess County16.7Pettis County: 16.6 %Pettis County16.6Gentry County: 16.6 %Gentry County16.6Buchanan County: 16.4 %Buchanan County16.4Atchison County: 16.3 %Atchison County16.3Ripley County: 29.4 %Ripley County29.4Scotland County: 27.7 %Scotland County27.7McDonald County: 27.4 %McDonald County27.4Oregon County: 27.2 %Oregon County27.2Morgan County: 25.9 %Morgan County25.9St. Clair County: 25 %St. Clair County25Cedar County: 24.7 %Cedar County24.7Carter County: 23.8 %Carter County23.8Ozark County: 23 %Ozark County23Taney County: 22.7 %Taney County22.7Dunklin County: 22.1 %Dunklin County22.1Grundy County: 21.7 %Grundy County21.7New Madrid County: 21.2 %New Madrid County21.2Texas County: 21.2 %Texas County21.2Wayne County: 20.9 %Wayne County20.9Howell County: 20.5 %Howell County20.5Knox County: 19.7 %Knox County19.7Vernon County: 19.4 %Vernon County19.4Barry County: 18.7 %Barry County18.7Lawrence County: 18.5 %Lawrence County18.5Reynolds County: 18.2 %Reynolds County18.2Camden County: 18.2 %Camden County18.2Crawford County: 18.2 %Crawford County18.2Hickory County: 18 %Hickory County18Madison County: 18 %Madison County18Dent County: 17.9 %Dent County17.9Jasper County: 17.8 %Jasper County17.8Dallas County: 17.6 %Dallas County17.6Schuyler County: 17.5 %Schuyler County17.5Butler County: 17.5 %Butler County17.5Newton County: 17.5 %Newton County17.5Pemiscot County: 17.4 %Pemiscot County17.4Washington County: 17 %Washington County17Stoddard County: 17 %Stoddard County17Laclede County: 16.7 %Laclede County16.7Daviess County: 16.7 %Daviess County16.7Pettis County: 16.6 %Pettis County16.6Gentry County: 16.6 %Gentry County16.6Buchanan County: 16.4 %Buchanan County16.4Atchison County: 16.3 %Atchison County16.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Ripley County29.4+4.2 pts
2Scotland County27.7-2.6 pts
3McDonald County27.4+0.7 pts
4Oregon County27.2+3.4 pts
5Morgan County25.9-0.2 pts
6St. Clair County25+1.8 pts
7Cedar County24.7+2.6 pts
8Carter County23.8-1 pts
9Ozark County23+1.4 pts
10Taney County22.7-1.3 pts
11Dunklin County22.1+0.4 pts
12Grundy County21.7+2.9 pts
13New Madrid County21.2+1.1 pts
14Texas County21.2-1.5 pts
15Wayne County20.9-0.1 pts
16Howell County20.5-0.6 pts
17Knox County19.7+0.3 pts
18Vernon County19.4+0.1 pts
19Barry County18.7+0.6 pts
20Lawrence County18.5+0.5 pts
21Reynolds County18.2-0.2 pts
22Camden County18.2+0.6 pts
22Crawford County18.2-2.2 pts
24Hickory County18-3.9 pts
24Madison County18+0.8 pts
26Dent County17.9-0.8 pts
27Jasper County17.8+0.7 pts
28Dallas County17.6-2.1 pts
29Schuyler County17.5+7.2 pts
30Butler County17.5-1.6 pts
31Newton County17.5+0.6 pts
32Pemiscot County17.4-0.6 pts
33Washington County17-1.7 pts
34Stoddard County17-1.1 pts
35Laclede County16.7-1.5 pts
36Daviess County16.7+2.5 pts
37Pettis County16.6+0.2 pts
38Gentry County16.6-1.1 pts
39Buchanan County16.4+1 pts
40Atchison County16.3+1.9 pts
41Clark County16.1-1.5 pts
42Wright County16.1+0.7 pts
43Iron County16+0.2 pts
44Mississippi County15.9+1.2 pts
45Bates County15.8+0.9 pts
46Polk County15.7+0.4 pts
47Miller County15.6-0.4 pts
48Benton County15.6+1 pts
49Caldwell County15.5+0.3 pts
50Pike County15.5+2.5 pts
51Lewis County15.4+1.7 pts
52Douglas County15.2-4.5 pts
53Putnam County15.2-1.4 pts
54Shannon County15-5.5 pts
55St. Francois County15+0.3 pts
56Holt County14.9+1.7 pts
57Montgomery County14.8-0.2 pts
58Shelby County14.7-2.8 pts
59Monroe County14.6+3.8 pts
60Barton County14.5-2 pts
61Worth County14.4+1.4 pts
62Webster County14.4-2.3 pts
63Jackson County14.2+0.1 pts
64Audrain County13.8-0.2 pts
65Macon County13.7+1.1 pts
66St. Louis city13.6-0.1 pts
67Callaway County13.2+0.4 pts
68Sullivan County13.1-3.4 pts
69Pulaski County13+0.1 pts
70Henry County12.8+0.5 pts
71Phelps County12.8+1 pts
72Dade County12.7+0.4 pts
73Johnson County12.6+1.2 pts
74Greene County12.5+0.1 pts
74Stone County12.5-0.7 pts
76Harrison County12.4-0.4 pts
77Scott County12.1-2.5 pts
78Moniteau County12+0.1 pts
79DeKalb County11.9+2.8 pts
80Randolph County11.3+0.4 pts
81Ray County11.2+0.5 pts
82Chariton County11.2+0.2 pts
83Marion County11-1.2 pts
84Bollinger County11-0.6 pts
84Gasconade County11+0.8 pts
86Mercer County10.9-1.7 pts
87Franklin County10.8+1.1 pts
88Christian County10.7-0.3 pts
89Linn County10.4-1.1 pts
90Jefferson County10.3+0.3 pts
91Howard County10.3-0.6 pts
92Clinton County10.2-1.3 pts
93Livingston County9.5-1.3 pts
94Lafayette County9.5+1.5 pts
95Clay County9.3+0.2 pts
96Adair County9.2-0.4 pts
97Cass County9.2+0.6 pts
98Cooper County9.2-1.7 pts
99Nodaway County9.1-1.1 pts
100Lincoln County9-0 pts
101Ralls County8.7-1.9 pts
102Perry County8.5-0.6 pts
103Cole County8.5+0.4 pts
104Warren County8.4+0.5 pts
105Boone County8.3-0.5 pts
106Maries County8.2-1.6 pts
107Carroll County8.1-1.6 pts
108Andrew County8+0.1 pts
109Ste. Genevieve County7.9+0.3 pts
110Saline County7.8-0.2 pts
111Cape Girardeau County7.6-1.2 pts
112Platte County7.3+0.8 pts
113St. Louis County6.9-0.3 pts
114St. Charles County5.5+0.1 pts
115Osage County5.5-0.3 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 counties 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. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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 (Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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, Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022. 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. Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022.

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, Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2022,
  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: Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022. 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. https://www2.census.gov/programs-surveys/acs/summary\_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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: Counties in Missouri by uninsured rate, ages 35 to 64 (US, ACS), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/missouri-counties?period=2022.
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. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

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

Ripley County, with 29.4% in 2022, according to the U.S. Census Bureau.

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

Osage County, with 5.5% in 2022.

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. Retrieved 2026-10-12.

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

Counties in Missouri: more rankings