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 2022, at 20.9%. St. Charles County had the lowest, at 3.8%. The median was 6.8% and the figure for Missouri was 5.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest20.9Scotland County
Median6.8115 counties
Missouri5.5History

Map of counties, 2022

Adair County: 5.7 %Andrew County: 6.3 %Atchison County: 8 %Audrain County: 11.3 %Barry County: 7 %Barton County: 7.6 %Bates County: 8.5 %Benton County: 8.2 %Bollinger County: 7.8 %Boone County: 4.6 %Buchanan County: 5.6 %Butler County: 7.5 %Caldwell County: 7.3 %Callaway County: 5.6 %Camden County: 7.9 %Cape Girardeau County: 5.7 %Carroll County: 8.1 %Carter County: 7.2 %Cass County: 5.6 %Cedar County: 7.3 %Chariton County: 6.4 %Christian County: 6 %Clark County: 8.3 %Clay County: 4.6 %Clinton County: 5.6 %Cole County: 5 %Cooper County: 6.3 %Crawford County: 7.7 %Dade County: 6.9 %Dallas County: 7.5 %Daviess County: 10.4 %DeKalb County: 6.6 %Dent County: 7.1 %Douglas County: 5.9 %Dunklin County: 6.8 %Franklin County: 5.3 %Gasconade County: 8.2 %Gentry County: 9.6 %Greene County: 5.3 %Grundy County: 9.5 %Harrison County: 6.1 %Henry County: 6 %Hickory County: 5.6 %Holt County: 6.1 %Howard County: 7.1 %Howell County: 6.3 %Iron County: 6.9 %Jackson County: 5.2 %Jasper County: 5.5 %Jefferson County: 4.8 %Johnson County: 5.6 %Knox County: 9.3 %Laclede County: 5.7 %Lafayette County: 7.6 %Lawrence County: 7.1 %Lewis County: 8.6 %Lincoln County: 6 %Linn County: 6.1 %Livingston County: 6.6 %McDonald County: 7.7 %Macon County: 6.7 %Madison County: 5.1 %Maries County: 7.5 %Marion County: 6.2 %Mercer County: 9.6 %Miller County: 6.8 %Mississippi County: 8.1 %Moniteau County: 16.1 %Monroe County: 11.2 %Montgomery County: 7.7 %Morgan County: 15.6 %New Madrid County: 6.9 %Newton County: 6.3 %Nodaway County: 6.3 %Oregon County: 6.8 %Osage County: 5.8 %Ozark County: 7.4 %Pemiscot County: 6.4 %Perry County: 6.4 %Pettis County: 6.7 %Phelps County: 6.5 %Pike County: 7.2 %Platte County: 5.2 %Polk County: 8.9 %Pulaski County: 6.4 %Putnam County: 6.5 %Ralls County: 6.5 %Randolph County: 6.6 %Ray County: 6.6 %Reynolds County: 6.9 %Ripley County: 6.9 %St. Charles County: 3.8 %St. Clair County: 7.1 %Ste. Genevieve County: 6.6 %St. Francois County: 6.6 %St. Louis County: 4 %Saline County: 5.8 %Schuyler County: 9 %Scotland County: 20.9 %Scott County: 6.2 %Shannon County: 5.5 %Shelby County: 7.7 %Stoddard County: 8 %Stone County: 6.5 %Sullivan County: 6.2 %Taney County: 7.2 %Texas County: 6.8 %Vernon County: 6.7 %Warren County: 6.9 %Washington County: 7.3 %Wayne County: 7.3 %Webster County: 8.7 %Worth County: 6.9 %Wright County: 7.5 %St. Louis city: 4.4 %
  • Under 5.6
  • 5.6 to 6.3
  • 6.3 to 6.8
  • 6.8 to 7.3
  • 7.3 to 8.1
  • 8.1 and over
%, 2022. 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, 2022

Scotland County: 20.9 %Scotland County20.9Moniteau County: 16.1 %Moniteau County16.1Morgan County: 15.6 %Morgan County15.6Audrain County: 11.3 %Audrain County11.3Monroe County: 11.2 %Monroe County11.2Daviess County: 10.4 %Daviess County10.4Gentry County: 9.6 %Gentry County9.6Mercer County: 9.6 %Mercer County9.6Grundy County: 9.5 %Grundy County9.5Knox County: 9.3 %Knox County9.3Schuyler County: 9 %Schuyler County9Polk County: 8.9 %Polk County8.9Webster County: 8.7 %Webster County8.7Lewis County: 8.6 %Lewis County8.6Bates County: 8.5 %Bates County8.5Clark County: 8.3 %Clark County8.3Benton County: 8.2 %Benton County8.2Gasconade County: 8.2 %Gasconade County8.2Carroll County: 8.1 %Carroll County8.1Mississippi County: 8.1 %Mississippi County8.1Atchison County: 8 %Atchison County8Stoddard County: 8 %Stoddard County8Camden County: 7.9 %Camden County7.9Bollinger County: 7.8 %Bollinger County7.8Crawford County: 7.7 %Crawford County7.7McDonald County: 7.7 %McDonald County7.7Montgomery County: 7.7 %Montgomery County7.7Shelby County: 7.7 %Shelby County7.7Barton County: 7.6 %Barton County7.6Lafayette County: 7.6 %Lafayette County7.6Butler County: 7.5 %Butler County7.5Dallas County: 7.5 %Dallas County7.5Maries County: 7.5 %Maries County7.5Wright County: 7.5 %Wright County7.5Ozark County: 7.4 %Ozark County7.4Caldwell County: 7.3 %Caldwell County7.3Cedar County: 7.3 %Cedar County7.3Washington County: 7.3 %Washington County7.3Wayne County: 7.3 %Wayne County7.3Carter County: 7.2 %Carter County7.2Scotland County: 20.9 %Scotland County20.9Moniteau County: 16.1 %Moniteau County16.1Morgan County: 15.6 %Morgan County15.6Audrain County: 11.3 %Audrain County11.3Monroe County: 11.2 %Monroe County11.2Daviess County: 10.4 %Daviess County10.4Gentry County: 9.6 %Gentry County9.6Mercer County: 9.6 %Mercer County9.6Grundy County: 9.5 %Grundy County9.5Knox County: 9.3 %Knox County9.3Schuyler County: 9 %Schuyler County9Polk County: 8.9 %Polk County8.9Webster County: 8.7 %Webster County8.7Lewis County: 8.6 %Lewis County8.6Bates County: 8.5 %Bates County8.5Clark County: 8.3 %Clark County8.3Benton County: 8.2 %Benton County8.2Gasconade County: 8.2 %Gasconade County8.2Carroll County: 8.1 %Carroll County8.1Mississippi County: 8.1 %Mississippi County8.1Atchison County: 8 %Atchison County8Stoddard County: 8 %Stoddard County8Camden County: 7.9 %Camden County7.9Bollinger County: 7.8 %Bollinger County7.8Crawford County: 7.7 %Crawford County7.7McDonald County: 7.7 %McDonald County7.7Montgomery County: 7.7 %Montgomery County7.7Shelby County: 7.7 %Shelby County7.7Barton County: 7.6 %Barton County7.6Lafayette County: 7.6 %Lafayette County7.6Butler County: 7.5 %Butler County7.5Dallas County: 7.5 %Dallas County7.5Maries County: 7.5 %Maries County7.5Wright County: 7.5 %Wright County7.5Ozark County: 7.4 %Ozark County7.4Caldwell County: 7.3 %Caldwell County7.3Cedar County: 7.3 %Cedar County7.3Washington County: 7.3 %Washington County7.3Wayne County: 7.3 %Wayne County7.3Carter County: 7.2 %Carter County7.2
%. 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

RankCounties2022 (%)Change on 2021
1Scotland County20.9+4.1 pts
2Moniteau County16.1+5.2 pts
3Morgan County15.6-0.1 pts
4Audrain County11.3+3.9 pts
5Monroe County11.2+2 pts
6Daviess County10.4-1.4 pts
7Gentry County9.6-1.5 pts
7Mercer County9.6+0.2 pts
9Grundy County9.5+0.3 pts
10Knox County9.3-1 pts
11Schuyler County9+1.2 pts
12Polk County8.9+2.5 pts
13Webster County8.7-0.1 pts
14Lewis County8.6-0.3 pts
15Bates County8.5-0.1 pts
16Clark County8.3-1.1 pts
17Benton County8.2+0.6 pts
17Gasconade County8.2-0.1 pts
19Carroll County8.1+0.1 pts
19Mississippi County8.1+1.2 pts
21Atchison County8-3.7 pts
21Stoddard County8-0.9 pts
23Camden County7.9-0.3 pts
24Bollinger County7.8-0.7 pts
25Crawford County7.7-0.1 pts
25McDonald County7.7-2.6 pts
25Montgomery County7.7-0.2 pts
25Shelby County7.7-1.7 pts
29Barton County7.6-0.4 pts
29Lafayette County7.6-0.2 pts
31Butler County7.5-0.1 pts
31Dallas County7.5-1 pts
31Maries County7.5-4.7 pts
31Wright County7.5-1.5 pts
35Ozark County7.4-1.3 pts
36Caldwell County7.3-3.8 pts
36Cedar County7.3-0.2 pts
36Washington County7.3+0.7 pts
36Wayne County7.3-0.8 pts
40Carter County7.2-1.1 pts
40Pike County7.2-0.2 pts
40Taney County7.2+1.4 pts
43Dent County7.1-0.2 pts
43Howard County7.10 pts
43Lawrence County7.1-0.5 pts
43St. Clair County7.1-0.9 pts
47Barry County7+0.2 pts
48Dade County6.9-1.4 pts
48Iron County6.9-0.1 pts
48New Madrid County6.9+0.5 pts
48Reynolds County6.9-1.1 pts
48Ripley County6.9-0.2 pts
48Warren County6.9+0.1 pts
48Worth County6.9-1.7 pts
55Dunklin County6.80 pts
55Miller County6.8-0.6 pts
55Oregon County6.8+0.7 pts
55Texas County6.8+0.2 pts
59Macon County6.7-2.3 pts
59Pettis County6.7-1.7 pts
59Vernon County6.7-2.6 pts
62DeKalb County6.6+0.3 pts
62Livingston County6.6+0.6 pts
62Randolph County6.6+0.7 pts
62Ray County6.6-0.6 pts
62St. Francois County6.6+0.6 pts
62Ste. Genevieve County6.6+0.1 pts
68Phelps County6.5-0.5 pts
68Putnam County6.5-1.3 pts
68Ralls County6.5-0.3 pts
68Stone County6.5-0.9 pts
72Chariton County6.4-2.3 pts
72Pemiscot County6.4-0.4 pts
72Perry County6.4-1.2 pts
72Pulaski County6.4-0.2 pts
76Andrew County6.3-0.2 pts
76Cooper County6.30 pts
76Howell County6.3-0.8 pts
76Newton County6.3-0.1 pts
76Nodaway County6.3+0.2 pts
81Marion County6.2+0.3 pts
81Scott County6.2-0.3 pts
81Sullivan County6.2-2 pts
84Harrison County6.1-0.1 pts
84Holt County6.1-1.7 pts
84Linn County6.1-1.4 pts
87Christian County6-0.8 pts
87Henry County6-1.1 pts
87Lincoln County6-2 pts
90Douglas County5.9-0.1 pts
91Osage County5.8-1.2 pts
91Saline County5.8-1.2 pts
93Adair County5.7-0.9 pts
93Cape Girardeau County5.7-0.5 pts
93Laclede County5.7-0.5 pts
96Buchanan County5.6-0.9 pts
96Callaway County5.6-0.5 pts
96Cass County5.6+0.1 pts
96Clinton County5.6-1.8 pts
96Hickory County5.6-1.3 pts
96Johnson County5.6-0.2 pts
102Jasper County5.5-1.3 pts
102Shannon County5.5-1.6 pts
104Franklin County5.3-1.6 pts
104Greene County5.3-0.3 pts
106Jackson County5.2-1.4 pts
106Platte County5.2+0.3 pts
108Madison County5.1-1 pts
109Cole County5-1.1 pts
110Jefferson County4.80 pts
111Boone County4.6-1.4 pts
111Clay County4.6-0.9 pts
113St. Louis city4.4-0.1 pts
114St. Louis County4+0.1 pts
115St. Charles County3.80 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2022.
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-2022-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 20.9% in 2022, 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 2022.

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