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 2022, at 13.8%. Bucks County had the lowest, at 2.9%. The median was 5.2% and the figure for Pennsylvania was 5%. Source: the U.S. Census Bureau.

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Highest13.8Lancaster County
Lowest2.9Bucks County
Median5.267 counties
Pennsylvania5History

Map of counties, 2022

Adams County: 6.4 %Allegheny County: 2.9 %Armstrong County: 4.5 %Beaver County: 3.7 %Bedford County: 6.5 %Berks County: 5.2 %Blair County: 5 %Bradford County: 6.3 %Bucks County: 2.9 %Butler County: 3.1 %Cambria County: 3.6 %Cameron County: 5.5 %Carbon County: 5.2 %Centre County: 6.2 %Chester County: 5.5 %Clarion County: 7 %Clearfield County: 4.7 %Clinton County: 7.3 %Columbia County: 5.4 %Crawford County: 9 %Cumberland County: 4.4 %Dauphin County: 6.2 %Delaware County: 3.8 %Elk County: 4.6 %Erie County: 4.5 %Fayette County: 4.6 %Forest County: 3.8 %Franklin County: 7.7 %Fulton County: 5.6 %Greene County: 5.2 %Huntingdon County: 4.6 %Indiana County: 7 %Jefferson County: 7.5 %Juniata County: 10.7 %Lackawanna County: 3.8 %Lancaster County: 13.8 %Lawrence County: 5 %Lebanon County: 9.6 %Lehigh County: 4.5 %Luzerne County: 4.6 %Lycoming County: 5.8 %McKean County: 4.9 %Mercer County: 6.7 %Mifflin County: 11.1 %Monroe County: 5.2 %Montgomery County: 3 %Montour County: 3.4 %Northampton County: 4.4 %Northumberland County: 5.9 %Perry County: 9.3 %Philadelphia County: 4.5 %Pike County: 4.4 %Potter County: 5.6 %Schuylkill County: 5.2 %Snyder County: 10.3 %Somerset County: 6.5 %Sullivan County: 6.2 %Susquehanna County: 6.5 %Tioga County: 5 %Union County: 10.1 %Venango County: 4.7 %Warren County: 4.4 %Washington County: 4.7 %Wayne County: 5 %Westmoreland County: 3.7 %Wyoming County: 4.3 %York County: 4.5 %
  • Under 4.3
  • 4.3 to 4.6
  • 4.6 to 5.2
  • 5.2 to 5.9
  • 5.9 to 7
  • 7 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

Lancaster County: 13.8 %Lancaster County13.8Mifflin County: 11.1 %Mifflin County11.1Juniata County: 10.7 %Juniata County10.7Snyder County: 10.3 %Snyder County10.3Union County: 10.1 %Union County10.1Lebanon County: 9.6 %Lebanon County9.6Perry County: 9.3 %Perry County9.3Crawford County: 9 %Crawford County9Franklin County: 7.7 %Franklin County7.7Jefferson County: 7.5 %Jefferson County7.5Clinton County: 7.3 %Clinton County7.3Clarion County: 7 %Clarion County7Indiana County: 7 %Indiana County7Mercer County: 6.7 %Mercer County6.7Bedford County: 6.5 %Bedford County6.5Somerset County: 6.5 %Somerset County6.5Susquehanna County: 6.5 %Susquehanna County6.5Adams County: 6.4 %Adams County6.4Bradford County: 6.3 %Bradford County6.3Centre County: 6.2 %Centre County6.2Dauphin County: 6.2 %Dauphin County6.2Sullivan County: 6.2 %Sullivan County6.2Northumberland County: 5.9 %Northumberland County5.9Lycoming County: 5.8 %Lycoming County5.8Fulton County: 5.6 %Fulton County5.6Potter County: 5.6 %Potter County5.6Cameron County: 5.5 %Cameron County5.5Chester County: 5.5 %Chester County5.5Columbia County: 5.4 %Columbia County5.4Berks County: 5.2 %Berks County5.2Carbon County: 5.2 %Carbon County5.2Greene County: 5.2 %Greene County5.2Monroe County: 5.2 %Monroe County5.2Schuylkill County: 5.2 %Schuylkill County5.2Blair County: 5 %Blair County5Lawrence County: 5 %Lawrence County5Tioga County: 5 %Tioga County5Wayne County: 5 %Wayne County5McKean County: 4.9 %McKean County4.9Clearfield County: 4.7 %Clearfield County4.7Lancaster County: 13.8 %Lancaster County13.8Mifflin County: 11.1 %Mifflin County11.1Juniata County: 10.7 %Juniata County10.7Snyder County: 10.3 %Snyder County10.3Union County: 10.1 %Union County10.1Lebanon County: 9.6 %Lebanon County9.6Perry County: 9.3 %Perry County9.3Crawford County: 9 %Crawford County9Franklin County: 7.7 %Franklin County7.7Jefferson County: 7.5 %Jefferson County7.5Clinton County: 7.3 %Clinton County7.3Clarion County: 7 %Clarion County7Indiana County: 7 %Indiana County7Mercer County: 6.7 %Mercer County6.7Bedford County: 6.5 %Bedford County6.5Somerset County: 6.5 %Somerset County6.5Susquehanna County: 6.5 %Susquehanna County6.5Adams County: 6.4 %Adams County6.4Bradford County: 6.3 %Bradford County6.3Centre County: 6.2 %Centre County6.2Dauphin County: 6.2 %Dauphin County6.2Sullivan County: 6.2 %Sullivan County6.2Northumberland County: 5.9 %Northumberland County5.9Lycoming County: 5.8 %Lycoming County5.8Fulton County: 5.6 %Fulton County5.6Potter County: 5.6 %Potter County5.6Cameron County: 5.5 %Cameron County5.5Chester County: 5.5 %Chester County5.5Columbia County: 5.4 %Columbia County5.4Berks County: 5.2 %Berks County5.2Carbon County: 5.2 %Carbon County5.2Greene County: 5.2 %Greene County5.2Monroe County: 5.2 %Monroe County5.2Schuylkill County: 5.2 %Schuylkill County5.2Blair County: 5 %Blair County5Lawrence County: 5 %Lawrence County5Tioga County: 5 %Tioga County5Wayne County: 5 %Wayne County5McKean County: 4.9 %McKean County4.9Clearfield County: 4.7 %Clearfield County4.7
%. 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
1Lancaster County13.8+2.5 pts
2Mifflin County11.1+4 pts
3Juniata County10.7+1.5 pts
4Snyder County10.3+2.2 pts
5Union County10.1+2.7 pts
6Lebanon County9.6+3.1 pts
7Perry County9.3+0.8 pts
8Crawford County9+3.1 pts
9Franklin County7.7-0.5 pts
10Jefferson County7.5+0.9 pts
11Clinton County7.3+0.5 pts
12Clarion County7+1.4 pts
12Indiana County7+1.3 pts
14Mercer County6.7+1.3 pts
15Bedford County6.5+0.6 pts
15Somerset County6.5+0.2 pts
15Susquehanna County6.5-0.2 pts
18Adams County6.4+0.7 pts
19Bradford County6.3+0.4 pts
20Centre County6.2+0.4 pts
20Dauphin County6.2+1.9 pts
20Sullivan County6.2-1.2 pts
23Northumberland County5.9+1.4 pts
24Lycoming County5.8+1 pts
25Fulton County5.6+0.5 pts
25Potter County5.6-1.3 pts
27Cameron County5.5+0.3 pts
27Chester County5.5+0.9 pts
29Columbia County5.4+1.4 pts
30Berks County5.20 pts
30Carbon County5.2+1.2 pts
30Greene County5.2+0.5 pts
30Monroe County5.2+0.8 pts
30Schuylkill County5.2+0.6 pts
35Blair County5-0.2 pts
35Lawrence County5+0.4 pts
35Tioga County5+0.5 pts
35Wayne County5+0.1 pts
39McKean County4.9+0.2 pts
40Clearfield County4.7-0.1 pts
40Venango County4.7+0.1 pts
40Washington County4.7+1.2 pts
43Elk County4.6+0.4 pts
43Fayette County4.6+0.3 pts
43Huntingdon County4.6-0.2 pts
43Luzerne County4.60 pts
47Armstrong County4.5+0.4 pts
47Erie County4.5+0.4 pts
47Lehigh County4.5+0.5 pts
47Philadelphia County4.5+0.4 pts
47York County4.5+0.3 pts
52Cumberland County4.4-0.2 pts
52Northampton County4.4+0.4 pts
52Pike County4.4-0.3 pts
52Warren County4.4-0.4 pts
56Wyoming County4.3+0.1 pts
57Delaware County3.8+0.9 pts
57Forest County3.8+2.9 pts
57Lackawanna County3.8-0.4 pts
60Beaver County3.7+0.7 pts
60Westmoreland County3.7+1.1 pts
62Cambria County3.6+0.1 pts
63Montour County3.4-1.2 pts
64Butler County3.1+0.1 pts
65Montgomery County3-0.2 pts
66Allegheny County2.9+0.3 pts
66Bucks County2.9-0.1 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-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 Pennsylvania 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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_pennsylvania_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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/pennsylvania-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)?

Lancaster County, with 13.8% in 2022, according to the U.S. Census Bureau.

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

Bucks County, with 2.9% 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 Pennsylvania: more rankings