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 2023, at 17.2%. St. Charles County had the lowest, at 3.1%. The median was 6.4% and the figure for Missouri was 5.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest17.2Scotland County
Median6.4115 counties
Missouri5.2History

Map of counties, 2023

Adair County: 6.3 %Andrew County: 5 %Atchison County: 7.5 %Audrain County: 8.9 %Barry County: 6.8 %Barton County: 7.4 %Bates County: 8.4 %Benton County: 8.3 %Bollinger County: 7 %Boone County: 4.5 %Buchanan County: 5.3 %Butler County: 6.6 %Caldwell County: 7.7 %Callaway County: 4.7 %Camden County: 6.3 %Cape Girardeau County: 4.6 %Carroll County: 5.7 %Carter County: 6.7 %Cass County: 4.8 %Cedar County: 8.2 %Chariton County: 6.2 %Christian County: 5.4 %Clark County: 6.8 %Clay County: 4.4 %Clinton County: 5 %Cole County: 4.1 %Cooper County: 5.4 %Crawford County: 6.7 %Dade County: 6.9 %Dallas County: 10.2 %Daviess County: 10.6 %DeKalb County: 6.1 %Dent County: 6.1 %Douglas County: 7 %Dunklin County: 6.9 %Franklin County: 5.7 %Gasconade County: 7.2 %Gentry County: 10.1 %Greene County: 4.1 %Grundy County: 6.8 %Harrison County: 7.3 %Henry County: 6.2 %Hickory County: 6.4 %Holt County: 5.8 %Howard County: 6.4 %Howell County: 7.1 %Iron County: 6.1 %Jackson County: 5.8 %Jasper County: 6.6 %Jefferson County: 4.8 %Johnson County: 5.2 %Knox County: 13 %Laclede County: 5.7 %Lafayette County: 6.4 %Lawrence County: 8.4 %Lewis County: 8.2 %Lincoln County: 5.7 %Linn County: 8.6 %Livingston County: 8 %McDonald County: 7 %Macon County: 8.5 %Madison County: 5.5 %Maries County: 6.9 %Marion County: 5.6 %Mercer County: 8.2 %Miller County: 6.5 %Mississippi County: 9.5 %Moniteau County: 11.6 %Monroe County: 7 %Montgomery County: 8.5 %Morgan County: 15 %New Madrid County: 6.1 %Newton County: 5.5 %Nodaway County: 4.9 %Oregon County: 6.6 %Osage County: 4.9 %Ozark County: 7.7 %Pemiscot County: 5.6 %Perry County: 6.6 %Pettis County: 5.5 %Phelps County: 6.1 %Pike County: 7.8 %Platte County: 3.7 %Polk County: 6.3 %Pulaski County: 5.8 %Putnam County: 6.3 %Ralls County: 5.3 %Randolph County: 5.4 %Ray County: 7.3 %Reynolds County: 6.3 %Ripley County: 6.3 %St. Charles County: 3.1 %St. Clair County: 6.9 %Ste. Genevieve County: 5.4 %St. Francois County: 5.6 %St. Louis County: 3.8 %Saline County: 6.1 %Schuyler County: 8.8 %Scotland County: 17.2 %Scott County: 5.3 %Shannon County: 5.4 %Shelby County: 8.2 %Stoddard County: 7.4 %Stone County: 6.2 %Sullivan County: 6.3 %Taney County: 5.2 %Texas County: 6.8 %Vernon County: 7.8 %Warren County: 5.9 %Washington County: 6.8 %Wayne County: 7 %Webster County: 9.1 %Worth County: 6.9 %Wright County: 7.8 %St. Louis city: 4.2 %
  • Under 5.3
  • 5.3 to 5.8
  • 5.8 to 6.4
  • 6.4 to 7
  • 7 to 8.2
  • 8.2 and over
%, 2023. 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, 2023

Scotland County: 17.2 %Scotland County17.2Morgan County: 15 %Morgan County15Knox County: 13 %Knox County13Moniteau County: 11.6 %Moniteau County11.6Daviess County: 10.6 %Daviess County10.6Dallas County: 10.2 %Dallas County10.2Gentry County: 10.1 %Gentry County10.1Mississippi County: 9.5 %Mississippi County9.5Webster County: 9.1 %Webster County9.1Audrain County: 8.9 %Audrain County8.9Schuyler County: 8.8 %Schuyler County8.8Linn County: 8.6 %Linn County8.6Macon County: 8.5 %Macon County8.5Montgomery County: 8.5 %Montgomery County8.5Bates County: 8.4 %Bates County8.4Lawrence County: 8.4 %Lawrence County8.4Benton County: 8.3 %Benton County8.3Cedar County: 8.2 %Cedar County8.2Lewis County: 8.2 %Lewis County8.2Mercer County: 8.2 %Mercer County8.2Shelby County: 8.2 %Shelby County8.2Livingston County: 8 %Livingston County8Pike County: 7.8 %Pike County7.8Vernon County: 7.8 %Vernon County7.8Wright County: 7.8 %Wright County7.8Caldwell County: 7.7 %Caldwell County7.7Ozark County: 7.7 %Ozark County7.7Atchison County: 7.5 %Atchison County7.5Barton County: 7.4 %Barton County7.4Stoddard County: 7.4 %Stoddard County7.4Harrison County: 7.3 %Harrison County7.3Ray County: 7.3 %Ray County7.3Gasconade County: 7.2 %Gasconade County7.2Howell County: 7.1 %Howell County7.1Bollinger County: 7 %Bollinger County7Douglas County: 7 %Douglas County7McDonald County: 7 %McDonald County7Monroe County: 7 %Monroe County7Wayne County: 7 %Wayne County7Dade County: 6.9 %Dade County6.9Scotland County: 17.2 %Scotland County17.2Morgan County: 15 %Morgan County15Knox County: 13 %Knox County13Moniteau County: 11.6 %Moniteau County11.6Daviess County: 10.6 %Daviess County10.6Dallas County: 10.2 %Dallas County10.2Gentry County: 10.1 %Gentry County10.1Mississippi County: 9.5 %Mississippi County9.5Webster County: 9.1 %Webster County9.1Audrain County: 8.9 %Audrain County8.9Schuyler County: 8.8 %Schuyler County8.8Linn County: 8.6 %Linn County8.6Macon County: 8.5 %Macon County8.5Montgomery County: 8.5 %Montgomery County8.5Bates County: 8.4 %Bates County8.4Lawrence County: 8.4 %Lawrence County8.4Benton County: 8.3 %Benton County8.3Cedar County: 8.2 %Cedar County8.2Lewis County: 8.2 %Lewis County8.2Mercer County: 8.2 %Mercer County8.2Shelby County: 8.2 %Shelby County8.2Livingston County: 8 %Livingston County8Pike County: 7.8 %Pike County7.8Vernon County: 7.8 %Vernon County7.8Wright County: 7.8 %Wright County7.8Caldwell County: 7.7 %Caldwell County7.7Ozark County: 7.7 %Ozark County7.7Atchison County: 7.5 %Atchison County7.5Barton County: 7.4 %Barton County7.4Stoddard County: 7.4 %Stoddard County7.4Harrison County: 7.3 %Harrison County7.3Ray County: 7.3 %Ray County7.3Gasconade County: 7.2 %Gasconade County7.2Howell County: 7.1 %Howell County7.1Bollinger County: 7 %Bollinger County7Douglas County: 7 %Douglas County7McDonald County: 7 %McDonald County7Monroe County: 7 %Monroe County7Wayne County: 7 %Wayne County7Dade County: 6.9 %Dade County6.9
%. 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

RankCounties2023 (%)Change on 2022
1Scotland County17.2-3.7 pts
2Morgan County15-0.6 pts
3Knox County13+3.7 pts
4Moniteau County11.6-4.5 pts
5Daviess County10.6+0.2 pts
6Dallas County10.2+2.7 pts
7Gentry County10.1+0.5 pts
8Mississippi County9.5+1.4 pts
9Webster County9.1+0.4 pts
10Audrain County8.9-2.4 pts
11Schuyler County8.8-0.2 pts
12Linn County8.6+2.5 pts
13Macon County8.5+1.8 pts
13Montgomery County8.5+0.8 pts
15Bates County8.4-0.1 pts
15Lawrence County8.4+1.3 pts
17Benton County8.3+0.1 pts
18Cedar County8.2+0.9 pts
18Lewis County8.2-0.4 pts
18Mercer County8.2-1.4 pts
18Shelby County8.2+0.5 pts
22Livingston County8+1.4 pts
23Pike County7.8+0.6 pts
23Vernon County7.8+1.1 pts
23Wright County7.8+0.3 pts
26Caldwell County7.7+0.4 pts
26Ozark County7.7+0.3 pts
28Atchison County7.5-0.5 pts
29Barton County7.4-0.2 pts
29Stoddard County7.4-0.6 pts
31Harrison County7.3+1.2 pts
31Ray County7.3+0.7 pts
33Gasconade County7.2-1 pts
34Howell County7.1+0.8 pts
35Bollinger County7-0.8 pts
35Douglas County7+1.1 pts
35McDonald County7-0.7 pts
35Monroe County7-4.2 pts
35Wayne County7-0.3 pts
40Dade County6.90 pts
40Dunklin County6.9+0.1 pts
40Maries County6.9-0.6 pts
40St. Clair County6.9-0.2 pts
40Worth County6.90 pts
45Barry County6.8-0.2 pts
45Clark County6.8-1.5 pts
45Grundy County6.8-2.7 pts
45Texas County6.80 pts
45Washington County6.8-0.5 pts
50Carter County6.7-0.5 pts
50Crawford County6.7-1 pts
52Butler County6.6-0.9 pts
52Jasper County6.6+1.1 pts
52Oregon County6.6-0.2 pts
52Perry County6.6+0.2 pts
56Miller County6.5-0.3 pts
57Hickory County6.4+0.8 pts
57Howard County6.4-0.7 pts
57Lafayette County6.4-1.2 pts
60Adair County6.3+0.6 pts
60Camden County6.3-1.6 pts
60Polk County6.3-2.6 pts
60Putnam County6.3-0.2 pts
60Reynolds County6.3-0.6 pts
60Ripley County6.3-0.6 pts
60Sullivan County6.3+0.1 pts
67Chariton County6.2-0.2 pts
67Henry County6.2+0.2 pts
67Stone County6.2-0.3 pts
70DeKalb County6.1-0.5 pts
70Dent County6.1-1 pts
70Iron County6.1-0.8 pts
70New Madrid County6.1-0.8 pts
70Phelps County6.1-0.4 pts
70Saline County6.1+0.3 pts
76Warren County5.9-1 pts
77Holt County5.8-0.3 pts
77Jackson County5.8+0.6 pts
77Pulaski County5.8-0.6 pts
80Carroll County5.7-2.4 pts
80Franklin County5.7+0.4 pts
80Laclede County5.70 pts
80Lincoln County5.7-0.3 pts
84Marion County5.6-0.6 pts
84Pemiscot County5.6-0.8 pts
84St. Francois County5.6-1 pts
87Madison County5.5+0.4 pts
87Newton County5.5-0.8 pts
87Pettis County5.5-1.2 pts
90Christian County5.4-0.6 pts
90Cooper County5.4-0.9 pts
90Randolph County5.4-1.2 pts
90Shannon County5.4-0.1 pts
90Ste. Genevieve County5.4-1.2 pts
95Buchanan County5.3-0.3 pts
95Ralls County5.3-1.2 pts
95Scott County5.3-0.9 pts
98Johnson County5.2-0.4 pts
98Taney County5.2-2 pts
100Andrew County5-1.3 pts
100Clinton County5-0.6 pts
102Nodaway County4.9-1.4 pts
102Osage County4.9-0.9 pts
104Cass County4.8-0.8 pts
104Jefferson County4.80 pts
106Callaway County4.7-0.9 pts
107Cape Girardeau County4.6-1.1 pts
108Boone County4.5-0.1 pts
109Clay County4.4-0.2 pts
110St. Louis city4.2-0.2 pts
111Cole County4.1-0.9 pts
111Greene County4.1-1.2 pts
113St. Louis County3.8-0.2 pts
114Platte County3.7-1.5 pts
115St. Charles County3.1-0.7 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/missouri-counties?period=2023.
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-2023-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 17.2% in 2023, according to the U.S. Census Bureau.

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

St. Charles County, with 3.1% in 2023.

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