RANKING · 2024 ACS · 121 SHOWN OF 121

Highest uninsured rate, Alabama cities

Alabama cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 121 cities in Alabama that qualify, ranked against each other statewide. The median across all 121 is 8.0%. Biggest climber in the top 100 since 2020: Semmes, AL, up 79 places to #9.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Tarrant, ALAL5,63922.3%+2.2 pts

02▲17Russellville, ALAL10,90417.9%+5.3 pts

03▲1Tillmans Corner, ALAL17,67717.2%+0.3 pts

04▼1Gadsden, ALAL33,36716.8%−0.4 pts

05▲7Fort Payne, ALAL15,18916.3%+2.6 pts

06▲18Lanett, ALAL6,78115.4%+3.3 pts

07▲40Leeds, ALAL12,83114.7%+5.2 pts

08▲7Oneonta, ALAL7,02214.7%+1.4 pts

09▲79Semmes, ALAL6,25914.6%+8.2 pts

10▲1Bessemer, ALAL24,98414.0%+0.3 pts

11▲2Prichard, ALAL18,82513.9%+0.3 pts

12▲4Anniston, ALAL20,93013.7%+0.5 pts

13▼8Albertville, ALAL23,71013.6%−3.0 pts

14▲8Opp, ALAL6,73813.6%+1.3 pts

15▲20Decatur, ALAL58,05613.2%+2.2 pts

16▼14Foley, ALAL30,35413.1%−4.1 pts

17▼7Saks, ALAL10,68113.0%−1.3 pts

18▲9Chickasaw, ALAL6,16613.0%+1.3 pts

19▲1Birmingham, ALAL195,89312.8%+0.2 pts

20▲9Irondale, ALAL13,54512.5%+1.1 pts

21▲13Phenix City, ALAL38,34412.5%+1.4 pts

22▼16Gulf Shores, ALAL17,39412.4%−3.4 pts

23▲42Center Point, ALAL15,53812.0%+3.7 pts

24▼17Atmore, ALAL8,36011.7%−3.3 pts

25▲30Valley, ALAL10,29411.6%+2.5 pts

26▲35Headland, ALAL5,60311.5%+3.1 pts

27▼1Florence, ALAL42,58111.4%−0.5 pts

28▲59Grayson Valley, ALAL6,07711.3%+4.6 pts

29▲13Eufaula, ALAL12,43711.3%+1.4 pts

30▲9Dothan, ALAL72,06011.1%+0.4 pts

31▲9Montgomery, ALAL195,30011.0%+0.4 pts

32▲37Greenville, ALAL6,91211.0%+2.9 pts

33▲3Ozark, ALAL14,26910.8%−0.2 pts

34▲33Hueytown, ALAL16,15910.7%+2.5 pts

35▲2Rainbow City, ALAL10,40610.5%−0.4 pts

36▲16Pell City, ALAL14,32010.5%+1.2 pts

37▼12Andalusia, ALAL8,76310.4%−1.5 pts

38▲16Athens, ALAL34,20910.4%+1.2 pts

39▲17Jacksonville, ALAL14,40010.0%+0.9 pts

40▼10Mobile, ALAL200,8249.9%−1.5 pts

41▼32Talladega, ALAL14,8409.9%−4.5 pts

42▲30Oxford, ALAL22,1999.8%+2.0 pts

43▲21Arab, ALAL9,0619.6%+1.3 pts

44▲7Enterprise, ALAL31,2119.6%+0.3 pts

45▲48Meridianville, ALAL11,1509.4%+3.6 pts

46▼23Clanton, ALAL9,2899.4%−2.8 pts

47▼39Robertsdale, ALAL7,7619.4%−5.3 pts

48▼31Hamilton, ALAL6,7699.4%−3.6 pts

49▲29Pinson, ALAL7,8309.3%+1.8 pts

50▲8Alexander City, ALAL14,5159.2%+0.4 pts

51▲11Guntersville, ALAL9,3949.2%+0.8 pts

52▼7Attalla, ALAL5,8079.0%−0.5 pts

53▼12Huntsville, ALAL233,6279.0%−1.0 pts

54▼16Moores Mill, ALAL6,3788.9%−1.9 pts

55▲60Wetumpka, ALAL7,5358.9%+6.0 pts

56▼42Boaz, ALAL10,6198.8%−4.8 pts

57▲13Opelika, ALAL35,7658.8%+0.7 pts

