Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / US cities

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

Alton, TX had the highest uninsured rate, ages 35 to 64 (US, ACS) of 3211 cities in 2021, at 55.2%. Pingree Grove, IL had the lowest, at 0%. The median was 8.8% and the figure for the United States was 10.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest55.2Alton, TX
Lowest0Pingree Grove, IL
Median8.83211 cities
United States10.8History

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, TX42.5Lake Worth Beach, FL: 42.3 %Lake Worth Beach, FL42.3Doraville, GA: 40.9 %Doraville, GA40.9Zebulon, NC: 40.9 %Zebulon, NC40.9Grandview, WA: 40.6 %Grandview, WA40.6Balch 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, TX39.2Passaic, NJ: 38.9 %Passaic, NJ38.9Socorro, 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, TX37.5Lilburn, GA: 37.4 %Lilburn, GA37.4Garden City, GA: 37 %Garden City, GA37Mission, TX: 36.3 %Mission, TX36.3Cottonwood, AZ: 36.1 %Cottonwood, AZ36.1Mercedes, TX: 35.9 %Mercedes, TX35.9Plainview, TX: 35.8 %Plainview, TX35.8Laredo, TX: 35.7 %Laredo, TX35.7Chamblee, GA: 35.5 %Chamblee, GA35.5Hidalgo, TX: 35.2 %Hidalgo, TX35.2Summit, IL: 35.1 %Summit, IL35.1Cedartown, GA: 35 %Cedartown, GA35Humble, TX: 34.3 %Humble, TX34.3Eagle Pass, TX: 34.1 %Eagle Pass, TX34.1McAllen, TX: 34 %McAllen, TX34Haltom City, TX: 33.9 %Haltom City, TX33.9Palm Springs, FL: 33.6 %Palm Springs, FL33.6Alton, 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, TX42.5Lake Worth Beach, FL: 42.3 %Lake Worth Beach, FL42.3Doraville, GA: 40.9 %Doraville, GA40.9Zebulon, NC: 40.9 %Zebulon, NC40.9Grandview, WA: 40.6 %Grandview, WA40.6Balch 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, TX39.2Passaic, NJ: 38.9 %Passaic, NJ38.9Socorro, 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, TX37.5Lilburn, GA: 37.4 %Lilburn, GA37.4Garden City, GA: 37 %Garden City, GA37Mission, TX: 36.3 %Mission, TX36.3Cottonwood, AZ: 36.1 %Cottonwood, AZ36.1Mercedes, TX: 35.9 %Mercedes, TX35.9Plainview, TX: 35.8 %Plainview, TX35.8Laredo, TX: 35.7 %Laredo, TX35.7Chamblee, GA: 35.5 %Chamblee, GA35.5Hidalgo, TX: 35.2 %Hidalgo, TX35.2Summit, IL: 35.1 %Summit, IL35.1Cedartown, GA: 35 %Cedartown, GA35Humble, TX: 34.3 %Humble, TX34.3Eagle Pass, TX: 34.1 %Eagle Pass, TX34.1McAllen, TX: 34 %McAllen, TX34Haltom City, TX: 33.9 %Haltom City, TX33.9Palm Springs, FL: 33.6 %Palm Springs, FL33.6
%. 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
10Lake Worth Beach, FL42.3
11Doraville, GA40.9
12Zebulon, NC40.9
13Grandview, WA40.6
14Balch Springs, TX40.4
15San Juan, TX39.8
16South Houston, TX39.6
17Donna, TX39.3
18Clute, TX39.2
19Brownsville, TX39.2
20Passaic, NJ38.9
21Socorro, TX38.7
22Freeport, TX38.4
23Port Arthur, TX37.8
24San Benito, TX37.5
25Lilburn, GA37.4
26Garden City, GA37
27Mission, TX36.3
28Cottonwood, AZ36.1
29Mercedes, TX35.9
30Plainview, TX35.8
31Laredo, TX35.7
32Chamblee, GA35.5
33Hidalgo, TX35.2
34Summit, IL35.1
35Cedartown, GA35
36Humble, TX34.3
37Eagle Pass, TX34.1
38McAllen, TX34
39Haltom City, TX33.9
40Palm Springs, FL33.6
41Florida City, FL33.6
42Pasadena, TX33.3
43Bridgeton, NJ33.2
43Palatka, FL33.2
45Sebring, FL33.2
46Jacksonville, TX33
47Bellmead, TX32.9
48Plainfield, NJ32.8
49Sulphur Springs, TX32.8
50Edinburg, TX32.6
51Weslaco, TX32.3
52Dover, NJ32.2
53Belle Glade, FL32
54Union City, NJ31.9
55White Settlement, TX31.6
56North Miami, FL30.8
57New Brunswick, NJ30.7
57Robstown, TX30.7
59Hereford, TX30.6
60Pampa, TX30.6
61Baytown, TX29.8
61Cairo, GA29.8
63Milton, FL29.7
64Calhoun, GA29.6
65West Park, FL29.3
66Seagoville, TX29.1
67Huntington Park, CA29.1
68Levelland, TX29
69Houston, TX28.9
70Gainesville, TX28.9
71Harlingen, TX28.8
72Bell Gardens, CA28.8
73Opa-locka, FL28.6
74Sweetwater, TX28.4
75Garland, TX28.3
76Dallas, TX28.3
77Liberty Hill, TX28.3
78King City, CA28
79Buford, GA28
80Freehold, NJ28
81Hailey, ID27.9
82Cicero, IL27.8
83West New York, NJ27.7
84Forest Park, GA27.7
85Pompano Beach, FL27.4
86Greenacres, FL27.4
87San Luis, AZ27.3
88McMinnville, TN27.3
89Fort Pierce, FL27.1
90Douglas, GA27.1
91Bonham, TX27
92Corsicana, TX27
93Guymon, OK26.9
94Dania Beach, FL26.9
95Del Rio, TX26.9
96Borger, TX26.8
97Elizabeth, NJ26.8
97Prichard, AL26.8
99Uvalde, TX26.8
100Gainesville, GA26.8
101Clarkston, GA26.6
102Duncanville, TX26.6
103Norcross, GA26.5
104Andrews, TX26.4
104Haines City, FL26.4
106Lufkin, TX26.3
107Destin, FL26.2
108Mesquite, TX26.2
109Vernal, UT26.2
110Maywood, CA26.2
111Myrtle Beach, SC26.1
111Paterson, NJ26.1
113Sunland Park, NM26
114Groves, TX25.9
115Alice, TX25.9
116Cudahy, CA25.8
117Mount Pleasant, TX25.8
118Palestine, TX25.7
119Miami Gardens, FL25.6
120Woodburn, OR25.5
121Denison, TX25.5
122Marathon, FL25.5
123Monroe, NC25.4
124Miami, FL25.2
124North Chicago, IL25.2
126Beaumont, TX25.2
127Monroe, GA25.1
127Sunnyside, WA25.1
129Durant, OK25
130Lockhart, TX25
131Dalton, GA24.8
131Nogales, AZ24.8
133Snyder, TX24.8
134El Reno, OK24.8
135Marshall, TX24.7
136Hialeah, FL24.7
137Vicksburg, MS24.7
138Orange, TX24.6
139Thomasville, NC24.6
140Albertville, AL24.5
141Richmond, TX24.5
142Bryan, TX24.5
143Homestead, FL24.5
144El Paso, TX24.4
145Ennis, TX24.3
146Horizon City, TX24.3
147Athens, TX24.3
148Forest Hill, TX24.2
149Melrose Park, IL24.1
150Palmetto, FL24.1
151Nacogdoches, TX24
152Batesville, AR24
153Webster, TX23.9
154Asheboro, NC23.9
155Altus, OK23.8
155Deerfield Beach, FL23.8
157Bell, CA23.8
158Schiller Park, IL23.8
159Sherman, TX23.8
160Bound Brook, NJ23.7
161Gallup, NM23.6
161Galveston, TX23.6
163Cleburne, TX23.6
164Cumming, GA23.5
165Newark, NJ23.5
166Branson, MO23.5
167Corpus Christi, TX23.5
168Washington, UT23.4
169Kansas City, KS23.4
170Shelbyville, TN23.3
171El Campo, TX23.3
172Parlier, CA23.3
173McAlester, OK23.2
174Leon Valley, TX23.2
174North Lauderdale, FL23.2
176Greenville, TX23.2
177North Miami Beach, FL23.2
178Paris, TX23.1
179Gretna, LA23.1
180Farmers Branch, TX23
181Brunswick, GA23
182Tahlequah, OK23
183Dickinson, TX23
184Rome, GA23
185La Marque, TX23
186Longview, TX22.9
187Moss Point, MS22.9
187Santa Maria, CA22.9
189Big Spring, TX22.9
190Key West, FL22.9
191Kingsville, TX22.9
192Wallington, NJ22.9
193Irving, TX22.9
194Lexington, NC22.8
195South Gate, CA22.8
196Henderson, TX22.8
197Fort Myers, FL22.8
197Lauderdale Lakes, FL22.8
199Sevierville, TN22.8
200Mascotte, FL22.7
200Oxnard, CA22.7
202Bradenton, FL22.7
202Fort Worth, TX22.7
202Hurst, TX22.7
205Canton, MS22.7
206Hawaiian Gardens, CA22.6
207Warr Acres, OK22.6
208Chickasha, OK22.6
209Arlington, TX22.5
210Lynwood, CA22.5
211Spring Valley, NY22.5
212Brownwood, TX22.5
212Española, NM22.5
214Manassas Park, VA22.4
215College Park, MD22.4
216Addison, TX22.3
217Carthage, MO22.2
218Jerome, ID22.2
219Kearns, UT22.2
219Martin, TN22.2
221Lovington, NM22.1
222Moultrie, GA22.1
223Duncan, OK22
224Gulfport, MS22
225Mineral Wells, TX21.9
226Fulton, MO21.9
227Ada, OK21.9
228Valdosta, GA21.9
229Miami, OK21.8
230Gadsden, AL21.8
231Pleasanton, TX21.8
232College Park, GA21.7
233Dumas, TX21.7
234Miami Beach, FL21.7
235Lady Lake, FL21.6
235Lincoln City, OR21.6
237Harrison, NJ21.6
237Sarasota, FL21.6
239West Plains, MO21.6
240Springdale, AR21.6
241San Marcos, TX21.6
242Lawrenceville, GA21.6
243Columbus, MS21.5
244Manassas, VA21.5
245Kerrville, TX21.5
246Lauderhill, FL21.4
247Cocoa, FL21.3
247Enid, OK21.3
249Garfield, NJ21.3
250Rockport, TX21.3

Showing the top 250 of 3211. 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. 8 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) (US cities 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), US cities 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/us-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). US cities 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/us-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), US cities 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/us-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_cities_by_uninsured_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): US cities 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/us-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): US cities 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/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/us-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 US cities by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
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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)?

Pingree Grove, IL, with 0% 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. 8 cities have no value for 2021 and are not ranked.

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

US cities: more rankings