Data / Rankings / Uninsured rate, under 19 (US, ACS) / US cities

US cities by uninsured rate, under 19 (US, ACS)

Freehold, NJ had the highest uninsured rate, under 19 (US, ACS) of 3211 cities in 2021, at 34.2%. Yorkville, IL had the lowest, at 0%. The median was 3.7% and the figure for the United States was 5.3%. Source: the U.S. Census Bureau.

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Highest34.2Freehold, NJ
Lowest0Yorkville, IL
Median3.73211 cities
United States5.3History

Top 40 cities, 2021

Freehold, NJ: 34.2 %Freehold, NJ34.2Hardeeville, SC: 34.1 %Hardeeville, SC34.1Laguna Woods, CA: 32.2 %Laguna Woods, CA32.2Fredericksburg, TX: 27.1 %Fredericksburg, TX27.1Snyder, TX: 26.7 %Snyder, TX26.7Lago Vista, TX: 25.4 %Lago Vista, TX25.4Foley, AL: 25.2 %Foley, AL25.2Bellmead, TX: 23.6 %Bellmead, TX23.6Alton, TX: 23.3 %Alton, TX23.3Locust Grove, GA: 23 %Locust Grove, GA23Roma, 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, TX20.7Vernal, UT: 20.6 %Vernal, UT20.6Wasilla, AK: 20.4 %Wasilla, AK20.4South Salt Lake, UT: 19.8 %South Salt Lake, UT19.8Hurricane, UT: 19.2 %Hurricane, UT19.2Clute, TX: 19.2 %Clute, TX19.2Palmview, TX: 19 %Palmview, TX19Hurst, TX: 18.8 %Hurst, TX18.8Sebring, FL: 18.8 %Sebring, FL18.8Auburn, GA: 18.7 %Auburn, GA18.7Seagoville, 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, TX18.2Ada, OK: 18 %Ada, OK18Burkburnett, TX: 18 %Burkburnett, TX18West Plains, MO: 17.8 %West Plains, MO17.8Doraville, GA: 17.6 %Doraville, GA17.6Port Arthur, TX: 17.6 %Port Arthur, TX17.6Wildwood, FL: 17.6 %Wildwood, FL17.6Leon Valley, TX: 17.5 %Leon Valley, TX17.5Cedartown, GA: 17.4 %Cedartown, GA17.4Freehold, NJ: 34.2 %Freehold, NJ34.2Hardeeville, SC: 34.1 %Hardeeville, SC34.1Laguna Woods, CA: 32.2 %Laguna Woods, CA32.2Fredericksburg, TX: 27.1 %Fredericksburg, TX27.1Snyder, TX: 26.7 %Snyder, TX26.7Lago Vista, TX: 25.4 %Lago Vista, TX25.4Foley, AL: 25.2 %Foley, AL25.2Bellmead, TX: 23.6 %Bellmead, TX23.6Alton, TX: 23.3 %Alton, TX23.3Locust Grove, GA: 23 %Locust Grove, GA23Roma, 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, TX20.7Vernal, UT: 20.6 %Vernal, UT20.6Wasilla, AK: 20.4 %Wasilla, AK20.4South Salt Lake, UT: 19.8 %South Salt Lake, UT19.8Hurricane, UT: 19.2 %Hurricane, UT19.2Clute, TX: 19.2 %Clute, TX19.2Palmview, TX: 19 %Palmview, TX19Hurst, TX: 18.8 %Hurst, TX18.8Sebring, FL: 18.8 %Sebring, FL18.8Auburn, GA: 18.7 %Auburn, GA18.7Seagoville, 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, TX18.2Ada, OK: 18 %Ada, OK18Burkburnett, TX: 18 %Burkburnett, TX18West Plains, MO: 17.8 %West Plains, MO17.8Doraville, GA: 17.6 %Doraville, GA17.6Port Arthur, TX: 17.6 %Port Arthur, TX17.6Wildwood, FL: 17.6 %Wildwood, FL17.6Leon Valley, TX: 17.5 %Leon Valley, TX17.5Cedartown, GA: 17.4 %Cedartown, GA17.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Freehold, NJ34.2
2Hardeeville, SC34.1
3Laguna Woods, CA32.2
4Fredericksburg, TX27.1
5Snyder, TX26.7
6Lago Vista, TX25.4
7Foley, AL25.2
8Bellmead, TX23.6
9Alton, TX23.3
10Locust Grove, GA23
10Roma, TX23
12Athens, TX21.8
13San Benito, TX21.5
14Balch Springs, TX21.3
15Duncanville, TX21.1
16Addison, TX21
17Andrews, TX21
18Mission, TX20.7
19Vernal, UT20.6
