Counties in Missouri by uninsured rate, under 65 (US model-based estimate)

McDonald County had the highest uninsured rate, under 65 (US model-based estimate) of 115 counties in 2015, at 21.1%. St. Charles County had the lowest, at 7%. The median was 13.8% and the figure for Missouri was 11.5%. Source: the U.S. Census Bureau.

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Highest21.1McDonald County
Median13.8115 counties
Missouri11.5History

Map of counties, 2015

Adair County: 13.4 %Andrew County: 10 %Atchison County: 12.4 %Audrain County: 12.5 %Barry County: 17.8 %Barton County: 14.9 %Bates County: 14.4 %Benton County: 15 %Bollinger County: 15.4 %Boone County: 9.6 %Buchanan County: 11.6 %Butler County: 13.4 %Caldwell County: 13.8 %Callaway County: 10.8 %Camden County: 16.4 %Cape Girardeau County: 10.5 %Carroll County: 12.4 %Carter County: 16.8 %Cass County: 9.2 %Cedar County: 16.4 %Chariton County: 14 %Christian County: 10.8 %Clark County: 13.9 %Clay County: 9.3 %Clinton County: 10.3 %Cole County: 9.8 %Cooper County: 11.5 %Crawford County: 15.2 %Dade County: 15.3 %Dallas County: 16.8 %Daviess County: 17.9 %DeKalb County: 11.6 %Dent County: 16.2 %Douglas County: 16.9 %Dunklin County: 15.1 %Franklin County: 11.2 %Gasconade County: 13.4 %Gentry County: 13.8 %Greene County: 13.3 %Grundy County: 13.6 %Harrison County: 16.7 %Henry County: 13 %Hickory County: 17.4 %Holt County: 13.2 %Howard County: 12.2 %Howell County: 13.8 %Iron County: 14.8 %Jackson County: 12.6 %Jasper County: 14.5 %Jefferson County: 10.8 %Johnson County: 10.6 %Knox County: 17.9 %Laclede County: 14.4 %Lafayette County: 11.7 %Lawrence County: 15.3 %Lewis County: 13 %Lincoln County: 12.3 %Linn County: 13.4 %Livingston County: 12.7 %McDonald County: 21.1 %Macon County: 14 %Madison County: 14.7 %Maries County: 15.3 %Marion County: 11.9 %Mercer County: 15.6 %Miller County: 14.4 %Mississippi County: 15.1 %Moniteau County: 15.8 %Monroe County: 13.4 %Montgomery County: 13.8 %Morgan County: 18.4 %New Madrid County: 13.6 %Newton County: 14.4 %Nodaway County: 10.6 %Oregon County: 15.3 %Osage County: 10.5 %Ozark County: 17.8 %Pemiscot County: 13 %Perry County: 10.4 %Pettis County: 16.1 %Phelps County: 14.1 %Pike County: 12.9 %Platte County: 7.9 %Polk County: 13.9 %Pulaski County: 10.9 %Putnam County: 16.1 %Ralls County: 11.4 %Randolph County: 11.8 %Ray County: 11.4 %Reynolds County: 16.2 %Ripley County: 16.1 %St. Charles County: 7 %St. Clair County: 16.6 %Ste. Genevieve County: 12.5 %St. Francois County: 12.4 %St. Louis County: 8.2 %Saline County: 13.4 %Schuyler County: 17.3 %Scotland County: 19 %Scott County: 12.5 %Shannon County: 16.6 %Shelby County: 14.9 %Stoddard County: 13.2 %Stone County: 16.4 %Sullivan County: 17.2 %Taney County: 18.1 %Texas County: 15.8 %Vernon County: 14.1 %Warren County: 12 %Washington County: 14 %Wayne County: 15.9 %Webster County: 14.8 %Worth County: 13.6 %Wright County: 18 %St. Louis city: 13.7 %
  • Under 11
  • 11 to 13
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  • 14 to 15
  • 15 to 16
  • 16 and over
%, 2015. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2015

McDonald County: 21.1 %McDonald County21.1Scotland County: 19 %Scotland County19Morgan County: 18.4 %Morgan County18.4Taney County: 18.1 %Taney County18.1Wright County: 18 %Wright County18Daviess County: 17.9 %Daviess County17.9Knox County: 17.9 %Knox County17.9Barry County: 17.8 %Barry County17.8Ozark County: 17.8 %Ozark County17.8Hickory County: 17.4 %Hickory County17.4Schuyler County: 17.3 %Schuyler County17.3Sullivan County: 17.2 %Sullivan County17.2Douglas County: 16.9 %Douglas County16.9Carter County: 16.8 %Carter County16.8Dallas County: 16.8 %Dallas County16.8Harrison County: 16.7 %Harrison County16.7Shannon County: 16.6 %Shannon County16.6St. Clair County: 16.6 %St. Clair County16.6Camden County: 16.4 %Camden County16.4Cedar County: 16.4 %Cedar County16.4Stone County: 16.4 %Stone County16.4Dent County: 16.2 %Dent County16.2Reynolds County: 16.2 %Reynolds County16.2Pettis County: 16.1 %Pettis County16.1Putnam County: 16.1 %Putnam County16.1Ripley County: 16.1 %Ripley County16.1Wayne County: 15.9 %Wayne County15.9Moniteau County: 15.8 %Moniteau County15.8Texas County: 15.8 %Texas County15.8Mercer County: 15.6 %Mercer County15.6Bollinger County: 15.4 %Bollinger County15.4Dade County: 15.3 %Dade County15.3Lawrence County: 15.3 %Lawrence County15.3Maries County: 15.3 %Maries County15.3Oregon County: 15.3 %Oregon County15.3Crawford County: 15.2 %Crawford County15.2Dunklin County: 15.1 %Dunklin County15.1Mississippi County: 15.1 %Mississippi County15.1Benton County: 15 %Benton County15Barton County: 14.9 %Barton County14.9McDonald County: 21.1 %McDonald County21.1Scotland County: 19 %Scotland County19Morgan County: 18.4 %Morgan County18.4Taney County: 18.1 %Taney County18.1Wright County: 18 %Wright County18Daviess County: 17.9 %Daviess County17.9Knox County: 17.9 %Knox County17.9Barry County: 17.8 %Barry County17.8Ozark County: 17.8 %Ozark County17.8Hickory County: 17.4 %Hickory County17.4Schuyler County: 17.3 %Schuyler County17.3Sullivan County: 17.2 %Sullivan County17.2Douglas County: 16.9 %Douglas County16.9Carter County: 16.8 %Carter County16.8Dallas County: 16.8 %Dallas County16.8Harrison County: 16.7 %Harrison County16.7Shannon County: 16.6 %Shannon County16.6St. Clair County: 16.6 %St. Clair County16.6Camden County: 16.4 %Camden County16.4Cedar County: 16.4 %Cedar County16.4Stone County: 16.4 %Stone County16.4Dent County: 16.2 %Dent County16.2Reynolds County: 16.2 %Reynolds County16.2Pettis County: 16.1 %Pettis County16.1Putnam County: 16.1 %Putnam County16.1Ripley County: 16.1 %Ripley County16.1Wayne County: 15.9 %Wayne County15.9Moniteau County: 15.8 %Moniteau County15.8Texas County: 15.8 %Texas County15.8Mercer County: 15.6 %Mercer County15.6Bollinger County: 15.4 %Bollinger County15.4Dade County: 15.3 %Dade County15.3Lawrence County: 15.3 %Lawrence County15.3Maries County: 15.3 %Maries County15.3Oregon County: 15.3 %Oregon County15.3Crawford County: 15.2 %Crawford County15.2Dunklin County: 15.1 %Dunklin County15.1Mississippi County: 15.1 %Mississippi County15.1Benton County: 15 %Benton County15Barton County: 14.9 %Barton County14.9
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2015 (%)Change on 2014
1McDonald County21.1-3.1 pts
2Scotland County19-3.4 pts
3Morgan County18.4-3.5 pts
4Taney County18.1-3.5 pts
5Wright County18-2.7 pts
6Daviess County17.9-1.4 pts
6Knox County17.9-4.1 pts
8Barry County17.8-2.3 pts
8Ozark County17.8-3.8 pts
10Hickory County17.4-4.6 pts
11Schuyler County17.3-4 pts
12Sullivan County17.2-3.8 pts
13Douglas County16.9-2 pts
14Carter County16.8-3 pts
14Dallas County16.8-3.8 pts
16Harrison County16.7-1.2 pts
17Shannon County16.6-1.9 pts
17St. Clair County16.6-2.5 pts
19Camden County16.4-1.5 pts
19Cedar County16.4-2.2 pts
19Stone County16.4-3.3 pts
22Dent County16.2-4.6 pts
22Reynolds County16.2-1.4 pts
24Pettis County16.1-1.4 pts
24Putnam County16.1-3.3 pts
24Ripley County16.1-2.9 pts
27Wayne County15.9-2.2 pts
28Moniteau County15.8-1.9 pts
28Texas County15.8-2.4 pts
30Mercer County15.6-2 pts
31Bollinger County15.4-1.3 pts
32Dade County15.3-1.8 pts
32Lawrence County15.3-3.1 pts
32Maries County15.3-2.6 pts
32Oregon County15.3-4.1 pts
36Crawford County15.2-2.1 pts
37Dunklin County15.1-1.5 pts
37Mississippi County15.1-0.7 pts
39Benton County15-4 pts
40Barton County14.9-2.8 pts
40Shelby County14.9-2.3 pts
42Iron County14.8-2.2 pts
42Webster County14.8-3.6 pts
44Madison County14.7-2.6 pts
45Jasper County14.5-2.9 pts
46Bates County14.4-2.6 pts
46Laclede County14.4-2.5 pts
46Miller County14.4-3.4 pts
46Newton County14.4-2.7 pts
50Phelps County14.1-1.9 pts
50Vernon County14.1-2.8 pts
52Chariton County14-2 pts
52Macon County14-3 pts
52Washington County14-3.4 pts
55Clark County13.9-3.4 pts
55Polk County13.9-2.1 pts
57Caldwell County13.8-1 pts
57Gentry County13.8-3.3 pts
57Howell County13.8-2.8 pts
57Montgomery County13.8-2.1 pts
61St. Louis city13.7-2.6 pts
62Grundy County13.6-2 pts
62New Madrid County13.6-2 pts
62Worth County13.6-2.3 pts
65Adair County13.4-1.4 pts
65Butler County13.4-3.6 pts
65Gasconade County13.4-1.6 pts
65Linn County13.4-2.5 pts
65Monroe County13.4-3.2 pts
65Saline County13.4-1.7 pts
71Greene County13.3-0.7 pts
72Holt County13.2-2.2 pts
72Stoddard County13.2-2.8 pts
74Henry County13-2.3 pts
74Lewis County13-2.5 pts
74Pemiscot County13-1.7 pts
77Pike County12.9-3.3 pts
78Livingston County12.7-2.1 pts
79Jackson County12.6-2.2 pts
80Audrain County12.5-1.9 pts
80Scott County12.5-1.8 pts
80Ste. Genevieve County12.5-1.3 pts
83Atchison County12.4-1.2 pts
83Carroll County12.4-2.9 pts
83St. Francois County12.4-3 pts
86Lincoln County12.3-1.7 pts
87Howard County12.2-2.2 pts
88Warren County12-2.4 pts
89Marion County11.9-1.9 pts
90Randolph County11.8-3.7 pts
91Lafayette County11.7-0.7 pts
92Buchanan County11.6-2.4 pts
92DeKalb County11.6-1.9 pts
94Cooper County11.5-2.3 pts
95Ralls County11.4-1.5 pts
95Ray County11.4-1.3 pts
97Franklin County11.2-1.2 pts
98Pulaski County10.9-3.3 pts
99Callaway County10.8-2.5 pts
99Christian County10.8-2.5 pts
99Jefferson County10.8-1.3 pts
102Johnson County10.6-1.6 pts
102Nodaway County10.6-1.8 pts
104Cape Girardeau County10.5-1.7 pts
104Osage County10.5-2.3 pts
106Perry County10.4-2.6 pts
107Clinton County10.3-2.5 pts
108Andrew County10-2.1 pts
109Cole County9.8-2.1 pts
110Boone County9.6-2.5 pts
111Clay County9.3-0.8 pts
112Cass County9.2-1.8 pts
113St. Louis County8.2-2.7 pts
114Platte County7.9-1.4 pts
115St. Charles County7-1.1 pts

Other periods

About this ranking

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. 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. People 65 and over are left out because nearly all of them have Medicare.

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 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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 65, all races, both sexes, all income levels, states and counties (Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2015,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 65 (US model-based estimate), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2015.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, under 65 (US model-based estimate)?

McDonald County, with 21.1% in 2015, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 65 (US model-based estimate)?

St. Charles County, with 7% in 2015.

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 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 65 (US model-based estimate): other rankings

Counties in Missouri: more rankings