58▲38Smiths Station, ALAL5,5968.8%+3.4 pts

59▼27Selma, ALAL16,0778.4%−3.0 pts

60▲3Alabaster, ALAL34,7488.1%−0.2 pts

61▲14Triana, ALAL5,2448.0%+0.4 pts

62▼14McCalla, ALAL13,2537.9%−1.5 pts

63▲27Columbiana, ALAL5,1067.9%+1.8 pts

64▲21Lincoln, ALAL8,1107.9%+0.9 pts

65▼8Troy, ALAL18,0227.9%−1.0 pts

66▲15Forestdale, ALAL9,7427.8%+0.7 pts

67▼8Scottsboro, ALAL16,1237.7%−1.1 pts

68▲42Muscle Shoals, ALAL17,6667.6%+4.0 pts

69▲35Calera, ALAL18,9927.6%+3.2 pts

70▼27Montevallo, ALAL7,8727.5%−2.2 pts

71▼25Cullman, ALAL20,7997.4%−2.1 pts

72▲4Tuscaloosa, ALAL114,3167.4%−0.1 pts

73▼52Bay Minette, ALAL8,5557.4%−5.1 pts

74▲10Pelham, ALAL25,6647.4%+0.3 pts

75▼57Fairfield, ALAL9,4837.1%−5.7 pts

76▼5Sheffield, ALAL9,4167.1%−0.9 pts

77▲22Daphne, ALAL31,3967.0%+2.3 pts

78▲11Saraland, ALAL16,6527.0%+0.8 pts

79▲23Odenville, ALAL6,0236.9%+2.5 pts

80▲25Holtville, ALAL5,1586.8%+2.6 pts

81▲13Auburn, ALAL85,1136.8%+1.1 pts

82▼32Demopolis, ALAL6,6416.8%−2.5 pts

83▼39Fultondale, ALAL9,3076.8%−2.8 pts

84▼53Monroeville, ALAL5,7586.6%−4.8 pts

85▼2Tuskegee, ALAL8,6446.5%−0.6 pts

86▼37Jasper, ALAL14,5856.5%−2.9 pts

87▼59Orange Beach, ALAL8,7986.5%−5.0 pts

88▲4Southside, ALAL9,7186.5%+0.6 pts

89▼10Rainsville, ALAL6,0206.3%−1.1 pts

90▼13Moody, ALAL13,5596.2%−1.3 pts

91Prattville, ALAL40,5826.2%+0.2 pts

92▲11Gardendale, ALAL16,4256.2%+1.8 pts

93▼60Roanoke, ALAL5,4406.1%−5.0 pts

94▼41Brewton, ALAL5,1136.0%−3.3 pts

95▼22Millbrook, ALAL17,6235.9%−1.8 pts

96▲18Pleasant Grove, ALAL9,3465.9%+3.0 pts

97▼29Glencoe, ALAL5,4265.9%−2.2 pts

98▲2Clay, ALAL10,1985.8%+1.2 pts

99▲2Hartselle, ALAL16,3125.8%+1.3 pts

100▼34Sylacauga, ALAL12,0555.8%−2.5 pts

101▲7Homewood, ALAL28,1185.3%+1.4 pts

102▲14Margaret, ALAL7,1495.1%+2.2 pts

103▼5Hoover, ALAL93,5505.0%+0.2 pts

104▲9Fairhope, ALAL26,6255.0%+1.9 pts

105▼31Helena, ALAL23,3884.8%−2.8 pts

106▼24Tuscumbia, ALAL9,3324.4%−2.7 pts

107Springville, ALAL5,5974.4%+0.4 pts

108▼2Chelsea, ALAL17,7164.3%+0.3 pts

109▼29Brook Highland, ALAL8,1464.3%−2.9 pts

110▼13Northport, ALAL31,6484.2%−1.0 pts

111▼16Loxley, ALAL6,1313.9%−1.5 pts

112▼1Madison, ALAL67,9683.9%+0.6 pts

113▼53Satsuma, ALAL6,8513.7%−4.8 pts

114▼2Vestavia Hills, ALAL38,3063.3%+0.1 pts

115▲2Meadowbrook, ALAL9,1173.0%+0.2 pts

116▲3Trussville, ALAL27,2732.8%+0.6 pts

117▼8Harvest, ALAL5,9552.5%−1.1 pts

118▼32Spanish Fort, ALAL11,2032.1%−4.7 pts

119▼1Pike Road, ALAL11,8991.8%−0.7 pts

120▲1Highland Lakes, ALAL5,8661.3%+0.7 pts

121▼1Mountain Brook, ALAL21,6610.8%−0.5 pts

SHOWING 1–121 OF 121

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