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 256 cities in 2022, at 54.2%. Northlake, TX had the lowest, at 0%. The median was 19.3% and the figure for Texas was 20.7%. Source: the U.S. Census Bureau.

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Highest54.2Alton, TX
Lowest0Northlake, TX
Median19.3256 cities
Texas20.7History

Top 40 cities, 2022

Alton, TX: 54.2 %Alton, TX54.2Roma, TX: 50 %Roma, TX50Palmview, TX: 46.7 %Palmview, TX46.7Galena Park, TX: 44.9 %Galena Park, TX44.9Alamo, TX: 44.4 %Alamo, TX44.4Pharr, TX: 43.4 %Pharr, TX43.4Donna, TX: 40.5 %Donna, TX40.5Raymondville, TX: 40.3 %Raymondville, TX40.3South Houston, TX: 40.3 %South Houston, TX40.3Balch Springs, TX: 39.9 %Balch Springs, TX39.9Haltom City, TX: 39.4 %Haltom City, TX39.4Brownsville, TX: 39.1 %Brownsville, TX39.1San Juan, TX: 39.1 %San Juan, TX39.1Rio Grande City, TX: 39.1 %Rio Grande City, TX39.1San Elizario, TX: 39 %San Elizario, TX39Port Arthur, TX: 38.2 %Port Arthur, TX38.2Clute, TX: 37.2 %Clute, TX37.2Socorro, TX: 36.9 %Socorro, TX36.9Freeport, TX: 36.6 %Freeport, TX36.6Mission, TX: 36.2 %Mission, TX36.2Mercedes, TX: 36.1 %Mercedes, TX36.1San Benito, TX: 36.1 %San Benito, TX36.1Eagle Pass, TX: 35.8 %Eagle Pass, TX35.8Hereford, TX: 35.6 %Hereford, TX35.6Laredo, TX: 35.2 %Laredo, TX35.2Hidalgo, TX: 34.9 %Hidalgo, TX34.9Plainview, TX: 34.1 %Plainview, TX34.1Weslaco, TX: 33.9 %Weslaco, TX33.9Jacksonville, TX: 33.7 %Jacksonville, TX33.7Pasadena, TX: 33.1 %Pasadena, TX33.1Bellmead, TX: 33.1 %Bellmead, TX33.1McAllen, TX: 32.9 %McAllen, TX32.9Edinburg, TX: 32 %Edinburg, TX32Richmond, TX: 31.7 %Richmond, TX31.7Humble, TX: 31.7 %Humble, TX31.7Alice, TX: 31.4 %Alice, TX31.4Seagoville, TX: 30.5 %Seagoville, TX30.5Baytown, TX: 29.8 %Baytown, TX29.8Sulphur Springs, TX: 29.7 %Sulphur Springs, TX29.7Garland, TX: 29.6 %Garland, TX29.6Alton, TX: 54.2 %Alton, TX54.2Roma, TX: 50 %Roma, TX50Palmview, TX: 46.7 %Palmview, TX46.7Galena Park, TX: 44.9 %Galena Park, TX44.9Alamo, TX: 44.4 %Alamo, TX44.4Pharr, TX: 43.4 %Pharr, TX43.4Donna, TX: 40.5 %Donna, TX40.5Raymondville, TX: 40.3 %Raymondville, TX40.3South Houston, TX: 40.3 %South Houston, TX40.3Balch Springs, TX: 39.9 %Balch Springs, TX39.9Haltom City, TX: 39.4 %Haltom City, TX39.4Brownsville, TX: 39.1 %Brownsville, TX39.1San Juan, TX: 39.1 %San Juan, TX39.1Rio Grande City, TX: 39.1 %Rio Grande City, TX39.1San Elizario, TX: 39 %San Elizario, TX39Port Arthur, TX: 38.2 %Port Arthur, TX38.2Clute, TX: 37.2 %Clute, TX37.2Socorro, TX: 36.9 %Socorro, TX36.9Freeport, TX: 36.6 %Freeport, TX36.6Mission, TX: 36.2 %Mission, TX36.2Mercedes, TX: 36.1 %Mercedes, TX36.1San Benito, TX: 36.1 %San Benito, TX36.1Eagle Pass, TX: 35.8 %Eagle Pass, TX35.8Hereford, TX: 35.6 %Hereford, TX35.6Laredo, TX: 35.2 %Laredo, TX35.2Hidalgo, TX: 34.9 %Hidalgo, TX34.9Plainview, TX: 34.1 %Plainview, TX34.1Weslaco, TX: 33.9 %Weslaco, TX33.9Jacksonville, TX: 33.7 %Jacksonville, TX33.7Pasadena, TX: 33.1 %Pasadena, TX33.1Bellmead, TX: 33.1 %Bellmead, TX33.1McAllen, TX: 32.9 %McAllen, TX32.9Edinburg, TX: 32 %Edinburg, TX32Richmond, TX: 31.7 %Richmond, TX31.7Humble, TX: 31.7 %Humble, TX31.7Alice, TX: 31.4 %Alice, TX31.4Seagoville, TX: 30.5 %Seagoville, TX30.5Baytown, TX: 29.8 %Baytown, TX29.8Sulphur Springs, TX: 29.7 %Sulphur Springs, TX29.7Garland, TX: 29.6 %Garland, TX29.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2022 (%)Change on 2021
1Alton, TX54.2-1 pts
2Roma, TX50-1.1 pts
3Palmview, TX46.7-0 pts
4Galena Park, TX44.9+2.4 pts
5Alamo, TX44.4-4.1 pts
6Pharr, TX43.4+0.1 pts
7Donna, TX40.5+1.2 pts
8Raymondville, TX40.3-4.8 pts
9South Houston, TX40.3+0.6 pts
10Balch Springs, TX39.9-0.4 pts
11Haltom City, TX39.4+5.5 pts
12Brownsville, TX39.1-0.1 pts
12San Juan, TX39.1-0.6 pts
14Rio Grande City, TX39.1-4 pts
15San Elizario, TX39-6 pts
16Port Arthur, TX38.2+0.4 pts
17Clute, TX37.2-2.1 pts
18Socorro, TX36.9-1.8 pts
19Freeport, TX36.6-1.8 pts
20Mission, TX36.2-0.1 pts
21Mercedes, TX36.1+0.2 pts
22San Benito, TX36.1-1.4 pts
23Eagle Pass, TX35.8+1.7 pts
24Hereford, TX35.6+5 pts
25Laredo, TX35.2-0.5 pts
26Hidalgo, TX34.9-0.3 pts
27Plainview, TX34.1-1.7 pts
28Weslaco, TX33.9+1.6 pts
29Jacksonville, TX33.7+0.8 pts
30Pasadena, TX33.1-0.1 pts
31Bellmead, TX33.1+0.2 pts
32McAllen, TX32.9-1.1 pts
33Edinburg, TX32-0.5 pts
34Richmond, TX31.7+7.2 pts
35Humble, TX31.7-2.6 pts
36Alice, TX31.4+5.5 pts
37Seagoville, TX30.5+1.3 pts
38Baytown, TX29.8+0.1 pts
39Sulphur Springs, TX29.7-3.1 pts
40Garland, TX29.6+1.3 pts
41Houston, TX29+0.1 pts
42Harlingen, TX28.8-0 pts
43Duncanville, TX28.8+2.2 pts
44White Settlement, TX28.7-2.9 pts
45Dallas, TX28.5+0.2 pts
46Liberty Hill, TX28.5+0.2 pts
47Mount Pleasant, TX27.7+1.9 pts
48Pampa, TX27.7-2.9 pts
49Robstown, TX27.2-3.5 pts
50Leon Valley, TX26.9+3.7 pts
51Gainesville, TX26.9-2 pts
52Ennis, TX26.8+2.4 pts
53Levelland, TX26.7-2.3 pts
54Athens, TX26.7+2.4 pts
55Uvalde, TX26.7-0.1 pts
56Sweetwater, TX26.7-1.7 pts
57Mesquite, TX26.5+0.3 pts
58Paris, TX26.3+3.2 pts
59Marshall, TX26.1+1.4 pts
60Horizon City, TX26+1.7 pts
61Farmers Branch, TX26+2.9 pts
62Lufkin, TX25.9-0.4 pts
63Beaumont, TX25.7+0.5 pts
64Andrews, TX25.5-0.9 pts
65Mineral Wells, TX25.4+3.5 pts
66Greenville, TX25.4+2.2 pts
67El Campo, TX25.4+2.1 pts
68Bryan, TX25.2+0.7 pts
69El Paso, TX25+0.5 pts
70Corsicana, TX24.8-2.1 pts
71Forest Hill, TX24.6+0.4 pts
72Josephine, TX24.6+3.8 pts
73Orange, TX24.2-0.4 pts
74Dayton, TX24.2+3.8 pts
75Denison, TX24.1-1.3 pts
76Webster, TX24.1+0.2 pts
77Del Rio, TX24.1-2.8 pts
78Big Spring, TX23.9+1 pts
79Irving, TX23.7+0.9 pts
80Watauga, TX23.6+3.3 pts
81Corpus Christi, TX23.50 pts
82Sherman, TX23.3-0.4 pts
83Palestine, TX23.2-2.5 pts
84Bonham, TX23.1-3.9 pts
85Kingsville, TX23.1+0.2 pts
86Fort Worth, TX23+0.3 pts
87Stafford, TX23+5.1 pts
88Fredericksburg, TX22.8+3.2 pts
89Lago Vista, TX22.7+2.8 pts
90Cleburne, TX22.7-0.9 pts
