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

Lancaster County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2018, at 13.2%. Butler County had the lowest, at 2.6%. The median was 4.4% and the figure for Pennsylvania was 4.4%. Source: the U.S. Census Bureau.

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Highest13.2Lancaster County
Lowest2.6Butler County
Median4.467 counties
Pennsylvania4.4History

Map of counties, 2018

Adams County: 4.8 %Allegheny County: 2.8 %Armstrong County: 4.3 %Beaver County: 3.3 %Bedford County: 4.7 %Berks County: 4.4 %Blair County: 3.9 %Bradford County: 4.6 %Bucks County: 3 %Butler County: 2.6 %Cambria County: 3.1 %Cameron County: 4 %Carbon County: 4.1 %Centre County: 5.4 %Chester County: 4.4 %Clarion County: 6.4 %Clearfield County: 4.1 %Clinton County: 5.2 %Columbia County: 4 %Crawford County: 6.7 %Cumberland County: 4.6 %Dauphin County: 4.7 %Delaware County: 3.1 %Elk County: 3.6 %Erie County: 3.7 %Fayette County: 3.6 %Forest County: 5 %Franklin County: 6.3 %Fulton County: 5.5 %Greene County: 4.5 %Huntingdon County: 3.9 %Indiana County: 6.5 %Jefferson County: 5.4 %Juniata County: 5.7 %Lackawanna County: 3.7 %Lancaster County: 13.2 %Lawrence County: 4.1 %Lebanon County: 5.3 %Lehigh County: 4.4 %Luzerne County: 4.1 %Lycoming County: 4.1 %McKean County: 3.6 %Mercer County: 4.4 %Mifflin County: 6.5 %Monroe County: 5 %Montgomery County: 3.1 %Montour County: 3.8 %Northampton County: 3.6 %Northumberland County: 5 %Perry County: 7.8 %Philadelphia County: 3.9 %Pike County: 4.9 %Potter County: 5.2 %Schuylkill County: 4.4 %Snyder County: 7.8 %Somerset County: 6.1 %Sullivan County: 6.6 %Susquehanna County: 5.1 %Tioga County: 4.9 %Union County: 7.3 %Venango County: 4.9 %Warren County: 3.5 %Washington County: 3.1 %Wayne County: 5.4 %Westmoreland County: 2.8 %Wyoming County: 4.1 %York County: 4.3 %
  • Under 3.6
  • 3.6 to 4.1
  • 4.1 to 4.4
  • 4.4 to 5
  • 5 to 5.7
  • 5.7 and over
%, 2018. 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, 2018

Lancaster County: 13.2 %Lancaster County13.2Perry County: 7.8 %Perry County7.8Snyder County: 7.8 %Snyder County7.8Union County: 7.3 %Union County7.3Crawford County: 6.7 %Crawford County6.7Sullivan County: 6.6 %Sullivan County6.6Indiana County: 6.5 %Indiana County6.5Mifflin County: 6.5 %Mifflin County6.5Clarion County: 6.4 %Clarion County6.4Franklin County: 6.3 %Franklin County6.3Somerset County: 6.1 %Somerset County6.1Juniata County: 5.7 %Juniata County5.7Fulton County: 5.5 %Fulton County5.5Centre County: 5.4 %Centre County5.4Jefferson County: 5.4 %Jefferson County5.4Wayne County: 5.4 %Wayne County5.4Lebanon County: 5.3 %Lebanon County5.3Clinton County: 5.2 %Clinton County5.2Potter County: 5.2 %Potter County5.2Susquehanna County: 5.1 %Susquehanna County5.1Forest County: 5 %Forest County5Monroe County: 5 %Monroe County5Northumberland County: 5 %Northumberland County5Pike County: 4.9 %Pike County4.9Tioga County: 4.9 %Tioga County4.9Venango County: 4.9 %Venango County4.9Adams County: 4.8 %Adams County4.8Bedford County: 4.7 %Bedford County4.7Dauphin County: 4.7 %Dauphin County4.7Bradford County: 4.6 %Bradford County4.6Cumberland County: 4.6 %Cumberland County4.6Greene County: 4.5 %Greene County4.5Berks County: 4.4 %Berks County4.4Chester County: 4.4 %Chester County4.4Lehigh County: 4.4 %Lehigh County4.4Mercer County: 4.4 %Mercer County4.4Schuylkill County: 4.4 %Schuylkill County4.4Armstrong County: 4.3 %Armstrong County4.3York County: 4.3 %York County4.3Carbon County: 4.1 %Carbon County4.1Lancaster County: 13.2 %Lancaster County13.2Perry County: 7.8 %Perry County7.8Snyder County: 7.8 %Snyder County7.8Union County: 7.3 %Union County7.3Crawford County: 6.7 %Crawford County6.7Sullivan County: 6.6 %Sullivan County6.6Indiana County: 6.5 %Indiana County6.5Mifflin County: 6.5 %Mifflin County6.5Clarion County: 6.4 %Clarion County6.4Franklin County: 6.3 %Franklin County6.3Somerset County: 6.1 %Somerset County6.1Juniata County: 5.7 %Juniata County5.7Fulton County: 5.5 %Fulton County5.5Centre County: 5.4 %Centre County5.4Jefferson County: 5.4 %Jefferson County5.4Wayne County: 5.4 %Wayne County5.4Lebanon County: 5.3 %Lebanon County5.3Clinton County: 5.2 %Clinton County5.2Potter County: 5.2 %Potter County5.2Susquehanna County: 5.1 %Susquehanna County5.1Forest County: 5 %Forest County5Monroe County: 5 %Monroe County5Northumberland County: 5 %Northumberland County5Pike County: 4.9 %Pike County4.9Tioga County: 4.9 %Tioga County4.9Venango County: 4.9 %Venango County4.9Adams County: 4.8 %Adams County4.8Bedford County: 4.7 %Bedford County4.7Dauphin County: 4.7 %Dauphin County4.7Bradford County: 4.6 %Bradford County4.6Cumberland County: 4.6 %Cumberland County4.6Greene County: 4.5 %Greene County4.5Berks County: 4.4 %Berks County4.4Chester County: 4.4 %Chester County4.4Lehigh County: 4.4 %Lehigh County4.4Mercer County: 4.4 %Mercer County4.4Schuylkill County: 4.4 %Schuylkill County4.4Armstrong County: 4.3 %Armstrong County4.3York County: 4.3 %York County4.3Carbon County: 4.1 %Carbon County4.1
%. 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

RankCounties2018 (%)Change on 2017
1Lancaster County13.2-0.5 pts
2Perry County7.8+1.5 pts
2Snyder County7.8+1.5 pts
4Union County7.3+1.6 pts
5Crawford County6.7+0.5 pts
6Sullivan County6.6+0.5 pts
7Indiana County6.5+0.3 pts
7Mifflin County6.5-0.4 pts
9Clarion County6.4+1 pts
10Franklin County6.3+0.5 pts
11Somerset County6.1+1.2 pts
12Juniata County5.7-0.2 pts
13Fulton County5.5-0.2 pts
14Centre County5.4+0.2 pts
14Jefferson County5.4-0.1 pts
14Wayne County5.4+0.4 pts
17Lebanon County5.3-1 pts
18Clinton County5.2-0.8 pts
18Potter County5.2+0.1 pts
20Susquehanna County5.1+0.3 pts
21Forest County5+0.7 pts
21Monroe County5+0.4 pts
21Northumberland County5+0.6 pts
24Pike County4.90 pts
24Tioga County4.9-0.4 pts
24Venango County4.9+1.1 pts
27Adams County4.8-0.1 pts
28Bedford County4.7-0.5 pts
28Dauphin County4.7+0.2 pts
30Bradford County4.6-1 pts
30Cumberland County4.6-0.1 pts
32Greene County4.5+0.6 pts
33Berks County4.4-0.9 pts
33Chester County4.4-0.1 pts
33Lehigh County4.4-0.1 pts
33Mercer County4.40 pts
33Schuylkill County4.4+0.7 pts
38Armstrong County4.3+0.9 pts
38York County4.3+0.4 pts
40Carbon County4.1+0.1 pts
40Clearfield County4.1+0.2 pts
40Lawrence County4.1-0.1 pts
40Luzerne County4.10 pts
40Lycoming County4.1-0.4 pts
40Wyoming County4.1-0.2 pts
46Cameron County4-0.1 pts
46Columbia County4+0.4 pts
48Blair County3.9+0.4 pts
48Huntingdon County3.9+0.1 pts
48Philadelphia County3.9-0.1 pts
51Montour County3.8-1.1 pts
52Erie County3.70 pts
52Lackawanna County3.7+0.5 pts
54Elk County3.60 pts
54Fayette County3.60 pts
54McKean County3.6-0.3 pts
54Northampton County3.6-0.3 pts
58Warren County3.5-0.6 pts
59Beaver County3.3+0.5 pts
60Cambria County3.1+0.1 pts
60Delaware County3.1+0.1 pts
60Montgomery County3.1+0.2 pts
60Washington County3.1-0.2 pts
64Bucks County3-0.3 pts
65Allegheny County2.8-0.1 pts
65Westmoreland County2.8+0.2 pts
67Butler County2.6-0.3 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-2018-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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018. 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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018.

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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_pennsylvania_by_2018,
  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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018. 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-2018-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 Pennsylvania by uninsured rate, under 19 (US model-based estimate), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-counties?period=2018.
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-2018-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)?

Lancaster County, with 13.2% in 2018, according to the U.S. Census Bureau.

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

Butler County, with 2.6% in 2018.

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 Pennsylvania: more rankings