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

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

Fredericksburg, TX had the highest uninsured rate, under 19 (US, ACS) of 255 cities in 2021, at 27.1%. Colleyville, TX had the lowest, at 0.4%. The median was 10.1% and the figure for Texas was 11.5%. Source: the U.S. Census Bureau.

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Highest27.1Fredericksburg, TX
Lowest0.4Colleyville, TX
Median10.1255 cities
Texas11.5History

Top 40 cities, 2021

Fredericksburg, TX: 27.1 %Fredericksburg, TX27.1Snyder, TX: 26.7 %Snyder, TX26.7Lago Vista, TX: 25.4 %Lago Vista, TX25.4Bellmead, TX: 23.6 %Bellmead, TX23.6Alton, TX: 23.3 %Alton, TX23.3Roma, TX: 23 %Roma, TX23Athens, TX: 21.8 %Athens, TX21.8San Benito, TX: 21.5 %San Benito, TX21.5Balch Springs, TX: 21.3 %Balch Springs, TX21.3Duncanville, TX: 21.1 %Duncanville, TX21.1Addison, TX: 21 %Addison, TX21Andrews, TX: 21 %Andrews, TX21Mission, TX: 20.7 %Mission, TX20.7Clute, TX: 19.2 %Clute, TX19.2Palmview, TX: 19 %Palmview, TX19Hurst, TX: 18.8 %Hurst, TX18.8Seagoville, TX: 18.7 %Seagoville, TX18.7Rio Grande City, TX: 18.6 %Rio Grande City, TX18.6Jacksonville, TX: 18.6 %Jacksonville, TX18.6Brownsville, TX: 18.5 %Brownsville, TX18.5Baytown, TX: 18.2 %Baytown, TX18.2Burkburnett, TX: 18 %Burkburnett, TX18Port Arthur, TX: 17.6 %Port Arthur, TX17.6Leon Valley, TX: 17.5 %Leon Valley, TX17.5Borger, TX: 17.2 %Borger, TX17.2Raymondville, TX: 17.1 %Raymondville, TX17.1Pharr, TX: 17.1 %Pharr, TX17.1Seabrook, TX: 17 %Seabrook, TX17Ennis, TX: 17 %Ennis, TX17Freeport, TX: 16.9 %Freeport, TX16.9San Juan, TX: 16.9 %San Juan, TX16.9Port Lavaca, TX: 16.7 %Port Lavaca, TX16.7Gainesville, TX: 16.5 %Gainesville, TX16.5Garland, TX: 16.5 %Garland, TX16.5Sherman, TX: 16.5 %Sherman, TX16.5Groves, TX: 16.5 %Groves, TX16.5Tomball, TX: 16.4 %Tomball, TX16.4Brenham, TX: 16.3 %Brenham, TX16.3Weslaco, TX: 16.2 %Weslaco, TX16.2Dallas, TX: 16 %Dallas, TX16Fredericksburg, TX: 27.1 %Fredericksburg, TX27.1Snyder, TX: 26.7 %Snyder, TX26.7Lago Vista, TX: 25.4 %Lago Vista, TX25.4Bellmead, TX: 23.6 %Bellmead, TX23.6Alton, TX: 23.3 %Alton, TX23.3Roma, TX: 23 %Roma, TX23Athens, TX: 21.8 %Athens, TX21.8San Benito, TX: 21.5 %San Benito, TX21.5Balch Springs, TX: 21.3 %Balch Springs, TX21.3Duncanville, TX: 21.1 %Duncanville, TX21.1Addison, TX: 21 %Addison, TX21Andrews, TX: 21 %Andrews, TX21Mission, TX: 20.7 %Mission, TX20.7Clute, TX: 19.2 %Clute, TX19.2Palmview, TX: 19 %Palmview, TX19Hurst, TX: 18.8 %Hurst, TX18.8Seagoville, TX: 18.7 %Seagoville, TX18.7Rio Grande City, TX: 18.6 %Rio Grande City, TX18.6Jacksonville, TX: 18.6 %Jacksonville, TX18.6Brownsville, TX: 18.5 %Brownsville, TX18.5Baytown, TX: 18.2 %Baytown, TX18.2Burkburnett, TX: 18 %Burkburnett, TX18Port Arthur, TX: 17.6 %Port Arthur, TX17.6Leon Valley, TX: 17.5 %Leon Valley, TX17.5Borger, TX: 17.2 %Borger, TX17.2Raymondville, TX: 17.1 %Raymondville, TX17.1Pharr, TX: 17.1 %Pharr, TX17.1Seabrook, TX: 17 %Seabrook, TX17Ennis, TX: 17 %Ennis, TX17Freeport, TX: 16.9 %Freeport, TX16.9San Juan, TX: 16.9 %San Juan, TX16.9Port Lavaca, TX: 16.7 %Port Lavaca, TX16.7Gainesville, TX: 16.5 %Gainesville, TX16.5Garland, TX: 16.5 %Garland, TX16.5Sherman, TX: 16.5 %Sherman, TX16.5Groves, TX: 16.5 %Groves, TX16.5Tomball, TX: 16.4 %Tomball, TX16.4Brenham, TX: 16.3 %Brenham, TX16.3Weslaco, TX: 16.2 %Weslaco, TX16.2Dallas, TX: 16 %Dallas, TX16
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Fredericksburg, TX27.1
2Snyder, TX26.7
3Lago Vista, TX25.4
4Bellmead, TX23.6
5Alton, TX23.3
6Roma, TX23
7Athens, TX21.8
8San Benito, TX21.5
9Balch Springs, TX21.3
10Duncanville, TX21.1
11Addison, TX21
12Andrews, TX21
13Mission, TX20.7
14Clute, TX19.2
15Palmview, TX19
16Hurst, TX18.8
17Seagoville, TX18.7
18Rio Grande City, TX18.6
19Jacksonville, TX18.6
20Brownsville, TX18.5
21Baytown, TX18.2
22Burkburnett, TX18
23Port Arthur, TX17.6
24Leon Valley, TX17.5
25Borger, TX17.2
26Raymondville, TX17.1
27Pharr, TX17.1
28Seabrook, TX17
29Ennis, TX17
30Freeport, TX16.9
31San Juan, TX16.9
32Port Lavaca, TX16.7
33Gainesville, TX16.5
33Garland, TX16.5
35Sherman, TX16.5
36Groves, TX16.5
37Tomball, TX16.4
38Brenham, TX16.3
39Weslaco, TX16.2
40Dallas, TX16
41Kerrville, TX15.9
42South Houston, TX15.9
43Mount Pleasant, TX15.9
44Hidalgo, TX15.8
45Sulphur Springs, TX15.7
46McAllen, TX15.6
47Kilgore, TX15.6
48Odessa, TX15.5
49Horizon City, TX15.4
50Irving, TX15.2
51Laredo, TX15.1
52Bay City, TX14.9
53Harlingen, TX14.8
54Socorro, TX14.8
55Pasadena, TX14.7
56Victoria, TX14.7
57Weatherford, TX14.6
58White Settlement, TX14.6
59Marshall, TX14.5
60Farmers Branch, TX14.5
60Houston, TX14.5
62Rosenberg, TX14.4
63Midland, TX14.2
64Denison, TX14.1
65Euless, TX14.1
66Hereford, TX13.9
67Pampa, TX13.9
68Eagle Pass, TX13.8
69Santa Fe, TX13.8
70Cleburne, TX13.7
71Dayton, TX13.7
72Corsicana, TX13.7
73Live Oak, TX13.7
74Royse City, TX13.7
75Nederland, TX13.6
76Edinburg, TX13.4
77Carrollton, TX13.4
78Kyle, TX13.2
79Webster, TX13.1
80Glenn Heights, TX13.1
81Haltom City, TX12.9
82Arlington, TX12.8
82Universal City, TX12.8
84Ingleside, TX12.7
85Benbrook, TX12.6
86Galveston, TX12.5
87El Campo, TX12.5
87Watauga, TX12.5
89Fort Worth, TX12.5
90Mesquite, TX12.4
91Forest Hill, TX12.1
92Liberty Hill, TX12
93Beaumont, TX12
94Palestine, TX11.9
95Longview, TX11.8
96Mineral Wells, TX11.8
97Robstown, TX11.8
98Anna, TX11.7
99Henderson, TX11.7
100Conroe, TX11.5
101Alamo, TX11.5
102Richardson, TX11.4
103Tyler, TX11.4
104Little Elm, TX11.4
105Dickinson, TX11.4
105Galena Park, TX11.4
107Kaufman, TX11.3
108Plainview, TX11.3
109Grand Prairie, TX11.2
110Del Rio, TX11.1
111Iowa Colony, TX11.1
112Sanger, TX11
113Dumas, TX10.9
113Lumberton, TX10.9
115Lewisville, TX10.8
116Alice, TX10.6
117Richmond, TX10.6
118Humble, TX10.5
119Josephine, TX10.5
120Rowlett, TX10.4
121Waxahachie, TX10.4
122The Colony, TX10.4
123DeSoto, TX10.4
124North Richland Hills, TX10.3
125El Paso, TX10.2
126Deer Park, TX10.2
127Dripping Springs, TX10.2
128Denton, TX10.1
129Big Spring, TX10
130Mansfield, TX10
131San Angelo, TX9.9
132Lufkin, TX9.9
133Bryan, TX9.9
134La Porte, TX9.8
135Boerne, TX9.8
136Amarillo, TX9.7
137Wylie, TX9.7
138Bastrop, TX9.5
139Midlothian, TX9.5
140Sweetwater, TX9.4
141Angleton, TX9.4
142Bedford, TX9.3
143Mercedes, TX9.3
144Corpus Christi, TX9.2
145San Antonio, TX9.2
146Manvel, TX9.2
147Plano, TX9.1
148Paris, TX9.1
149Fair Oaks Ranch, TX9.1
150Bonham, TX9
151Celina, TX8.9
152Red Oak, TX8.8
153La Marque, TX8.7
154Sachse, TX8.5
155Nacogdoches, TX8.4
156Levelland, TX8.3
156Texas City, TX8.3
158Leander, TX8.3
158Lubbock, TX8.3
160Huntsville, TX8.3
161Terrell, TX8.2
162Forney, TX8.2
162Texarkana, TX8.2
164Brownwood, TX8.1
165Wichita Falls, TX8
166Lake Jackson, TX7.9
167Austin, TX7.9
168Hutto, TX7.8
169Crowley, TX7.7
170Lavon, TX7.7
171Cedar Hill, TX7.7
172Roanoke, TX7.7
173Burleson, TX7.5
174Alvin, TX7.4
174Saginaw, TX7.4
176Port Neches, TX7.4
177Friendswood, TX7.4
178Portland, TX7.3
179Cedar Park, TX7.3
179Lockhart, TX7.3
181Princeton, TX7.2
182Corinth, TX7.2
182McKinney, TX7.2
182Uvalde, TX7.2
185San Elizario, TX7.1
186Stafford, TX7.1
187Stephenville, TX7
188Killeen, TX7
189Copperas Cove, TX7
190Orange, TX6.9
191Providence Village, TX6.9
192Temple, TX6.8
193San Marcos, TX6.7
194Missouri City, TX6.7
195Grapevine, TX6.7
195Rockwall, TX6.7
197Waco, TX6.7
198Abilene, TX6.6
198Kennedale, TX6.6
198League City, TX6.6
201New Braunfels, TX6.6
202Hewitt, TX6.6
202Schertz, TX6.6
204Converse, TX6.5
205Helotes, TX6.2
206Seguin, TX6.1
207Fate, TX6.1
208Azle, TX6.1
209Donna, TX6
210Highland Village, TX5.8
211Katy, TX5.7
212College Station, TX5.6
213Taylor, TX5.6
214Round Rock, TX5.6
215Granbury, TX5.5
215Southlake, TX5.5
217Murphy, TX5.5
218Pflugerville, TX5.5
219Manor, TX5.5
220Pearland, TX5.4
221Keller, TX5.2
222Greenville, TX5.2
223Kingsville, TX5.2
224Lancaster, TX5.1
225Belton, TX5.1
226Beeville, TX5.1
227Prosper, TX4.9
228Sugar Land, TX4.8
229Frisco, TX4.7
230Allen, TX4
231Trophy Club, TX3.8
232Georgetown, TX3.8
233Cibolo, TX3.8
234Elgin, TX3.6
235Robinson, TX3.6
236Coppell, TX3.5
237Mont Belvieu, TX3.4
238Selma, TX3.3
239Gatesville, TX3.2
240Harker Heights, TX3.1
241Flower Mound, TX3
242Buda, TX2.8
243Northlake, TX2.7
244Fulshear, TX2.7
245West University Place, TX2.6
246Canyon, TX2.5
247Fairview, TX2.3
248Pleasanton, TX2.2
249Heath, TX2.1
250Lakeway, TX1.8

Showing the top 250 of 255. The Excel download has every row.

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. 1 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 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/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 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 Texas by uninsured rate, under 19 (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 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 Texas by uninsured rate, under 19 (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-under-19-acs/texas-cities?period=2021. 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 Texas by uninsured rate, under 19 (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-under-19-acs/texas-cities?period=2021.

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 Texas by uninsured rate, under 19 (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-under-19-acs/texas-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_by_2021,
  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 Texas by uninsured rate, under 19 (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-under-19-acs/texas-cities?period=2021. 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/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 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 Texas by uninsured rate, under 19 (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-under-19-acs/texas-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-cities?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Cities in Texas by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19_acs","level":"municipality","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_19_acs&level=municipality&within=Texas&limit=10

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Questions

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

Fredericksburg, TX, with 27.1% in 2021, according to the U.S. Census Bureau.

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

Colleyville, TX, with 0.4% 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 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. 1 cities have no value for 2021 and are not ranked.

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

Cities in Texas: more rankings