US cities by uninsured rate, all ages (US)

Alton, TX had the highest uninsured rate, all ages (US) of 3214 cities in 2023, at 34.1%. Piedmont, CA had the lowest, at 0.3%. The median was 7% and the figure for the United States was 8.6%. Source: the U.S. Census Bureau.

Highest34.1Alton, TX

Lowest0.3Piedmont, CA

Median73214 cities

United States8.6History

Top 40 cities, 2023

%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

Rank	Cities	2023 (%)	Change on 2022
1	Alton, TX	34.1	-4.9 pts
2	Galena Park, TX	33.7	+3.4 pts
3	San Elizario, TX	32.1	+3.6 pts
4	Roma, TX	31.1	-2.7 pts
5	Rio Grande City, TX	31	+0.1 pts
5	South Houston, TX	31	+0.2 pts
7	Doraville, GA	30.9	0 pts
8	Socorro, TX	30.8	+3.2 pts
9	Balch Springs, TX	30.8	-0.7 pts
10	Lake Worth Beach, FL	30.6	-0.1 pts
11	Humble, TX	30.5	+5.1 pts
12	Pharr, TX	30.1	-2 pts
13	Palmview, TX	30.1	-4.6 pts
14	Palm Springs, FL	29.3	+1.3 pts
15	Port Arthur, TX	29.3	+0.8 pts
16	San Juan, TX	29.2	-0.9 pts
17	Florida City, FL	29	-1.5 pts
18	Brownsville, TX	28.6	-1 pts
19	Alamo, TX	28.5	+1.5 pts
20	Laredo, TX	28.4	0 pts
20	Somerton, AZ	28.4	+5.9 pts
22	Mission, TX	28.2	-1.7 pts
23	Pasadena, TX	28	+1.4 pts
24	Seagoville, TX	27.9	0 pts
25	Raymondville, TX	27.8	+0.4 pts
26	Freeport, TX	27.6	-0.2 pts
27	Hidalgo, TX	27.4	-0.5 pts
28	San Benito, TX	27.3	+1.8 pts
29	Plainfield, NJ	26.6	+0.8 pts
30	Freehold, NJ	26.4	+2.6 pts
31	Haltom City, TX	26.1	-1 pts
32	Bellmead, TX	25.9	+1.5 pts
33	McAllen, TX	25.8	-1 pts
33	Richmond, TX	25.8	-0.5 pts
35	Garland, TX	25.8	+0.6 pts
36	Mercedes, TX	25.7	-0.9 pts
37	Dover, NJ	25.7	-0.8 pts
37	Edinburg, TX	25.7	-0.9 pts
39	Chamblee, GA	25.6	+1.3 pts
40	Alice, TX	25.6	+2.7 pts
41	Weslaco, TX	25.4	-1 pts
42	Baytown, TX	25.4	-1 pts
43	Horizon City, TX	25.3	+2.4 pts
44	San Luis, AZ	25.1	+3.9 pts
45	Warr Acres, OK	24.8	+2.5 pts
46	Leon Valley, TX	24.7	+2.8 pts
47	Bridgeton, NJ	24.5	+3 pts
47	Mount Pleasant, TX	24.5	+0.9 pts
49	Jacksonville, TX	24.3	-0.2 pts
50	Opa-locka, FL	24.3	+1 pts
51	Houston, TX	24	-0.2 pts
52	Bay City, TX	23.8	+5.1 pts
53	Passaic, NJ	23.4	-1.2 pts
54	Andrews, TX	23.4	-0.9 pts
55	Union City, NJ	23.3	-2 pts
56	Garden City, GA	23.2	-1.5 pts
57	Dallas, TX	23	-0.5 pts
58	Lilburn, GA	23	+1.4 pts
59	Eagle Pass, TX	23	-4 pts
59	Liberty Hill, TX	23	-3.5 pts
61	Elizabeth, NJ	22.9	-0.1 pts
62	Ennis, TX	22.9	-3.3 pts
63	Durant, OK	22.8	+1.1 pts
64	Mineral Wells, TX	22.7	+3.7 pts
65	Brunswick, GA	22.6	-1.6 pts
66	Forest Park, GA	22.3	+0.2 pts
67	Plainview, TX	22.1	+0.6 pts
68	Duncanville, TX	22	-0.4 pts
69	Clute, TX	21.8	-3.6 pts
70	Snyder, TX	21.7	+0.2 pts
71	Hereford, TX	21.7	-3.2 pts
72	Irving, TX	21.6	+0.5 pts
73	Manassas Park, VA	21.5	+2.4 pts
74	Beaumont, TX	21.5	+0.4 pts
75	White Settlement, TX	21.5	-0.6 pts
76	New Brunswick, NJ	21.5	+3.6 pts
77	Mesquite, TX	21.4	+0.4 pts
78	West New York, NJ	21.4	0 pts
79	Sevierville, TN	21.4	+1.8 pts
80	Athens, TX	21.3	-5.6 pts
81	Norcross, GA	21.3	-1.4 pts
82	Donna, TX	21.3	-1.9 pts
82	Harlingen, TX	21.3	-0 pts
84	North Miami, FL	21.1	0 pts
85	Pompano Beach, FL	21.1	-0.9 pts
86	El Paso, TX	21	+0.1 pts
87	Perth Amboy, NJ	21	+1.1 pts
88	Belle Glade, FL	20.8	-1.8 pts
89	Springdale, AR	20.8	+0.8 pts
90	Rosenberg, TX	20.7	+2.2 pts
91	Robstown, TX	20.6	-1.2 pts
92	Homestead, FL	20.6	-0.6 pts
93	West Park, FL	20.6	0 pts
94	Nogales, AZ	20.5	-0.6 pts
95	Kilgore, TX	20.4	+0.5 pts
96	Cairo, GA	20.4	-3.2 pts
97	Springfield, TN	20.4	+3.4 pts
98	Ingleside, TX	20.3	+1.5 pts
99	Greenacres, FL	20.1	-0.2 pts
100	Glenwood Springs, CO	20.1	+1.5 pts
100	Manassas, VA	20.1	+0.4 pts
102	Vernal, UT	20	+0.8 pts
103	Stafford, TX	19.9	+0.9 pts
104	Ada, OK	19.9	-2.1 pts
105	Fairview, NJ	19.8	+0.4 pts
106	Canton, MS	19.8	+2.9 pts
107	Palestine, TX	19.7	+1.4 pts
108	Paris, TX	19.7	-0.4 pts
109	Pampa, TX	19.6	-1.7 pts
110	Dalton, GA	19.4	-0.1 pts
111	Guymon, OK	19.4	-4.9 pts
111	Miami Gardens, FL	19.4	-0.3 pts
113	Calhoun, GA	19.3	+0.5 pts
113	Sulphur Springs, TX	19.3	+0.1 pts
115	Bonham, TX	19.3	+1.4 pts
116	Morganton, NC	19.3	+4.2 pts
117	Groves, TX	19.2	-0.3 pts
117	Uvalde, TX	19.2	+3.1 pts
119	Grandview, WA	19.2	-1.4 pts
120	Gadsden, AL	19.2	+1 pts
120	Marathon, FL	19.2	-0.1 pts
120	Orange, TX	19.2	-0.4 pts
123	Cicero, IL	19.2	+1.1 pts
124	North Plainfield, NJ	19.1	+1.6 pts
125	Brownwood, TX	19.1	+0.6 pts
126	Carthage, MO	19.1	+0.3 pts
126	Herndon, VA	19.1	+2.9 pts
126	North Lauderdale, FL	19.1	-1.3 pts
126	Paterson, NJ	19.1	-0.2 pts
130	Corsicana, TX	19.1	0 pts
130	Newark, NJ	19.1	+0.8 pts
130	Shelbyville, TN	19.1	-0.1 pts
133	Forest Hill, TX	19	0 pts
134	Del Rio, TX	19	-1.3 pts
134	Mascotte, FL	19	-1.5 pts
136	Gainesville, GA	18.9	+0.6 pts
137	Town of Pecos, TX	18.8	+4.7 pts
138	Arlington, TX	18.8	-0.7 pts
139	Farmers Branch, TX	18.7	-1.2 pts
140	Tahlequah, OK	18.7	+1.4 pts
141	Rifle, CO	18.7	+1.5 pts
142	Cottonwood, AZ	18.7	-0.3 pts
143	Conroe, TX	18.6	+0.8 pts
143	Gainesville, TX	18.6	-1.1 pts
145	Huntington Park, CA	18.6	-0.8 pts
145	Marshall, TX	18.6	-0.2 pts
147	Fort Worth, TX	18.6	-0.6 pts
148	Haines City, FL	18.5	+1 pts
149	Federal Heights, CO	18.5	+1 pts
149	Levelland, TX	18.5	-1.1 pts
149	Webster, TX	18.5	-3.3 pts
152	Sunnyside, WA	18.5	+2.5 pts
153	Cleburne, TX	18.5	-0.2 pts
154	Sebring, FL	18.4	+0.8 pts
155	Dayton, TX	18.4	+0.4 pts
155	Prospect Heights, IL	18.4	+2.9 pts
157	Kansas City, KS	18.4	+0.2 pts
158	Grand Prairie, TX	18.4	+0.2 pts
159	Auburn, GA	18.3	-0.5 pts
160	Kingsville, TX	18.3	-1 pts
161	Maywood, CA	18.3	+0.3 pts
162	Deerfield Beach, FL	18.2	-2 pts
163	El Reno, OK	18.2	+0.3 pts
164	Douglas, GA	18.2	-0.3 pts
164	West Plains, MO	18.2	-4 pts
166	McComb, MS	18.2	+4.6 pts
167	Zebulon, NC	18.2	-4.2 pts
168	Guttenberg, NJ	18.1	-0.8 pts
168	Hurst, TX	18.1	+1.3 pts
170	Marietta, GA	18.1	-0.8 pts
171	Morristown, TN	18.1	+0.4 pts
172	Lago Vista, TX	18.1	+0.7 pts
173	Harrison, NJ	18.1	-0.6 pts
174	Panama City, FL	18.1	+1.8 pts
175	Branson, MO	18.1	-1.5 pts
176	Lufkin, TX	18.1	-1.1 pts
177	Victoria, TX	18	+0.6 pts
178	Kerrville, TX	18	+1.5 pts
178	Portland, TX	18	+3.4 pts
180	West Valley City, UT	17.9	-0.4 pts
181	South Salt Lake, UT	17.9	0 pts
181	Watauga, TX	17.9	-1.3 pts
183	Miami Beach, FL	17.9	+0.1 pts
184	Dallas, GA	17.8	+3.7 pts
185	Gretna, LA	17.8	-0.2 pts
185	Tyler, TX	17.8	+0.1 pts
187	Bound Brook, NJ	17.8	-0 pts
187	Monroe, NC	17.8	-1.2 pts
187	Odessa, TX	17.8	-0.4 pts
190	Corpus Christi, TX	17.8	-0.5 pts
191	Dickinson, TX	17.8	+0.2 pts
192	Key West, FL	17.7	+0.6 pts
193	Lawrenceville, GA	17.7	+0.1 pts
194	Kearns, UT	17.6	-2.9 pts
195	Miami, FL	17.6	-1.4 pts
196	Josephine, TX	17.6	+0.3 pts