20Wasilla, AK20.4
21South Salt Lake, UT19.8
22Hurricane, UT19.2
23Clute, TX19.2
24Palmview, TX19
25Hurst, TX18.8
26Sebring, FL18.8
27Auburn, GA18.7
28Seagoville, TX18.7
29Rio Grande City, TX18.6
30Jacksonville, TX18.6
31Brownsville, TX18.5
32Baytown, TX18.2
33Ada, OK18
34Burkburnett, TX18
35West Plains, MO17.8
36Doraville, GA17.6
37Port Arthur, TX17.6
38Wildwood, FL17.6
39Leon Valley, TX17.5
40Cedartown, GA17.4
41Borger, TX17.2
42Raymondville, TX17.1
43Pharr, TX17.1
44San Luis, AZ17
45Seabrook, TX17
46Ennis, TX17
47Cairo, GA16.9
47Freeport, TX16.9
49Branson, MO16.9
50D'Iberville, MS16.9
51San Juan, TX16.9
52Port Lavaca, TX16.7
53Grandview, MO16.7
54Cleveland, MS16.7
55Gainesville, TX16.5
55Garland, TX16.5
57Sherman, TX16.5
58Groves, TX16.5
59Tomball, TX16.4
60Harrison, NJ16.4
61Norcross, GA16.4
62Brenham, TX16.3
63Florence, AZ16.2
63Weslaco, TX16.2
65Edgewater, FL16.1
66Mount Dora, FL16
67Dallas, TX16
68Kerrville, TX15.9
69South Houston, TX15.9
70Mount Pleasant, TX15.9
71Hidalgo, TX15.8
72West Valley City, UT15.8
73Sulphur Springs, TX15.7
74Key West, FL15.7
75McAllen, TX15.6
76Kilgore, TX15.6
77Covington, LA15.5
78Odessa, TX15.5
79Kearns, UT15.4
80Horizon City, TX15.4
81Fairview, NJ15.2
81Irving, TX15.2
83Laredo, TX15.1
84Somerton, AZ15.1
85Fort Morgan, CO15
86Palm Springs, FL14.9
86Pleasant View, UT14.9
88Bay City, TX14.9
89Norwalk, CT14.9
90Harlingen, TX14.8
91Socorro, TX14.8
92Pasadena, TX14.7
93Vidalia, GA14.7
94Victoria, TX14.7
95Tahlequah, OK14.7
96Weatherford, TX14.6
97White Settlement, TX14.6
98Durant, OK14.5
98North Charleston, SC14.5
100Marshall, TX14.5
101Acworth, GA14.5
102Farmers Branch, TX14.5
102Houston, TX14.5
104Lauderdale Lakes, FL14.5
105Lawrenceville, GA14.4
106Rosenberg, TX14.4
107Chambersburg, PA14.3
108Gretna, LA14.3
109Midland, TX14.2
110Denison, TX14.1
111Euless, TX14.1
112Carteret, NJ14.1
112Destin, FL14.1
114Cottonwood, AZ13.9
115Palm Coast, FL13.9
116Hereford, TX13.9
117Pampa, TX13.9
118Woodward, OK13.9
119Riverdale, GA13.9
120Eagle Pass, TX13.8
121Florida City, FL13.8
122Santa Fe, TX13.8
123Cleburne, TX13.7
123St. George, UT13.7
125Dayton, TX13.7
126Corsicana, TX13.7
127Live Oak, TX13.7
128Arkansas City, KS13.7
129Royse City, TX13.7
130Boynton Beach, FL13.6
130Perth Amboy, NJ13.6
132Nederland, TX13.6
132Sarasota, FL13.6
134Pompano Beach, FL13.6
135Margate, FL13.5
136Edinburg, TX13.4
137Lilburn, GA13.4
138Hackettstown, NJ13.4
139Carrollton, TX13.4
140Dade City, FL13.3
140Holly Hill, FL13.3
142North Port, FL13.3
143Kyle, TX13.2
144Webster, TX13.1
145Chamblee, GA13.1
146Gillette, WY13.1
146Glenn Heights, TX13.1
146Lake Worth Beach, FL13.1
149Worthington, MN13
150Williston, ND13
151Washington, UT13
152Coconut Creek, FL13
153Haltom City, TX12.9
154Springdale, AR12.8
155Arlington, TX12.8
155Universal City, TX12.8
157Ingleside, TX12.7
158Carthage, MO12.7
159Benbrook, TX12.6
160Duluth, GA12.6
160Excelsior Springs, MO12.6
162Mount Airy, NC12.5
162Springdale, OH12.5
164Healdsburg, CA12.5
165Galveston, TX12.5
166Jackson, WY12.5
167El Campo, TX12.5
167Panama City, FL12.5
167Watauga, TX12.5
170Fort Worth, TX12.5
171Mesquite, TX12.4
172Long Branch, NJ12.2
173Lewisville, NC12.2
174Bay St. Louis, MS12.2
175Deerfield Beach, FL12.2
176Herndon, VA12.2
177Leesburg, FL12.2
178Forest Hill, TX12.1
179Aberdeen, NC12.1
180Manassas, VA12.1
181Liberty Hill, TX12
182Dover, NJ12
183Beaumont, TX12
184Alsip, IL12
185Show Low, AZ12
186Okmulgee, OK12
187Union City, NJ11.9
188Palestine, TX11.9
189Longview, TX11.8
190Fort Lauderdale, FL11.8
191Mineral Wells, TX11.8
192Homestead, FL11.8
192Seymour, IN11.8
194Robstown, TX11.8
195Marietta, GA11.7
196Anna, TX11.7
196Smithville, MO11.7
198Henderson, TX11.7
199Coolidge, AZ11.6
200Miami Beach, FL11.6
201Palmetto, FL11.6
202Brooklyn, OH11.6
203Conroe, TX11.5
204Southern Pines, NC11.5
205Alamo, TX11.5
206Auburn, CA11.5
207Richardson, TX11.4
208Midvale, UT11.4
209Gallup, NM11.4
209Tyler, TX11.4
209Waynesville, NC11.4
212Little Elm, TX11.4
213Dickinson, TX11.4
213Galena Park, TX11.4
213Plymouth, IN11.4
216Manassas Park, VA11.3
217Kaufman, TX11.3
218Plainfield, NJ11.3
218Plainview, TX11.3
220Grand Prairie, TX11.2
220Washington, IN11.2
222Warr Acres, OK11.2
223Columbus, NE11.2
224Brunswick, GA11.2
224Neosho, MO11.2
226Calhoun, GA11.1
226Del Rio, TX11.1
226Fort Myers, FL11.1
229Iowa Colony, TX11.1
230North Lauderdale, FL11.1
231Bonita Springs, FL11
231Red Bank, NJ11
233Taylorsville, UT11
234Riverton, WY11
234Sanger, TX11
236La Vergne, TN10.9
237Conyers, GA10.9
238Moultrie, GA10.9
239Dumas, TX10.9
239Lumberton, TX10.9
241Federal Heights, CO10.9
242Lewisville, TX10.8
243Provo, UT10.8
244Albemarle, NC10.7
245Englewood, NJ10.7
246Siloam Springs, AR10.7
247Fulton, MO10.7
248Hazelwood, MO10.6
248McAlester, OK10.6
250Elkhart, IN10.6

Showing the top 250 of 3211. 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. 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 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) (US cities 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), US cities 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/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 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). US cities 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/us-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), US cities 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/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 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): US cities 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/us-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): US cities 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/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-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 US cities 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":"United States","limit":10}
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Questions

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

Freehold, NJ, with 34.2% in 2021, according to the U.S. Census Bureau.

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

Yorkville, 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 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. 8 cities have no value for 2021 and are not ranked.

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

US cities: more rankings