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

Gadsden, AL had the highest uninsured rate, all ages (US) of 66 cities in 2023, at 19.2%. Mountain Brook, AL had the lowest, at 0.7%. The median was 9.1% and the figure for Alabama was 9.4%. Source: the U.S. Census Bureau.

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Highest19.2Gadsden, AL
Median9.166 cities
Alabama9.4History

Top 40 cities, 2023

Gadsden, AL: 19.2 %Gadsden, AL19.2Russellville, AL: 15.3 %Russellville, AL15.3Prichard, AL: 15.3 %Prichard, AL15.3Fort Payne, AL: 15 %Fort Payne, AL15Bessemer, AL: 13.9 %Bessemer, AL13.9Albertville, AL: 13.9 %Albertville, AL13.9Foley, AL: 13.8 %Foley, AL13.8Anniston, AL: 13.7 %Anniston, AL13.7Leeds, AL: 13.5 %Leeds, AL13.5Decatur, AL: 13 %Decatur, AL13Eufaula, AL: 12.9 %Eufaula, AL12.9Gulf Shores, AL: 12.7 %Gulf Shores, AL12.7Birmingham, AL: 12.5 %Birmingham, AL12.5Phenix City, AL: 12.2 %Phenix City, AL12.2Valley, AL: 12.1 %Valley, AL12.1Florence, AL: 11.8 %Florence, AL11.8Dothan, AL: 11.6 %Dothan, AL11.6Jacksonville, AL: 11.4 %Jacksonville, AL11.4Ozark, AL: 11.4 %Ozark, AL11.4Montgomery, AL: 11.3 %Montgomery, AL11.3Hueytown, AL: 10.9 %Hueytown, AL10.9Oxford, AL: 10.6 %Oxford, AL10.6Mobile, AL: 10.5 %Mobile, AL10.5Athens, AL: 10.5 %Athens, AL10.5Center Point, AL: 10.4 %Center Point, AL10.4Pell City, AL: 10.3 %Pell City, AL10.3Rainbow City, AL: 10 %Rainbow City, AL10Irondale, AL: 9.6 %Irondale, AL9.6Selma, AL: 9.4 %Selma, AL9.4Huntsville, AL: 9.4 %Huntsville, AL9.4Opelika, AL: 9.2 %Opelika, AL9.2Talladega, AL: 9.2 %Talladega, AL9.2Boaz, AL: 9.2 %Boaz, AL9.2Enterprise, AL: 9.1 %Enterprise, AL9.1Alexander City, AL: 8.6 %Alexander City, AL8.6Alabaster, AL: 8.5 %Alabaster, AL8.5Scottsboro, AL: 8.4 %Scottsboro, AL8.4Jasper, AL: 8.2 %Jasper, AL8.2Cullman, AL: 7.5 %Cullman, AL7.5Troy, AL: 7.4 %Troy, AL7.4Gadsden, AL: 19.2 %Gadsden, AL19.2Russellville, AL: 15.3 %Russellville, AL15.3Prichard, AL: 15.3 %Prichard, AL15.3Fort Payne, AL: 15 %Fort Payne, AL15Bessemer, AL: 13.9 %Bessemer, AL13.9Albertville, AL: 13.9 %Albertville, AL13.9Foley, AL: 13.8 %Foley, AL13.8Anniston, AL: 13.7 %Anniston, AL13.7Leeds, AL: 13.5 %Leeds, AL13.5Decatur, AL: 13 %Decatur, AL13Eufaula, AL: 12.9 %Eufaula, AL12.9Gulf Shores, AL: 12.7 %Gulf Shores, AL12.7Birmingham, AL: 12.5 %Birmingham, AL12.5Phenix City, AL: 12.2 %Phenix City, AL12.2Valley, AL: 12.1 %Valley, AL12.1Florence, AL: 11.8 %Florence, AL11.8Dothan, AL: 11.6 %Dothan, AL11.6Jacksonville, AL: 11.4 %Jacksonville, AL11.4Ozark, AL: 11.4 %Ozark, AL11.4Montgomery, AL: 11.3 %Montgomery, AL11.3Hueytown, AL: 10.9 %Hueytown, AL10.9Oxford, AL: 10.6 %Oxford, AL10.6Mobile, AL: 10.5 %Mobile, AL10.5Athens, AL: 10.5 %Athens, AL10.5Center Point, AL: 10.4 %Center