91Galveston, TX22.6-1 pts
92Dickinson, TX22.6-0.4 pts
93Arlington, TX22.50 pts
94Lancaster, TX22.4+3.5 pts
95Pleasanton, TX22.4+0.6 pts
96Dumas, TX22.4+0.7 pts
97La Marque, TX22.3-0.6 pts
98Borger, TX22.2-4.6 pts
99Longview, TX22.1-0.8 pts
100San Antonio, TX22.1+1 pts
101Addison, TX22-0.2 pts
102Kilgore, TX21.6+1.5 pts
103Brownwood, TX21.6-0.9 pts
104Lockhart, TX21.5-3.4 pts
105Kerrville, TX21.5-0 pts
105Tyler, TX21.5+0.4 pts
107Victoria, TX21.2+1.9 pts
108Conroe, TX21.10 pts
109Groves, TX21-5 pts
110Hurst, TX20.9-1.9 pts
111Beeville, TX20.8+1.4 pts
112Odessa, TX20.7+0.8 pts
113Deer Park, TX20.5+1.8 pts
114Stephenville, TX20.5+3.6 pts
115Grand Prairie, TX20.5+0.7 pts
116Nacogdoches, TX20.5-3.6 pts
117Ingleside, TX20.3+2.6 pts
118Elgin, TX20.2+2.4 pts
119Rosenberg, TX20.1+0.2 pts
120Abilene, TX20.10 pts
121Huntsville, TX20+3.2 pts
122Snyder, TX20-4.8 pts
123San Marcos, TX20-1.6 pts
124Belton, TX19.7+1 pts
125Killeen, TX19.40 pts
126Temple, TX19.3+2.4 pts
127Waco, TX19.3-0.3 pts
128Alvin, TX19.3-1.1 pts
129Taylor, TX19.3+1.2 pts
130Seguin, TX19.2-0.2 pts
131Angleton, TX19.2+1.4 pts
132Manor, TX18.9-2.1 pts
133Amarillo, TX18.7-0.2 pts
134Santa Fe, TX18.7+3.8 pts
135Texarkana, TX18.6+0.6 pts
136Waxahachie, TX18.6+0.6 pts
137Midland, TX18.5-0.5 pts
138La Porte, TX18.5-1.7 pts
139Bay City, TX18.4-1.6 pts
140Wichita Falls, TX18.4-0.3 pts
141Portland, TX18.3+0.1 pts
142Texas City, TX18.1-0.1 pts
143Gatesville, TX18.1-0.7 pts
144Benbrook, TX18+0.5 pts
145Nederland, TX18-2.9 pts
146Lewisville, TX17.5-2.2 pts
147Denton, TX17.3+0.7 pts
148Crowley, TX17.1-0.3 pts
149Henderson, TX16.9-5.9 pts
150Weatherford, TX16.6-0.6 pts
151Burkburnett, TX16.6-4 pts
152Cedar Hill, TX16.4+0.8 pts
153Carrollton, TX16.2-1 pts
154Converse, TX16.1-0.9 pts
155Euless, TX16.1-0.9 pts
156Lake Jackson, TX15.6-0.2 pts
157Lubbock, TX15.6-1.4 pts
157San Angelo, TX15.6+0.4 pts
159Tomball, TX15.5+0.6 pts
160Kyle, TX15.1-1.4 pts
161Terrell, TX15.1-2.2 pts
162North Richland Hills, TX14.9-1.5 pts
163Richardson, TX14.8-2.3 pts
164Wylie, TX14.4-1.5 pts
165Town of Pecos, TX14.3n/a
166Rockport, TX14.3-7 pts
167Azle, TX14.3-1.2 pts
168DeSoto, TX14.1-0.1 pts
169Universal City, TX13.9+1.4 pts
170Copperas Cove, TX13.8+1 pts
171Hutto, TX13.7-0.1 pts
172Lumberton, TX13.6-0.5 pts
173Austin, TX13.6-0.4 pts
174Brenham, TX13.6-1.7 pts
175Harker Heights, TX13.4+0.2 pts
176Plano, TX13.40 pts
177Katy, TX13.3+0.2 pts
178Port Neches, TX13.2-3.7 pts
179Celina, TX13.2+1.6 pts
180Roanoke, TX13.1+0.1 pts
181Burleson, TX13.1+0.8 pts
182Kennedale, TX13+3 pts
183Round Rock, TX13+1.4 pts
184Kaufman, TX12.9+0.6 pts
185Manvel, TX12.7+0.1 pts
186Rowlett, TX12.7+0.7 pts
186Seabrook, TX12.7-3.7 pts
188New Braunfels, TX12.5-0.4 pts
189Bedford, TX12.4+1.7 pts
190Live Oak, TX12.2+2.5 pts
191Boerne, TX12.2+1.6 pts
192The Colony, TX12.1+0.8 pts
193Anna, TX12.1-4.8 pts
194Princeton, TX12-0.7 pts
195Grapevine, TX11.9+0.8 pts
196Royse City, TX11.9-1.7 pts
