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)

Alton, TX had the highest uninsured rate, ages 35 to 64 (US, ACS) of 255 cities in 2021, at 55.2%. Northlake, TX had the lowest, at 1.1%. The median was 19.3% and the figure for Texas was 20.8%. Source: the U.S. Census Bureau.

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Highest55.2Alton, TX
Lowest1.1Northlake, TX
Median19.3255 cities
Texas20.8History

Top 40 cities, 2021

Alton, TX: 55.2 %Alton, TX55.2Roma, TX: 51.2 %Roma, TX51.2Alamo, TX: 48.6 %Alamo, TX48.6Palmview, TX: 46.7 %Palmview, TX46.7Raymondville, TX: 45.1 %Raymondville, TX45.1San Elizario, TX: 45.1 %San Elizario, TX45.1Pharr, TX: 43.4 %Pharr, TX43.4Rio Grande City, TX: 43.1 %Rio Grande City, TX43.1Galena Park, TX: 42.5 %Galena Park, TX42.5Balch Springs, TX: 40.4 %Balch Springs, TX40.4San Juan, TX: 39.8 %San Juan, TX39.8South Houston, TX: 39.6 %South Houston, TX39.6Donna, TX: 39.3 %Donna, TX39.3Clute, TX: 39.2 %Clute, TX39.2Brownsville, TX: 39.2 %Brownsville, TX39.2Socorro, TX: 38.7 %Socorro, TX38.7Freeport, TX: 38.4 %Freeport, TX38.4Port Arthur, TX: 37.8 %Port Arthur, TX37.8San Benito, TX: 37.5 %San Benito, TX37.5Mission, TX: 36.3 %Mission, TX36.3Mercedes, TX: 35.9 %Mercedes, TX35.9Plainview, TX: 35.8 %Plainview, TX35.8Laredo, TX: 35.7 %Laredo, TX35.7Hidalgo, TX: 35.2 %Hidalgo, TX35.2Humble, TX: 34.3 %Humble, TX34.3Eagle Pass, TX: 34.1 %Eagle Pass, TX34.1McAllen, TX: 34 %McAllen, TX34Haltom City, TX: 33.9 %Haltom City, TX33.9Pasadena, TX: 33.3 %Pasadena, TX33.3Jacksonville, TX: 33 %Jacksonville, TX33Bellmead, TX: 32.9 %Bellmead, TX32.9Sulphur Springs, TX: 32.8 %Sulphur Springs, TX32.8Edinburg, TX: 32.6 %Edinburg, TX32.6Weslaco, TX: 32.3 %Weslaco, TX32.3White Settlement, TX: 31.6 %White Settlement, TX31.6Robstown, TX: 30.7 %Robstown, TX30.7Hereford, TX: 30.6 %Hereford, TX30.6Pampa, TX: 30.6 %Pampa, TX30.6Baytown, TX: 29.8 %Baytown, TX29.8Seagoville, TX: 29.1 %Seagoville, TX29.1Alton, TX: 55.2 %Alton, TX55.2Roma, TX: 51.2 %Roma, TX51.2Alamo, TX: 48.6 %Alamo, TX48.6Palmview, TX: 46.7 %Palmview, TX46.7Raymondville, TX: 45.1 %Raymondville, TX45.1San Elizario, TX: 45.1 %San Elizario, TX45.1Pharr, TX: 43.4 %Pharr, TX43.4Rio Grande City, TX: 43.1 %Rio Grande City, TX43.1Galena Park, TX: 42.5 %Galena Park, TX42.5Balch Springs, TX: 40.4 %Balch Springs, TX40.4San Juan, TX: 39.8 %San Juan, TX39.8South Houston, TX: 39.6 %South Houston, TX39.6Donna, TX: 39.3 %Donna, TX39.3Clute, TX: 39.2 %Clute, TX39.2Brownsville, TX: 39.2 %Brownsville, TX39.2Socorro, TX: 38.7 %Socorro, TX38.7Freeport, TX: 38.4 %Freeport, TX38.4Port Arthur, TX: 37.8 %Port Arthur, TX37.8San Benito, TX: 37.5 %San Benito, TX37.5Mission, TX: 36.3 %Mission, TX36.3Mercedes, TX: 35.9 %Mercedes, TX35.9Plainview, TX: 35.8 %Plainview, TX35.8Laredo, TX: 35.7 %Laredo, TX35.7Hidalgo, TX: 35.2 %Hidalgo, TX35.2Humble, TX: 34.3 %Humble, TX34.3Eagle Pass, TX: 34.1 %Eagle Pass, TX34.1McAllen, TX: 34 %McAllen, TX34Haltom City, TX: 33.9 %Haltom City, TX33.9Pasadena, TX: 33.3 %Pasadena, TX33.3Jacksonville, TX: 33 %Jacksonville, TX33Bellmead, TX: 32.9 %Bellmead, TX32.9Sulphur Springs, TX: 32.8 %Sulphur Springs, TX32.8Edinburg, TX: 32.6 %Edinburg, TX32.6Weslaco, TX: 32.3 %Weslaco, TX32.3White Settlement, TX: 31.6 %White Settlement, TX31.6Robstown, TX: 30.7 %Robstown, TX30.7Hereford, TX: 30.6 %Hereford, TX30.6Pampa, TX: 30.6 %Pampa, TX30.6Baytown, TX: 29.8 %Baytown, TX29.8Seagoville, TX: 29.1 %Seagoville, TX29.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Alton, TX55.2
2Roma, TX51.2
3Alamo, TX48.6
4Palmview, TX46.7
5Raymondville, TX45.1
6San Elizario, TX45.1
7Pharr, TX43.4
8Rio Grande City, TX43.1
9Galena Park, TX42.5
10Balch Springs, TX40.4
11San Juan, TX39.8
12South Houston, TX39.6
13Donna, TX39.3
14Clute, TX39.2
15Brownsville, TX39.2
16Socorro, TX38.7
17Freeport, TX38.4
18Port Arthur, TX37.8
19San Benito, TX37.5
20Mission, TX36.3
21Mercedes, TX35.9
22Plainview, TX35.8
23Laredo, TX35.7
24Hidalgo, TX35.2
25Humble, TX34.3
26Eagle Pass, TX34.1
27McAllen, TX34
28Haltom City, TX33.9
29Pasadena, TX33.3
30Jacksonville, TX33
31Bellmead, TX32.9
32Sulphur Springs, TX32.8
33Edinburg, TX32.6
34Weslaco, TX32.3
35White Settlement, TX31.6
36Robstown, TX30.7
37Hereford, TX30.6
38Pampa, TX30.6
39Baytown, TX29.8
40Seagoville, TX29.1
41Levelland, TX29
42Houston, TX28.9
43Gainesville, TX28.9
44Harlingen, TX28.8
45Sweetwater, TX28.4
46Garland, TX28.3
47Dallas, TX28.3
48Liberty Hill, TX28.3
49Bonham, TX27
50Corsicana, TX27
51Del Rio, TX26.9
52Borger, TX26.8
53Uvalde, TX26.8
54Duncanville, TX26.6
55Andrews, TX26.4
56Lufkin, TX26.3
57Mesquite, TX26.2
58Groves, TX25.9
59Alice, TX25.9
60Mount Pleasant, TX25.8
61Palestine, TX25.7
62Denison, TX25.5
63Beaumont, TX25.2
64Lockhart, TX25
65Snyder, TX24.8
66Marshall, TX24.7
67Orange, TX24.6
68Richmond, TX24.5
69Bryan, TX24.5
70El Paso, TX24.4
71Ennis, TX24.3
72Horizon City, TX24.3
73Athens, TX24.3
74Forest Hill, TX24.2
75Nacogdoches, TX24
76Webster, TX23.9
77Sherman, TX23.8
78Galveston, TX23.6
79Cleburne, TX23.6
80Corpus Christi, TX23.5
81El Campo, TX23.3
82Leon Valley, TX23.2
83Greenville, TX23.2
84Paris, TX23.1
85Farmers Branch, TX23
86Dickinson, TX23
87La Marque, TX23
88Longview, TX22.9
89Big Spring, TX22.9
90Kingsville, TX22.9
91Irving, TX22.9
92Henderson, TX22.8
93Fort Worth, TX22.7
93Hurst, TX22.7
95Arlington, TX22.5
96Brownwood, TX22.5
97Addison, TX22.3
98Mineral Wells, TX21.9
99Pleasanton, TX21.8
100Dumas, TX21.7
101San Marcos, TX21.6
102Kerrville, TX21.5
103Rockport, TX21.3
104San Antonio, TX21.1
105Manor, TX21.1
106Conroe, TX21.1
106Tyler, TX21.1
108Nederland, TX20.8
109Josephine, TX20.7
110Burkburnett, TX20.6
111Alvin, TX20.4
112Dayton, TX20.3
113Watauga, TX20.3
114La Porte, TX20.2
115Kilgore, TX20
116Abilene, TX20
117Bay City, TX20
118Rosenberg, TX20
119Lago Vista, TX19.9
120Odessa, TX19.8
121Grand Prairie, TX19.8
122Lewisville, TX19.7
123Waco, TX19.6
124Fredericksburg, TX19.5
125Seguin, TX19.5
126Beeville, TX19.4
126Killeen, TX19.4
128Victoria, TX19.3
129Midland, TX19
130Lancaster, TX18.9
131Amarillo, TX18.9
132Deer Park, TX18.7
133Gatesville, TX18.7
134Belton, TX18.7
135Wichita Falls, TX18.7
136Portland, TX18.2
137Texas City, TX18.2
138Waxahachie, TX18
139Taylor, TX18
140Texarkana, TX18
141Stafford, TX17.9
142Elgin, TX17.8
143Angleton, TX17.8
144Ingleside, TX17.7
145Benbrook, TX17.5
146Crowley, TX17.4
147Terrell, TX17.3
148Weatherford, TX17.3
149Carrollton, TX17.2
150Richardson, TX17.2
151Converse, TX17.1
152Euless, TX17
153Temple, TX17
154Lubbock, TX17
155Port Neches, TX16.9
156Huntsville, TX16.9
156Stephenville, TX16.9
158Anna, TX16.8
159Denton, TX16.5
159Kyle, TX16.5
161Seabrook, TX16.4
162North Richland Hills, TX16.4
163Wylie, TX15.9
164Lake Jackson, TX15.8
165Cedar Hill, TX15.6
166Azle, TX15.5
167Brenham, TX15.3
168San Angelo, TX15.2
169Tomball, TX14.9
170Santa Fe, TX14.8
171DeSoto, TX14.3
172Lumberton, TX14.1