Point, AL10.4Pell City, AL: 10.3 %Pell City, AL10.3Rainbow City, AL: 10 %Rainbow City, AL10Irondale, AL: 9.6 %Irondale, AL9.6Selma, AL: 9.4 %Selma, AL9.4Huntsville, AL: 9.4 %Huntsville, AL9.4Opelika, AL: 9.2 %Opelika, AL9.2Talladega, AL: 9.2 %Talladega, AL9.2Boaz, AL: 9.2 %Boaz, AL9.2Enterprise, AL: 9.1 %Enterprise, AL9.1Alexander City, AL: 8.6 %Alexander City, AL8.6Alabaster, AL: 8.5 %Alabaster, AL8.5Scottsboro, AL: 8.4 %Scottsboro, AL8.4Jasper, AL: 8.2 %Jasper, AL8.2Cullman, AL: 7.5 %Cullman, AL7.5Troy, AL: 7.4 %Troy, AL7.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Gadsden, AL19.2+1 pts
2Russellville, AL15.3+1.5 pts
3Prichard, AL15.3-1.2 pts
4Fort Payne, AL15+0.1 pts
5Bessemer, AL13.9-0.3 pts
6Albertville, AL13.9+1.7 pts
7Foley, AL13.8-4.5 pts
8Anniston, AL13.7+0.6 pts
9Leeds, AL13.5+0.7 pts
10Decatur, AL13+0.9 pts
11Eufaula, AL12.9+1.6 pts
12Gulf Shores, AL12.7-2.1 pts
13Birmingham, AL12.50 pts
14Phenix City, AL12.2-0.5 pts
15Valley, AL12.1+2.7 pts
16Florence, AL11.8-0.3 pts
17Dothan, AL11.6+0.3 pts
18Jacksonville, AL11.4+1 pts
19Ozark, AL11.4+0.3 pts
20Montgomery, AL11.3+0.1 pts
21Hueytown, AL10.9+0.7 pts
22Oxford, AL10.6-0.6 pts
23Mobile, AL10.5-0.4 pts
24Athens, AL10.50 pts
25Center Point, AL10.4+1.5 pts
26Pell City, AL10.3-0.7 pts
27Rainbow City, AL10+1.7 pts
28Irondale, AL9.6+0.7 pts
29Selma, AL9.4-0.2 pts
30Huntsville, AL9.4+0.1 pts
31Opelika, AL9.2-1.5 pts
32Talladega, AL9.2-4.4 pts
33Boaz, AL9.2-2.1 pts
34Enterprise, AL9.1-0.5 pts
35Alexander City, AL8.6-2 pts
36Alabaster, AL8.5+0.3 pts
37Scottsboro, AL8.4-1 pts
38Jasper, AL8.2-2.3 pts
39Cullman, AL7.5+0.4 pts
40Troy, AL7.4-0.8 pts
41Sylacauga, AL7.3-1 pts
42Moody, AL7.3-1.7 pts
43Tuscaloosa, AL7.2-0.1 pts
44Calera, AL7.1+0.9 pts
45Pelham, AL7+1.3 pts
46Auburn, AL6.6+1 pts
47Saraland, AL6.3+0.2 pts
48Clay, AL6.1-1.1 pts
49Helena, AL6.1-0.4 pts
50Daphne, AL6+0.1 pts
51Prattville, AL5.8+0.5 pts
52Millbrook, AL5.2-0.9 pts
53Hartselle, AL5.1+0.2 pts
54Hoover, AL5+0.5 pts
55Muscle Shoals, AL4.9-1.1 pts
56Fairhope, AL4.9+1.6 pts
57Gardendale, AL4.8+0.8 pts
57Homewood, AL4.8+0.6 pts
59Chelsea, AL4.6+1.7 pts
60Trussville, AL4.10 pts
61Northport, AL4-0.4 pts
62Madison, AL3.9+0.3 pts
63Vestavia Hills, AL3.7+0.8 pts
64Pike Road, AL2.3-1.3 pts
65Spanish Fort, AL1.4-2.1 pts
66Mountain Brook, AL0.7+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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-cities?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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)?

Gadsden, AL, with 19.2% in 2023, according to the U.S. Census Bureau.

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

Mountain Brook, AL, with 0.7% in 2023.

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