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

Cities in Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024

Alton, TX had the highest uninsured rate, ages 35 to 64 (US, ACS) of 256 cities in 2024, at 49.8%. Southlake, TX had the lowest, at 1.6%. The median was 18.5% and the figure for Texas was 20%. Source: the U.S. Census Bureau.

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Highest49.8Alton, TX
Lowest1.6Southlake, TX
Median18.5256 cities
Texas20History

Top 40 cities, 2024

Alton, TX: 49.8 %Alton, TX49.8Palmview, TX: 48.4 %Palmview, TX48.4Balch Springs, TX: 44.5 %Balch Springs, TX44.5Pharr, TX: 42.3 %Pharr, TX42.3San Benito, TX: 41.5 %San Benito, TX41.5Galena Park, TX: 41.4 %Galena Park, TX41.4Freeport, TX: 41.3 %Freeport, TX41.3Port Arthur, TX: 40.2 %Port Arthur, TX40.2Bellmead, TX: 40.2 %Bellmead, TX40.2San Elizario, TX: 39.9 %San Elizario, TX39.9Alamo, TX: 38.9 %Alamo, TX38.9Rio Grande City, TX: 38.3 %Rio Grande City, TX38.3San Juan, TX: 37.1 %San Juan, TX37.1Mercedes, TX: 37 %Mercedes, TX37Humble, TX: 36.3 %Humble, TX36.3Pasadena, TX: 35.9 %Pasadena, TX35.9Socorro, TX: 35.8 %Socorro, TX35.8Hidalgo, TX: 35.8 %Hidalgo, TX35.8South Houston, TX: 35.4 %South Houston, TX35.4Donna, TX: 35.3 %Donna, TX35.3Haltom City, TX: 35.2 %Haltom City, TX35.2Brownsville, TX: 34.7 %Brownsville, TX34.7Laredo, TX: 34.6 %Laredo, TX34.6Hereford, TX: 34.2 %Hereford, TX34.2Raymondville, TX: 33.5 %Raymondville, TX33.5Mission, TX: 32.7 %Mission, TX32.7Robstown, TX: 32.5 %Robstown, TX32.5Roma, TX: 31.9 %Roma, TX31.9Baytown, TX: 31.8 %Baytown, TX31.8Duncanville, TX: 31.6 %Duncanville, TX31.6Mineral Wells, TX: 31.6 %Mineral Wells, TX31.6Alice, TX: 31.6 %Alice, TX31.6White Settlement, TX: 31.3 %White Settlement, TX31.3Seagoville, TX: 30.8 %Seagoville, TX30.8Mount Pleasant, TX: 30.7 %Mount Pleasant, TX30.7Eagle Pass, TX: 30.4 %Eagle Pass, TX30.4Garland, TX: 30.1 %Garland, TX30.1Plainview, TX: 30.1 %Plainview, TX30.1Weslaco, TX: 29.7 %Weslaco, TX29.7Harlingen, TX: 29.4 %Harlingen, TX29.4Alton, TX: 49.8 %Alton, TX49.8Palmview, TX: 48.4 %Palmview, TX48.4Balch Springs, TX: 44.5 %Balch Springs, TX44.5Pharr, TX: 42.3 %Pharr, TX42.3San Benito, TX: 41.5 %San Benito, TX41.5Galena Park, TX: 41.4 %Galena Park, TX41.4Freeport, TX: 41.3 %Freeport, TX41.3Port Arthur, TX: 40.2 %Port Arthur, TX40.2Bellmead, TX: 40.2 %Bellmead, TX40.2San Elizario, TX: 39.9 %San Elizario, TX39.9Alamo, TX: 38.9 %Alamo, TX38.9Rio Grande City, TX: 38.3 %Rio Grande City, TX38.3San Juan, TX: 37.1 %San Juan, TX37.1Mercedes, TX: 37 %Mercedes, TX37Humble, TX: 36.3 %Humble, TX36.3Pasadena, TX: 35.9 %Pasadena, TX35.9Socorro, TX: 35.8 %Socorro, TX35.8Hidalgo, TX: 35.8 %Hidalgo, TX35.8South Houston, TX: 35.4 %South Houston, TX35.4Donna, TX: 35.3 %Donna, TX35.3Haltom City, TX: 35.2 %Haltom City, TX35.2Brownsville, TX: 34.7 %Brownsville, TX34.7Laredo, TX: 34.6 %Laredo, TX34.6Hereford, TX: 34.2 %Hereford, TX34.2Raymondville, TX: 33.5 %Raymondville, TX33.5Mission, TX: 32.7 %Mission, TX32.7Robstown, TX: 32.5 %Robstown, TX32.5Roma, TX: 31.9 %Roma, TX31.9Baytown, TX: 31.8 %Baytown, TX31.8Duncanville, TX: 31.6 %Duncanville, TX31.6Mineral Wells, TX: 31.6 %Mineral Wells, TX31.6Alice, TX: 31.6 %Alice, TX31.6White Settlement, TX: 31.3 %White Settlement, TX31.3Seagoville, TX: 30.8 %Seagoville, TX30.8Mount Pleasant, TX: 30.7 %Mount Pleasant, TX30.7Eagle Pass, TX: 30.4 %Eagle Pass, TX30.4Garland, TX: 30.1 %Garland, TX30.1Plainview, TX: 30.1 %Plainview, TX30.1Weslaco, TX: 29.7 %Weslaco, TX29.7Harlingen, TX: 29.4 %Harlingen, TX29.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Alton, TX49.8+1.1 pts
2Palmview, TX48.4+1.4 pts
3Balch Springs, TX44.5+2.2 pts
4Pharr, TX42.3-0.1 pts
5San Benito, TX41.5+2.2 pts
6Galena Park, TX41.4-4 pts
7Freeport, TX41.3+6.5 pts
8Port Arthur, TX40.2+0.5 pts
9Bellmead, TX40.2+3.4 pts
10San Elizario, TX39.9+0.4 pts
11Alamo, TX38.9-5.5 pts
12Rio Grande City, TX38.3-1.6 pts
13San Juan, TX37.1-2.9 pts
14Mercedes, TX37-0.6 pts
15Humble, TX36.3-1.3 pts
16Pasadena, TX35.9+0.4 pts
17Socorro, TX35.8+1.1 pts
18Hidalgo, TX35.8+1.9 pts
19South Houston, TX35.4-3.2 pts
20Donna, TX35.3-0.5 pts
21Haltom City, TX35.2-2.3 pts
22Brownsville, TX34.7-3.3 pts
23Laredo, TX34.6-0.3 pts
24Hereford, TX34.2+1 pts
25Raymondville, TX33.5-3.6 pts
26Mission, TX32.7-2.4 pts
27Robstown, TX32.5+2.4 pts
28Roma, TX31.9-9.2 pts
29Baytown, TX31.8+2.8 pts
30Duncanville, TX31.6+0.1 pts
30Mineral Wells, TX31.6-1 pts
32Alice, TX31.6-7.4 pts
33White Settlement, TX31.3+1.6 pts
34Seagoville, TX30.8+1 pts
35Mount Pleasant, TX30.7+1.8 pts
36Eagle Pass, TX30.4-0.8 pts
37Garland, TX30.1-0.3 pts
37Plainview, TX30.1-2.7 pts
39Weslaco, TX29.7-2.6 pts
40Harlingen, TX29.4+0.2 pts
41Richmond, TX29.3-0.7 pts
42Clute, TX29.1-2.4 pts
43Athens, TX28.7+6.3 pts
44Leon Valley, TX28.7-1.2 pts
45McAllen, TX28.1-3.6 pts
46Houston, TX27.8-0.8 pts
47Dallas, TX27.8-0.5 pts
48Lufkin, TX27.6+2.1 pts
49Palestine, TX27.5+1.6 pts
50Edinburg, TX27.3-2.6 pts
51Horizon City, TX26.8-0.3 pts
52Ingleside, TX26.1+4.1 pts
53Levelland, TX26+1.8 pts
54Bryan, TX25.7+1 pts
55Jacksonville, TX25.6-2.7 pts
56Cleburne, TX25.5+0.8 pts
57Andrews, TX25.3+1.9 pts
58Mesquite, TX25.1-0.9 pts
59Kerrville, TX24.9+1.6 pts
60El Paso, TX24.6-0.1 pts
61Paris, TX24.5-1.7 pts
62Irving, TX24.5+0.1 pts
63Forest Hill, TX24.3-2.2 pts
64Watauga, TX24.2-0.3 pts
65Beaumont, TX24.2-0.6 pts
66Tyler, TX24.1+0.2 pts
67Pampa, TX24-0.7 pts
68Dumas, TX23.9+2.4 pts
69Liberty Hill, TX23.7-3 pts
70Corsicana, TX23.7-2.3 pts
71Beeville, TX23.6+2.4 pts
72Uvalde, TX23.6-4 pts
73Bonham, TX23.2-0.7 pts
74Farmers Branch, TX23.1-2.4 pts
75Bay City, TX22.8-1.3 pts
76Gainesville, TX22.8-0.2 pts
77Corpus Christi, TX22.8-0 pts
78Addison, TX22.6+0.7 pts
79Hurst, TX22.50 pts
80Marshall, TX22.2-2.7 pts
81Texas City, TX22.1+1.5 pts
82Big Spring, TX22+0.4 pts
82San Marcos, TX22+1.3 pts
84Greenville, TX22-0.4 pts
85Arlington, TX220 pts
86Nacogdoches, TX21.9+0.5 pts
87Victoria, TX21.9-0.3 pts
88Snyder, TX21.8+2 pts
89Dickinson, TX21.8-3.8 pts
90Sherman, TX21.7+0.6 pts
91Fort Worth, TX21.6-0.6 pts
92Longview, TX21.5-0.6 pts
93San Antonio, TX21.5-0.3 pts
94Sulphur Springs, TX21.4-6.5 pts
95Kilgore, TX21.3-0.7 pts
96Belton, TX21.2+0.5 pts
97Odessa, TX21+1.1 pts
98Santa Fe, TX20.8+1.1 pts
99Rosenberg, TX20.7-0.5 pts
100Galveston, TX20.6-0.8 pts
101Conroe, TX20.5-0.7 pts
102Town of Pecos, TX20.5-0.9 pts
103Stafford, TX20.5-2.7 pts
104Taylor, TX20.4+0.9 pts
105Abilene, TX20.2-0.5 pts
106Kingsville, TX20.2-1.1 pts
107Grand Prairie, TX20.1-0.6 pts
108Kennedale, TX20+7 pts
109Killeen, TX19.9+0.6 pts
110Seguin, TX19.9+1.7 pts
111Pleasanton, TX19.6-0.8 pts
112Denison, TX19.6-4.3 pts
112Lancaster, TX19.6-2.8 pts
114Fredericksburg, TX19.5-0.2 pts
115Webster, TX19.5-0.5 pts
116Alvin, TX19.50 pts
117Stephenville, TX19.4-3.1 pts
118Waco, TX19.3+0.6 pts
119Wichita Falls, TX19.3+0.1 pts
120Terrell, TX19.2+4.7 pts
121Manor, TX19.1+2.3 pts
121Sweetwater, TX19.1-6.2 pts
123Huntsville, TX19+1.1 pts
124Del Rio, TX18.9-3.6 pts
125Borger, TX18.9-1.4 pts
126Deer Park, TX18.6-1.8 pts
127Amarillo, TX18.6+0.2 pts
127La Marque, TX18.6-3.8 pts
129Euless, TX18.5-1.1 pts
130Nederland, TX18.5-1.7 pts
131Dayton, TX18.5-4.3 pts
132Brownwood, TX18.4-3 pts
133Benbrook, TX18.4-0.5 pts
134Ennis, TX18.1-6.7 pts
135Orange, TX18-4.8 pts
136Josephine, TX18-3.9 pts
137San Angelo, TX17.9+0.9 pts
138Carrollton, TX17.9+0.6 pts
139Lewisville, TX17.5-0.8 pts
140Kaufman, TX17.5+0.2 pts
141Portland, TX17.3-2.4 pts
141Texarkana, TX17.3-2.1 pts
143La Porte, TX17.3-1 pts
144Crowley, TX16.9-3.3 pts
145Waxahachie, TX16.7-1.7 pts
146Lago Vista, TX16.6-7 pts
147Midland, TX16.6-1.2 pts
148Richardson, TX16.5+0.3 pts
149Groves, TX16.5-5.8 pts
150Brenham, TX16.4-1.4 pts
150Lockhart, TX16.4-5.6 pts
152Temple, TX16.2-3.5 pts
153Denton, TX16.2-0.9 pts
154Elgin, TX16-2.5 pts
155Azle, TX15.9+0.8 pts
156Angleton, TX15.9-0.1 pts
157Gatesville, TX15.8-2 pts
158Port Neches, TX15.7+1.6 pts
159El Campo, TX15.6-2.6 pts
160Grapevine, TX15.5+2.8 pts
161Lubbock, TX15.5-0.3 pts
162Cedar Hill, TX15.3-2.4 pts
163Princeton, TX15-1.6 pts
164Weatherford, TX15-1.1 pts
165Roanoke, TX14.5+0.4 pts
166Kyle, TX14.4+1 pts
167Granbury, TX14.2+6.8 pts
168Copperas Cove, TX14.1-0.4 pts
169Sanger, TX14.1+1.1 pts
170Glenn Heights, TX14-0.1 pts
170Hutto, TX14+0.8 pts
172Missouri City, TX14+0.5 pts
173North Richland Hills, TX14-0.1 pts
174Rowlett, TX13.9+1.2 pts
175Lake Jackson, TX13.8-2.8 pts
176Midlothian, TX13.8-0.1 pts
177Georgetown, TX13.6+1.9 pts
178Port Lavaca, TX13.2+0.1 pts
179Burkburnett, TX13.1-2.3 pts
180Henderson, TX12.8-1.3 pts
181Bedford, TX12.8-0 pts
182Manvel, TX12.7-6.3 pts
183Austin, TX12.7-0.3 pts
184Burleson, TX12.7+0.5 pts
185Seabrook, TX12.6-1.8 pts
186Lumberton, TX12.5-0.8 pts
187Katy, TX12.3-2.4 pts
188Canyon, TX12.2+2.9 pts
189Little Elm, TX12.1+0.2 pts
190Universal City, TX12.1-0.7 pts
191Anna, TX12-0.9 pts
192Wylie, TX11.9-3.2 pts
193Saginaw, TX11.8-0.2 pts
194Rockport, TX11.8+3.6 pts
195Plano, TX11.7-1.2 pts
196Round Rock, TX11.7+0.8 pts
197DeSoto, TX11.7-1.7 pts
198Converse, TX11.4-1.5 pts
199Tomball, TX11.3-2.1 pts
200Harker Heights, TX11.2-0 pts
201Boerne, TX11.2-1.8 pts
202Robinson, TX10.9-1.3 pts
203New Braunfels, TX10.7-1.8 pts
204College Station, TX10.6+0.8 pts
205Hewitt, TX10.6+5.2 pts
206Iowa Colony, TX10.6+0.4 pts
206The Colony, TX10.6+0.5 pts
208Live Oak, TX10.4+0.9 pts
209Mansfield, TX10.4+1 pts
210Sachse, TX9.4-2.5 pts
211Pflugerville, TX9.2+0.7 pts
212Leander, TX9.1+0.8 pts
213Forney, TX9.1+1.1 pts
214League City, TX9.1+0.3 pts
215Schertz, TX9-1.8 pts
216Corinth, TX8.8+0.3 pts
217Cedar Park, TX8.7+0.3 pts
218Sugar Land, TX8.6+1 pts
219Pearland, TX8.3+0.4 pts
220Rockwall, TX8.3+0.3 pts
221Allen, TX8-1 pts
222McKinney, TX7.9-0.4 pts
223Selma, TX7.5+2.1 pts
224Celina, TX7.3-4.1 pts
225Coppell, TX7.2+1.3 pts
226Bastrop, TX7.2-0.3 pts
227Dripping Springs, TX6.9-2.6 pts
228Murphy, TX6.7-1.5 pts
229Highland Village, TX6.5+0.1 pts
230Friendswood, TX6.5-1.5 pts
231Royse City, TX6.4-4 pts
232Frisco, TX6.4-0 pts
233Red Oak, TX6.3+0.3 pts
234Prosper, TX6.1+1 pts
235Fairview, TX5.8+1.9 pts
236Fair Oaks Ranch, TX5.6+1.3 pts
237Fate, TX5.6-1.1 pts
238Flower Mound, TX4.9+0.1 pts
239Keller, TX4.8+0.3 pts
240Buda, TX4.8-0.5 pts
241Cibolo, TX4.8-0.8 pts
242Melissa, TX4.6+1.6 pts
243University Park, TX4.5+0.1 pts
244Lavon, TX4.3+0.6 pts
245Helotes, TX4-1.5 pts
246Providence Village, TX3.8-1 pts
247Fulshear, TX3.8-0.4 pts
248Lakeway, TX3.8-1.1 pts
249Mont Belvieu, TX3.7-1.9 pts
250West University Place, TX3.2+0.1 pts

Showing the top 250 of 256. The Excel download has every row.

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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities. 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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities.

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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_by_2024,
  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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities. 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities.
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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Cities in Texas 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":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_35_64&level=municipality&within=Texas&limit=10

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Questions

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

Alton, TX, with 49.8% in 2024, according to the U.S. Census Bureau.

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

Southlake, TX, with 1.6% in 2024.

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 Texas: more rankings