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.

North CarolinaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Kinston, NCNC19,70545.7%+4.6 pts

02Forest City, NCNC7,41044.3%+5.2 pts

03Henderson, NCNC15,01340.6%+0.0 pts

04Lumberton, NCNC18,95540.4%+2.5 pts

05Roxboro, NCNC8,38040.0%+4.5 pts

06Laurinburg, NCNC14,58239.8%+3.6 pts

07Hamlet, NCNC5,87037.7%+9.3 pts

08Roanoke Rapids, NCNC14,38636.8%+6.5 pts

09Eden, NCNC15,50036.5%+4.5 pts

10Reidsville, NCNC14,69236.5%+6.7 pts

11Goldsboro, NCNC35,01235.8%+4.7 pts

12Selma, NCNC7,40634.9%−12.6 pts

13Rockingham, NCNC8,81534.7%+3.6 pts

14Wadesboro, NCNC5,03533.3%−5.2 pts

15Kings Mountain, NCNC12,11733.2%+9.1 pts

16Dunn, NCNC8,81432.8%+1.5 pts

17Oxford, NCNC8,98532.3%+3.5 pts

18Washington, NCNC9,91032.1%−4.6 pts

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

20Lexington, NCNC20,23832.0%+5.2 pts

21Shelby, NCNC23,30931.5%+1.2 pts

22Asheboro, NCNC27,99031.3%+1.3 pts

23Salisbury, NCNC36,87931.1%+3.4 pts

24Clinton, NCNC8,46630.7%+2.4 pts

25Marion, NCNC7,44029.8%−0.3 pts

26Hope Mills, NCNC18,32429.5%+8.6 pts

27Long View, NCNC5,38729.2%+5.7 pts

28Albemarle, NCNC17,76929.1%+3.4 pts

29Williamston, NCNC5,08628.8%−1.9 pts

30Morganton, NCNC17,84928.3%−2.3 pts

31Mocksville, NCNC6,28228.0%+0.7 pts

32Fayetteville, NCNC209,12027.7%+4.2 pts

33Smithfield, NCNC13,11427.6%−0.9 pts

34Nashville, NCNC5,91127.1%+7.3 pts

35Statesville, NCNC32,18127.1%+3.2 pts

36Lenoir, NCNC18,37227.1%+1.4 pts

37Rocky Mount, NCNC55,12027.1%−0.8 pts

38Elizabeth City, NCNC19,62226.9%+2.2 pts

39Sanford, NCNC34,13826.8%−0.3 pts

40Spring Lake, NCNC11,25226.7%−0.9 pts

41Wilson, NCNC49,57226.6%−1.5 pts

42Thomasville, NCNC27,73326.6%+0.2 pts

43Mount Airy, NCNC10,68226.0%+2.0 pts

44Siler City, NCNC8,15526.0%−7.4 pts

45Bessemer City, NCNC5,83425.9%+1.0 pts

46Gastonia, NCNC87,06725.8%+0.9 pts

47Lincolnton, NCNC12,46525.5%−1.0 pts

48New Bern, NCNC34,72425.5%+1.7 pts

49Tarboro, NCNC10,97925.5%−4.9 pts

50Dallas, NCNC6,39225.2%+0.9 pts

51Burlington, NCNC61,49624.5%+1.9 pts

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

53Monroe, NCNC42,64424.0%−1.7 pts

54Butner, NCNC8,11223.5%−0.7 pts

55High Point, NCNC120,57123.5%+1.2 pts

56Barbecue, NCNC5,91023.4%–

57Ayden, NCNC5,26323.4%+0.5 pts

58Morehead City, NCNC10,43422.9%+5.1 pts

59Kannapolis, NCNC61,70822.8%+1.0 pts

60Waynesville, NCNC11,00622.6%−0.9 pts

61Woodfin, NCNC8,22922.4%+1.7 pts

62Greensboro, NCNC308,66722.4%+2.1 pts

63Trinity, NCNC7,27422.4%+2.5 pts

64Havelock, NCNC17,43022.2%+3.4 pts

65Angier, NCNC9,41022.1%−1.1 pts

66Conover, NCNC8,93822.1%−2.5 pts

67Greenville, NCNC96,44321.6%+3.5 pts

68Hendersonville, NCNC15,86721.5%−1.6 pts

69Creedmoor, NCNC5,04621.4%+14.1 pts

70Cherryville, NCNC6,52321.3%+4.3 pts

71Zebulon, NCNC11,93321.0%−4.8 pts

72Sawmills, NCNC5,10520.9%−4.8 pts

73Jacksonville, NCNC72,73220.8%+3.1 pts

74Hickory, NCNC45,97520.7%+2.6 pts

75Pineville, NCNC11,85120.7%−0.6 pts

76Wrightsboro, NCNC6,28720.5%−6.1 pts

77Graham, NCNC20,13120.5%−6.4 pts

78Newton, NCNC13,82220.4%−1.5 pts

79Anderson Creek, NCNC13,92719.7%−2.0 pts

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

81King, NCNC7,97718.9%+2.2 pts

82Shallotte, NCNC5,33518.7%−2.2 pts

83Concord, NCNC114,59818.2%+3.3 pts

84Lillington, NCNC5,04018.1%+0.1 pts

85Half Moon, NCNC7,37818.0%−8.0 pts

86Piney Green, NCNC14,07817.8%−4.2 pts

87Archer Lodge, NCNC5,64917.8%−2.7 pts

88Etowah, NCNC7,96817.7%+5.4 pts

89Gibsonville, NCNC9,87617.7%+4.8 pts

90Mount Holly, NCNC19,03317.3%+2.3 pts

91Silver Lake, NCNC6,56317.3%+7.7 pts

92Walkertown, NCNC6,12017.2%−2.1 pts

93Brevard, NCNC8,09817.0%−1.7 pts

94Fletcher, NCNC8,37317.0%+9.4 pts

95Midway, NCNC5,10417.0%+7.8 pts

96Charlotte, NCNC964,78416.8%+0.4 pts

97Northchase, NCNC5,89616.6%+4.1 pts

98Wilmington, NCNC126,80916.5%+0.9 pts

99Pleasant Garden, NCNC5,16516.0%+11.6 pts

100Clayton, NCNC32,63315.7%+2.5 pts

101Durham, NCNC305,56115.5%−0.8 pts

102Swannanoa, NCNC6,90115.5%−4.1 pts

103Midland, NCNC5,15115.4%+9.2 pts

104Southern Pines, NCNC17,35715.3%+1.5 pts

105Kings Grant, NCNC9,00315.2%+4.3 pts

106Kernersville, NCNC29,12815.0%−1.3 pts

107Asheville, NCNC93,52314.8%−0.5 pts

108Raleigh, NCNC506,30614.8%+0.9 pts

109Locust, NCNC6,12014.5%+5.7 pts

110Mills River, NCNC7,50414.3%+2.1 pts

111Hampstead, NCNC9,29213.7%−0.5 pts

112Aberdeen, NCNC10,06613.7%+1.3 pts

113Black Mountain, NCNC8,49113.5%+0.5 pts

114Garner, NCNC41,56213.5%−2.8 pts

115Knightdale, NCNC23,14413.5%−0.3 pts

116Mebane, NCNC21,95213.5%−1.2 pts

117Mooresville, NCNC55,84213.5%+1.1 pts

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

119Archdale, NCNC12,25412.8%+0.9 pts

120Surf City, NCNC5,14211.8%−0.9 pts

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

122Winterville, NCNC10,97311.5%+2.1 pts

123Mint Hill, NCNC29,47611.2%+2.4 pts

124Carolina Shores, NCNC5,54011.1%+3.7 pts

125Stokesdale, NCNC6,13311.1%+1.5 pts

126Clemmons, NCNC22,80811.0%+0.9 pts

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

128Murraysville, NCNC16,33910.9%+1.4 pts

129Cullowhee, NCNC7,97310.6%−0.1 pts

130Hillsborough, NCNC9,77810.5%−1.6 pts

131Indian Trail, NCNC44,30310.5%+0.3 pts

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

133Wake Forest, NCNC58,14710.3%+0.2 pts

134Wendell, NCNC19,68710.3%−13.2 pts

135Matthews, NCNC32,76910.2%+3.0 pts

136Carolina Beach, NCNC6,87010.0%+2.9 pts

137Elon, NCNC11,3669.8%+3.2 pts

138Pittsboro, NCNC5,0549.5%−8.3 pts

139Unionville, NCNC7,3229.3%+0.2 pts

140Lewisville, NCNC14,4219.1%+2.6 pts

141Cramerton, NCNC5,7138.9%+2.1 pts

142Carrboro, NCNC20,9628.8%+1.1 pts

143Myrtle Grove, NCNC12,6378.6%−0.5 pts

144Ogden, NCNC8,2498.5%−1.9 pts

145Boone, NCNC19,9298.5%+0.4 pts

146Leland, NCNC35,7318.5%−2.3 pts

147Holly Ridge, NCNC5,9088.2%+1.0 pts

148Rolesville, NCNC12,8398.2%+1.9 pts

149Belmont, NCNC16,4158.1%−5.2 pts

150Harrisburg, NCNC20,7428.0%+0.9 pts

151Oak Island, NCNC9,3378.0%+1.0 pts

152Porters Neck, NCNC7,6547.9%+3.4 pts

153Stallings, NCNC17,7607.8%−0.6 pts

154Summerfield, NCNC11,3277.6%+0.3 pts

155Marvin, NCNC7,0407.6%+5.0 pts

156Waxhaw, NCNC23,1407.4%+0.5 pts

157Cary, NCNC183,5827.1%+0.5 pts

158Wesley Chapel, NCNC9,5667.1%+1.5 pts

159Chapel Hill, NCNC63,5657.0%−0.2 pts

160Pinehurst, NCNC18,6706.1%+1.7 pts

161Briar Chapel, NCNC6,0495.9%−0.8 pts

162Cornelius, NCNC35,0945.9%+0.3 pts

163Spout Springs, NCNC11,2425.9%−3.7 pts

164Huntersville, NCNC68,5355.5%−1.3 pts

165Morrisville, NCNC32,4665.5%−0.4 pts

166Oak Ridge, NCNC7,8965.3%+2.4 pts

167Davidson, NCNC16,6625.3%−0.3 pts

168St. James, NCNC7,3185.2%+3.0 pts

169Holly Springs, NCNC50,2885.1%−1.1 pts

170Moyock, NCNC5,6844.6%−4.3 pts

171Apex, NCNC80,4194.5%−2.6 pts

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

173Weddington, NCNC14,5173.9%+0.5 pts

174Whispering Pines, NCNC5,5053.5%+2.2 pts

175Westport, NCNC5,9153.4%−0.7 pts

SHOWING 1–175 OF 175

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES