Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024

Scotland County had the highest uninsured rate, under 19 (US model-based estimate) of 115 counties in 2024, at 25.7%. St. Charles County had the lowest, at 3.2%. The median was 8% and the figure for Missouri was 6.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest25.7Scotland County
Median8115 counties
Missouri6.4History

Map of counties, 2024

Adair County: 8.4 %Andrew County: 5.5 %Atchison County: 7.9 %Audrain County: 8.6 %Barry County: 9.5 %Barton County: 9.9 %Bates County: 8.8 %Benton County: 9.4 %Bollinger County: 7.9 %Boone County: 5.3 %Buchanan County: 6.8 %Butler County: 8.3 %Caldwell County: 10.1 %Callaway County: 6.2 %Camden County: 8.3 %Cape Girardeau County: 6 %Carroll County: 8 %Carter County: 7.2 %Cass County: 6.6 %Cedar County: 12.7 %Chariton County: 7.3 %Christian County: 5.6 %Clark County: 8.4 %Clay County: 6.4 %Clinton County: 6.4 %Cole County: 4.7 %Cooper County: 6.6 %Crawford County: 9.6 %Dade County: 7.9 %Dallas County: 12 %Daviess County: 13.8 %DeKalb County: 7.3 %Dent County: 9.4 %Douglas County: 9.6 %Dunklin County: 7.1 %Franklin County: 6.6 %Gasconade County: 8.5 %Gentry County: 9.7 %Greene County: 6.8 %Grundy County: 10.8 %Harrison County: 12.8 %Henry County: 8.8 %Hickory County: 9.5 %Holt County: 8.5 %Howard County: 8.2 %Howell County: 7 %Iron County: 7.7 %Jackson County: 6.5 %Jasper County: 6.8 %Jefferson County: 5.5 %Johnson County: 5.2 %Knox County: 17.4 %Laclede County: 7.9 %Lafayette County: 7.2 %Lawrence County: 10.8 %Lewis County: 9.2 %Lincoln County: 5.7 %Linn County: 7.9 %Livingston County: 9 %McDonald County: 8.9 %Macon County: 9.1 %Madison County: 8.1 %Maries County: 9.5 %Marion County: 7.9 %Mercer County: 14.7 %Miller County: 10.3 %Mississippi County: 9.6 %Moniteau County: 14.8 %Monroe County: 9.6 %Montgomery County: 9 %Morgan County: 17.6 %New Madrid County: 8.1 %Newton County: 7.3 %Nodaway County: 7.8 %Oregon County: 7.6 %Osage County: 6.1 %Ozark County: 10.6 %Pemiscot County: 7.7 %Perry County: 7.1 %Pettis County: 7.7 %Phelps County: 6.6 %Pike County: 9.2 %Platte County: 5 %Polk County: 10.1 %Pulaski County: 5.7 %Putnam County: 7.2 %Ralls County: 7.4 %Randolph County: 8 %Ray County: 6.7 %Reynolds County: 7.1 %Ripley County: 7.8 %St. Charles County: 3.2 %St. Clair County: 9.1 %Ste. Genevieve County: 5.8 %St. Francois County: 6.6 %St. Louis County: 3.8 %Saline County: 7.3 %Schuyler County: 9.9 %Scotland County: 25.7 %Scott County: 6.6 %Shannon County: 6.9 %Shelby County: 8.8 %Stoddard County: 9.3 %Stone County: 7.5 %Sullivan County: 8.7 %Taney County: 7.3 %Texas County: 10.6 %Vernon County: 8.7 %Warren County: 6.9 %Washington County: 8.3 %Wayne County: 8.7 %Webster County: 15 %Worth County: 11.1 %Wright County: 9.3 %St. Louis city: 7.5 %
  • Under 6.6
  • 6.6 to 7.3
  • 7.3 to 8
  • 8 to 8.9
  • 8.9 to 9.9
  • 9.9 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Scotland County: 25.7 %Scotland County25.7Morgan County: 17.6 %Morgan County17.6Knox County: 17.4 %Knox County17.4Webster County: 15 %Webster County15Moniteau County: 14.8 %Moniteau County14.8Mercer County: 14.7 %Mercer County14.7Daviess County: 13.8 %Daviess County13.8Harrison County: 12.8 %Harrison County12.8Cedar County: 12.7 %Cedar County12.7Dallas County: 12 %Dallas County12Worth County: 11.1 %Worth County11.1Grundy County: 10.8 %Grundy County10.8Lawrence County: 10.8 %Lawrence County10.8Ozark County: 10.6 %Ozark County10.6Texas County: 10.6 %Texas County10.6Miller County: 10.3 %Miller County10.3Caldwell County: 10.1 %Caldwell County10.1Polk County: 10.1 %Polk County10.1Barton County: 9.9 %Barton County9.9Schuyler County: 9.9 %Schuyler County9.9Gentry County: 9.7 %Gentry County9.7Crawford County: 9.6 %Crawford County9.6Douglas County: 9.6 %Douglas County9.6Mississippi County: 9.6 %Mississippi County9.6Monroe County: 9.6 %Monroe County9.6Barry County: 9.5 %Barry County9.5Hickory County: 9.5 %Hickory County9.5Maries County: 9.5 %Maries County9.5Benton County: 9.4 %Benton County9.4Dent County: 9.4 %Dent County9.4Stoddard County: 9.3 %Stoddard County9.3Wright County: 9.3 %Wright County9.3Lewis County: 9.2 %Lewis County9.2Pike County: 9.2 %Pike County9.2Macon County: 9.1 %Macon County9.1St. Clair County: 9.1 %St. Clair County9.1Livingston County: 9 %Livingston County9Montgomery County: 9 %Montgomery County9McDonald County: 8.9 %McDonald County8.9Bates County: 8.8 %Bates County8.8Scotland County: 25.7 %Scotland County25.7Morgan County: 17.6 %Morgan County17.6Knox County: 17.4 %Knox County17.4Webster County: 15 %Webster County15Moniteau County: 14.8 %Moniteau County14.8Mercer County: 14.7 %Mercer County14.7Daviess County: 13.8 %Daviess County13.8Harrison County: 12.8 %Harrison County12.8Cedar County: 12.7 %Cedar County12.7Dallas County: 12 %Dallas County12Worth County: 11.1 %Worth County11.1Grundy County: 10.8 %Grundy County10.8Lawrence County: 10.8 %Lawrence County10.8Ozark County: 10.6 %Ozark County10.6Texas County: 10.6 %Texas County10.6Miller County: 10.3 %Miller County10.3Caldwell County: 10.1 %Caldwell County10.1Polk County: 10.1 %Polk County10.1Barton County: 9.9 %Barton County9.9Schuyler County: 9.9 %Schuyler County9.9Gentry County: 9.7 %Gentry County9.7Crawford County: 9.6 %Crawford County9.6Douglas County: 9.6 %Douglas County9.6Mississippi County: 9.6 %Mississippi County9.6Monroe County: 9.6 %Monroe County9.6Barry County: 9.5 %Barry County9.5Hickory County: 9.5 %Hickory County9.5Maries County: 9.5 %Maries County9.5Benton County: 9.4 %Benton County9.4Dent County: 9.4 %Dent County9.4Stoddard County: 9.3 %Stoddard County9.3Wright County: 9.3 %Wright County9.3Lewis County: 9.2 %Lewis County9.2Pike County: 9.2 %Pike County9.2Macon County: 9.1 %Macon County9.1St. Clair County: 9.1 %St. Clair County9.1Livingston County: 9 %Livingston County9Montgomery County: 9 %Montgomery County9McDonald County: 8.9 %McDonald County8.9Bates County: 8.8 %Bates County8.8
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Scotland County25.7+8.5 pts
2Morgan County17.6+2.6 pts
3Knox County17.4+4.4 pts
4Webster County15+5.9 pts
5Moniteau County14.8+3.2 pts
6Mercer County14.7+6.5 pts
7Daviess County13.8+3.2 pts
8Harrison County12.8+5.5 pts
9Cedar County12.7+4.5 pts
10Dallas County12+1.8 pts
11Worth County11.1+4.2 pts
12Grundy County10.8+4 pts
12Lawrence County10.8+2.4 pts
14Ozark County10.6+2.9 pts
14Texas County10.6+3.8 pts
16Miller County10.3+3.8 pts
17Caldwell County10.1+2.4 pts
17Polk County10.1+3.8 pts
19Barton County9.9+2.5 pts
19Schuyler County9.9+1.1 pts
21Gentry County9.7-0.4 pts
22Crawford County9.6+2.9 pts
22Douglas County9.6+2.6 pts
22Mississippi County9.6+0.1 pts
22Monroe County9.6+2.6 pts
26Barry County9.5+2.7 pts
26Hickory County9.5+3.1 pts
26Maries County9.5+2.6 pts
29Benton County9.4+1.1 pts
29Dent County9.4+3.3 pts
31Stoddard County9.3+1.9 pts
31Wright County9.3+1.5 pts
33Lewis County9.2+1 pts
33Pike County9.2+1.4 pts
35Macon County9.1+0.6 pts
35St. Clair County9.1+2.2 pts
37Livingston County9+1 pts
37Montgomery County9+0.5 pts
39McDonald County8.9+1.9 pts
40Bates County8.8+0.4 pts
40Henry County8.8+2.6 pts
40Shelby County8.8+0.6 pts
43Sullivan County8.7+2.4 pts
43Vernon County8.7+0.9 pts
43Wayne County8.7+1.7 pts
46Audrain County8.6-0.3 pts
47Gasconade County8.5+1.3 pts
47Holt County8.5+2.7 pts
49Adair County8.4+2.1 pts
49Clark County8.4+1.6 pts
51Butler County8.3+1.7 pts
51Camden County8.3+2 pts
51Washington County8.3+1.5 pts
54Howard County8.2+1.8 pts
55Madison County8.1+2.6 pts
55New Madrid County8.1+2 pts
57Carroll County8+2.3 pts
57Randolph County8+2.6 pts
59Atchison County7.9+0.4 pts
59Bollinger County7.9+0.9 pts
59Dade County7.9+1 pts
59Laclede County7.9+2.2 pts
59Linn County7.9-0.7 pts
59Marion County7.9+2.3 pts
65Nodaway County7.8+2.9 pts
65Ripley County7.8+1.5 pts
67Iron County7.7+1.6 pts
67Pemiscot County7.7+2.1 pts
67Pettis County7.7+2.2 pts
70Oregon County7.6+1 pts
71St. Louis city7.5+3.3 pts
71Stone County7.5+1.3 pts
73Ralls County7.4+2.1 pts
74Chariton County7.3+1.1 pts
74DeKalb County7.3+1.2 pts
74Newton County7.3+1.8 pts
74Saline County7.3+1.2 pts
74Taney County7.3+2.1 pts
79Carter County7.2+0.5 pts
79Lafayette County7.2+0.8 pts
79Putnam County7.2+0.9 pts
82Dunklin County7.1+0.2 pts
82Perry County7.1+0.5 pts
82Reynolds County7.1+0.8 pts
85Howell County7-0.1 pts
86Shannon County6.9+1.5 pts
86Warren County6.9+1 pts
88Buchanan County6.8+1.5 pts
88Greene County6.8+2.7 pts
88Jasper County6.8+0.2 pts
91Ray County6.7-0.6 pts
92Cass County6.6+1.8 pts
92Cooper County6.6+1.2 pts
92Franklin County6.6+0.9 pts
92Phelps County6.6+0.5 pts
92Scott County6.6+1.3 pts
92St. Francois County6.6+1 pts
98Jackson County6.5+0.7 pts
99Clay County6.4+2 pts
99Clinton County6.4+1.4 pts
101Callaway County6.2+1.5 pts
102Osage County6.1+1.2 pts
103Cape Girardeau County6+1.4 pts
104Ste. Genevieve County5.8+0.4 pts
105Lincoln County5.70 pts
105Pulaski County5.7-0.1 pts
107Christian County5.6+0.2 pts
108Andrew County5.5+0.5 pts
108Jefferson County5.5+0.7 pts
110Boone County5.3+0.8 pts
111Johnson County5.20 pts
112Platte County5+1.3 pts
113Cole County4.7+0.6 pts
114St. Louis County3.80 pts
115St. Charles County3.2+0.1 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 19 (US model-based estimate), 2024
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Scotland County, with 25.7% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

St. Charles County, with 3.2% 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, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Missouri: more rankings