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

Lancaster County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2022, at 12.1%. Montgomery County had the lowest, at 4.3%. The median was 6.8% and the figure for Pennsylvania was 6.5%. Source: the U.S. Census Bureau.

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Highest12.1Lancaster County
Median6.867 counties
Pennsylvania6.5History

Map of counties, 2022

Adams County: 7 %Allegheny County: 4.7 %Armstrong County: 5.6 %Beaver County: 4.9 %Bedford County: 7.4 %Berks County: 7.5 %Blair County: 6.3 %Bradford County: 7.6 %Bucks County: 5.3 %Butler County: 4.3 %Cambria County: 5.1 %Cameron County: 7.2 %Carbon County: 6.8 %Centre County: 6.2 %Chester County: 5.7 %Clarion County: 8.1 %Clearfield County: 6.4 %Clinton County: 8.5 %Columbia County: 6 %Crawford County: 10 %Cumberland County: 5.3 %Dauphin County: 6.9 %Delaware County: 5.4 %Elk County: 6 %Erie County: 6.1 %Fayette County: 6.5 %Forest County: 7.7 %Franklin County: 8.5 %Fulton County: 6.1 %Greene County: 6.4 %Huntingdon County: 5.8 %Indiana County: 7.9 %Jefferson County: 8.5 %Juniata County: 11.6 %Lackawanna County: 5.8 %Lancaster County: 12.1 %Lawrence County: 6.8 %Lebanon County: 9.7 %Lehigh County: 7.3 %Luzerne County: 6.7 %Lycoming County: 6.8 %McKean County: 6.1 %Mercer County: 7 %Mifflin County: 11.4 %Monroe County: 6.8 %Montgomery County: 4.3 %Montour County: 4.4 %Northampton County: 5.8 %Northumberland County: 6.7 %Perry County: 9.8 %Philadelphia County: 7.7 %Pike County: 6.8 %Potter County: 7 %Schuylkill County: 7.2 %Snyder County: 10 %Somerset County: 7.6 %Sullivan County: 8.1 %Susquehanna County: 8.9 %Tioga County: 7.6 %Union County: 8.9 %Venango County: 6.5 %Warren County: 5.9 %Washington County: 5.6 %Wayne County: 7.4 %Westmoreland County: 4.7 %Wyoming County: 5.2 %York County: 5.7 %
  • Under 5.6
  • 5.6 to 6.1
  • 6.1 to 6.8
  • 6.8 to 7.4
  • 7.4 to 8.5
  • 8.5 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

Lancaster County: 12.1 %Lancaster County12.1Juniata County: 11.6 %Juniata County11.6Mifflin County: 11.4 %Mifflin County11.4Crawford County: 10 %Crawford County10Snyder County: 10 %Snyder County10Perry County: 9.8 %Perry County9.8Lebanon County: 9.7 %Lebanon County9.7Susquehanna County: 8.9 %Susquehanna County8.9Union County: 8.9 %Union County8.9Clinton County: 8.5 %Clinton County8.5Franklin County: 8.5 %Franklin County8.5Jefferson County: 8.5 %Jefferson County8.5Clarion County: 8.1 %Clarion County8.1Sullivan County: 8.1 %Sullivan County8.1Indiana County: 7.9 %Indiana County7.9Forest County: 7.7 %Forest County7.7Philadelphia County: 7.7 %Philadelphia County7.7Bradford County: 7.6 %Bradford County7.6Somerset County: 7.6 %Somerset County7.6Tioga County: 7.6 %Tioga County7.6Berks County: 7.5 %Berks County7.5Bedford County: 7.4 %Bedford County7.4Wayne County: 7.4 %Wayne County7.4Lehigh County: 7.3 %Lehigh County7.3Cameron County: 7.2 %Cameron County7.2Schuylkill County: 7.2 %Schuylkill County7.2Adams County: 7 %Adams County7Mercer County: 7 %Mercer County7Potter County: 7 %Potter County7Dauphin County: 6.9 %Dauphin County6.9Carbon County: 6.8 %Carbon County6.8Lawrence County: 6.8 %Lawrence County6.8Lycoming County: 6.8 %Lycoming County6.8Monroe County: 6.8 %Monroe County6.8Pike County: 6.8 %Pike County6.8Luzerne County: 6.7 %Luzerne County6.7Northumberland County: 6.7 %Northumberland County6.7Fayette County: 6.5 %Fayette County6.5Venango County: 6.5 %Venango County6.5Clearfield County: 6.4 %Clearfield County6.4Lancaster County: 12.1 %Lancaster County12.1Juniata County: 11.6 %Juniata County11.6Mifflin County: 11.4 %Mifflin County11.4Crawford County: 10 %Crawford County10Snyder County: 10 %Snyder County10Perry County: 9.8 %Perry County9.8Lebanon County: 9.7 %Lebanon County9.7Susquehanna County: 8.9 %Susquehanna County8.9Union County: 8.9 %Union County8.9Clinton County: 8.5 %Clinton County8.5Franklin County: 8.5 %Franklin County8.5Jefferson County: 8.5 %Jefferson County8.5Clarion County: 8.1 %Clarion County8.1Sullivan County: 8.1 %Sullivan County8.1Indiana County: 7.9 %Indiana County7.9Forest County: 7.7 %Forest County7.7Philadelphia County: 7.7 %Philadelphia County7.7Bradford County: 7.6 %Bradford County7.6Somerset County: 7.6 %Somerset County7.6Tioga County: 7.6 %Tioga County7.6Berks County: 7.5 %Berks County7.5Bedford County: 7.4 %Bedford County7.4Wayne County: 7.4 %Wayne County7.4Lehigh County: 7.3 %Lehigh County7.3Cameron County: 7.2 %Cameron County7.2Schuylkill County: 7.2 %Schuylkill County7.2Adams County: 7 %Adams County7Mercer County: 7 %Mercer County7Potter County: 7 %Potter County7Dauphin County: 6.9 %Dauphin County6.9Carbon County: 6.8 %Carbon County6.8Lawrence County: 6.8 %Lawrence County6.8Lycoming County: 6.8 %Lycoming County6.8Monroe County: 6.8 %Monroe County6.8Pike County: 6.8 %Pike County6.8Luzerne County: 6.7 %Luzerne County6.7Northumberland County: 6.7 %Northumberland County6.7Fayette County: 6.5 %Fayette County6.5Venango County: 6.5 %Venango County6.5Clearfield County: 6.4 %Clearfield County6.4
%. 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
1Lancaster County12.1+0.8 pts
2Juniata County11.6+0.7 pts
3Mifflin County11.4+2 pts
4Crawford County10+1.6 pts
4Snyder County10+0.7 pts
6Perry County9.8+0.6 pts
7Lebanon County9.7+1.7 pts
8Susquehanna County8.9+0.3 pts
8Union County8.9+0.4 pts
10Clinton County8.5+0.1 pts
10Franklin County8.5-0.6 pts
10Jefferson County8.5-0.3 pts
13Clarion County8.1+0.5 pts
13Sullivan County8.1-1.1 pts
15Indiana County7.9-0.1 pts
16Forest County7.7+2.5 pts
16Philadelphia County7.7-0.7 pts
18Bradford County7.6-0.3 pts
18Somerset County7.6-0.7 pts
18Tioga County7.6+0.6 pts
21Berks County7.5-0.3 pts
22Bedford County7.4-0.7 pts
22Wayne County7.4-0.3 pts
24Lehigh County7.3-0.9 pts
25Cameron County7.2+0.4 pts
25Schuylkill County7.2+0.3 pts
27Adams County7-0.6 pts
27Mercer County7+0.1 pts
27Potter County7-1.3 pts
30Dauphin County6.9+0.1 pts
31Carbon County6.8+0.6 pts
31Lawrence County6.8-0.1 pts
31Lycoming County6.8+0.3 pts
31Monroe County6.8-0.4 pts
31Pike County6.8+0.4 pts
36Luzerne County6.7-1.1 pts
36Northumberland County6.7+0.6 pts
38Fayette County6.5-0.2 pts
38Venango County6.5-0.6 pts
40Clearfield County6.4-0.8 pts
40Greene County6.4-0.5 pts
42Blair County6.3-0.7 pts
43Centre County6.2-0.7 pts
44Erie County6.1-0.1 pts
44Fulton County6.1-0.2 pts
44McKean County6.1-0.5 pts
47Columbia County60 pts
47Elk County6-0.1 pts
49Warren County5.9-0.4 pts
50Huntingdon County5.8-1 pts
50Lackawanna County5.8-0.7 pts
50Northampton County5.8-0.4 pts
53Chester County5.7+0.1 pts
53York County5.7-0.6 pts
55Armstrong County5.6-0.2 pts
55Washington County5.6+0.5 pts
57Delaware County5.4-0.1 pts
58Bucks County5.3+0.5 pts
58Cumberland County5.3-0.8 pts
60Wyoming County5.2-0.8 pts
61Cambria County5.1-0.7 pts
62Beaver County4.9-0.4 pts
63Allegheny County4.7-0.2 pts
63Westmoreland County4.70 pts
65Montour County4.4-1 pts
66Butler County4.3-0.4 pts
66Montgomery County4.3-0.4 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 Pennsylvania 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 Pennsylvania 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/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 65, all races, both sexes, all income levels, states and counties. Counties in Pennsylvania 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/pennsylvania-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 Pennsylvania 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/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 65, all races, both sexes, all income levels, states and counties: Counties in Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/pennsylvania-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)?

Lancaster County, with 12.1% in 2022, according to the U.S. Census Bureau.

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

Montgomery County, with 4.3% 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 Pennsylvania: more rankings