197Robinson, TX11.6-0.4 pts
198Georgetown, TX11.4+1.4 pts
198Little Elm, TX11.4-1.4 pts
200Sanger, TX11.1-3 pts
201Missouri City, TX11-1.1 pts
202Schertz, TX10.8+1.2 pts
203Providence Village, TX10.5+1.5 pts
204Mansfield, TX10.4+1.4 pts
205Midlothian, TX10.4+0.2 pts
206Glenn Heights, TX10.3-2.9 pts
207Iowa Colony, TX10.1+1.9 pts
208Murphy, TX10+0.8 pts
209College Station, TX9.7-0.2 pts
210Canyon, TX9.6-4 pts
211Sachse, TX9.4+0.9 pts
212Rockwall, TX9.2+0.4 pts
213Dripping Springs, TX9.1-1 pts
214Corinth, TX9+1.7 pts
215League City, TX9+1 pts
216McKinney, TX8.9-0.7 pts
217Mont Belvieu, TX8.8-1.1 pts
218Saginaw, TX8.7-2.3 pts
219Granbury, TX8.7-1.3 pts
220Pflugerville, TX8.4-0.3 pts
221Pearland, TX8.3+0.8 pts
222Bastrop, TX8.3+0.4 pts
223Leander, TX8-0.3 pts
224Friendswood, TX7.9-0.7 pts
225Allen, TX7.8+0.2 pts
226Cedar Park, TX7.8-0 pts
227Hewitt, TX7.7+1.5 pts
228Fate, TX7.2+0.1 pts
229Sugar Land, TX7.2-1.3 pts
230Port Lavaca, TX7-6.5 pts
231Forney, TX7-0.8 pts
232Highland Village, TX6.8-0 pts
233Fair Oaks Ranch, TX6.6+2.9 pts
234Frisco, TX6.4-0.5 pts
235Lavon, TX6.1+0.6 pts
236Cibolo, TX5.8-1.5 pts
237Helotes, TX5.7-0.3 pts
238Flower Mound, TX5.5+1 pts
239Red Oak, TX5.3-5.1 pts
240Lakeway, TX5+0.4 pts
241Keller, TX4.6+0.1 pts
242Fulshear, TX4.3+0.1 pts
243University Park, TX4.1+0.2 pts
244Colleyville, TX4.1+0.8 pts
245Selma, TX4.1-1.7 pts
246Fairview, TX4-5.7 pts
247Coppell, TX4-0.4 pts
248Trophy Club, TX3.6-0.9 pts
249Prosper, TX3.4-0.3 pts
250Melissa, TX3.3-0.7 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/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, US cities (incorporated places of 10,000 or more) (Cities in Texas 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, US cities (incorporated places of 10,000 or more), Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more). Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more), Cities in Texas 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/texas-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_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, US cities (incorporated places of 10,000 or more): Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more). 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, US cities (incorporated places of 10,000 or more): Cities in Texas 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/texas-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-cities?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, US cities (incorporated places of 10,000 or more). 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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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 54.2% in 2022, according to the U.S. Census Bureau.

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

Northlake, TX, with 0% 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, 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