197	San Antonio, TX	17.6	-0.1 pts
198	Trenton, NJ	17.5	+3 pts
199	Lantana, FL	17.5	+0.5 pts
200	Grandview, MO	17.5	+0.2 pts
201	Okmulgee, OK	17.5	-0.3 pts
202	Clarkston, GA	17.4	-1.2 pts
203	Bell Gardens, CA	17.4	-1.4 pts
204	Borger, TX	17.4	-0.2 pts
205	Bryan, TX	17.3	-0.7 pts
205	Cudahy, CA	17.3	-1 pts
207	Destin, FL	17.3	-0.3 pts
208	Dania Beach, FL	17.2	-0.1 pts
209	Longview, TX	17.1	-0.6 pts
210	Long Branch, NJ	17.1	+0.4 pts
211	Valdosta, GA	17.1	-0.3 pts
212	Big Spring, TX	17.1	-2.6 pts
213	Gautier, MS	17	+2.7 pts
213	Myrtle Beach, SC	17	-0.9 pts
215	Jerome, ID	17	+2.4 pts
216	Texas City, TX	17	+1.1 pts
217	Miami, OK	17	-0.6 pts
218	Worthington, MN	17	+1.5 pts
219	North Miami Beach, FL	16.9	-0.3 pts
220	Pleasanton, TX	16.9	+0.1 pts
221	Bensenville, IL	16.9	+3.1 pts
221	Holly Hill, FL	16.9	-0.6 pts
223	Davenport, FL	16.9	-0.5 pts
223	Oakland Park, FL	16.9	-1.2 pts
223	Sherman, TX	16.9	-2.4 pts
226	Garfield, NJ	16.9	+0.1 pts
227	Acworth, GA	16.9	-0.2 pts
228	North Charleston, SC	16.9	+0.7 pts
229	D'Iberville, MS	16.8	+2.1 pts
230	Texarkana, TX	16.8	+0.1 pts
231	Sweetwater, FL	16.8	+2 pts
232	Galveston, TX	16.8	-1.5 pts
233	Hollywood, FL	16.7	-0.8 pts
233	Lauderdale Lakes, FL	16.7	-0.9 pts
235	La Vergne, TN	16.7	+1 pts
236	East Point, GA	16.6	0 pts
237	Fort Myers, FL	16.6	+0.6 pts
238	Union City, GA	16.6	+1.5 pts
239	Glenn Heights, TX	16.5	+4.6 pts
240	Tulsa, OK	16.5	0 pts
241	Fort Pierce, FL	16.5	-1.4 pts
242	Mendota, CA	16.4	+1 pts
243	Belton, TX	16.4	-0.7 pts
244	Jennings, MO	16.4	+4.3 pts
244	La Marque, TX	16.4	-0.5 pts
244	Sweetwater, TX	16.4	-1.4 pts
247	Tomball, TX	16.4	+1.3 pts
247	Wichita Falls, TX	16.4	+0.6 pts
249	Denison, TX	16.3	-0.8 pts
250	Milton, FL	16.3	-1.1 pts

Showing the top 250 of 3214. The Excel download has every row.

Other periods

2024
2023
2022
2021

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. 5 cities with data in other periods have no value for 2023 and are left out rather than filled from another source. 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) (US cities 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), US cities 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/us-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). US cities 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/us-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), US cities 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/us-cities?period=2023 (Accessed: 12 October 2026).

BibTeX

@misc{census_us_cities_by_uninsured_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): US cities 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/us-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): US cities 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/us-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/us-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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Questions

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

Alton, TX, with 34.1% in 2023, according to the U.S. Census Bureau.

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

Piedmont, CA, with 0.3% 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. 5 cities have no value for 2023 and are not ranked.