Data / Rankings / Uninsured rate, all ages (US) / Cities in Alabama

Cities in Alabama by uninsured rate, all ages (US), 2024

Russellville, AL had the highest uninsured rate, all ages (US) of 66 cities in 2024, at 17.9%. Mountain Brook, AL had the lowest, at 0.8%. The median was 8.8% and the figure for Alabama was 9.2%. Source: the U.S. Census Bureau.

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Highest17.9Russellville, AL
Lowest0.8Mountain Brook, AL
Median8.866 cities
Alabama9.2History

Top 40 cities, 2024

Russellville, AL: 17.9 %Russellville, AL17.9Gadsden, AL: 16.8 %Gadsden, AL16.8Fort Payne, AL: 16.3 %Fort Payne, AL16.3Leeds, AL: 14.7 %Leeds, AL14.7Bessemer, AL: 14 %Bessemer, AL14Prichard, AL: 13.9 %Prichard, AL13.9Anniston, AL: 13.7 %Anniston, AL13.7Albertville, AL: 13.6 %Albertville, AL13.6Decatur, AL: 13.3 %Decatur, AL13.3Foley, AL: 13.1 %Foley, AL13.1Birmingham, AL: 12.8 %Birmingham, AL12.8Irondale, AL: 12.5 %Irondale, AL12.5Phenix City, AL: 12.5 %Phenix City, AL12.5Gulf Shores, AL: 12.4 %Gulf Shores, AL12.4Center Point, AL: 12 %Center Point, AL12Valley, AL: 11.6 %Valley, AL11.6Florence, AL: 11.4 %Florence, AL11.4Eufaula, AL: 11.3 %Eufaula, AL11.3Dothan, AL: 11.1 %Dothan, AL11.1Montgomery, AL: 11 %Montgomery, AL11Ozark, AL: 10.8 %Ozark, AL10.8Hueytown, AL: 10.7 %Hueytown, AL10.7Rainbow City, AL: 10.5 %Rainbow City, AL10.5Pell City, AL: 10.5 %Pell City, AL10.5Athens, AL: 10.4 %Athens, AL10.4Jacksonville, AL: 10 %Jacksonville, AL10Talladega, AL: 9.9 %Talladega, AL9.9Mobile, AL: 9.9 %Mobile, AL9.9Oxford, AL: 9.8 %Oxford, AL9.8Enterprise, AL: 9.6 %Enterprise, AL9.6Alexander City, AL: 9.2 %Alexander City, AL9.2Huntsville, AL: 9 %Huntsville, AL9Opelika, AL: 8.8 %Opelika, AL8.8Boaz, AL: 8.8 %Boaz, AL8.8Selma, AL: 8.4 %Selma, AL8.4Alabaster, AL: 8.1 %Alabaster, AL8.1Troy, AL: 7.9 %Troy, AL7.9Scottsboro, AL: 7.7 %Scottsboro, AL7.7Calera, AL: 7.6 %Calera, AL7.6Muscle Shoals, AL: 7.6 %Muscle Shoals, AL7.6Russellville, AL: 17.9 %Russellville, AL17.9Gadsden, AL: 16.8 %Gadsden, AL16.8Fort Payne, AL: 16.3 %Fort Payne, AL16.3Leeds, AL: 14.7 %Leeds, AL14.7Bessemer, AL: 14 %Bessemer, AL14Prichard, AL: 13.9 %Prichard, AL13.9Anniston, AL: 13.7 %Anniston, AL13.7Albertville, AL: 13.6 %Albertville, AL13.6Decatur, AL: 13.3 %Decatur, AL13.3Foley, AL: 13.1 %Foley, AL13.1Birmingham, AL: 12.8 %Birmingham, AL12.8Irondale, AL: 12.5 %Irondale, AL12.5Phenix City, AL: 12.5 %Phenix City, AL12.5Gulf Shores, AL: 12.4 %Gulf Shores, AL12.4Center Point, AL: 12 %Center Point, AL12Valley, AL: 11.6 %Valley, AL11.6Florence, AL: 11.4 %Florence, AL11.4Eufaula, AL: 11.3 %Eufaula, AL11.3Dothan, AL: 11.1 %Dothan, AL11.1Montgomery, AL: 11 %Montgomery, AL11Ozark, AL: 10.8 %Ozark, AL10.8Hueytown, AL: 10.7 %Hueytown, AL10.7Rainbow City, AL: 10.5 %Rainbow City, AL10.5Pell City, AL: 10.5 %Pell City, AL10.5Athens, AL: 10.4 %Athens, AL10.4Jacksonville, AL: 10 %Jacksonville, AL10Talladega, AL: 9.9 %Talladega, AL9.9Mobile, AL: 9.9 %Mobile, AL9.9Oxford, AL: 9.8 %Oxford, AL9.8Enterprise, AL: 9.6 %Enterprise, AL9.6Alexander City, AL: 9.2 %Alexander City, AL9.2Huntsville, AL: 9 %Huntsville, AL9Opelika, AL: 8.8 %Opelika, AL8.8Boaz, AL: 8.8 %Boaz, AL8.8Selma, AL: 8.4 %Selma, AL8.4Alabaster, AL: 8.1 %Alabaster, AL8.1Troy, AL: 7.9 %Troy, AL7.9Scottsboro, AL: 7.7 %Scottsboro, AL7.7Calera, AL: 7.6 %Calera, AL7.6Muscle Shoals, AL: 7.6 %Muscle Shoals, AL7.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Russellville, AL17.9+2.6 pts
2Gadsden, AL16.8-2.4 pts
3Fort Payne, AL16.3+1.3 pts
4Leeds, AL14.7+1.2 pts
5Bessemer, AL14+0.1 pts
6Prichard, AL13.9-1.4 pts
7Anniston, AL13.70 pts
8Albertville, AL13.6-0.3 pts
9Decatur, AL13.3+0.3 pts
10Foley, AL13.1-0.7 pts
11Birmingham, AL12.8+0.3 pts
12Irondale, AL12.5+2.9 pts
13Phenix City, AL12.5+0.3 pts
14Gulf Shores, AL12.4-0.2 pts
15Center Point, AL12+1.6 pts
16Valley, AL11.6-0.5 pts
17Florence, AL11.4-0.4 pts
18Eufaula, AL11.3-1.6 pts
19Dothan, AL11.1-0.5 pts
20Montgomery, AL11-0.3 pts
21Ozark, AL10.8-0.6 pts
22Hueytown, AL10.7-0.3 pts
23Rainbow City, AL10.5+0.5 pts
24Pell City, AL10.5+0.1 pts
25Athens, AL10.4-0 pts
26Jacksonville, AL10-1.5 pts
27Talladega, AL9.9+0.7 pts
28Mobile, AL9.9-0.7 pts
29Oxford, AL9.8-0.8 pts
30Enterprise, AL9.6+0.5 pts
31Alexander City, AL9.2+0.6 pts
32Huntsville, AL9-0.4 pts
33Opelika, AL8.8-0.4 pts
34Boaz, AL8.8-0.4 pts
35Selma, AL8.4-1 pts
36Alabaster, AL8.1-0.5 pts
37Troy, AL7.9+0.4 pts
38Scottsboro, AL7.7-0.7 pts
39Calera, AL7.6+0.5 pts
40Muscle Shoals, AL7.6+2.7 pts
41Tuscaloosa, AL7.4+0.2 pts
42Cullman, AL7.4-0.1 pts
42Pelham, AL7.4+0.4 pts
44Saraland, AL7+0.7 pts
45Daphne, AL7+1 pts
46Auburn, AL6.8+0.2 pts
47Jasper, AL6.5-1.7 pts
48Moody, AL6.2-1 pts
49Prattville, AL6.2+0.4 pts
50Gardendale, AL6.2+1.3 pts
51Millbrook, AL5.9+0.8 pts
52Clay, AL5.8-0.3 pts
53Hartselle, AL5.8+0.7 pts
54Sylacauga, AL5.8-1.5 pts
55Homewood, AL5.3+0.5 pts
56Hoover, AL5.1+0.1 pts
57Fairhope, AL5+0.2 pts
58Helena, AL4.8-1.3 pts
59Chelsea, AL4.3-0.3 pts
60Northport, AL4.2+0.2 pts
61Madison, AL3.90 pts
62Vestavia Hills, AL3.3-0.3 pts
63Trussville, AL2.8-1.3 pts
64Spanish Fort, AL2.1+0.7 pts
65Pike Road, AL1.8-0.6 pts
66Mountain Brook, AL0.8+0.1 pts

Other periods

About this ranking

People without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the cities are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, all ages (US), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, all ages (US), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, all ages (US), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, all ages (US), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/alabama-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, all ages (US), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, all ages (US), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/alabama-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Cities in Alabama by uninsured rate, all ages (US) using official data, and cite the source.
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Questions

Which city has the highest uninsured rate, all ages (US)?

Russellville, AL, with 17.9% in 2024, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, all ages (US)?

Mountain Brook, AL, with 0.8% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, all ages (US): other rankings

Cities in Alabama: more rankings