Data / Rankings / Uninsured rate, under 19 (US, ACS) / Cities in Alabama

Cities in Alabama by uninsured rate, under 19 (US, ACS), 2024

Foley, AL had the highest uninsured rate, under 19 (US, ACS) of 66 cities in 2024, at 19%. Pell City, AL had the lowest, at 0%. The median was 2.8% and the figure for Alabama was 3.6%. Source: the U.S. Census Bureau.

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Highest19Foley, AL
Lowest0Pell City, AL
Median2.866 cities
Alabama3.6History

Top 40 cities, 2024

Foley, AL: 19 %Foley, AL19Irondale, AL: 15.9 %Irondale, AL15.9Gulf Shores, AL: 11.7 %Gulf Shores, AL11.7Bessemer, AL: 10.3 %Bessemer, AL10.3Russellville, AL: 8.5 %Russellville, AL8.5Albertville, AL: 7.8 %Albertville, AL7.8Troy, AL: 7.8 %Troy, AL7.8Valley, AL: 7.6 %Valley, AL7.6Pelham, AL: 7.3 %Pelham, AL7.3Decatur, AL: 7 %Decatur, AL7Center Point, AL: 6.9 %Center Point, AL6.9Moody, AL: 6.9 %Moody, AL6.9Oxford, AL: 6.7 %Oxford, AL6.7Homewood, AL: 6.2 %Homewood, AL6.2Athens, AL: 6 %Athens, AL6Prichard, AL: 5.8 %Prichard, AL5.8Florence, AL: 5 %Florence, AL5Birmingham, AL: 4.9 %Birmingham, AL4.9Montgomery, AL: 4.5 %Montgomery, AL4.5Fairhope, AL: 4.4 %Fairhope, AL4.4Jacksonville, AL: 4.3 %Jacksonville, AL4.3Saraland, AL: 3.8 %Saraland, AL3.8Enterprise, AL: 3.8 %Enterprise, AL3.8Phenix City, AL: 3.6 %Phenix City, AL3.6Hueytown, AL: 3.6 %Hueytown, AL3.6Dothan, AL: 3.6 %Dothan, AL3.6Helena, AL: 3.3 %Helena, AL3.3Scottsboro, AL: 3.3 %Scottsboro, AL3.3Auburn, AL: 3.3 %Auburn, AL3.3Gadsden, AL: 3.1 %Gadsden, AL3.1Huntsville, AL: 3 %Huntsville, AL3Opelika, AL: 2.9 %Opelika, AL2.9Rainbow City, AL: 2.8 %Rainbow City, AL2.8Pike Road, AL: 2.8 %Pike Road, AL2.8Fort Payne, AL: 2.7 %Fort Payne, AL2.7Alabaster, AL: 2.6 %Alabaster, AL2.6Eufaula, AL: 2.6 %Eufaula, AL2.6Gardendale, AL: 2.6 %Gardendale, AL2.6Hoover, AL: 2.5 %Hoover, AL2.5Tuscaloosa, AL: 2.5 %Tuscaloosa, AL2.5Foley, AL: 19 %Foley, AL19Irondale, AL: 15.9 %Irondale, AL15.9Gulf Shores, AL: 11.7 %Gulf Shores, AL11.7Bessemer, AL: 10.3 %Bessemer, AL10.3Russellville, AL: 8.5 %Russellville, AL8.5Albertville, AL: 7.8 %Albertville, AL7.8Troy, AL: 7.8 %Troy, AL7.8Valley, AL: 7.6 %Valley, AL7.6Pelham, AL: 7.3 %Pelham, AL7.3Decatur, AL: 7 %Decatur, AL7Center Point, AL: 6.9 %Center Point, AL6.9Moody, AL: 6.9 %Moody, AL6.9Oxford, AL: 6.7 %Oxford, AL6.7Homewood, AL: 6.2 %Homewood, AL6.2Athens, AL: 6 %Athens, AL6Prichard, AL: 5.8 %Prichard, AL5.8Florence, AL: 5 %Florence, AL5Birmingham, AL: 4.9 %Birmingham, AL4.9Montgomery, AL: 4.5 %Montgomery, AL4.5Fairhope, AL: 4.4 %Fairhope, AL4.4Jacksonville, AL: 4.3 %Jacksonville, AL4.3Saraland, AL: 3.8 %Saraland, AL3.8Enterprise, AL: 3.8 %Enterprise, AL3.8Phenix City, AL: 3.6 %Phenix City, AL3.6Hueytown, AL: 3.6 %Hueytown, AL3.6Dothan, AL: 3.6 %Dothan, AL3.6Helena, AL: 3.3 %Helena, AL3.3Scottsboro, AL: 3.3 %Scottsboro, AL3.3Auburn, AL: 3.3 %Auburn, AL3.3Gadsden, AL: 3.1 %Gadsden, AL3.1Huntsville, AL: 3 %Huntsville, AL3Opelika, AL: 2.9 %Opelika, AL2.9Rainbow City, AL: 2.8 %Rainbow City, AL2.8Pike Road, AL: 2.8 %Pike Road, AL2.8Fort Payne, AL: 2.7 %Fort Payne, AL2.7Alabaster, AL: 2.6 %Alabaster, AL2.6Eufaula, AL: 2.6 %Eufaula, AL2.6Gardendale, AL: 2.6 %Gardendale, AL2.6Hoover, AL: 2.5 %Hoover, AL2.5Tuscaloosa, AL: 2.5 %Tuscaloosa, AL2.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Foley, AL19-1.1 pts
2Irondale, AL15.9+10.4 pts
3Gulf Shores, AL11.7+1.7 pts
4Bessemer, AL10.3-2.8 pts
5Russellville, AL8.5-2.8 pts
6Albertville, AL7.8+1.2 pts
7Troy, AL7.8+2.3 pts
8Valley, AL7.6+2.5 pts
9Pelham, AL7.3+1.8 pts
10Decatur, AL7-0.1 pts
11Center Point, AL6.9+0.9 pts
12Moody, AL6.9+0.3 pts
13Oxford, AL6.7-1.2 pts
14Homewood, AL6.2+1.1 pts
15Athens, AL6+0.7 pts
16Prichard, AL5.8+0.6 pts
17Florence, AL5+0.4 pts
18Birmingham, AL4.9+1 pts
19Montgomery, AL4.5+0.8 pts
20Fairhope, AL4.4-0.5 pts
21Jacksonville, AL4.3-0.6 pts
22Saraland, AL3.8-0.2 pts
23Enterprise, AL3.8+0.4 pts
24Phenix City, AL3.6+0.5 pts
25Hueytown, AL3.6+0.8 pts
26Dothan, AL3.6+0.3 pts
27Helena, AL3.3-0.1 pts
28Scottsboro, AL3.3-0.2 pts
29Auburn, AL3.3+0.7 pts
30Gadsden, AL3.1-4.7 pts
31Huntsville, AL3-0.2 pts
32Opelika, AL2.9+1 pts
33Rainbow City, AL2.8+1.9 pts
34Pike Road, AL2.8+0.2 pts
35Fort Payne, AL2.7-1 pts
36Alabaster, AL2.6-0.1 pts
37Eufaula, AL2.6-3.3 pts
37Gardendale, AL2.6+0.5 pts
39Hoover, AL2.5+1.2 pts
40Tuscaloosa, AL2.5+0.4 pts
41Daphne, AL2.5-0.5 pts
41Spanish Fort, AL2.5+2.5 pts
43Leeds, AL2.4-0.7 pts
44Chelsea, AL2.4-0.4 pts
45Prattville, AL2.3-0.3 pts
46Trussville, AL2.3-1.2 pts
47Talladega, AL2.2-1 pts
48Mobile, AL2.1-0.1 pts
49Cullman, AL2+0.6 pts
50Northport, AL1.8+0.3 pts
51Madison, AL1.8+0.6 pts
52Ozark, AL1.7-2.3 pts
53Hartselle, AL1.6+0.3 pts
54Mountain Brook, AL1.3+0.8 pts
55Vestavia Hills, AL1.3-0 pts
56Millbrook, AL1.1+0.5 pts
57Anniston, AL1.1-0.7 pts
58Calera, AL1-0.1 pts
59Sylacauga, AL0.9-1.3 pts
60Jasper, AL0.6-6.3 pts
61Boaz, AL0.6-0.1 pts
62Selma, AL0.3-0 pts
63Muscle Shoals, AL0.3-0.1 pts
64Alexander City, AL0.1-0.6 pts
65Clay, AL0-2 pts
65Pell City, AL00 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, under 19 (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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, under 19 (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-under-19-acs/alabama-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, under 19 (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-under-19-acs/alabama-cities.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, under 19 (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-under-19-acs/alabama-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, under 19 (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-under-19-acs/alabama-cities. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, under 19 (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-under-19-acs/alabama-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 Cities in Alabama by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

Which city has the highest uninsured rate, under 19 (US, ACS)?

Foley, AL, with 19% in 2024, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, under 19 (US, ACS)?

Pell City, AL, 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Cities in Alabama: more rankings