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

Scotland County had the highest uninsured rate, under 19 (US model-based estimate) of 115 counties in 2021, at 16.8%. St. Charles County had the lowest, at 3.8%. The median was 7.2% and the figure for Missouri was 5.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest16.8Scotland County
Median7.2115 counties
Missouri5.9History

Map of counties, 2021

Adair County: 6.6 %Andrew County: 6.5 %Atchison County: 11.7 %Audrain County: 7.4 %Barry County: 6.8 %Barton County: 8 %Bates County: 8.6 %Benton County: 7.6 %Bollinger County: 8.5 %Boone County: 6 %Buchanan County: 6.5 %Butler County: 7.6 %Caldwell County: 11.1 %Callaway County: 6.1 %Camden County: 8.2 %Cape Girardeau County: 6.2 %Carroll County: 8 %Carter County: 8.3 %Cass County: 5.5 %Cedar County: 7.5 %Chariton County: 8.7 %Christian County: 6.8 %Clark County: 9.4 %Clay County: 5.5 %Clinton County: 7.4 %Cole County: 6.1 %Cooper County: 6.3 %Crawford County: 7.8 %Dade County: 8.3 %Dallas County: 8.5 %Daviess County: 11.8 %DeKalb County: 6.3 %Dent County: 7.3 %Douglas County: 6 %Dunklin County: 6.8 %Franklin County: 6.9 %Gasconade County: 8.3 %Gentry County: 11.1 %Greene County: 5.6 %Grundy County: 9.2 %Harrison County: 6.2 %Henry County: 7.1 %Hickory County: 6.9 %Holt County: 7.8 %Howard County: 7.1 %Howell County: 7.1 %Iron County: 7 %Jackson County: 6.6 %Jasper County: 6.8 %Jefferson County: 4.8 %Johnson County: 5.8 %Knox County: 10.3 %Laclede County: 6.2 %Lafayette County: 7.8 %Lawrence County: 7.6 %Lewis County: 8.9 %Lincoln County: 8 %Linn County: 7.5 %Livingston County: 6 %McDonald County: 10.3 %Macon County: 9 %Madison County: 6.1 %Maries County: 12.2 %Marion County: 5.9 %Mercer County: 9.4 %Miller County: 7.4 %Mississippi County: 6.9 %Moniteau County: 10.9 %Monroe County: 9.2 %Montgomery County: 7.9 %Morgan County: 15.7 %New Madrid County: 6.4 %Newton County: 6.4 %Nodaway County: 6.1 %Oregon County: 6.1 %Osage County: 7 %Ozark County: 8.7 %Pemiscot County: 6.8 %Perry County: 7.6 %Pettis County: 8.4 %Phelps County: 7 %Pike County: 7.4 %Platte County: 4.9 %Polk County: 6.4 %Pulaski County: 6.6 %Putnam County: 7.8 %Ralls County: 6.8 %Randolph County: 5.9 %Ray County: 7.2 %Reynolds County: 8 %Ripley County: 7.1 %St. Charles County: 3.8 %St. Clair County: 8 %Ste. Genevieve County: 6.5 %St. Francois County: 6 %St. Louis County: 3.9 %Saline County: 7 %Schuyler County: 7.8 %Scotland County: 16.8 %Scott County: 6.5 %Shannon County: 7.1 %Shelby County: 9.4 %Stoddard County: 8.9 %Stone County: 7.4 %Sullivan County: 8.2 %Taney County: 5.8 %Texas County: 6.6 %Vernon County: 9.3 %Warren County: 6.8 %Washington County: 6.6 %Wayne County: 8.1 %Webster County: 8.8 %Worth County: 8.6 %Wright County: 9 %St. Louis city: 4.5 %
  • Under 6.1
  • 6.1 to 6.8
  • 6.8 to 7.2
  • 7.2 to 8
  • 8 to 8.9
  • 8.9 and over
%, 2021. 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, 2021

Scotland County: 16.8 %Scotland County16.8Morgan County: 15.7 %Morgan County15.7Maries County: 12.2 %Maries County12.2Daviess County: 11.8 %Daviess County11.8Atchison County: 11.7 %Atchison County11.7Caldwell County: 11.1 %Caldwell County11.1Gentry County: 11.1 %Gentry County11.1Moniteau County: 10.9 %Moniteau County10.9Knox County: 10.3 %Knox County10.3McDonald County: 10.3 %McDonald County10.3Clark County: 9.4 %Clark County9.4Mercer County: 9.4 %Mercer County9.4Shelby County: 9.4 %Shelby County9.4Vernon County: 9.3 %Vernon County9.3Grundy County: 9.2 %Grundy County9.2Monroe County: 9.2 %Monroe County9.2Macon County: 9 %Macon County9Wright County: 9 %Wright County9Lewis County: 8.9 %Lewis County8.9Stoddard County: 8.9 %Stoddard County8.9Webster County: 8.8 %Webster County8.8Chariton County: 8.7 %Chariton County8.7Ozark County: 8.7 %Ozark County8.7Bates County: 8.6 %Bates County8.6Worth County: 8.6 %Worth County8.6Bollinger County: 8.5 %Bollinger County8.5Dallas County: 8.5 %Dallas County8.5Pettis County: 8.4 %Pettis County8.4Carter County: 8.3 %Carter County8.3Dade County: 8.3 %Dade County8.3Gasconade County: 8.3 %Gasconade County8.3Camden County: 8.2 %Camden County8.2Sullivan County: 8.2 %Sullivan County8.2Wayne County: 8.1 %Wayne County8.1Barton County: 8 %Barton County8Carroll County: 8 %Carroll County8Lincoln County: 8 %Lincoln County8Reynolds County: 8 %Reynolds County8St. Clair County: 8 %St. Clair County8Montgomery County: 7.9 %Montgomery County7.9Scotland County: 16.8 %Scotland County16.8Morgan County: 15.7 %Morgan County15.7Maries County: 12.2 %Maries County12.2Daviess County: 11.8 %Daviess County11.8Atchison County: 11.7 %Atchison County11.7Caldwell County: 11.1 %Caldwell County11.1Gentry County: 11.1 %Gentry County11.1Moniteau County: 10.9 %Moniteau County10.9Knox County: 10.3 %Knox County10.3McDonald County: 10.3 %McDonald County10.3Clark County: 9.4 %Clark County9.4Mercer County: 9.4 %Mercer County9.4Shelby County: 9.4 %Shelby County9.4Vernon County: 9.3 %Vernon County9.3Grundy County: 9.2 %Grundy County9.2Monroe County: 9.2 %Monroe County9.2Macon County: 9 %Macon County9Wright County: 9 %Wright County9Lewis County: 8.9 %Lewis County8.9Stoddard County: 8.9 %Stoddard County8.9Webster County: 8.8 %Webster County8.8Chariton County: 8.7 %Chariton County8.7Ozark County: 8.7 %Ozark County8.7Bates County: 8.6 %Bates County8.6Worth County: 8.6 %Worth County8.6Bollinger County: 8.5 %Bollinger County8.5Dallas County: 8.5 %Dallas County8.5Pettis County: 8.4 %Pettis County8.4Carter County: 8.3 %Carter County8.3Dade County: 8.3 %Dade County8.3Gasconade County: 8.3 %Gasconade County8.3Camden County: 8.2 %Camden County8.2Sullivan County: 8.2 %Sullivan County8.2Wayne County: 8.1 %Wayne County8.1Barton County: 8 %Barton County8Carroll County: 8 %Carroll County8Lincoln County: 8 %Lincoln County8Reynolds County: 8 %Reynolds County8St. Clair County: 8 %St. Clair County8Montgomery County: 7.9 %Montgomery County7.9
%. 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

RankCounties2021 (%)Change on 2020
1Scotland County16.8-2.8 pts
2Morgan County15.70 pts
3Maries County12.2-0.2 pts
4Daviess County11.8-1.1 pts
5Atchison County11.7+0.2 pts
6Caldwell County11.1+0.5 pts
6Gentry County11.1-0.3 pts
8Moniteau County10.9-4.7 pts
9Knox County10.3+0.8 pts
9McDonald County10.3-3.1 pts
11Clark County9.4-1.7 pts
11Mercer County9.4-1.9 pts
11Shelby County9.4-1.4 pts
14Vernon County9.3+2.2 pts
15Grundy County9.2-0.9 pts
15Monroe County9.2-0.7 pts
17Macon County9+1.1 pts
17Wright County9+1.1 pts
19Lewis County8.9-1.8 pts
19Stoddard County8.9-1.5 pts
21Webster County8.8-4 pts
22Chariton County8.7-1.7 pts
22Ozark County8.7+1.3 pts
24Bates County8.60 pts
24Worth County8.6-2.9 pts
26Bollinger County8.5-1.6 pts
26Dallas County8.5-0.8 pts
28Pettis County8.4+0.3 pts
29Carter County8.3-1.4 pts
29Dade County8.3-1.2 pts
29Gasconade County8.3-0.1 pts
32Camden County8.2+0.4 pts
32Sullivan County8.2-2.3 pts
34Wayne County8.1+0.4 pts
35Barton County8-1.9 pts
35Carroll County8-1.3 pts
35Lincoln County8+0.3 pts
35Reynolds County8-0.7 pts
35St. Clair County8-0.6 pts
40Montgomery County7.9-1.6 pts
41Crawford County7.8-1.5 pts
41Holt County7.8-2.3 pts
41Lafayette County7.8+0.6 pts
41Putnam County7.8-3.3 pts
41Schuyler County7.8-2.8 pts
46Benton County7.6-0.6 pts
46Butler County7.6+1.4 pts
46Lawrence County7.6-2.2 pts
46Perry County7.6+0.2 pts
50Cedar County7.5-1 pts
50Linn County7.5-1.9 pts
52Audrain County7.4-3.7 pts
52Clinton County7.4-1.4 pts
52Miller County7.4-1.3 pts
52Pike County7.4-1.9 pts
52Stone County7.4-1.2 pts
57Dent County7.3-2 pts
58Ray County7.2-1.5 pts
59Henry County7.1-0.4 pts
59Howard County7.1-1.1 pts
59Howell County7.1-0.2 pts
59Ripley County7.1-0.3 pts
59Shannon County7.1-2.3 pts
64Iron County7-1.4 pts
64Osage County7-2.2 pts
64Phelps County7-0.8 pts
64Saline County7-2.2 pts
68Franklin County6.9+0.9 pts
68Hickory County6.9-2.2 pts
68Mississippi County6.9-0.4 pts
71Barry County6.8-3 pts
71Christian County6.8-0.3 pts
71Dunklin County6.8-1.8 pts
71Jasper County6.8-1.4 pts
71Pemiscot County6.8+0.9 pts
71Ralls County6.8-1.9 pts
71Warren County6.8-2.6 pts
78Adair County6.6-2.3 pts
78Jackson County6.6-0.1 pts
78Pulaski County6.6-0.8 pts
78Texas County6.6-2.4 pts
78Washington County6.6-0.5 pts
83Andrew County6.5-1.2 pts
83Buchanan County6.5+0.1 pts
83Scott County6.5+0.2 pts
83Ste. Genevieve County6.5-1.2 pts
87New Madrid County6.4-1.3 pts
87Newton County6.4-2.7 pts
87Polk County6.4-1.9 pts
90Cooper County6.3-1.3 pts
90DeKalb County6.3-1.3 pts
92Cape Girardeau County6.2-1.2 pts
92Harrison County6.2-1.5 pts
92Laclede County6.2-0.6 pts
95Callaway County6.1-0.8 pts
95Cole County6.1-0.6 pts
95Madison County6.1-2.9 pts
95Nodaway County6.1-1.3 pts
95Oregon County6.1-1 pts
100Boone County6-0.2 pts
100Douglas County60 pts
100Livingston County6-3.5 pts
100St. Francois County6-0.2 pts
104Marion County5.9-0.9 pts
104Randolph County5.9-2.5 pts
106Johnson County5.8-1.9 pts
106Taney County5.8-1.8 pts
108Greene County5.6-2.4 pts
109Cass County5.5-1.2 pts
109Clay County5.5-0.1 pts
111Platte County4.9-0.7 pts
112Jefferson County4.8-1.9 pts
113St. Louis city4.5+0.2 pts
114St. Louis County3.9-0.4 pts
115St. Charles County3.8-0.7 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2021.
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-2021-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 16.8% in 2021, according to the U.S. Census Bureau.

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

St. Charles County, with 3.8% 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, 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