RANKING · 2024 ACS · 86 SHOWN OF 86

Highest Medicaid coverage, Kentucky cities

Kentucky cities ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 86 cities in Kentucky that qualify, ranked against each other statewide. The median across all 86 is 27.2%. Biggest climber in the top 100 since 2020: Harrodsburg, KY, up 28 places to #14.

KentuckyAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Middlesborough, KYKY8,77645.4%−9.3 pts

02▲20Maysville, KYKY8,68843.5%+10.4 pts

03▲8Somerset, KYKY12,69543.5%+6.3 pts

04▲8Cynthiana, KYKY6,57643.0%+6.2 pts

05▲10Monticello, KYKY5,72142.7%+7.5 pts

06▲24Central City, KYKY5,79342.6%+12.0 pts

07▼2Leitchfield, KYKY7,01539.9%−0.4 pts

08▼6Oak Grove, KYKY7,83037.5%−7.2 pts

09▼5Lebanon, KYKY6,69937.3%−5.0 pts

10Glasgow, KYKY15,30236.9%−0.8 pts

11▲7London, KYKY7,63736.8%+2.1 pts

12▲16Berea, KYKY16,66236.6%+5.9 pts

13▼6Campbellsville, KYKY11,78336.6%−2.3 pts

14▲28Harrodsburg, KYKY9,57636.3%+10.6 pts

15▲8Madisonville, KYKY19,42836.3%+4.0 pts

16▼13Mayfield, KYKY9,85136.2%−6.5 pts

17▲9Paducah, KYKY26,73036.2%+4.7 pts

18▲1Shively, KYKY15,89535.9%+1.3 pts

19▼2Henderson, KYKY27,82235.9%+1.1 pts

20▼6Corbin, KYKY7,91135.8%+0.3 pts

21▲8Paris, KYKY10,13035.7%+5.0 pts

22▼2Ashland, KYKY20,99635.5%+2.1 pts

23▼2Russellville, KYKY7,45434.7%+1.5 pts

24▲16Pikeville, KYKY7,27034.7%+8.8 pts

25▼9Hopkinsville, KYKY30,41134.5%−0.3 pts

26▼13Winchester, KYKY19,51434.4%−2.3 pts

27▼3Owensboro, KYKY60,89234.3%+2.0 pts

28▼22Mount Sterling, KYKY7,58633.7%−5.2 pts

29▲9Franklin, KYKY10,75932.9%+6.3 pts

30▼22Williamsburg, KYKY5,37132.9%−5.8 pts

31▼22Radcliff, KYKY22,57632.3%−5.6 pts

32Bowling Green, KYKY78,50532.0%+2.7 pts

33▲13Frankfort, KYKY28,65731.8%+7.8 pts

34▼9Covington, KYKY41,84731.4%−0.4 pts

35▲6Flatwoods, KYKY7,43931.2%+5.4 pts

36Nicholasville, KYKY33,85730.8%+3.0 pts

37▲14Shepherdsville, KYKY14,93129.1%+8.3 pts

38▼5Richmond, KYKY40,66328.5%+0.3 pts

39▲15Murray, KYKY18,96428.4%+8.6 pts

40▼9Danville, KYKY17,73627.9%−2.4 pts

41▲2Louisville, KYKY641,96227.6%+2.0 pts

42▲5Bardstown, KYKY14,16127.3%+3.8 pts

43▼8Versailles, KYKY10,73427.2%−0.7 pts

44▲5Shelbyville, KYKY18,45326.9%+4.2 pts

45▲5Morehead, KYKY6,77626.9%+5.8 pts

46▼7Elsmere, KYKY9,52126.8%+0.4 pts

47▲1Princeton, KYKY6,16826.7%+3.7 pts

48▼21Dayton, KYKY5,97426.6%−4.5 pts

49▼12Lawrenceburg, KYKY12,32926.5%−1.1 pts

50▼5Elizabethtown, KYKY35,44825.9%+0.9 pts

51▲17Taylor Mill, KYKY7,14425.7%+11.9 pts

52▼8Reidland, KYKY5,27725.0%−0.5 pts

53Hillview, KYKY9,02024.9%+4.6 pts

54▲9Walton, KYKY5,86822.9%+7.2 pts

55▼3Florence, KYKY34,01821.0%+0.6 pts

56▲2Lexington, KYKY329,75120.4%+1.3 pts

57▼23Newport, KYKY13,99820.2%−7.9 pts

58▼2Bellevue, KYKY5,84719.8%+0.4 pts

59▲3Georgetown, KYKY40,88319.1%+3.4 pts

60▼3Erlanger, KYKY20,15818.9%−0.2 pts

61▼1La Grange, KYKY10,66918.6%−0.3 pts

62▲2Wilmore, KYKY6,38017.6%+2.1 pts

63▼8Hebron, KYKY6,40717.6%−2.0 pts

64▲1Independence, KYKY30,19817.0%+2.8 pts

65▼6Fort Wright, KYKY6,24016.9%−2.0 pts

66▼5Vine Grove, KYKY7,01816.9%+0.1 pts

67▲4Alexandria, KYKY10,99416.3%+3.9 pts

68▲1Jeffersontown, KYKY29,19316.2%+2.5 pts

69▲5Lyndon, KYKY11,30114.8%+3.5 pts

70▲8Fort Mitchell, KYKY8,75114.2%+4.9 pts

71▲2Oakbrook, KYKY10,21113.9%+2.5 pts

72▲3Highland Heights, KYKY6,34113.8%+3.4 pts

73▼1Mount Washington, KYKY18,98913.4%+1.1 pts

74▼4Burlington, KYKY18,00812.8%+0.3 pts

75▲1St. Matthews, KYKY17,86811.1%+0.8 pts

76▲3Crestwood, KYKY6,58210.7%+1.4 pts

77▲4Villa Hills, KYKY7,7979.9%+1.6 pts

78▲2Cold Spring, KYKY6,6409.7%+1.0 pts

79▲3Douglass Hills, KYKY5,5759.7%+1.7 pts

80▼14Middletown, KYKY9,9449.4%−4.7 pts

81▼4Union, KYKY7,9379.1%−0.4 pts

82▼15Fort Knox, KYKY8,8369.0%−4.9 pts

83Fort Thomas, KYKY17,1428.8%+1.4 pts

84▲1Edgewood, KYKY8,5038.5%+3.3 pts

85▲1Francisville, KYKY10,5655.1%+0.3 pts

86▼2Fort Campbell North, KYKY11,3564.7%−2.2 pts

SHOWING 1–86 OF 86

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES