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 2023, at 48.7%. Clayton, CA had the lowest, at 0.2%. The median was 8.6% and the figure for the United States was 10.6%. Source: the U.S. Census Bureau.

Highest48.7Alton, TX

Lowest0.2Clayton, CA

Median8.63214 cities

United States10.6History

Top 40 cities, 2023

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

Full ranking

Rank	Cities	2023 (%)	Change on 2022
1	Alton, TX	48.7	-5.5 pts
2	Palmview, TX	46.9	+0.2 pts
3	Galena Park, TX	45.3	+0.4 pts
4	Alamo, TX	44.4	-0 pts
5	Pharr, TX	42.5	-1 pts
6	Balch Springs, TX	42.3	+2.4 pts
7	Roma, TX	41.1	-9 pts
8	Lake Worth Beach, FL	40.6	-1.1 pts
9	Doraville, GA	40.3	-0.5 pts
10	San Juan, TX	40	+0.9 pts
11	Rio Grande City, TX	39.9	+0.8 pts
12	Port Arthur, TX	39.7	+1.5 pts
13	San Elizario, TX	39.5	+0.5 pts
14	San Benito, TX	39.4	+3.3 pts
15	Passaic, NJ	39.2	-0.3 pts
16	Alice, TX	39	+7.6 pts
17	South Houston, TX	38.6	-1.7 pts
18	Florida City, FL	38.4	-0.2 pts
19	Brownsville, TX	38	-1.2 pts
20	Humble, TX	37.6	+5.9 pts
21	Mercedes, TX	37.6	+1.5 pts
22	Haltom City, TX	37.6	-1.9 pts
23	Raymondville, TX	37.2	-3.2 pts
24	New Brunswick, NJ	37.1	+8.9 pts
25	Bellmead, TX	36.8	+3.7 pts
26	Warr Acres, OK	36.4	+6.4 pts
27	Opa-locka, FL	36.2	+2 pts
28	Donna, TX	35.8	-4.7 pts
29	Dover, NJ	35.7	+1.1 pts
30	Cottonwood, AZ	35.5	-1 pts
31	Pasadena, TX	35.4	+2.3 pts
32	Mission, TX	35.2	-1 pts
33	Plainfield, NJ	35	+1.9 pts
34	Laredo, TX	34.9	-0.3 pts
35	Freeport, TX	34.8	-1.8 pts
36	Socorro, TX	34.7	-2.2 pts
37	Chamblee, GA	34.3	+1.7 pts
38	Lilburn, GA	34.2	+1.2 pts
39	Bridgeton, NJ	34.1	+2.5 pts
40	Hidalgo, TX	33.8	-1.1 pts
41	Sunnyside, WA	33.4	+7.1 pts
42	Hereford, TX	33.2	-2.4 pts
43	Palm Springs, FL	33.1	0 pts
44	Zebulon, NC	32.9	-8.7 pts
45	Plainview, TX	32.8	-1.3 pts
46	Mineral Wells, TX	32.6	+7.2 pts
47	Weslaco, TX	32.3	-1.7 pts
48	Grandview, WA	32.2	-1.7 pts
49	McAllen, TX	31.7	-1.2 pts
50	Duncanville, TX	31.5	+2.7 pts
51	Clute, TX	31.5	-5.7 pts
52	Eagle Pass, TX	31.2	-4.6 pts
53	Union City, NJ	31	-2.6 pts
54	San Luis, AZ	30.7	+3.1 pts
55	Cairo, GA	30.6	-4.6 pts
56	Freehold, NJ	30.5	+11.3 pts
57	Garland, TX	30.4	+0.8 pts
58	Robstown, TX	30.1	+2.8 pts
59	Edinburg, TX	30	-2.1 pts
59	Richmond, TX	30	-1.8 pts
61	Leon Valley, TX	29.8	+2.9 pts
62	Seagoville, TX	29.8	-0.6 pts
63	North Miami, FL	29.7	+1.7 pts
64	White Settlement, TX	29.7	+1 pts
65	Harlingen, TX	29.3	+0.4 pts
66	Baytown, TX	29	-0.8 pts
67	Bound Brook, NJ	29	+2.6 pts
68	Mount Pleasant, TX	28.9	+1.2 pts
69	Cicero, IL	28.8	+1.4 pts
69	Sebring, FL	28.8	-1.3 pts
71	Houston, TX	28.7	-0.3 pts
72	Elizabeth, NJ	28.6	-0.3 pts
73	Branson, MO	28.4	+1 pts
74	Nogales, AZ	28.4	-0.7 pts
75	Maywood, CA	28.3	0 pts
76	Jacksonville, TX	28.3	-5.5 pts
77	Dallas, TX	28.2	-0.2 pts
78	Gainesville, GA	28.2	+1.2 pts
79	West New York, NJ	27.9	+0.8 pts
80	Sulphur Springs, TX	27.9	-1.8 pts
81	Sevierville, TN	27.8	+2.3 pts
82	Huntington Park, CA	27.7	-1.2 pts
83	Palatka, FL	27.6	-4.4 pts
83	Uvalde, TX	27.6	+0.9 pts
85	Shelbyville, TN	27.5	+0.8 pts
86	Calhoun, GA	27.4	+3.2 pts
87	Greenacres, FL	27.4	+0.2 pts
88	Norcross, GA	27.1	+1.7 pts
89	Horizon City, TX	27	+1 pts
90	Forest Park, GA	26.9	-3.5 pts
90	Paterson, NJ	26.9	-0.1 pts
92	Pompano Beach, FL	26.9	-1.3 pts
93	Liberty Hill, TX	26.8	-1.7 pts
94	Forest Hill, TX	26.5	+1.8 pts
95	Summit, IL	26.4	-2.2 pts
96	Belle Glade, FL	26.4	-4.3 pts
97	Paris, TX	26.2	-0.1 pts
98	Miami Gardens, FL	26.1	+0.3 pts
99	Mesquite, TX	26	-0.5 pts
100	Corsicana, TX	26	+1.1 pts
101	Palestine, TX	25.9	+2.6 pts
101	Somerton, AZ	25.9	+3.8 pts
103	Manassas Park, VA	25.6	+2.1 pts
104	Dickinson, TX	25.6	+3 pts
105	Farmers Branch, TX	25.6	-0.4 pts
106	Lufkin, TX	25.6	-0.4 pts
107	Sweetwater, TX	25.3	-1.4 pts
108	Fort Pierce, FL	25.2	+0.6 pts
109	Hawaiian Gardens, CA	25.2	+2.3 pts
110	Newark, NJ	25.2	+1.2 pts
111	Eloy, AZ	25.2	+1.5 pts
112	Lovington, NM	25.1	-1.2 pts
113	Jerome, ID	25.1	+2 pts
114	Cudahy, CA	25	-1.5 pts
115	Prospect Heights, IL	25	+3.6 pts
116	Marshall, TX	24.9	-1.2 pts
117	Mascotte, FL	24.9	+1.2 pts
118	Woodburn, OR	24.9	-1.7 pts
119	Morristown, TN	24.8	+1.8 pts
120	Beaumont, TX	24.8	-0.8 pts
121	Ennis, TX	24.8	-2 pts
122	College Park, MD	24.8	+3.2 pts
122	Fulton, MO	24.8	+1.6 pts
124	Brunswick, GA	24.8	-4.8 pts
125	Cleburne, TX	24.7	+2.1 pts
126	Bryan, TX	24.7	-0.5 pts
126	El Paso, TX	24.7	-0.2 pts
128	Milton, FL	24.7	-2.5 pts
129	Pampa, TX	24.7	-3 pts
130	Guymon, OK	24.6	-7.7 pts
131	Kansas City, KS	24.6	+1 pts
132	Garfield, NJ	24.6	+0.5 pts
133	Springdale, AR	24.5	+1.1 pts
133	West Park, FL	24.5	-0.3 pts
135	Watauga, TX	24.5	+0.9 pts
136	Bell Gardens, CA	24.4	-3.3 pts
136	El Reno, OK	24.4	+2.3 pts
138	Irving, TX	24.4	+0.7 pts
138	Tifton, GA	24.4	+1.5 pts
140	Lexington, NC	24.4	+0.7 pts
141	Manassas, VA	24.3	+0.5 pts
142	McComb, MS	24.3	+3.7 pts
143	Garden City, GA	24.2	-2.3 pts
144	Levelland, TX	24.2	-2.6 pts
145	Bay City, TX	24.1	+5.8 pts
146	Dania Beach, FL	24.1	-1.1 pts
147	Springfield, TN	24.1	+1.5 pts
148	Gadsden, AL	24	+1 pts
149	Haines City, FL	24	-0 pts
150	Bonham, TX	23.9	+0.8 pts
151	Denison, TX	23.9	-0.2 pts
152	Deerfield Beach, FL	23.9	-1.7 pts
153	Gretna, LA	23.8	+1.6 pts
153	Tyler, TX	23.8	+2.4 pts
155	Harrison, NJ	23.8	+1.9 pts
156	Prichard, AL	23.8	-3.2 pts
157	Marathon, FL	23.7	-1.7 pts
158	Waycross, GA	23.7	+2.8 pts
159	Lago Vista, TX	23.6	+0.9 pts
160	Vicksburg, MS	23.6	+1.2 pts
161	McMinnville, TN	23.5	-2.4 pts
162	Lyons, IL	23.5	-1.9 pts
162	Santa Maria, CA	23.5	+0.8 pts
164	Perth Amboy, NJ	23.5	+0.6 pts
165	Andrews, TX	23.5	-2 pts
165	Holly Hill, FL	23.5	+2.3 pts
167	Dalton, GA	23.4	-1.1 pts
168	Destin, FL	23.4	+0.5 pts
169	North Chicago, IL	23.4	-2.5 pts
170	Kerrville, TX	23.3	+1.8 pts
171	Melrose Park, IL	23.3	-0.9 pts
172	Monroe, NC	23.2	-1 pts
173	Parlier, CA	23.2	+2.1 pts
174	Stafford, TX	23.2	+0.2 pts
175	Homestead, FL	23.1	-1.6 pts
176	Gainesville, TX	23.1	-3.8 pts
177	Miami, FL	23	-1.6 pts
178	Douglas, GA	22.9	-2.2 pts
179	Cedartown, GA	22.9	+0.8 pts
180	Orange, TX	22.8	-1.4 pts
181	Corpus Christi, TX	22.8	-0.7 pts
181	Henderson, NC	22.8	+4.6 pts
181	Schiller Park, IL	22.8	-2.9 pts
