RANKING · 2024 ACS · 175 SHOWN OF 175

Highest Medicaid coverage, North Carolina cities

North Carolina 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 175 cities in North Carolina that qualify, ranked against each other statewide. The median across all 175 is 17.7%. Biggest climber in the top 100 since 2020: Creedmoor, NC, up 73 places to #69.

North CarolinaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01▲1Kinston, NCNC19,70545.7%+4.6 pts

02▲2Forest City, NCNC7,41044.3%+5.2 pts

03Henderson, NCNC15,01340.6%0.0 pts

04▲2Lumberton, NCNC18,95540.4%+2.5 pts

05▲4Roxboro, NCNC8,38040.0%+4.5 pts

06▲2Laurinburg, NCNC14,58239.8%+3.6 pts

07▲18Hamlet, NCNC5,87037.7%+9.3 pts

08▲11Roanoke Rapids, NCNC14,38636.8%+6.5 pts

09▲2Eden, NCNC15,50036.5%+4.5 pts

10▲12Reidsville, NCNC14,69236.5%+6.7 pts

11▲3Goldsboro, NCNC35,01235.8%+4.7 pts

12▼11Selma, NCNC7,40634.9%−12.6 pts

13Rockingham, NCNC8,81534.7%+3.6 pts

14▼9Wadesboro, NCNC5,03533.3%−5.2 pts

15▲36Kings Mountain, NCNC12,11733.2%+9.1 pts

16▼4Dunn, NCNC8,81432.8%+1.5 pts

17▲6Oxford, NCNC8,98532.3%+3.5 pts

18▼11Washington, NCNC9,91032.1%−4.6 pts

19▲31East Flat Rock, NCNC6,32332.0%+7.9 pts

20▲14Lexington, NCNC20,23832.0%+5.2 pts

21▼3Shelby, NCNC23,30931.5%+1.2 pts

22▼1Asheboro, NCNC27,99031.3%+1.3 pts

23▲6Salisbury, NCNC36,87931.1%+3.4 pts

24▲2Clinton, NCNC8,46630.7%+2.4 pts

25▼5Marion, NCNC7,44029.8%−0.3 pts

26▲44Hope Mills, NCNC18,32429.5%+8.6 pts

27▲29Long View, NCNC5,38729.2%+5.7 pts

28▲12Albemarle, NCNC17,76929.1%+3.4 pts

29▼14Williamston, NCNC5,08628.8%−1.9 pts

30▼14Morganton, NCNC17,84928.3%−2.3 pts

31Mocksville, NCNC6,28228.0%+0.7 pts

32▲23Fayetteville, NCNC209,12027.7%+4.2 pts

33▼9Smithfield, NCNC13,11427.6%−0.9 pts

34▲42Nashville, NCNC5,91127.1%+7.3 pts

35▲18Statesville, NCNC32,18127.1%+3.2 pts

36▲6Lenoir, NCNC18,37227.1%+1.4 pts

37▼9Rocky Mount, NCNC55,12027.1%−0.8 pts

38▲8Elizabeth City, NCNC19,62226.9%+2.2 pts

39▼7Sanford, NCNC34,13826.8%−0.3 pts

40▼10Spring Lake, NCNC11,25226.7%−0.9 pts

41▼14Wilson, NCNC49,57226.6%−1.5 pts

42▼5Thomasville, NCNC27,73326.6%+0.2 pts

43▲9Mount Airy, NCNC10,68226.0%+2.0 pts

44▼34Siler City, NCNC8,15526.0%−7.4 pts

45▼1Bessemer City, NCNC5,83425.9%+1.0 pts

46▼1Gastonia, NCNC87,06725.8%+0.9 pts

47▼11Lincolnton, NCNC12,46525.5%−1.0 pts

48▲6New Bern, NCNC34,72425.5%+1.7 pts

49▼32Tarboro, NCNC10,97925.5%−4.9 pts

50▼2Dallas, NCNC6,39225.2%+0.9 pts

51▲11Burlington, NCNC61,49624.5%+1.9 pts

52▲13Winston-Salem, NCNC257,27124.1%+2.2 pts

53▼10Monroe, NCNC42,64424.0%−1.7 pts

54▼5Butner, NCNC8,11223.5%−0.7 pts

55▲8High Point, NCNC120,57123.5%+1.2 pts

56Barbecue, NCNC5,91023.4%–

57▲4Ayden, NCNC5,26323.4%+0.5 pts

58▲26Morehead City, NCNC10,43422.9%+5.1 pts

59▲8Kannapolis, NCNC61,70822.8%+1.0 pts

60▼3Waynesville, NCNC11,00622.6%−0.9 pts

61▲11Woodfin, NCNC8,22922.4%+1.7 pts

62▲12Greensboro, NCNC308,66722.4%+2.1 pts

63▲12Trinity, NCNC7,27422.4%+2.5 pts

64▲15Havelock, NCNC17,43022.2%+3.4 pts

65▼6Angier, NCNC9,41022.1%−1.1 pts

66▼19Conover, NCNC8,93822.1%−2.5 pts

67▲14Greenville, NCNC96,44321.6%+3.5 pts

68▼8Hendersonville, NCNC15,86721.5%−1.6 pts

69▲73Creedmoor, NCNC5,04621.4%+14.1 pts

70▲17Cherryville, NCNC6,52321.3%+4.3 pts

71▼32Zebulon, NCNC11,93321.0%−4.8 pts

72▼31Sawmills, NCNC5,10520.9%−4.8 pts

73▲13Jacksonville, NCNC72,73220.8%+3.1 pts

74▲8Hickory, NCNC45,97520.7%+2.6 pts

75▼6Pineville, NCNC11,85120.7%−0.6 pts

76▼41Wrightsboro, NCNC6,28720.5%−6.1 pts

77▼44Graham, NCNC20,13120.5%−6.4 pts

78▼12Newton, NCNC13,82220.4%−1.5 pts

79▼11Anderson Creek, NCNC13,92719.7%−2.0 pts

80▲13St. Stephens, NCNC9,45719.7%+3.7 pts

81▲7King, NCNC7,97718.9%+2.2 pts

82▼11Shallotte, NCNC5,33518.7%−2.2 pts

83▲14Concord, NCNC114,59818.2%+3.3 pts

84▼1Lillington, NCNC5,04018.1%+0.1 pts

85▼47Half Moon, NCNC7,37818.0%−8.0 pts

86▼22Piney Green, NCNC14,07817.8%−4.2 pts

87▼14Archer Lodge, NCNC5,64917.8%−2.7 pts

88▲24Etowah, NCNC7,96817.7%+5.4 pts

89▲18Gibsonville, NCNC9,87617.7%+4.8 pts

90▲6Mount Holly, NCNC19,03317.3%+2.3 pts

91▲36Silver Lake, NCNC6,56317.3%+7.7 pts

92▼14Walkertown, NCNC6,12017.2%−2.1 pts

93▼13Brevard, NCNC8,09817.0%−1.7 pts

94▲46Fletcher, NCNC8,37317.0%+9.4 pts

95▲35Midway, NCNC5,10417.0%+7.8 pts

96▼7Charlotte, NCNC964,78416.8%+0.4 pts

97▲12Northchase, NCNC5,89616.6%+4.1 pts

98▼4Wilmington, NCNC126,80916.5%+0.9 pts

99▲68Pleasant Garden, NCNC5,16516.0%+11.6 pts

100▲5Clayton, NCNC32,63315.7%+2.5 pts

101▼11Durham, NCNC305,56115.5%−0.8 pts

102▼25Swannanoa, NCNC6,90115.5%−4.1 pts

103▲57Midland, NCNC5,15115.4%+9.2 pts

104▼2Southern Pines, NCNC17,35715.3%+1.5 pts

105▲11Kings Grant, NCNC9,00315.2%+4.3 pts

106▼14Kernersville, NCNC29,12815.0%−1.3 pts

107▼12Asheville, NCNC93,52314.8%−0.5 pts

108▼8Raleigh, NCNC506,30614.8%+0.9 pts

109▲25Locust, NCNC6,12014.5%+5.7 pts

110▲3Mills River, NCNC7,50414.3%+2.1 pts

111▼12Hampstead, NCNC9,29213.7%−0.5 pts

112▼2Aberdeen, NCNC10,06613.7%+1.3 pts

113▼7Black Mountain, NCNC8,49113.5%+0.5 pts

114▼23Garner, NCNC41,56213.5%−2.8 pts

115▼12Knightdale, NCNC23,14413.5%−0.3 pts

116▼18Mebane, NCNC21,95213.5%−1.2 pts

117▼6Mooresville, NCNC55,84213.5%+1.1 pts

118Boiling Spring Lakes, NCNC6,87513.3%+2.6 pts

119▼4Archdale, NCNC12,25412.8%+0.9 pts

120▼12Surf City, NCNC5,14211.8%−0.9 pts

121▼20Fuquay-Varina, NCNC48,53611.6%−2.3 pts

122▲7Winterville, NCNC10,97311.5%+2.1 pts

123▲12Mint Hill, NCNC29,47611.2%+2.4 pts

124▲17Carolina Shores, NCNC5,54011.1%+3.7 pts

125▲1Stokesdale, NCNC6,13311.1%+1.5 pts

126▼3Clemmons, NCNC22,80811.0%+0.9 pts

127▲9Lake Norman of Catawba, NCNC9,90610.9%+2.5 pts

128Murraysville, NCNC16,33910.9%+1.4 pts

129▼10Cullowhee, NCNC7,97310.6%−0.1 pts

130▼16Hillsborough, NCNC9,77810.5%−1.6 pts

131▼9Indian Trail, NCNC44,30310.5%+0.3 pts

132▼12Kill Devil Hills, NCNC7,73110.5%+0.1 pts

133▼9Wake Forest, NCNC58,14710.3%+0.2 pts

134▼76Wendell, NCNC19,68710.3%−13.2 pts

135▲11Matthews, NCNC32,76910.2%+3.0 pts

136▲12Carolina Beach, NCNC6,87010.0%+2.9 pts

137▲19Elon, NCNC11,3669.8%+3.2 pts

138▼53Pittsboro, NCNC5,0549.5%−8.3 pts

139▼7Unionville, NCNC7,3229.3%+0.2 pts

140▲17Lewisville, NCNC14,4219.1%+2.6 pts

141▲11Cramerton, NCNC5,7138.9%+2.1 pts

142▼3Carrboro, NCNC20,9628.8%+1.1 pts

143▼12Myrtle Grove, NCNC12,6378.6%−0.5 pts

144▼23Ogden, NCNC8,2498.5%−1.9 pts

145▼7Boone, NCNC19,9298.5%+0.4 pts

146▼29Leland, NCNC35,7318.5%−2.3 pts

147▼2Holly Ridge, NCNC5,9088.2%+1.0 pts

148▲10Rolesville, NCNC12,8398.2%+1.9 pts

149▼45Belmont, NCNC16,4158.1%−5.2 pts

150▼3Harrisburg, NCNC20,7428.0%+0.9 pts

151▼1Oak Island, NCNC9,3378.0%+1.0 pts

152▲13Porters Neck, NCNC7,6547.9%+3.4 pts

153▼16Stallings, NCNC17,7607.8%−0.6 pts

154▼11Summerfield, NCNC11,3277.6%+0.3 pts

155▲17Marvin, NCNC7,0407.6%+5.0 pts

156▼5Waxhaw, NCNC23,1407.4%+0.5 pts

157▼2Cary, NCNC183,5827.1%+0.5 pts

158▲6Wesley Chapel, NCNC9,5667.1%+1.5 pts

159▼15Chapel Hill, NCNC63,5657.0%−0.2 pts

160▲6Pinehurst, NCNC18,6706.1%+1.7 pts

161▼7Briar Chapel, NCNC6,0495.9%−0.8 pts

162Cornelius, NCNC35,0945.9%+0.3 pts

163▼38Spout Springs, NCNC11,2425.9%−3.7 pts

164▼11Huntersville, NCNC68,5355.5%−1.3 pts

165▼4Morrisville, NCNC32,4665.5%−0.4 pts

166▲4Oak Ridge, NCNC7,8965.3%+2.4 pts

167▼4Davidson, NCNC16,6625.3%−0.3 pts

168▲5St. James, NCNC7,3185.2%+3.0 pts

169▼10Holly Springs, NCNC50,2885.1%−1.1 pts

170▼37Moyock, NCNC5,6844.6%−4.3 pts

171▼22Apex, NCNC80,4194.5%−2.6 pts

172▼1Lake Norman of Iredell, NCNC12,4944.1%+1.4 pts

173▼4Weddington, NCNC14,5173.9%+0.5 pts

174Whispering Pines, NCNC5,5053.5%+2.2 pts

175▼7Westport, NCNC5,9153.4%−0.7 pts

SHOWING 1–175 OF 175

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