Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Missouri

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

Scotland County had the highest uninsured rate, under 65 (US model-based estimate) of 115 counties in 2022, at 23%. St. Charles County had the lowest, at 6.2%. The median was 12.6% and the figure for Missouri was 10.2%. Source: the U.S. Census Bureau.

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Highest23Scotland County
Lowest6.2St. Charles County
Median12.6115 counties
Missouri10.2History

Map of counties, 2022

Adair County: 10.8 %Andrew County: 9.4 %Atchison County: 12.7 %Audrain County: 13.8 %Barry County: 14.2 %Barton County: 14.5 %Bates County: 13.4 %Benton County: 14.9 %Bollinger County: 14.5 %Boone County: 8.4 %Buchanan County: 12.1 %Butler County: 13.8 %Caldwell County: 13.1 %Callaway County: 9.8 %Camden County: 13.9 %Cape Girardeau County: 9.8 %Carroll County: 11.7 %Carter County: 13.2 %Cass County: 8.9 %Cedar County: 14.7 %Chariton County: 10.9 %Christian County: 10.9 %Clark County: 12.9 %Clay County: 7.7 %Clinton County: 9.9 %Cole County: 9 %Cooper County: 10.5 %Crawford County: 15.2 %Dade County: 13.8 %Dallas County: 14.8 %Daviess County: 15.8 %DeKalb County: 10.3 %Dent County: 13.9 %Douglas County: 12.2 %Dunklin County: 13.3 %Franklin County: 10.2 %Gasconade County: 13 %Gentry County: 15 %Greene County: 11.1 %Grundy County: 14.9 %Harrison County: 10.6 %Henry County: 11.6 %Hickory County: 13.1 %Holt County: 10.6 %Howard County: 10.6 %Howell County: 13 %Iron County: 13 %Jackson County: 11.1 %Jasper County: 14 %Jefferson County: 9.5 %Johnson County: 10.5 %Knox County: 16.7 %Laclede County: 11.7 %Lafayette County: 11.9 %Lawrence County: 15.1 %Lewis County: 13.2 %Lincoln County: 9.8 %Linn County: 11.3 %Livingston County: 12.5 %McDonald County: 18 %Macon County: 11.4 %Madison County: 10.8 %Maries County: 13 %Marion County: 10.5 %Mercer County: 14.8 %Miller County: 12.5 %Mississippi County: 15 %Moniteau County: 17.7 %Monroe County: 13.4 %Montgomery County: 12 %Morgan County: 21.4 %New Madrid County: 12.5 %Newton County: 13.4 %Nodaway County: 10.3 %Oregon County: 14.5 %Osage County: 9 %Ozark County: 15.6 %Pemiscot County: 11.9 %Perry County: 10.9 %Pettis County: 14 %Phelps County: 11.7 %Pike County: 13.1 %Platte County: 7.4 %Polk County: 13.1 %Pulaski County: 10 %Putnam County: 10.6 %Ralls County: 10.1 %Randolph County: 11.4 %Ray County: 12 %Reynolds County: 15.3 %Ripley County: 13.8 %St. Charles County: 6.2 %St. Clair County: 12.3 %Ste. Genevieve County: 10.4 %St. Francois County: 13.6 %St. Louis County: 7.3 %Saline County: 11.1 %Schuyler County: 13.5 %Scotland County: 23 %Scott County: 12.6 %Shannon County: 12.6 %Shelby County: 12.8 %Stoddard County: 13.9 %Stone County: 13.6 %Sullivan County: 12 %Taney County: 14 %Texas County: 14 %Vernon County: 12.2 %Warren County: 10.8 %Washington County: 13.7 %Wayne County: 14.2 %Webster County: 12.6 %Worth County: 12.6 %Wright County: 15 %St. Louis city: 9.6 %
  • Under 10
  • 10 to 11
  • 11 to 13
  • 13 to 15
  • 15 and over
%, 2022. 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, 2022

Scotland County: 23 %Scotland County23Morgan County: 21.4 %Morgan County21.4McDonald County: 18 %McDonald County18Moniteau County: 17.7 %Moniteau County17.7Knox County: 16.7 %Knox County16.7Daviess County: 15.8 %Daviess County15.8Ozark County: 15.6 %Ozark County15.6Reynolds County: 15.3 %Reynolds County15.3Crawford County: 15.2 %Crawford County15.2Lawrence County: 15.1 %Lawrence County15.1Gentry County: 15 %Gentry County15Mississippi County: 15 %Mississippi County15Wright County: 15 %Wright County15Benton County: 14.9 %Benton County14.9Grundy County: 14.9 %Grundy County14.9Dallas County: 14.8 %Dallas County14.8Mercer County: 14.8 %Mercer County14.8Cedar County: 14.7 %Cedar County14.7Barton County: 14.5 %Barton County14.5Bollinger County: 14.5 %Bollinger County14.5Oregon County: 14.5 %Oregon County14.5Barry County: 14.2 %Barry County14.2Wayne County: 14.2 %Wayne County14.2Jasper County: 14 %Jasper County14Pettis County: 14 %Pettis County14Taney County: 14 %Taney County14Texas County: 14 %Texas County14Camden County: 13.9 %Camden County13.9Dent County: 13.9 %Dent County13.9Stoddard County: 13.9 %Stoddard County13.9Audrain County: 13.8 %Audrain County13.8Butler County: 13.8 %Butler County13.8Dade County: 13.8 %Dade County13.8Ripley County: 13.8 %Ripley County13.8Washington County: 13.7 %Washington County13.7St. Francois County: 13.6 %St. Francois County13.6Stone County: 13.6 %Stone County13.6Schuyler County: 13.5 %Schuyler County13.5Bates County: 13.4 %Bates County13.4Monroe County: 13.4 %Monroe County13.4Scotland County: 23 %Scotland County23Morgan County: 21.4 %Morgan County21.4McDonald County: 18 %McDonald County18Moniteau County: 17.7 %Moniteau County17.7Knox County: 16.7 %Knox County16.7Daviess County: 15.8 %Daviess County15.8Ozark County: 15.6 %Ozark County15.6Reynolds County: 15.3 %Reynolds County15.3Crawford County: 15.2 %Crawford County15.2Lawrence County: 15.1 %Lawrence County15.1Gentry County: 15 %Gentry County15Mississippi County: 15 %Mississippi County15Wright County: 15 %Wright County15Benton County: 14.9 %Benton County14.9Grundy County: 14.9 %Grundy County14.9Dallas County: 14.8 %Dallas County14.8Mercer County: 14.8 %Mercer County14.8Cedar County: 14.7 %Cedar County14.7Barton County: 14.5 %Barton County14.5Bollinger County: 14.5 %Bollinger County14.5Oregon County: 14.5 %Oregon County14.5Barry County: 14.2 %Barry County14.2Wayne County: 14.2 %Wayne County14.2Jasper County: 14 %Jasper County14Pettis County: 14 %Pettis County14Taney County: 14 %Taney County14Texas County: 14 %Texas County14Camden County: 13.9 %Camden County13.9Dent County: 13.9 %Dent County13.9Stoddard County: 13.9 %Stoddard County13.9Audrain County: 13.8 %Audrain County13.8Butler County: 13.8 %Butler County13.8Dade County: 13.8 %Dade County13.8Ripley County: 13.8 %Ripley County13.8Washington County: 13.7 %Washington County13.7St. Francois County: 13.6 %St. Francois County13.6Stone County: 13.6 %Stone County13.6Schuyler County: 13.5 %Schuyler County13.5Bates County: 13.4 %Bates County13.4Monroe County: 13.4 %Monroe County13.4
%. 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

RankCounties2022 (%)Change on 2021
1Scotland County23+1.6 pts
2Morgan County21.4-0.6 pts
3McDonald County18-2.8 pts
4Moniteau County17.7+2.3 pts
5Knox County16.7-0.4 pts
6Daviess County15.8-0.3 pts
7Ozark County15.6-2.2 pts
8Reynolds County15.3-1 pts
9Crawford County15.20 pts
10Lawrence County15.1-0.8 pts
11Gentry County15-1.6 pts
11Mississippi County15+0.5 pts
11Wright County15-2 pts
14Benton County14.9-0.2 pts
14Grundy County14.9-2 pts
16Dallas County14.8-1.3 pts
16Mercer County14.80 pts
18Cedar County14.7-0.2 pts
19Barton County14.5-0.5 pts
19Bollinger County14.5-0.9 pts
19Oregon County14.5-0.2 pts
22Barry County14.2-1.7 pts
22Wayne County14.2-2.2 pts
24Jasper County14-1.3 pts
24Pettis County14-1.2 pts
24Taney County14-1.4 pts
24Texas County14-2.1 pts
28Camden County13.9-0.9 pts
28Dent County13.9-0.4 pts
28Stoddard County13.9-1.9 pts
31Audrain County13.8+0.5 pts
31Butler County13.8-0.8 pts
31Dade County13.8-1.6 pts
31Ripley County13.8-1.3 pts
35Washington County13.7-0.9 pts
36St. Francois County13.6+0.9 pts
36Stone County13.6-0.6 pts
38Schuyler County13.5+0.5 pts
39Bates County13.4-1.5 pts
39Monroe County13.4-0.9 pts
39Newton County13.4-1.6 pts
42Dunklin County13.3-2 pts
43Carter County13.2-1.9 pts
43Lewis County13.2-1.7 pts
45Caldwell County13.1-2.2 pts
45Hickory County13.1-1.6 pts
45Pike County13.1-0.1 pts
45Polk County13.1-0.2 pts
49Gasconade County13-0.5 pts
49Howell County13-1.7 pts
49Iron County13-1.6 pts
49Maries County13-4.6 pts
53Clark County12.9-2.1 pts
54Shelby County12.8-1.8 pts
55Atchison County12.7-2.6 pts
56Scott County12.6-1 pts
56Shannon County12.6-3.8 pts
56Webster County12.6-1.9 pts
56Worth County12.6-0.3 pts
60Livingston County12.5+0.3 pts
60Miller County12.5-1.4 pts
60New Madrid County12.5-1.5 pts
63St. Clair County12.3-2.4 pts
64Douglas County12.2-1.6 pts
64Vernon County12.2-2.7 pts
66Buchanan County12.1-0.8 pts
67Montgomery County12-1.8 pts
67Ray County12+0.2 pts
67Sullivan County12-2.8 pts
70Lafayette County11.9-0.2 pts
70Pemiscot County11.9-2 pts
72Carroll County11.7-1.4 pts
72Laclede County11.7-0.9 pts
72Phelps County11.7-2.5 pts
75Henry County11.6-2 pts
76Macon County11.4-2.2 pts
76Randolph County11.4+0.3 pts
78Linn County11.3-1.4 pts
79Greene County11.1-0.7 pts
79Jackson County11.1-2.2 pts
79Saline County11.1-1.7 pts
82Chariton County10.9-1.9 pts
82Christian County10.9-0.7 pts
82Perry County10.9-1.4 pts
85Adair County10.8-2.9 pts
85Madison County10.8-1.9 pts
85Warren County10.8-0.9 pts
88Harrison County10.6-1.5 pts
88Holt County10.6-1.9 pts
88Howard County10.6-1.8 pts
88Putnam County10.6-2.1 pts
92Cooper County10.5-0.2 pts
92Johnson County10.5-0.5 pts
92Marion County10.5-1.1 pts
95Ste. Genevieve County10.4-0.4 pts
96DeKalb County10.3-0.9 pts
96Nodaway County10.3-0.2 pts
98Franklin County10.2-1.5 pts
99Ralls County10.1-0.8 pts
100Pulaski County10-1.6 pts
101Clinton County9.9-1.7 pts
102Callaway County9.8-1.8 pts
102Cape Girardeau County9.8-1.8 pts
102Lincoln County9.8-2.4 pts
105St. Louis city9.6-3 pts
106Jefferson County9.5-0.2 pts
107Andrew County9.4-1.3 pts
108Cole County9-1.4 pts
108Osage County9-0.9 pts
110Cass County8.9-0.7 pts
111Boone County8.4-2.6 pts
112Clay County7.7-1.1 pts
113Platte County7.4-1.1 pts
114St. Louis County7.3-0.4 pts
115St. Charles County6.20 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-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 65, all races, both sexes, all income levels, states and counties (Counties in Missouri by uninsured rate, under 65 (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 65, all races, both sexes, all income levels, states and counties, Counties in Missouri by uninsured rate, under 65 (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-65/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 65, all races, both sexes, all income levels, states and counties. Counties in Missouri by uninsured rate, under 65 (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-65/missouri-counties?period=2022.

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), 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-65/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 65, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 65 (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-65/missouri-counties?period=2022. 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-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 65, all races, both sexes, all income levels, states and counties: Counties in Missouri by uninsured rate, under 65 (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-65/missouri-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties?period=2022.
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-2022-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)?

Scotland County, with 23% in 2022, according to the U.S. Census Bureau.

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

St. Charles County, with 6.2% 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 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