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RANKING · 2024 ACS · 27 SHOWN OF 27

Highest uninsured rate, Montana cities

Montana cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 27 cities in Montana that qualify, ranked against each other statewide. The median across all 27 is 7.0%. Biggest climber in the top 100 since 2020: Helena Valley Northwest, MT, up 18 places to #8.

MontanaAll statesPop > 5KAll rankings
Highest uninsured rate by state
RANKPLACESTATEPOPUNINSUREDVS 2020
01▲5Columbia Falls, MTMT5,75317.9%+8.8 pts
02▲6Lewistown, MTMT6,17914.1%+5.7 pts
03▲1Evergreen, MTMT9,61111.5%+1.2 pts
04▲17Lockwood, MTMT7,18111.2%+5.6 pts
05▲14Hamilton, MTMT5,45110.6%+4.5 pts
06▼5Polson, MTMT5,65310.5%−1.3 pts
07▲2Kalispell, MTMT31,85110.0%+2.2 pts
08▲18Helena Valley Northwest, MTMT5,1839.6%+5.8 pts
09▲6Helena Valley Southeast, MTMT9,1089.0%+2.4 pts
10▲8Miles City, MTMT8,4508.5%+2.3 pts
11▲9Billings, MTMT121,2398.1%+2.1 pts
12▼5Belgrade, MTMT13,1077.9%−0.8 pts
13▼10Livingston, MTMT9,2907.7%−2.7 pts
14▼4Great Falls, MTMT60,2087.0%−0.5 pts
15▲9Laurel, MTMT7,2057.0%+2.8 pts
16▲11Havre, MTMT9,2646.7%+3.4 pts
17▼5Helena Valley West Central, MTMT8,0566.4%−0.6 pts
18▼7Bozeman, MTMT58,8146.3%−1.2 pts
19▼2Missoula, MTMT78,9036.1%−0.2 pts
20▲3Orchard Homes, MTMT5,5885.9%+1.1 pts
21▼5Butte-Silver Bow, MTMT35,4695.9%−0.4 pts
22▼20Bigfork, MTMT5,5655.6%−5.9 pts
23▼9Anaconda-Deer Lodge County, MTMT9,7095.6%−1.1 pts
24▼11Whitefish, MTMT9,3585.3%−1.4 pts
25▼3Sidney, MTMT6,2175.0%−0.4 pts
26▼1Helena, MTMT35,1384.6%+0.5 pts
27▼22Four Corners, MTMT5,7914.0%−5.4 pts
SHOWING 1–27 OF 27

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