184	Pleasantville, NJ	22.8	+4.8 pts
185	Durant, OK	22.8	-1 pts
186	Dayton, TX	22.7	-1.5 pts
187	Española, NM	22.7	+1.9 pts
188	Clarkston, GA	22.6	-4.8 pts
189	Del Rio, TX	22.6	-1.5 pts
189	Stephenville, TX	22.6	+2.1 pts
191	Rome, GA	22.6	+1.5 pts
192	Sunland Park, NM	22.5	-1.4 pts
193	Myrtle Beach, SC	22.5	-1.6 pts
194	Athens, TX	22.5	-4.2 pts
195	Fort Payne, AL	22.5	+0.9 pts
196	Glenwood Springs, CO	22.4	-0.9 pts
197	Hurst, TX	22.4	+1.6 pts
197	Lancaster, TX	22.4	0 pts
199	Greenville, TX	22.4	-3 pts
199	La Marque, TX	22.4	+0.1 pts
201	Bainbridge, GA	22.4	+4 pts
201	Bradenton, FL	22.4	-0.5 pts
203	Marietta, GA	22.3	-1.3 pts
204	Bethany, OK	22.3	+4.1 pts
204	Camp Verde, AZ	22.3	+2.4 pts
206	Statesboro, GA	22.3	+1.7 pts
207	Groves, TX	22.2	+1.3 pts
208	Fort Worth, TX	22.2	-0.8 pts
209	Victoria, TX	22.1	+1 pts
210	Longview, TX	22.1	-0 pts
211	Lady Lake, FL	22.1	-0.9 pts
212	Ingleside, TX	22.1	+1.7 pts
213	Asheboro, NC	22	-2.8 pts
214	Sweetwater, FL	22	+2.6 pts
215	Arlington, TX	22	-0.5 pts
215	Lockhart, TX	22	+0.4 pts
217	Kilgore, TX	22	+0.4 pts
218	Addison, TX	21.9	-0.1 pts
219	Key West, FL	21.9	+0.4 pts
220	Josephine, TX	21.9	-2.7 pts
221	North Miami Beach, FL	21.8	0 pts
222	King City, CA	21.8	-1.9 pts
223	College Park, GA	21.8	-1.7 pts
223	Harvey, IL	21.8	+1.7 pts
225	Lawrenceburg, TN	21.8	+5.6 pts
226	Trenton, NJ	21.8	+3.5 pts
227	San Antonio, TX	21.7	-0.4 pts
228	East Point, GA	21.7	-1.3 pts
229	Bensenville, IL	21.7	+4.1 pts
230	Hyattsville, MD	21.7	+3.2 pts
231	Fort Walton Beach, FL	21.6	+2.3 pts
231	Kearns, UT	21.6	-2.1 pts
233	Dublin, GA	21.6	+0.1 pts
234	Big Spring, TX	21.6	-2.3 pts
235	Lawrenceville, GA	21.6	0 pts
236	Buford, GA	21.6	-2.1 pts
236	Rifle, CO	21.6	+1 pts
236	Waukegan, IL	21.6	+0.6 pts
239	Hialeah, FL	21.5	-1.4 pts
240	Oxnard, CA	21.5	-1.1 pts
240	Round Lake Beach, IL	21.5	+0.9 pts
242	Hendersonville, NC	21.5	+3.6 pts
243	Central Falls, RI	21.5	-0.6 pts
244	Dade City, FL	21.5	+5.4 pts
245	Town of Pecos, TX	21.5	+7.1 pts
246	Carthage, MO	21.5	+1.3 pts
247	Dumas, TX	21.4	-0.9 pts
248	Brownwood, TX	21.4	-0.1 pts
248	Gautier, MS	21.4	+4.2 pts
248	Nacogdoches, TX	21.4	+1 pts

Showing the top 250 of 3214. 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. 5 cities with data in other periods have no value for 2023 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/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) (US cities 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), US cities 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/us-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). US cities 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/us-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), US cities 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/us-cities?period=2023 (Accessed: 12 October 2026).

BibTeX

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

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

Clayton, CA, with 0.2% 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. 5 cities have no value for 2023 and are not ranked.