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 3214 cities in 2022, at 54.2%. Pingree Grove, IL had the lowest, at 0%. The median was 8.8% and the figure for the United States was 10.7%. Source: the U.S. Census Bureau.

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Highest54.2Alton, TX
Lowest0Pingree Grove, IL
Median8.83214 cities
United States10.7History

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, TX43.4Lake Worth Beach, FL: 41.7 %Lake Worth Beach, FL41.7Zebulon, NC: 41.6 %Zebulon, NC41.6Doraville, GA: 40.8 %Doraville, GA40.8Donna, 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, TX39.9Passaic, NJ: 39.5 %Passaic, NJ39.5Haltom 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, TX39Florida City, FL: 38.6 %Florida City, FL38.6Port Arthur, TX: 38.2 %Port Arthur, TX38.2Clute, TX: 37.2 %Clute, TX37.2Socorro, TX: 36.9 %Socorro, TX36.9Freeport, TX: 36.6 %Freeport, TX36.6Cottonwood, AZ: 36.5 %Cottonwood, AZ36.5Mission, 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, TX35.2Cairo, GA: 35.2 %Cairo, GA35.2Hidalgo, TX: 34.9 %Hidalgo, TX34.9Dover, NJ: 34.7 %Dover, NJ34.7Opa-locka, FL: 34.2 %Opa-locka, FL34.2Plainview, TX: 34.1 %Plainview, TX34.1Grandview, WA: 33.9 %Grandview, WA33.9Weslaco, TX: 33.9 %Weslaco, TX33.9Jacksonville, TX: 33.7 %Jacksonville, TX33.7Union City, NJ: 33.6 %Union City, NJ33.6Alton, 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, TX43.4Lake Worth Beach, FL: 41.7 %Lake Worth Beach, FL41.7Zebulon, NC: 41.6 %Zebulon, NC41.6Doraville, GA: 40.8 %Doraville, GA40.8Donna, 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, TX39.9Passaic, NJ: 39.5 %Passaic, NJ39.5Haltom 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, TX39Florida City, FL: 38.6 %Florida City, FL38.6Port Arthur, TX: 38.2 %Port Arthur, TX38.2Clute, TX: 37.2 %Clute, TX37.2Socorro, TX: 36.9 %Socorro, TX36.9Freeport, TX: 36.6 %Freeport, TX36.6Cottonwood, AZ: 36.5 %Cottonwood, AZ36.5Mission, 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, TX35.2Cairo, GA: 35.2 %Cairo, GA35.2Hidalgo, TX: 34.9 %Hidalgo, TX34.9Dover, NJ: 34.7 %Dover, NJ34.7Opa-locka, FL: 34.2 %Opa-locka, FL34.2Plainview, TX: 34.1 %Plainview, TX34.1Grandview, WA: 33.9 %Grandview, WA33.9Weslaco, TX: 33.9 %Weslaco, TX33.9Jacksonville, TX: 33.7 %Jacksonville, TX33.7Union City, NJ: 33.6 %Union City, NJ33.6
%. 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
7Lake Worth Beach, FL41.7-0.7 pts
8Zebulon, NC41.6+0.7 pts
9Doraville, GA40.8-0.1 pts
10Donna, TX40.5+1.2 pts
11Raymondville, TX40.3-4.8 pts
12South Houston, TX40.3+0.6 pts
13Balch Springs, TX39.9-0.4 pts
14Passaic, NJ39.5+0.6 pts
15Haltom City, TX39.4+5.5 pts
16Brownsville, TX39.1-0.1 pts
16San Juan, TX39.1-0.6 pts
18Rio Grande City, TX39.1-4 pts
19San Elizario, TX39-6 pts
20Florida City, FL38.6+5 pts
21Port Arthur, TX38.2+0.4 pts
22Clute, TX37.2-2.1 pts
23Socorro, TX36.9-1.8 pts
24Freeport, TX36.6-1.8 pts
25Cottonwood, AZ36.5+0.4 pts
26Mission, TX36.2-0.1 pts
27Mercedes, TX36.1+0.2 pts
28San Benito, TX36.1-1.4 pts
29Eagle Pass, TX35.8+1.7 pts
30Hereford, TX35.6+5 pts
31Laredo, TX35.2-0.5 pts
32Cairo, GA35.2+5.4 pts
33Hidalgo, TX34.9-0.3 pts
34Dover, NJ34.7+2.5 pts
35Opa-locka, FL34.2+5.5 pts
36Plainview, TX34.1-1.7 pts
37Grandview, WA33.9-6.7 pts
38Weslaco, TX33.9+1.6 pts
39Jacksonville, TX33.7+0.8 pts
40Union City, NJ33.6+1.7 pts
41Pasadena, TX33.1-0.1 pts
42Palm Springs, FL33.1-0.5 pts
43Plainfield, NJ33.1+0.3 pts
44Bellmead, TX33.1+0.2 pts
45Lilburn, GA33-4.4 pts
46McAllen, TX32.9-1.1 pts
47Chamblee, GA32.6-2.9 pts
48Guymon, OK32.3+5.4 pts
49Edinburg, TX32-0.5 pts
50Palatka, FL31.9-1.3 pts
51Richmond, TX31.7+7.2 pts
52Humble, TX31.7-2.6 pts
53Bridgeton, NJ31.6-1.6 pts
54Alice, TX31.4+5.5 pts
55Belle Glade, FL30.7-1.3 pts
56Seagoville, TX30.5+1.3 pts
57Forest Park, GA30.4+2.7 pts
58Sebring, FL30.2-3 pts
59Warr Acres, OK30+7.4 pts
60Baytown, TX29.8+0.1 pts
61Sulphur Springs, TX29.7-3.1 pts
62Garland, TX29.6+1.3 pts
63Brunswick, GA29.6+6.6 pts
64Hailey, ID29.4+1.5 pts
65Nogales, AZ29.1+4.2 pts
66Houston, TX29+0.1 pts
67Huntington Park, CA29-0.1 pts
68Elizabeth, NJ28.9+2.1 pts
69Harlingen, TX28.8-0 pts
70Duncanville, TX28.8+2.2 pts
71White Settlement, TX28.7-2.9 pts
72Summit, IL28.6-6.5 pts
73Dallas, TX28.5+0.2 pts
74Liberty Hill, TX28.5+0.2 pts
75Maywood, CA28.3+2.1 pts
76New Brunswick, NJ28.2-2.6 pts
77Pompano Beach, FL28.1+0.7 pts
78North Miami, FL28-2.8 pts
79Bell Gardens, CA27.7-1.1 pts
79Mount Pleasant, TX27.7+1.9 pts
81Pampa, TX27.7-2.9 pts
82San Luis, AZ27.6+0.3 pts
83Cicero, IL27.5-0.3 pts
84Branson, MO27.4+3.9 pts
85Clarkston, GA27.3+0.7 pts
86Robstown, TX27.2-3.5 pts
87Greenacres, FL27.2-0.2 pts
88Milton, FL27.2-2.5 pts
89West New York, NJ27.1-0.6 pts
90Paterson, NJ27+0.9 pts
91Prichard, AL27+0.2 pts
92Gainesville, GA27+0.2 pts
93Leon Valley, TX26.9+3.7 pts
94Gainesville, TX26.9-2 pts
95Ennis, TX26.8+2.4 pts
96Levelland, TX26.7-2.3 pts
97Athens, TX26.7+2.4 pts
98Shelbyville, TN26.7+3.4 pts
98Uvalde, TX26.7-0.1 pts
100Sweetwater, TX26.7-1.7 pts
101Cudahy, CA26.6+0.7 pts
102Mesquite, TX26.5+0.3 pts
103Woodburn, OR26.5+1 pts
104Garden City, GA26.5-10.5 pts
105Bound Brook, NJ26.4+2.7 pts
106Sunnyside, WA26.3+1.3 pts
107Paris, TX26.3+3.2 pts
108Lovington, NM26.3+4.2 pts
109Marshall, TX26.1+1.4 pts
110Horizon City, TX26+1.7 pts
111Farmers Branch, TX26+2.9 pts
112Lufkin, TX25.9-0.4 pts
113McMinnville, TN25.9-1.4 pts
114North Chicago, IL25.9+0.7 pts
115Miami Gardens, FL25.8+0.3 pts
116Schiller Park, IL25.7+1.9 pts
117Beaumont, TX25.7+0.5 pts
118Deerfield Beach, FL25.6+1.8 pts
119Norcross, GA25.5-1 pts
120Sevierville, TN25.5+2.7 pts
121Andrews, TX25.5-0.9 pts
121Monroe, GA25.5+0.4 pts
123Marathon, FL25.4-0 pts
124Mineral Wells, TX25.4+3.5 pts
125Greenville, TX25.4+2.2 pts
125Lyons, IL25.4+6.4 pts
127El Campo, TX25.4+2.1 pts
128Dania Beach, FL25.2-1.7 pts
129Bryan, TX25.2+0.7 pts
130Douglas, GA25.1-1.9 pts
131El Paso, TX25+0.5 pts
132Asheboro, NC24.8+0.9 pts
133Corsicana, TX24.8-2.1 pts
134West Park, FL24.8-4.5 pts
135Homestead, FL24.7+0.2 pts
136Forest Hill, TX24.6+0.4 pts
136Fort Pierce, FL24.6-2.5 pts
138Miami, FL24.6-0.6 pts
139Josephine, TX24.6+3.8 pts
140Dalton, GA24.5-0.4 pts
141Monroe, NC24.2-1.2 pts
142Orange, TX24.2-0.4 pts
143Dayton, TX24.2+3.8 pts
144Calhoun, GA24.2-5.4 pts
144Melrose Park, IL24.20 pts
146Denison, TX24.1-1.3 pts
146Myrtle Beach, SC24.1-1.9 pts
148Webster, TX24.1+0.2 pts
149Del Rio, TX24.1-2.8 pts
150Garfield, NJ24+2.7 pts
151Newark, NJ24+0.5 pts
152Haines City, FL24-2.4 pts
153Sunland Park, NM23.9-2 pts
154Big Spring, TX23.9+1 pts
155Manassas, VA23.8+2.3 pts
156Durant, OK23.8-1.3 pts
157Irving, TX23.7+0.9 pts
157Kearns, UT23.7+1.6 pts
157Mascotte, FL23.7+1 pts
160King City, CA23.7-4.3 pts
161Lexington, NC23.7+0.8 pts
162Buford, GA23.7-4.4 pts
163Eloy, AZ23.6+5 pts
164Marietta, GA23.6+2.9 pts
165Watauga, TX23.6+3.3 pts
166Kansas City, KS23.6+0.1 pts
167Corpus Christi, TX23.50 pts
167Manassas Park, VA23.5+1.1 pts
169College Park, GA23.5+1.8 pts
170Springdale, AR23.4+1.8 pts
171Glenwood Springs, CO23.4+3.5 pts
172Sherman, TX23.3-0.4 pts
173Russellville, AL23.2+2 pts
