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 2023, at 48.7%. Heath, TX had the lowest, at 1.8%. The median was 19.7% and the figure for Texas was 20.5%. Source: the U.S. Census Bureau.

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Highest48.7Alton, TX
Lowest1.8Heath, TX
Median19.7256 cities
Texas20.5History

Top 40 cities, 2023

Alton, TX: 48.7 %Alton, TX48.7Palmview, TX: 46.9 %Palmview, TX46.9Galena Park, TX: 45.3 %Galena Park, TX45.3Alamo, TX: 44.4 %Alamo, TX44.4Pharr, TX: 42.5 %Pharr, TX42.5Balch Springs, TX: 42.3 %Balch Springs, TX42.3Roma, TX: 41.1 %Roma, TX41.1San Juan, TX: 40 %San Juan, TX40Rio Grande City, TX: 39.9 %Rio Grande City, TX39.9Port Arthur, TX: 39.7 %Port Arthur, TX39.7San Elizario, TX: 39.5 %San Elizario, TX39.5San Benito, TX: 39.4 %San Benito, TX39.4Alice, TX: 39 %Alice, TX39South Houston, TX: 38.6 %South Houston, TX38.6Brownsville, TX: 38 %Brownsville, TX38Humble, TX: 37.6 %Humble, TX37.6Mercedes, TX: 37.6 %Mercedes, TX37.6Haltom City, TX: 37.6 %Haltom City, TX37.6Raymondville, TX: 37.2 %Raymondville, TX37.2Bellmead, TX: 36.8 %Bellmead, TX36.8Donna, TX: 35.8 %Donna, TX35.8Pasadena, TX: 35.4 %Pasadena, TX35.4Mission, TX: 35.2 %Mission, TX35.2Laredo, TX: 34.9 %Laredo, TX34.9Freeport, TX: 34.8 %Freeport, TX34.8Socorro, TX: 34.7 %Socorro, TX34.7Hidalgo, TX: 33.8 %Hidalgo, TX33.8Hereford, TX: 33.2 %Hereford, TX33.2Plainview, TX: 32.8 %Plainview, TX32.8Mineral Wells, TX: 32.6 %Mineral Wells, TX32.6Weslaco, TX: 32.3 %Weslaco, TX32.3McAllen, TX: 31.7 %McAllen, TX31.7Duncanville, TX: 31.5 %Duncanville, TX31.5Clute, TX: 31.5 %Clute, TX31.5Eagle Pass, TX: 31.2 %Eagle Pass, TX31.2Garland, TX: 30.4 %Garland, TX30.4Robstown, TX: 30.1 %Robstown, TX30.1Edinburg, TX: 30 %Edinburg, TX30Richmond, TX: 30 %Richmond, TX30Leon Valley, TX: 29.8 %Leon Valley, TX29.8Alton, TX: 48.7 %Alton, TX48.7Palmview, TX: 46.9 %Palmview, TX46.9Galena Park, TX: 45.3 %Galena Park, TX45.3Alamo, TX: 44.4 %Alamo, TX44.4Pharr, TX: 42.5 %Pharr, TX42.5Balch Springs, TX: 42.3 %Balch Springs, TX42.3Roma, TX: 41.1 %Roma, TX41.1San Juan, TX: 40 %San Juan, TX40Rio Grande City, TX: 39.9 %Rio Grande City, TX39.9Port Arthur, TX: 39.7 %Port Arthur, TX39.7San Elizario, TX: 39.5 %San Elizario, TX39.5San Benito, TX: 39.4 %San Benito, TX39.4Alice, TX: 39 %Alice, TX39South Houston, TX: 38.6 %South Houston, TX38.6Brownsville, TX: 38 %Brownsville, TX38Humble, TX: 37.6 %Humble, TX37.6Mercedes, TX: 37.6 %Mercedes, TX37.6Haltom City, TX: 37.6 %Haltom City, TX37.6Raymondville, TX: 37.2 %Raymondville, TX37.2Bellmead, TX: 36.8 %Bellmead, TX36.8Donna, TX: 35.8 %Donna, TX35.8Pasadena, TX: 35.4 %Pasadena, TX35.4Mission, TX: 35.2 %Mission, TX35.2Laredo, TX: 34.9 %Laredo, TX34.9Freeport, TX: 34.8 %Freeport, TX34.8Socorro, TX: 34.7 %Socorro, TX34.7Hidalgo, TX: 33.8 %Hidalgo, TX33.8Hereford, TX: 33.2 %Hereford, TX33.2Plainview, TX: 32.8 %Plainview, TX32.8Mineral Wells, TX: 32.6 %Mineral Wells, TX32.6Weslaco, TX: 32.3 %Weslaco, TX32.3McAllen, TX: 31.7 %McAllen, TX31.7Duncanville, TX: 31.5 %Duncanville, TX31.5Clute, TX: 31.5 %Clute, TX31.5Eagle Pass, TX: 31.2 %Eagle Pass, TX31.2Garland, TX: 30.4 %Garland, TX30.4Robstown, TX: 30.1 %Robstown, TX30.1Edinburg, TX: 30 %Edinburg, TX30Richmond, TX: 30 %Richmond, TX30Leon Valley, TX: 29.8 %Leon Valley, TX29.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Alton, TX48.7-5.5 pts
2Palmview, TX46.9+0.2 pts
3Galena Park, TX45.3+0.4 pts
4Alamo, TX44.4-0 pts
5Pharr, TX42.5-1 pts
6Balch Springs, TX42.3+2.4 pts
7Roma, TX41.1-9 pts
8San Juan, TX40+0.9 pts
9Rio Grande City, TX39.9+0.8 pts
10Port Arthur, TX39.7+1.5 pts
11San Elizario, TX39.5+0.5 pts
12San Benito, TX39.4+3.3 pts
13Alice, TX39+7.6 pts
14South Houston, TX38.6-1.7 pts
15Brownsville, TX38-1.2 pts
16Humble, TX37.6+5.9 pts
17Mercedes, TX37.6+1.5 pts
18Haltom City, TX37.6-1.9 pts
19Raymondville, TX37.2-3.2 pts
20Bellmead, TX36.8+3.7 pts
21Donna, TX35.8-4.7 pts
22Pasadena, TX35.4+2.3 pts
23Mission, TX35.2-1 pts
24Laredo, TX34.9-0.3 pts
25Freeport, TX34.8-1.8 pts
26Socorro, TX34.7-2.2 pts
27Hidalgo, TX33.8-1.1 pts
28Hereford, TX33.2-2.4 pts
29Plainview, TX32.8-1.3 pts
30Mineral Wells, TX32.6+7.2 pts
31Weslaco, TX32.3-1.7 pts
32McAllen, TX31.7-1.2 pts
33Duncanville, TX31.5+2.7 pts
34Clute, TX31.5-5.7 pts
35Eagle Pass, TX31.2-4.6 pts
36Garland, TX30.4+0.8 pts
37Robstown, TX30.1+2.8 pts
38Edinburg, TX30-2.1 pts
38Richmond, TX30-1.8 pts
40Leon Valley, TX29.8+2.9 pts
41Seagoville, TX29.8-0.6 pts
42White Settlement, TX29.7+1 pts
43Harlingen, TX29.3+0.4 pts
44Baytown, TX29-0.8 pts
45Mount Pleasant, TX28.9+1.2 pts
46Houston, TX28.7-0.3 pts
47Jacksonville, TX28.3-5.5 pts
48Dallas, TX28.2-0.2 pts
49Sulphur Springs, TX27.9-1.8 pts
50Uvalde, TX27.6+0.9 pts
51Horizon City, TX27+1 pts
52Liberty Hill, TX26.8-1.7 pts
53Forest Hill, TX26.5+1.8 pts
54Paris, TX26.2-0.1 pts
55Mesquite, TX26-0.5 pts
56Corsicana, TX26+1.1 pts
57Palestine, TX25.9+2.6 pts
58Dickinson, TX25.6+3 pts
59Farmers Branch, TX25.6-0.4 pts
60Lufkin, TX25.6-0.4 pts
61Sweetwater, TX25.3-1.4 pts
62Marshall, TX24.9-1.2 pts
63Beaumont, TX24.8-0.8 pts
64Ennis, TX24.8-2 pts
65Cleburne, TX24.7+2.1 pts
66Bryan, TX24.7-0.5 pts
66El Paso, TX24.7-0.2 pts
68Pampa, TX24.7-3 pts
69Watauga, TX24.5+0.9 pts
70Irving, TX24.4+0.7 pts
71Levelland, TX24.2-2.6 pts
72Bay City, TX24.1+5.8 pts
73Bonham, TX23.9+0.8 pts
74Denison, TX23.9-0.2 pts
75Tyler, TX23.8+2.4 pts
76Lago Vista, TX23.6+0.9 pts
77Andrews, TX23.5-2 pts
78Kerrville, TX23.3+1.8 pts
79Stafford, TX23.2+0.2 pts
80Gainesville, TX23.1-3.8 pts
81Orange, TX22.8-1.4 pts
82Corpus Christi, TX22.8-0.7 pts
83Dayton, TX22.7-1.5 pts
84Del Rio, TX22.6-1.5 pts
84Stephenville, TX22.6+2.1 pts
86Athens, TX22.5-4.2 pts
87Hurst, TX22.4+1.6 pts
87Lancaster, TX22.40 pts
89Greenville, TX22.4-3 pts
89La Marque, TX22.4+0.1 pts
91Groves, TX22.2+1.3 pts
92Fort Worth, TX22.2-0.8 pts
93Victoria, TX22.1+1 pts
94Longview, TX22.1-0 pts
95Ingleside, TX22.1+1.7 pts
96Arlington, TX22-0.5 pts
96Lockhart, TX22+0.4 pts
98Kilgore, TX22+0.4 pts
99Addison, TX21.9-0.1 pts
100Josephine, TX21.9-2.7 pts
101San Antonio, TX21.7-0.4 pts
102Big Spring, TX21.6-2.3 pts
103Town of Pecos, TX21.5+7.1 pts
104Dumas, TX21.4-0.9 pts
105Brownwood, TX21.4-0.1 pts
105Nacogdoches, TX21.4+1 pts
107Galveston, TX21.3-1.3 pts
108Kingsville, TX21.3-1.8 pts
109Conroe, TX21.2+0.1 pts
110Beeville, TX21.2+0.4 pts
111Sherman, TX21.2-2.2 pts
112Rosenberg, TX21.1+1 pts
113San Marcos, TX20.8+0.8 pts
114Grand Prairie, TX20.7+0.2 pts
115Abilene, TX20.7+0.6 pts
116Belton, TX20.6+0.9 pts
116Texas City, TX20.6+2.5 pts
118Pleasanton, TX20.5-1.9 pts
119Deer Park, TX20.4-0.1 pts
120Borger, TX20.3-1.9 pts
121Crowley, TX20.2+3.1 pts
122Nederland, TX20.1+2.2 pts
123Webster, TX20-4.1 pts
124Odessa, TX20-0.7 pts
125Snyder, TX19.8-0.2 pts
126Portland, TX19.7+1.5 pts
127Fredericksburg, TX19.7-3 pts
128Santa Fe, TX19.7+1.1 pts
129Temple, TX19.7+0.3 pts
130Euless, TX19.6+3.5 pts
131Taylor, TX19.5+0.3 pts
132Texarkana, TX19.5+0.9 pts
133Alvin, TX19.5+0.2 pts
134Killeen, TX19.3-0.1 pts
135Wichita Falls, TX19.2+0.9 pts
136Manvel, TX19.1+6.4 pts
137Benbrook, TX18.9+0.8 pts
138Waco, TX18.7-0.6 pts
139Elgin, TX18.5-1.7 pts
140Amarillo, TX18.4-0.2 pts
141Waxahachie, TX18.4-0.2 pts
142La Porte, TX18.3-0.2 pts
143Lewisville, TX18.2+0.8 pts
144El Campo, TX18.2-7.2 pts
145Seguin, TX18.2-1 pts
146Huntsville, TX17.9-2.1 pts
147Brenham, TX17.9+4.3 pts
148Gatesville, TX17.8-0.3 pts
149Cedar Hill, TX17.8+1.4 pts
149Midland, TX17.8-0.7 pts
151Carrollton, TX17.3+1.1 pts
152Kaufman, TX17.3+4.4 pts
153San Angelo, TX17.1+1.5 pts
154Denton, TX17-0.2 pts
155Manor, TX16.7-2.2 pts
156Princeton, TX16.6+4.5 pts
157Lake Jackson, TX16.6+1 pts
158Richardson, TX16.2+1.3 pts
159Weatherford, TX16.1-0.5 pts
160Angleton, TX16-3.2 pts
161Lubbock, TX15.8+0.2 pts
162Burkburnett, TX15.5-1.1 pts
163Azle, TX15.1+0.8 pts
164Wylie, TX15+0.7 pts
165Katy, TX14.7+1.4 pts
166Terrell, TX14.5-0.6 pts
167Copperas Cove, TX14.5+0.6 pts
168Seabrook, TX14.3+1.6 pts
169Roanoke, TX14.2+1.1 pts
170Glenn Heights, TX14.1+3.8 pts
171Henderson, TX14.1-2.8 pts
172Port Neches, TX14.1+0.8 pts
173North Richland Hills, TX14-0.8 pts
174Midlothian, TX13.8+3.5 pts
175Missouri City, TX13.4+2.5 pts
176Tomball, TX13.4-2.1 pts
177DeSoto, TX13.4-0.8 pts
178Kyle, TX13.3-1.8 pts
179Lumberton, TX13.3-0.4 pts
180Hutto, TX13.2-0.4 pts
181Port Lavaca, TX13.1+6 pts
182Kennedale, TX13-0 pts
183Boerne, TX13+0.8 pts
184Austin, TX13-0.7 pts
185Plano, TX13-0.4 pts
185Sanger, TX13+1.9 pts
187Converse, TX12.9-3.3 pts
188Anna, TX12.8+0.8 pts
189Bedford, TX12.8+0.4 pts
190Grapevine, TX12.7+0.9 pts
191Universal City, TX12.7-1.2 pts
192Rowlett, TX12.70 pts
193New Braunfels, TX12.4-0 pts
194Burleson, TX12.2-0.8 pts
195Robinson, TX12.1+0.6 pts
196Saginaw, TX12+3.3 pts
197Sachse, TX11.9+2.5 pts
198Little Elm, TX11.9+0.5 pts
199Georgetown, TX11.8+0.4 pts
200Celina, TX11.4-1.8 pts
201Harker Heights, TX11.2-2.2 pts
202Round Rock, TX10.9-2.1 pts
203Schertz, TX10.80 pts
204Royse City, TX10.5-1.4 pts
205Iowa Colony, TX10.2+0.1 pts
206The Colony, TX10.1-2 pts
207College Station, TX9.9+0.1 pts
208Dripping Springs, TX9.5+0.4 pts
209Live Oak, TX9.5-2.7 pts
210Mansfield, TX9.4-1 pts
211Canyon, TX9.3-0.3 pts
212Allen, TX9+1.2 pts
213League City, TX8.8-0.3 pts
214Pflugerville, TX8.5+0.1 pts
215Corinth, TX8.5-0.6 pts
216Cedar Park, TX8.4+0.6 pts
217McKinney, TX8.4-0.5 pts
218Leander, TX8.4+0.4 pts
219Murphy, TX8.2-1.8 pts
220Rockport, TX8.1-6.2 pts
221Forney, TX8+1 pts
222Friendswood, TX80 pts
222Rockwall, TX8-1.2 pts
224Pearland, TX7.9-0.4 pts
225Sugar Land, TX7.6+0.4 pts
226Bastrop, TX7.5-0.8 pts
227Granbury, TX7.4-1.3 pts
228Fate, TX6.7-0.5 pts
229Highland Village, TX6.4-0.3 pts
230Frisco, TX6.4+0.1 pts
231Red Oak, TX6+0.7 pts
232Coppell, TX5.9+1.9 pts
233Mont Belvieu, TX5.7-3.1 pts
234Cibolo, TX5.6-0.2 pts
235Helotes, TX5.4-0.3 pts
236Hewitt, TX5.4-2.3 pts
237Selma, TX5.4+1.3 pts
238Buda, TX5.3+2.6 pts
239Prosper, TX5.1+1.7 pts
240Flower Mound, TX4.9-0.7 pts
241Providence Village, TX4.8-5.7 pts
242Lakeway, TX4.8-0.2 pts
243Keller, TX4.5-0.1 pts
244University Park, TX4.4+0.3 pts
245Fair Oaks Ranch, TX4.3-2.3 pts
246Fulshear, TX4.2-0.1 pts
247Fairview, TX3.9-0.1 pts
248Lavon, TX3.6-2.5 pts
249Melissa, TX3.1-0.3 pts
249West University Place, TX3.1+0.3 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/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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_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 Texas 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/texas-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 Texas 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/texas-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-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 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 48.7% in 2023, according to the U.S. Census Bureau.

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

Heath, TX, with 1.8% 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 Texas: more rankings