RANKING · 2024 ACS · 53 SHOWN OF 53

Highest Medicaid coverage, North Dakota counties

North Dakota 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 53 counties in North Dakota that qualify, ranked against each other statewide. The median across all 53 is 12.4%. Biggest climber in the top 100 since 2020: Logan County, ND, up 42 places to #11.

North DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01▲2Sioux County, NDND3,66745.1%+17.2 pts

02▼1Benson County, NDND5,75940.2%−0.3 pts

03▼1Rolette County, NDND11,68839.5%+8.0 pts

04▲16Grant County, NDND2,20625.9%+12.8 pts

05▲5Ramsey County, NDND11,53023.4%+8.8 pts

06▲18Golden Valley County, NDND1,80821.5%+9.1 pts

07▲20Wells County, NDND3,72917.1%+5.8 pts

08▼4Eddy County, NDND2,32916.7%−3.6 pts

09▲13McIntosh County, NDND2,45116.6%+3.7 pts

10▼4McHenry County, NDND5,13016.5%+0.8 pts

11▲42Logan County, NDND1,85916.3%+10.3 pts

12▲3Towner County, NDND2,04016.2%+2.4 pts

13▲36Adams County, NDND2,27515.6%+9.1 pts

14▼6Walsh County, NDND10,17915.6%+0.3 pts

15▲8Mountrail County, NDND9,39515.5%+2.7 pts

16▼2Bottineau County, NDND6,28415.0%+1.2 pts

17Stutsman County, NDND21,41414.4%+0.8 pts

18▲8Kidder County, NDND2,39314.3%+3.0 pts

19Ransom County, NDND5,61714.0%+0.6 pts

20▲21Stark County, NDND34,01313.7%+5.2 pts

21▼8Hettinger County, NDND2,49213.6%−0.3 pts

22▲9Nelson County, NDND2,96313.5%+3.0 pts

23▼7Pembina County, NDND6,56813.3%−0.4 pts

24▲15Foster County, NDND3,21213.1%+4.5 pts

25▲7Emmons County, NDND3,21512.9%+2.5 pts

26▲25Cavalier County, NDND3,49712.5%+6.2 pts

27▼22Sheridan County, NDND1,29612.4%−3.5 pts

28▼16Pierce County, NDND3,83812.1%−2.2 pts

29▲9Sargent County, NDND3,71112.1%+3.2 pts

30▼23Divide County, NDND2,11011.7%−3.6 pts

31▼2Barnes County, NDND10,57311.6%+0.9 pts

32▼2Traill County, NDND7,92011.6%+0.9 pts

33▼22Richland County, NDND16,73111.5%−2.9 pts

34▼6Cass County, NDND201,79411.4%+0.5 pts

35▼10Grand Forks County, NDND74,50111.0%−0.5 pts

36▼1Ward County, NDND68,23311.0%+1.5 pts

37▼1Burleigh County, NDND103,25110.9%+1.5 pts

38▲14Dickey County, NDND4,89510.7%+4.7 pts

39▲1Mercer County, NDND8,44110.7%+2.1 pts

40▼7LaMoure County, NDND4,13510.3%0.0 pts

41▼20Dunn County, NDND4,05810.3%−2.7 pts

42▲6Williams County, NDND41,76710.1%+3.5 pts

43▼9Morton County, NDND34,6019.9%0.0 pts

44▲3Griggs County, NDND2,2399.4%+2.7 pts

45▲5Burke County, NDND2,1329.4%+3.0 pts

46▼1Slope County, NDND6288.9%+0.9 pts

47▼29Renville County, NDND2,3318.9%−4.6 pts

48▼6McLean County, NDND9,7408.4%+0.1 pts

49▼5Bowman County, NDND2,7628.3%+0.2 pts

50▼7Oliver County, NDND1,8987.9%−0.3 pts

51▼5Steele County, NDND1,7977.7%−0.1 pts

52▼15McKenzie County, NDND15,1927.6%−1.8 pts

53▼44Billings County, NDND1,0716.2%−8.5 pts

SHOWING 1–53 OF 53

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