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RANKING · 2024 ACS · 100 SHOWN OF 100

Highest Medicaid coverage, North Carolina counties

North Carolina counties 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 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 21.3%. Biggest climber in the top 100 since 2020: Northampton County, NC, up 37 places to #15.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01Robeson County, NCNC119,94135.4%+2.2 pts
02▲1Scotland County, NCNC33,32235.3%+3.1 pts
03▲17Washington County, NCNC10,63834.9%+10.0 pts
04▲3Richmond County, NCNC42,04134.5%+4.9 pts
05▼3Vance County, NCNC42,63834.0%+1.6 pts
06▲2Halifax County, NCNC46,53433.8%+4.3 pts
07▼2Lenoir County, NCNC55,83732.2%+1.7 pts
08▲3Anson County, NCNC21,75831.7%+4.6 pts
09Hertford County, NCNC19,01531.7%+2.8 pts
10▼6Edgecombe County, NCNC49,12131.3%+0.6 pts
11▼1Columbus County, NCNC50,48729.5%+1.2 pts
12▲4Greene County, NCNC20,70029.5%+3.3 pts
13▼7Bladen County, NCNC30,00729.2%−1.2 pts
14▼1Graham County, NCNC8,19028.8%+2.0 pts
15▲37Northampton County, NCNC16,49127.2%+7.4 pts
16▲7Wayne County, NCNC122,27827.0%+3.1 pts
17▲1Warren County, NCNC18,89826.9%+0.9 pts
18▲4Montgomery County, NCNC26,40326.7%+2.4 pts
19▼5Sampson County, NCNC61,50426.7%+0.2 pts
20▲7Cumberland County, NCNC338,47326.6%+3.1 pts
21▲8Cleveland County, NCNC103,32526.5%+3.5 pts
22▲6Rockingham County, NCNC94,19526.5%+3.3 pts
23▲11Caswell County, NCNC22,56326.3%+3.7 pts
24▲7Chowan County, NCNC14,08226.1%+3.3 pts
25▲26Wilkes County, NCNC66,23326.0%+6.1 pts
26▲14Hoke County, NCNC56,93925.3%+3.6 pts
27▼12Duplin County, NCNC51,57125.3%−1.1 pts
28▼4Beaufort County, NCNC44,67025.2%+1.4 pts
29▼12Wilson County, NCNC81,15024.6%−1.5 pts
30▼18Bertie County, NCNC17,08624.4%−2.4 pts
31▲25Person County, NCNC40,63624.4%+5.0 pts
32▲10Hyde County, NCNC4,55424.3%+2.7 pts
33▲3McDowell County, NCNC45,19824.0%+2.0 pts
34▼13Martin County, NCNC21,60123.9%−0.9 pts
35▼16Jones County, NCNC9,57523.9%−1.2 pts
36▲2Randolph County, NCNC149,51623.5%+1.7 pts
37▼7Rowan County, NCNC155,09623.5%+0.6 pts
38▼13Rutherford County, NCNC65,74523.3%−0.4 pts
39▲2Caldwell County, NCNC81,10523.2%+1.6 pts
40▼5Swain County, NCNC14,02423.2%+0.7 pts
41▼8Tyrrell County, NCNC3,53723.0%+0.3 pts
42▲6Alexander County, NCNC36,95822.7%+2.3 pts
43▲6Surry County, NCNC72,28722.6%+2.4 pts
44▲25Stokes County, NCNC46,12622.2%+4.0 pts
45▼6Lee County, NCNC70,25822.2%+0.4 pts
46▲11Yadkin County, NCNC38,32522.1%+2.8 pts
47▲19Granville County, NCNC61,42121.9%+3.3 pts
48▼22Alleghany County, NCNC11,47921.4%−2.2 pts
49▲1Gaston County, NCNC246,55821.4%+1.4 pts
50▲12Onslow County, NCNC217,17521.3%+2.4 pts
51▲2Pasquotank County, NCNC42,20121.2%+1.4 pts
52▲20Stanly County, NCNC68,83021.2%+3.2 pts
53▲12Craven County, NCNC105,02521.1%+2.5 pts
54▲28Gates County, NCNC10,23421.1%+5.5 pts
55▲18Ashe County, NCNC27,51421.0%+3.3 pts
56▼19Burke County, NCNC88,65521.0%−0.9 pts
57▼10Franklin County, NCNC82,03721.0%+0.6 pts
58▼26Nash County, NCNC99,36521.0%−1.7 pts
59▼13Harnett County, NCNC150,13721.0%+0.3 pts
60Forsyth County, NCNC401,71820.5%+1.6 pts
61▲7Guilford County, NCNC562,23420.4%+1.9 pts
62▼17Pamlico County, NCNC12,75820.3%−0.5 pts
63▲1Alamance County, NCNC186,17720.3%+1.6 pts
64▲7Davidson County, NCNC180,18220.0%+2.0 pts
65▲9Haywood County, NCNC63,36919.9%+2.3 pts
66▼23Perquimans County, NCNC13,49019.8%−1.8 pts
67▼23Cherokee County, NCNC30,83019.7%−1.7 pts
68▲8Jackson County, NCNC45,03919.7%+3.0 pts
69▲6Pitt County, NCNC182,93619.7%+2.5 pts
70▼12Yancey County, NCNC19,08419.5%+0.3 pts
71▼8Madison County, NCNC22,55319.4%+0.6 pts
72▼13Mitchell County, NCNC15,06219.3%+0.3 pts
73▼6Catawba County, NCNC170,17219.3%+0.7 pts
74▼13Johnston County, NCNC256,44819.1%+0.2 pts
75▼20Pender County, NCNC72,11118.5%−1.2 pts
76▲11Henderson County, NCNC122,37518.5%+3.5 pts
77▲11Cabarrus County, NCNC249,72518.1%+3.2 pts
78▲7Avery County, NCNC18,11018.0%+2.9 pts
79▼25Macon County, NCNC39,23217.6%−2.1 pts
80▲1Polk County, NCNC20,53316.6%+0.9 pts
81▼3Transylvania County, NCNC34,21116.6%+0.3 pts
82▼5Lincoln County, NCNC98,65416.5%0.0 pts
83▲1Buncombe County, NCNC277,41716.0%+0.8 pts
84▼5Davie County, NCNC45,85515.9%−0.2 pts
85▼2Iredell County, NCNC211,79815.9%+0.6 pts
86▲4Carteret County, NCNC70,46915.8%+1.9 pts
87▼17Clay County, NCNC12,23915.4%−2.7 pts
88▲1Mecklenburg County, NCNC1,233,38315.2%+0.3 pts
89▼9Durham County, NCNC347,24015.2%−0.6 pts
90▲1Moore County, NCNC110,61914.6%+0.8 pts
91▼5Brunswick County, NCNC174,70214.5%−0.5 pts
92New Hanover County, NCNC245,95914.1%+1.0 pts
93▲1Union County, NCNC267,67413.4%+1.0 pts
94▼1Chatham County, NCNC85,11111.8%−1.2 pts
95▲3Watauga County, NCNC54,78611.7%+0.6 pts
96▼1Currituck County, NCNC33,15811.5%−0.7 pts
97Wake County, NCNC1,257,23511.3%0.0 pts
98▲1Dare County, NCNC38,24510.1%−0.8 pts
99▼3Camden County, NCNC11,3159.5%−2.5 pts
100Orange County, NCNC152,4989.4%+0.3 pts
SHOWING 1–100 OF 100

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