174Palestine, TX23.2-2.5 pts
175Bonham, TX23.1-3.9 pts
175Fulton, MO23.1+1.2 pts
177Kingsville, TX23.1+0.2 pts
178Jerome, ID23.1+0.9 pts
179Gadsden, AL23.1+1.3 pts
180Thomasville, NC23-1.6 pts
181Morristown, TN23+3 pts
182Fort Worth, TX23+0.3 pts
183East Point, GA23+2.4 pts
184Hialeah, FL23-1.8 pts
184Lindenwold, NJ23+5.1 pts
184Stafford, TX23+5.1 pts
187Lady Lake, FL22.9+1.3 pts
188North Lauderdale, FL22.9-0.3 pts
188Tifton, GA22.9+5 pts
190Bradenton, FL22.9+0.1 pts
190Destin, FL22.9-3.4 pts
190Perth Amboy, NJ22.9+1.9 pts
193Hawaiian Gardens, CA22.9+0.2 pts
194Fredericksburg, TX22.8+3.2 pts
195Santa Maria, CA22.7-0.2 pts
196Lago Vista, TX22.7+2.8 pts
197Cleburne, TX22.7-0.9 pts
198Galveston, TX22.6-1 pts
199Dickinson, TX22.6-0.4 pts
199Oxnard, CA22.6-0.1 pts
199Wallington, NJ22.6-0.3 pts
202Springfield, TN22.6+2 pts
203Arlington, TX22.50 pts
204Sanford, NC22.5+1.4 pts
205West Plains, MO22.5+0.9 pts
206Batesville, AR22.5-1.5 pts
207Lancaster, TX22.4+3.5 pts
208Pleasanton, TX22.4+0.6 pts
208Vicksburg, MS22.4-2.3 pts
210Dumas, TX22.4+0.7 pts
210Moss Point, MS22.4-0.5 pts
212Altus, OK22.4-1.5 pts
213Lynwood, CA22.3-0.2 pts
214La Marque, TX22.3-0.6 pts
215Duncan, OK22.3+0.3 pts
216Gretna, LA22.3-0.8 pts
217Borger, TX22.2-4.6 pts
218Foley, AL22.2+1.7 pts
219Longview, TX22.1-0.8 pts
220El Reno, OK22.1-2.6 pts
220Fort Lupton, CO22.1+5.2 pts
222Jackson, WY22.1+8.1 pts
223Somerton, AZ22.1+2 pts
224Central Falls, RI22.1+2 pts
224San Antonio, TX22.1+1 pts
226Addison, TX22-0.2 pts
227Cedartown, GA22-12.9 pts
228Harrison, NJ22+0.3 pts
229Bell, CA21.8-2 pts
230Hollywood, FL21.8+0.8 pts
231North Miami Beach, FL21.8-1.4 pts
232Lauderhill, FL21.6+0.2 pts
233Fort Myers, FL21.6-1.2 pts
233Lawrenceville, GA21.60 pts
233Washington, UT21.6-1.9 pts
236Acworth, GA21.6+1.3 pts
236Kilgore, TX21.6+1.5 pts
238College Park, MD21.6-0.8 pts
238Fort Payne, AL21.6+1.2 pts
240Brownwood, TX21.6-0.9 pts
240Dublin, GA21.6+1.6 pts
242Lockhart, TX21.5-3.4 pts
243Riverton, WY21.5+2.7 pts
244Key West, FL21.5-1.4 pts
245Kerrville, TX21.5-0 pts
245Tyler, TX21.5+0.4 pts
247Miami Beach, FL21.4-0.2 pts
248Prospect Heights, IL21.4+0.9 pts
249McAlester, OK21.4-1.9 pts
250Ada, OK21.3-0.6 pts

Showing the top 250 of 3214. 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. 5 cities with data in other periods have no value for 2022 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/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) (US cities 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), US cities 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/us-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). US cities 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/us-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), US cities 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/us-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_cities_by_uninsured_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): US cities 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/us-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): US cities 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/us-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/us-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 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 54.2% in 2022, 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 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. 5 cities have no value for 2022 and are not ranked.

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

US cities: more rankings