RANKING · 2020 CENSUS · 121 SHOWN OF 121

Highest uninsured rate, Alabama cities · 2020

Alabama cities ranked by the share of residents without health insurance (2023 ACS). This list covers the 121 cities in Alabama that qualify, ranked against each other statewide.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2000

01Tarrant, ALAL5,63920.1%–

02Foley, ALAL30,35417.2%–

03Gadsden, ALAL33,36717.2%–

04Tillmans Corner, ALAL17,67716.9%–

05Albertville, ALAL23,71016.6%–

06Gulf Shores, ALAL17,39415.8%–

07Atmore, ALAL8,36015.0%–

08Robertsdale, ALAL7,76114.7%–

09Talladega, ALAL14,84014.4%–

10Saks, ALAL10,68114.3%–

11Bessemer, ALAL24,98413.7%–

12Fort Payne, ALAL15,18913.7%–

13Boaz, ALAL10,61913.6%–

14Prichard, ALAL18,82513.6%–

15Oneonta, ALAL7,02213.3%–

16Anniston, ALAL20,93013.2%–

17Hamilton, ALAL6,76913.0%–

18Fairfield, ALAL9,48312.8%–

19Russellville, ALAL10,90412.6%–

20Birmingham, ALAL195,89312.6%–

21Bay Minette, ALAL8,55512.5%–

22Opp, ALAL6,73812.3%–

23Clanton, ALAL9,28912.2%–

24Lanett, ALAL6,78112.1%–

25Andalusia, ALAL8,76311.9%–

26Florence, ALAL42,58111.9%–

27Chickasaw, ALAL6,16611.7%–

28Orange Beach, ALAL8,79811.5%–

29Irondale, ALAL13,54511.4%–

30Mobile, ALAL200,82411.4%–

31Monroeville, ALAL5,75811.4%–

32Selma, ALAL16,07711.4%–

33Phenix City, ALAL38,34411.1%–

34Roanoke, ALAL5,44011.1%–

35Decatur, ALAL58,05611.0%–

36Ozark, ALAL14,26911.0%–

37Rainbow City, ALAL10,40610.9%–

38Moores Mill, ALAL6,37810.8%–

39Dothan, ALAL72,06010.7%–

40Montgomery, ALAL195,30010.6%–

41Huntsville, ALAL233,62710.0%–

42Eufaula, ALAL12,4379.9%–

43Montevallo, ALAL7,8729.7%–

44Fultondale, ALAL9,3079.6%–

45Attalla, ALAL5,8079.5%–

46Leeds, ALAL12,8319.5%–

47Cullman, ALAL20,7999.5%–

48McCalla, ALAL13,2539.4%–

49Jasper, ALAL14,5859.4%–

50Brewton, ALAL5,1139.3%–

51Demopolis, ALAL6,6419.3%–

52Enterprise, ALAL31,2119.3%–

53Pell City, ALAL14,3209.3%–

54Athens, ALAL34,2099.2%–

55Valley, ALAL10,2949.1%–

56Jacksonville, ALAL14,4009.1%–

57Troy, ALAL18,0228.9%–

58Alexander City, ALAL14,5158.8%–

59Scottsboro, ALAL16,1238.8%–

60Satsuma, ALAL6,8518.5%–

61Headland, ALAL5,6038.4%–

62Guntersville, ALAL9,3948.4%–

63Alabaster, ALAL34,7488.3%–

64Arab, ALAL9,0618.3%–

65Center Point, ALAL15,5388.3%–

66Sylacauga, ALAL12,0558.3%–

67Hueytown, ALAL16,1598.2%–

68Opelika, ALAL35,7658.1%–

69Glencoe, ALAL5,4268.1%–

70Greenville, ALAL6,9128.1%–

71Sheffield, ALAL9,4168.0%–

72Oxford, ALAL22,1997.8%–

73Millbrook, ALAL17,6237.7%–

74Helena, ALAL23,3887.6%–

75Triana, ALAL5,2447.6%–

76Pinson, ALAL7,8307.5%–

77Moody, ALAL13,5597.5%–

78Tuscaloosa, ALAL114,3167.5%–

79Rainsville, ALAL6,0207.4%–

80Brook Highland, ALAL8,1467.2%–

81Forestdale, ALAL9,7427.1%–

82Pelham, ALAL25,6647.1%–

83Tuscumbia, ALAL9,3327.1%–

84Tuskegee, ALAL8,6447.1%–

85Lincoln, ALAL8,1107.0%–

86Spanish Fort, ALAL11,2036.8%–

87Grayson Valley, ALAL6,0776.7%–

88Semmes, ALAL6,2596.4%–

89Saraland, ALAL16,6526.2%–

90Columbiana, ALAL5,1066.1%–

91Prattville, ALAL40,5826.0%–

92Southside, ALAL9,7185.9%–

93Meridianville, ALAL11,1505.8%–

94Auburn, ALAL85,1135.7%–

95Loxley, ALAL6,1315.4%–

96Smiths Station, ALAL5,5965.4%–

97Northport, ALAL31,6485.2%–

98Hoover, ALAL93,5504.8%–

99Daphne, ALAL31,3964.7%–

100Clay, ALAL10,1984.6%–

101Hartselle, ALAL16,3124.5%–

102Odenville, ALAL6,0234.4%–

103Calera, ALAL18,9924.4%–

104Gardendale, ALAL16,4254.4%–

105Holtville, ALAL5,1584.2%–

106Chelsea, ALAL17,7164.0%–

107Springville, ALAL5,5974.0%–

108Homewood, ALAL28,1183.9%–

109Harvest, ALAL5,9553.6%–

110Muscle Shoals, ALAL17,6663.6%–

111Madison, ALAL67,9683.3%–

112Vestavia Hills, ALAL38,3063.2%–

113Fairhope, ALAL26,6253.1%–

114Pleasant Grove, ALAL9,3462.9%–

115Margaret, ALAL7,1492.9%–

116Wetumpka, ALAL7,5352.9%–

117Meadowbrook, ALAL9,1172.8%–

118Pike Road, ALAL11,8992.5%–

119Trussville, ALAL27,2732.2%–

120Mountain Brook, ALAL21,6611.3%–

121Highland Lakes, ALAL5,8660.6%–

SHOWING 1–121 OF 121

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES