RANKING · 2020 CENSUS · 174 SHOWN OF 174

Highest Medicaid coverage, North Carolina cities · 2020

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 (2020 ACS). This list covers the 174 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 –

01Selma, NCNC7,40647.5%–

02Kinston, NCNC19,70541.1%–

03Henderson, NCNC15,01340.6%–

04Forest City, NCNC7,41039.1%–

05Wadesboro, NCNC5,03538.5%–

06Lumberton, NCNC18,95537.9%–

07Washington, NCNC9,91036.7%–

08Laurinburg, NCNC14,58236.2%–

09Roxboro, NCNC8,38035.5%–

10Siler City, NCNC8,15533.4%–

11Eden, NCNC15,50032.0%–

12Dunn, NCNC8,81431.3%–

13Rockingham, NCNC8,81531.1%–

14Goldsboro, NCNC35,01231.1%–

15Williamston, NCNC5,08630.7%–

16Morganton, NCNC17,84930.6%–

17Tarboro, NCNC10,97930.4%–

18Shelby, NCNC23,30930.3%–

19Roanoke Rapids, NCNC14,38630.3%–

20Marion, NCNC7,44030.1%–

21Asheboro, NCNC27,99030.0%–

22Reidsville, NCNC14,69229.8%–

23Oxford, NCNC8,98528.8%–

24Smithfield, NCNC13,11428.5%–

25Hamlet, NCNC5,87028.4%–

26Clinton, NCNC8,46628.3%–

27Wilson, NCNC49,57228.1%–

28Rocky Mount, NCNC55,12027.9%–

29Salisbury, NCNC36,87927.7%–

30Spring Lake, NCNC11,25227.6%–

31Mocksville, NCNC6,28227.3%–

32Sanford, NCNC34,13827.1%–

33Graham, NCNC20,13126.9%–

34Lexington, NCNC20,23826.8%–

35Wrightsboro, NCNC6,28726.6%–

36Lincolnton, NCNC12,46526.5%–

37Thomasville, NCNC27,73326.4%–

38Half Moon, NCNC7,37826.0%–

39Zebulon, NCNC11,93325.8%–

40Albemarle, NCNC17,76925.7%–

41Sawmills, NCNC5,10525.7%–

42Lenoir, NCNC18,37225.7%–

43Monroe, NCNC42,64425.7%–

44Bessemer City, NCNC5,83424.9%–

45Gastonia, NCNC87,06724.9%–

46Elizabeth City, NCNC19,62224.7%–

47Conover, NCNC8,93824.6%–

48Dallas, NCNC6,39224.3%–

49Butner, NCNC8,11224.2%–

50East Flat Rock, NCNC6,32324.1%–

51Kings Mountain, NCNC12,11724.1%–

52Mount Airy, NCNC10,68224.0%–

53Statesville, NCNC32,18123.9%–

54New Bern, NCNC34,72423.8%–

55Fayetteville, NCNC209,12023.5%–

56Long View, NCNC5,38723.5%–

57Waynesville, NCNC11,00623.5%–

58Wendell, NCNC19,68723.5%–

59Angier, NCNC9,41023.2%–

60Hendersonville, NCNC15,86723.1%–

61Ayden, NCNC5,26322.9%–

62Burlington, NCNC61,49622.6%–

63High Point, NCNC120,57122.3%–

64Piney Green, NCNC14,07822.0%–

65Winston-Salem, NCNC257,27121.9%–

66Newton, NCNC13,82221.9%–

67Kannapolis, NCNC61,70821.8%–

68Anderson Creek, NCNC13,92721.7%–

69Pineville, NCNC11,85121.3%–

70Hope Mills, NCNC18,32420.9%–

71Shallotte, NCNC5,33520.9%–

72Woodfin, NCNC8,22920.7%–

73Archer Lodge, NCNC5,64920.5%–

74Greensboro, NCNC308,66720.3%–

75Trinity, NCNC7,27419.9%–

76Nashville, NCNC5,91119.8%–

77Swannanoa, NCNC6,90119.6%–

78Walkertown, NCNC6,12019.3%–

79Havelock, NCNC17,43018.8%–

80Brevard, NCNC8,09818.7%–

81Greenville, NCNC96,44318.1%–

82Hickory, NCNC45,97518.1%–

83Lillington, NCNC5,04018.0%–

84Morehead City, NCNC10,43417.8%–

85Pittsboro, NCNC5,05417.8%–

86Jacksonville, NCNC72,73217.7%–

87Cherryville, NCNC6,52317.0%–

88King, NCNC7,97716.7%–

89Charlotte, NCNC964,78416.4%–

90Durham, NCNC305,56116.3%–

91Garner, NCNC41,56216.3%–

92Kernersville, NCNC29,12816.3%–

93St. Stephens, NCNC9,45716.0%–

94Wilmington, NCNC126,80915.6%–

95Asheville, NCNC93,52315.3%–

96Mount Holly, NCNC19,03315.0%–

97Concord, NCNC114,59814.9%–

98Mebane, NCNC21,95214.7%–

99Hampstead, NCNC9,29214.2%–

100Raleigh, NCNC506,30613.9%–

101Fuquay-Varina, NCNC48,53613.9%–

102Southern Pines, NCNC17,35713.8%–

103Knightdale, NCNC23,14413.8%–

104Belmont, NCNC16,41513.3%–

105Clayton, NCNC32,63313.2%–

106Black Mountain, NCNC8,49113.0%–

107Gibsonville, NCNC9,87612.9%–

108Surf City, NCNC5,14212.7%–

109Northchase, NCNC5,89612.5%–

110Aberdeen, NCNC10,06612.4%–

111Mooresville, NCNC55,84212.4%–

112Etowah, NCNC7,96812.3%–

113Mills River, NCNC7,50412.2%–

114Hillsborough, NCNC9,77812.1%–

115Archdale, NCNC12,25411.9%–

116Kings Grant, NCNC9,00310.9%–

117Leland, NCNC35,73110.8%–

118Boiling Spring Lakes, NCNC6,87510.7%–

119Cullowhee, NCNC7,97310.7%–

120Kill Devil Hills, NCNC7,73110.4%–

121Ogden, NCNC8,24910.4%–

122Indian Trail, NCNC44,30310.2%–

123Clemmons, NCNC22,80810.1%–

124Wake Forest, NCNC58,14710.1%–

125Spout Springs, NCNC11,2429.6%–

126Stokesdale, NCNC6,1339.6%–

127Silver Lake, NCNC6,5639.6%–

128Murraysville, NCNC16,3399.5%–

129Winterville, NCNC10,9739.4%–

130Midway, NCNC5,1049.2%–

131Myrtle Grove, NCNC12,6379.1%–

132Unionville, NCNC7,3229.1%–

133Moyock, NCNC5,6848.9%–

134Locust, NCNC6,1208.8%–

135Mint Hill, NCNC29,4768.8%–

136Lake Norman of Catawba, NCNC9,9068.4%–

137Stallings, NCNC17,7608.4%–

138Boone, NCNC19,9298.1%–

139Carrboro, NCNC20,9627.7%–

140Fletcher, NCNC8,3737.6%–

141Carolina Shores, NCNC5,5407.4%–

142Creedmoor, NCNC5,0467.3%–

143Summerfield, NCNC11,3277.3%–

144Chapel Hill, NCNC63,5657.2%–

145Holly Ridge, NCNC5,9087.2%–

146Matthews, NCNC32,7697.2%–

147Harrisburg, NCNC20,7427.1%–

148Carolina Beach, NCNC6,8707.1%–

149Apex, NCNC80,4197.1%–

150Oak Island, NCNC9,3377.0%–

151Waxhaw, NCNC23,1406.9%–

152Cramerton, NCNC5,7136.8%–

153Huntersville, NCNC68,5356.8%–

154Briar Chapel, NCNC6,0496.7%–

155Cary, NCNC183,5826.6%–

156Elon, NCNC11,3666.6%–

157Lewisville, NCNC14,4216.5%–

158Rolesville, NCNC12,8396.3%–

159Holly Springs, NCNC50,2886.2%–

160Midland, NCNC5,1516.2%–

161Morrisville, NCNC32,4665.9%–

162Cornelius, NCNC35,0945.6%–

163Davidson, NCNC16,6625.6%–

164Wesley Chapel, NCNC9,5665.6%–

165Porters Neck, NCNC7,6544.5%–

166Pinehurst, NCNC18,6704.4%–

167Pleasant Garden, NCNC5,1654.4%–

168Westport, NCNC5,9154.1%–

169Weddington, NCNC14,5173.4%–

170Oak Ridge, NCNC7,8962.9%–

171Lake Norman of Iredell, NCNC12,4942.7%–

172Marvin, NCNC7,0402.6%–

173St. James, NCNC7,3182.2%–

174Whispering Pines, NCNC5,5051.3%–

SHOWING 1–174 OF 174

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS