US cities by uninsured rate, ages 35 to 64 (US, ACS), 2024

Alton, TX had the highest uninsured rate, ages 35 to 64 (US, ACS) of 3219 cities in 2024, at 49.8%. Port Washington, WI had the lowest, at 0%. The median was 8.4% and the figure for the United States was 10.3%. Source: the U.S. Census Bureau.

Highest49.8Alton, TX

Lowest0Port Washington, WI

Median8.43219 cities

United States10.3History

Top 40 cities, 2024

%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

Rank	Cities	2024 (%)	Change on 2023
1	Alton, TX	49.8	+1.1 pts
2	Palmview, TX	48.4	+1.4 pts
3	Balch Springs, TX	44.5	+2.2 pts
4	Pharr, TX	42.3	-0.1 pts
5	San Benito, TX	41.5	+2.2 pts
6	Galena Park, TX	41.4	-4 pts
7	Freeport, TX	41.3	+6.5 pts
8	Port Arthur, TX	40.2	+0.5 pts
9	Bellmead, TX	40.2	+3.4 pts
10	San Elizario, TX	39.9	+0.4 pts
11	New Brunswick, NJ	39.2	+2.1 pts
12	Alamo, TX	38.9	-5.5 pts
13	Lake Worth Beach, FL	38.6	-2 pts
14	Rio Grande City, TX	38.3	-1.6 pts
15	Warr Acres, OK	38.2	+1.8 pts
16	San Juan, TX	37.1	-2.9 pts
17	Mercedes, TX	37	-0.6 pts
18	Bridgeton, NJ	36.9	+2.8 pts
19	Passaic, NJ	36.8	-2.4 pts
20	Doraville, GA	36.8	-3.5 pts
21	Plainfield, NJ	36.6	+1.6 pts
22	Humble, TX	36.3	-1.3 pts
23	Pasadena, TX	35.9	+0.4 pts
24	Socorro, TX	35.8	+1.1 pts
25	Hidalgo, TX	35.8	+1.9 pts
26	South Houston, TX	35.4	-3.2 pts
27	Donna, TX	35.3	-0.5 pts
28	Haltom City, TX	35.2	-2.3 pts
29	Dover, NJ	35.2	-0.6 pts
30	Grandview, WA	34.8	+2.6 pts
31	Florida City, FL	34.8	-3.6 pts
32	Brownsville, TX	34.7	-3.3 pts
33	Laredo, TX	34.6	-0.3 pts
34	Hereford, TX	34.2	+1 pts
35	Raymondville, TX	33.5	-3.6 pts
36	Union City, NJ	33.3	+2.2 pts
37	Cottonwood, AZ	33.1	-2.4 pts
38	Mission, TX	32.7	-2.4 pts
39	Robstown, TX	32.5	+2.4 pts
40	Lilburn, GA	32.4	-1.8 pts
41	Roma, TX	31.9	-9.2 pts
42	Baytown, TX	31.8	+2.8 pts
43	Bound Brook, NJ	31.8	+2.8 pts
44	Cairo, GA	31.6	+1 pts
44	Duncanville, TX	31.6	+0.1 pts
44	Mineral Wells, TX	31.6	-1 pts
47	Alice, TX	31.6	-7.4 pts
48	Freehold, NJ	31.5	+1 pts
49	White Settlement, TX	31.3	+1.6 pts
50	Palm Springs, FL	30.8	-2.3 pts
50	Seagoville, TX	30.8	+1 pts
52	Elizabeth, NJ	30.8	+2.2 pts
53	Mount Pleasant, TX	30.7	+1.8 pts
54	San Luis, AZ	30.6	-0.1 pts
55	Eagle Pass, TX	30.4	-0.8 pts
56	Chamblee, GA	30.3	-4 pts
57	Opa-locka, FL	30.2	-6 pts
58	Garland, TX	30.1	-0.3 pts
58	Plainview, TX	30.1	-2.7 pts
60	Eloy, AZ	30	+4.8 pts
61	Cicero, IL	29.7	+0.9 pts
62	Weslaco, TX	29.7	-2.6 pts
63	Nogales, AZ	29.6	+1.2 pts
64	Harlingen, TX	29.4	+0.2 pts
65	Norcross, GA	29.4	+2.2 pts
66	Richmond, TX	29.3	-0.7 pts
67	Clute, TX	29.1	-2.4 pts
68	Forest Park, GA	29	+2.1 pts
69	Zebulon, NC	28.9	-4 pts
70	Athens, TX	28.7	+6.3 pts
71	Leon Valley, TX	28.7	-1.2 pts
72	Gainesville, GA	28.6	+0.4 pts
73	Waycross, GA	28.2	+4.4 pts
74	McAllen, TX	28.1	-3.6 pts
75	Sunnyside, WA	28.1	-5.3 pts
76	Shelbyville, TN	28.1	+0.6 pts
77	Lovington, NM	27.9	+2.8 pts
78	Houston, TX	27.8	-0.8 pts
79	Milton, FL	27.8	+3.1 pts
80	Dallas, TX	27.8	-0.5 pts
81	Lufkin, TX	27.6	+2.1 pts
82	Palestine, TX	27.5	+1.6 pts
83	Sebring, FL	27.5	-1.4 pts
84	Paterson, NJ	27.4	+0.5 pts
85	Edinburg, TX	27.3	-2.6 pts
86	Branson, MO	27.3	-1.1 pts
87	Greenacres, FL	27.2	-0.2 pts
88	Holly Hill, FL	26.9	+3.5 pts
89	Horizon City, TX	26.8	-0.3 pts
90	Springfield, TN	26.4	+2.3 pts
91	Brunswick, GA	26.3	+1.6 pts
92	Woodburn, OR	26.2	+1.4 pts
93	Maywood, CA	26.2	-2.2 pts
94	Ingleside, TX	26.1	+4.1 pts
95	Levelland, TX	26	+1.8 pts
96	Huntington Park, CA	25.9	-1.9 pts
97	Russellville, AL	25.7	+5.1 pts
98	Bryan, TX	25.7	+1 pts
99	Miami Gardens, FL	25.6	-0.4 pts
100	Gadsden, AL	25.6	+1.6 pts
100	Jacksonville, TX	25.6	-2.7 pts
102	Cleburne, TX	25.5	+0.8 pts
103	Gretna, LA	25.5	+1.7 pts
104	West New York, NJ	25.4	-2.5 pts
105	Andrews, TX	25.3	+1.9 pts
106	Mesquite, TX	25.1	-0.9 pts
107	Perth Amboy, NJ	25	+1.6 pts
108	Newark, NJ	24.9	-0.2 pts
109	Kerrville, TX	24.9	+1.6 pts
110	Fort Payne, AL	24.8	+2.3 pts
111	Springdale, AR	24.7	+0.2 pts
112	College Park, MD	24.7	-0.1 pts
113	El Paso, TX	24.6	-0.1 pts
114	Paris, TX	24.5	-1.7 pts
115	Dalton, GA	24.5	+1.1 pts
116	Irving, TX	24.5	+0.1 pts
117	Hawaiian Gardens, CA	24.5	-0.7 pts
118	Tifton, GA	24.5	+0.1 pts
119	Pompano Beach, FL	24.4	-2.5 pts
120	Manassas, VA	24.3	0 pts
121	Bradenton, FL	24.3	+1.9 pts
122	Forest Hill, TX	24.3	-2.2 pts
123	Watauga, TX	24.2	-0.3 pts
124	Garfield, NJ	24.2	-0.4 pts
125	Beaumont, TX	24.2	-0.6 pts
125	Federal Heights, CO	24.2	+2.9 pts
127	Mascotte, FL	24.1	-0.7 pts
128	Long Branch, NJ	24.1	+2.8 pts
129	Dodge City, KS	24.1	+3.2 pts
130	Dania Beach, FL	24.1	-0 pts
131	McMinnville, TN	24.1	+0.6 pts
131	Tyler, TX	24.1	+0.2 pts
133	Pampa, TX	24	-0.7 pts
134	Hyattsville, MD	24	+2.3 pts
135	Kansas City, KS	24	-0.6 pts
136	Lady Lake, FL	24	+1.9 pts
137	Manassas Park, VA	23.9	-1.7 pts
138	Dumas, TX	23.9	+2.4 pts
139	North Miami, FL	23.8	-5.9 pts
140	Belle Glade, FL	23.8	-2.6 pts
141	Dallas, GA	23.8	+3.2 pts
141	Douglas, GA	23.8	+0.9 pts
143	Liberty Hill, TX	23.7	-3 pts
144	Prospect Heights, IL	23.7	-1.2 pts
145	North Miami Beach, FL	23.7	+1.9 pts
146	Corsicana, TX	23.7	-2.3 pts
147	Beeville, TX	23.6	+2.4 pts
148	Fairview, NJ	23.6	+3.2 pts
149	Batesville, AR	23.6	+3.5 pts
149	Somerton, AZ	23.6	-2.3 pts
149	Uvalde, TX	23.6	-4 pts
152	Waukegan, IL	23.5	+2 pts
153	Fulton, MO	23.5	-1.3 pts
154	Sevierville, TN	23.5	-4.2 pts
155	El Reno, OK	23.5	-1 pts
156	Rome, GA	23.4	+0.9 pts
157	Cedartown, GA	23.4	+0.6 pts
158	Jerome, ID	23.4	-1.7 pts
158	Lexington, NC	23.4	-1 pts
160	Americus, GA	23.3	+5.3 pts
161	Bonham, TX	23.2	-0.7 pts
162	Pleasantville, NJ	23.2	+0.4 pts
163	Bethany, OK	23.2	+0.9 pts
164	Farmers Branch, TX	23.1	-2.4 pts
165	Hendersonville, NC	23.1	+1.6 pts
166	Lawrenceville, GA	23.1	+1.5 pts
167	Melrose Park, IL	23	-0.2 pts
168	Homestead, FL	23	-0.1 pts
169	Haines City, FL	22.9	-1.1 pts
170	Bay City, TX	22.8	-1.3 pts
170	Bell Gardens, CA	22.8	-1.6 pts
172	Gainesville, TX	22.8	-0.2 pts
173	Corpus Christi, TX	22.8	-0 pts
174	Destin, FL	22.7	-0.7 pts
175	Moultrie, GA	22.6	+9.5 pts
176	Addison, TX	22.6	+0.7 pts
177	Lyons, IL	22.6	-0.9 pts
178	Canton, GA	22.6	+2.8 pts
179	Prichard, AL	22.5	-1.3 pts
180	Hurst, TX	22.5	0 pts
181	Fort Pierce, FL	22.4	-2.8 pts
182	North Chicago, IL	22.4	-1 pts
183	Leeds, AL	22.4	+4.1 pts
184	Cumming, GA	22.3	+0.9 pts
184	Summit, IL	22.3	-4.1 pts
186	Fort Myers, FL	22.3	+1.6 pts
187	Trenton, NJ	22.3	+0.5 pts
188	Morristown, TN	22.3	-2.6 pts
189	Marshall, TX	22.2	-2.7 pts
190	Texas City, TX	22.1	+1.5 pts
191	Big Spring, TX	22	+0.4 pts
191	San Marcos, TX	22	+1.3 pts
193	Greenville, TX	22	-0.4 pts
193	North Lauderdale, FL	22	+1.4 pts
195	Neosho, MO	22	+3 pts
196	Arlington, TX	22	0 pts
196	Garden City, GA	22	-2.2 pts
198	Nacogdoches, TX	21.9	+0.5 pts
199	Victoria, TX	21.9	-0.3 pts
200	Snyder, TX	21.8	+2 pts
201	Statesboro, GA	21.8	-0.4 pts
202	Deerfield Beach, FL	21.8	-2.1 pts
203	Dickinson, TX	21.8	-3.8 pts
204	Palatka, FL	21.8	-5.8 pts
205	East Ridge, TN	21.8	+1.8 pts
206	Sherman, TX	21.7	+0.6 pts
207	North Plainfield, NJ	21.6	+2.7 pts
208	Santa Maria, CA	21.6	-1.9 pts
209	Central Falls, RI	21.6	+0.1 pts
210	Fort Worth, TX	21.6	-0.6 pts
211	Magna, UT	21.6	+1.2 pts
212	Monroe, NC	21.5	-1.7 pts
213	Española, NM	21.5	-1.1 pts
213	Port Chester, NY	21.5	+1.6 pts
215	Longview, TX	21.5	-0.6 pts
216	San Antonio, TX	21.5	-0.3 pts
217	Marietta, GA	21.4	-0.9 pts
217	Sanford, NC	21.4	+0.7 pts
219	Grandview, MO	21.4	+1.2 pts
220	Sulphur Springs, TX	21.4	-6.5 pts
221	Guymon, OK	21.3	-3.3 pts
222	Kilgore, TX	21.3	-0.7 pts
222	Paramount, CA	21.3	+0.3 pts
224	Durant, OK	21.2	-1.6 pts
225	Harvey, IL	21.2	-0.6 pts
226	East Point, GA	21.2	-0.5 pts
227	Belton, TX	21.2	+0.5 pts
228	Cudahy, CA	21.1	-3.9 pts
228	Miami, FL	21.1	-1.9 pts
230	Albertville, AL	21.1	+0.4 pts
230	Grand Island, NE	21.1	+2 pts
232	West Valley City, UT	21.1	+0.1 pts
233	Odessa, TX	21	+1.1 pts
234	College Park, GA	20.9	-0.9 pts
235	Avon Park, FL	20.9	+0.5 pts
235	Vernal, UT	20.9	+0.6 pts
237	Bensenville, IL	20.9	-0.8 pts
238	Fort Lupton, CO	20.9	-0.3 pts
239	Hialeah, FL	20.8	-0.7 pts
240	Kearns, UT	20.8	-0.8 pts
241	Santa Fe, TX	20.8	+1.1 pts
242	Lauderhill, FL	20.8	+0.1 pts
243	Glenwood Springs, CO	20.7	-1.7 pts
244	Lewisburg, TN	20.7	+7 pts
245	Palmetto, FL	20.7	+0.7 pts
246	Morgan City, LA	20.7	+6.7 pts
247	Rosenberg, TX	20.7	-0.5 pts
248	Hazleton, PA	20.7	+1.6 pts
249	Reading, PA	20.6	+3 pts
250	Bridgeview, IL	20.6	+2.5 pts

Showing the top 250 of 3219. The Excel download has every row.

Other periods

2024
2023
2022
2021

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) (US cities 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), US cities 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/us-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). US cities 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/us-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), US cities 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/us-cities (Accessed: 12 October 2026).

BibTeX

@misc{census_us_cities_by_uninsured_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): US cities 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/us-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): US cities 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/us-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/us-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 US cities 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":"United States","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)?

Port Washington, WI, with 0% 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.