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RANKING · 2024 ACS · 93 SHOWN OF 93

Highest Medicaid coverage, Nebraska counties

Nebraska 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 93 counties in Nebraska that qualify, ranked against each other statewide. The median across all 93 is 15.0%. Biggest climber in the top 100 since 2020: Blaine County, NE, up 68 places to #25.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01Thurston County, NENE6,75234.7%+8.8 pts
02Kimball County, NENE3,39125.7%+4.1 pts
03▲27Garden County, NENE1,80425.2%+11.0 pts
04▲44Deuel County, NENE1,86222.8%+10.2 pts
05▲20Boyd County, NENE1,67421.8%+7.2 pts
06▲18Jefferson County, NENE7,07020.5%+5.7 pts
07▲15Dundy County, NENE1,56820.4%+4.6 pts
08▲5Gage County, NENE21,71120.4%+3.6 pts
09▲2Adams County, NENE31,07119.8%+2.9 pts
10▲17Valley County, NENE4,09419.7%+5.4 pts
11▲56Brown County, NENE2,82619.5%+8.5 pts
12▼5Arthur County, NENE39619.4%+1.2 pts
13▼9Cheyenne County, NENE9,52819.4%+0.8 pts
14▲4Hall County, NENE63,63319.1%+3.0 pts
15▼3Dakota County, NENE21,68718.7%+1.8 pts
16▲33Johnson County, NENE5,21818.7%+6.1 pts
17▼3Knox County, NENE8,33518.6%+2.3 pts
18▼13Scotts Bluff County, NENE35,58618.6%+0.1 pts
19▲27Holt County, NENE10,06718.5%+5.8 pts
20▲56Keya Paha County, NENE79218.5%+8.7 pts
21▲10Greeley County, NENE2,15418.4%+4.2 pts
22▲17Lincoln County, NENE33,30318.3%+5.0 pts
23▲24Platte County, NENE35,64918.2%+5.5 pts
24▼14Dodge County, NENE38,05717.9%+0.2 pts
25▲68Blaine County, NENE45817.8%+15.2 pts
26▼18Franklin County, NENE2,79517.5%−0.7 pts
27▼24Sheridan County, NENE4,80917.3%−2.2 pts
28▼2Dawson County, NENE24,45217.2%+2.6 pts
29▼20Cherry County, NENE5,56117.1%−0.8 pts
30▲4Morrill County, NENE4,40417.1%+3.3 pts
31▼14Custer County, NENE10,50017.0%+0.9 pts
32▲29Richardson County, NENE7,53017.0%+5.6 pts
33▲3Douglas County, NENE606,46016.8%+3.3 pts
34▼19Box Butte County, NENE10,49416.8%+0.5 pts
35▼16Hitchcock County, NENE2,46716.5%+0.5 pts
36▲5York County, NENE14,56416.2%+3.1 pts
37▼9Madison County, NENE36,10615.9%+1.6 pts
38▲44Boone County, NENE5,35515.7%+6.2 pts
39▲26Dawes County, NENE7,85815.7%+4.6 pts
40▲24Webster County, NENE3,33615.7%+4.5 pts
41▲14Loup County, NENE57015.6%+3.6 pts
42▼9Colfax County, NENE10,93415.5%+1.6 pts
43▼11Thayer County, NENE4,84215.3%+1.3 pts
44▲37Rock County, NENE1,25915.2%+5.6 pts
45▼3Frontier County, NENE2,65515.1%+2.1 pts
46▼3Furnas County, NENE4,52415.1%+2.1 pts
47▼31Keith County, NENE8,10015.0%−1.2 pts
48▼42Sioux County, NENE1,18814.8%−3.5 pts
49▲5Saline County, NENE14,99614.7%+2.7 pts
50▲6Sherman County, NENE2,92414.7%+2.8 pts
51▲2Lancaster County, NENE334,04914.6%+2.6 pts
52▼8Nance County, NENE3,29014.6%+1.6 pts
53▼18Nemaha County, NENE7,10214.4%+0.7 pts
54▼31Burt County, NENE6,67814.4%−0.6 pts
55▲5Harlan County, NENE3,00014.3%+2.6 pts
56▼6Phelps County, NENE8,99414.2%+1.6 pts
57▲1Buffalo County, NENE51,17214.1%+2.3 pts
58▲5Butler County, NENE8,50714.1%+2.9 pts
59▼2Red Willow County, NENE10,30714.1%+2.2 pts
60▼31Antelope County, NENE6,35214.0%−0.2 pts
61▼40Pawnee County, NENE2,51014.0%−2.0 pts
62▲11Perkins County, NENE2,84913.9%+3.8 pts
63▼25Merrick County, NENE7,90513.8%+0.3 pts
64▲24Hayes County, NENE82113.5%+5.4 pts
65▼45Otoe County, NENE16,53113.5%−2.5 pts
66▲8Dixon County, NENE5,60213.3%+3.3 pts
67▼8Nuckolls County, NENE4,10013.3%+1.5 pts
68▲11McPherson County, NENE36913.1%+3.3 pts
69▲2Cedar County, NENE8,37312.8%+2.5 pts
70▼4Polk County, NENE5,27012.8%+1.7 pts
71▲18Wayne County, NENE10,02012.8%+4.8 pts
72▲20Gosper County, NENE1,80312.6%+7.5 pts
73▼28Kearney County, NENE6,79012.3%−0.5 pts
74▼23Clay County, NENE6,17011.8%−0.7 pts
75▼23Grant County, NENE56111.5%−1.0 pts
76▲14Hamilton County, NENE9,67811.5%+4.0 pts
77▼7Cass County, NENE27,65711.4%+1.1 pts
78▲7Fillmore County, NENE5,45811.3%+2.4 pts
79▲12Howard County, NENE6,53811.2%+4.4 pts
80Chase County, NENE3,71810.6%+0.9 pts
81▼4Sarpy County, NENE208,30310.3%+0.5 pts
82▼13Logan County, NENE66910.2%−0.3 pts
83▲3Cuming County, NENE8,82310.1%+1.6 pts
84▼12Pierce County, NENE7,37810.1%−0.1 pts
85▼1Seward County, NENE18,0329.4%+0.3 pts
86▼3Saunders County, NENE23,7029.3%0.0 pts
87▼47Wheeler County, NENE7899.2%−3.9 pts
88▼13Banner County, NENE6868.9%−0.9 pts
89▼27Garfield County, NENE1,7108.8%−2.5 pts
90▼12Washington County, NENE21,3028.2%−1.6 pts
91▼23Stanton County, NENE5,7448.1%−2.5 pts
92▼55Thomas County, NENE6396.6%−6.9 pts
93▼6Hooker County, NENE6863.2%−5.2 pts
SHOWING 1–93 OF 93

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