173Sanger, TX14.1
174Austin, TX14
175Hutto, TX13.8
176Canyon, TX13.7
177Port Lavaca, TX13.6
178Royse City, TX13.5
179Plano, TX13.4
180Glenn Heights, TX13.2
181Harker Heights, TX13.2
182Katy, TX13.1
183Roanoke, TX13
184New Braunfels, TX12.9
185Copperas Cove, TX12.9
186Little Elm, TX12.8
187Princeton, TX12.7
188Manvel, TX12.6
189Universal City, TX12.5
190Kaufman, TX12.3
191Burleson, TX12.3
192Missouri City, TX12.1
193Rowlett, TX12
194Robinson, TX12
195Celina, TX11.6
196Round Rock, TX11.6
197The Colony, TX11.4
198Grapevine, TX11
199Saginaw, TX11
200Bedford, TX10.7
201Boerne, TX10.5
202Red Oak, TX10.4
203Midlothian, TX10.2
204Dripping Springs, TX10.1
205Kennedale, TX10
206Granbury, TX10
207Georgetown, TX10
208College Station, TX9.9
209Mont Belvieu, TX9.9
210Fairview, TX9.8
211Live Oak, TX9.7
212Schertz, TX9.6
213McKinney, TX9.5
214Murphy, TX9.1
215Providence Village, TX9
216Mansfield, TX9
217Rockwall, TX8.8
218Pflugerville, TX8.7
219Friendswood, TX8.6
220Sachse, TX8.5
221Sugar Land, TX8.4
222Leander, TX8.3
223Iowa Colony, TX8.2
224League City, TX8
225Bastrop, TX7.9
226Cedar Park, TX7.8
227Forney, TX7.7
228Allen, TX7.6
229Pearland, TX7.4
230Corinth, TX7.3
231Cibolo, TX7.3
232Fate, TX7.1
233Frisco, TX6.9
234Highland Village, TX6.8
235Hewitt, TX6.2
236Helotes, TX6
237Selma, TX5.8
238Lavon, TX5.5
239Heath, TX5.2
240Southlake, TX5
241Lakeway, TX4.6
242Flower Mound, TX4.6
243Trophy Club, TX4.5
244Keller, TX4.5
245Coppell, TX4.4
246Fulshear, TX4.1
247Melissa, TX4.1
248University Park, TX3.9
249Fair Oaks Ranch, TX3.7
250Prosper, TX3.7

Showing the top 250 of 255. 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. 1 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 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/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 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), 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 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), 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-35-64/texas-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 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), 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-35-64/texas-cities?period=2021.

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), 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-35-64/texas-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_by_2021,
  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), 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-35-64/texas-cities?period=2021. 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/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 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), 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-35-64/texas-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-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}
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Questions

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

Alton, TX, with 55.2% in 2021, according to the U.S. Census Bureau.

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

Northlake, TX, with 1.1% 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 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. 1 cities have no value for 2021 and are not ranked.

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

Cities in Texas: more rankings