CensusEasy
RANKING · 2024 ACS · 254 SHOWN OF 254

Highest uninsured rate, Texas counties

Texas counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 254 counties in Texas that qualify, ranked against each other statewide. The median across all 254 is 16.7%. Biggest climber in the top 100 since 2020: Upton County, TX, up 171 places to #79.

Highest uninsured rate by state
RANKPLACESTATEPOPUNINSUREDVS 2020
01▲6Gaines County, TXTX23,95636.7%+6.8 pts
02▲17Presidio County, TXTX5,43333.6%+8.4 pts
03▲3Hudspeth County, TXTX3,43331.4%+0.8 pts
04▲89Jim Hogg County, TXTX4,55529.0%+10.5 pts
05▼3Starr County, TXTX66,31928.9%−4.5 pts
06▼3Bailey County, TXTX6,96328.6%−3.7 pts
07▼2Hidalgo County, TXTX921,54928.2%−2.4 pts
08▲7Zapata County, TXTX13,75327.6%+1.7 pts
09Webb County, TXTX281,22427.3%−1.4 pts
10▲20Cochran County, TXTX2,54627.2%+3.8 pts
11▲13San Saba County, TXTX5,78727.0%+2.5 pts
12▲8Terry County, TXTX11,72026.9%+1.9 pts
13▼12Sterling County, TXTX1,34926.4%−8.8 pts
14▲17Liberty County, TXTX121,36426.2%+2.8 pts
15▼5Cameron County, TXTX433,94625.8%−2.8 pts
16▲12Ochiltree County, TXTX9,28425.6%+2.0 pts
17▲24Glasscock County, TXTX1,12825.1%+3.2 pts
18▲9Lamb County, TXTX12,57925.1%+1.4 pts
19▼7Kenedy County, TXTX31924.8%−2.6 pts
20▼9Dallam County, TXTX7,50824.4%−3.1 pts
21▲125Parmer County, TXTX9,67824.1%+7.8 pts
22▼9Willacy County, TXTX19,97123.9%−3.2 pts
23▼19Menard County, TXTX1,95623.6%−7.2 pts
24▼16Maverick County, TXTX58,82323.4%−5.8 pts
25▲22Swisher County, TXTX6,70323.3%+1.6 pts
26▲7Floyd County, TXTX4,88123.3%0.0 pts
27▲44Moore County, TXTX21,89122.8%+3.2 pts
28▼11Schleicher County, TXTX2,24522.8%−2.8 pts
29▼11Yoakum County, TXTX7,43822.5%−3.1 pts
30▲120Dawson County, TXTX11,77622.5%+6.4 pts
31▲33Andrews County, TXTX18,91422.4%+2.3 pts
32▲40Duval County, TXTX9,40222.2%+2.8 pts
33▲1Castro County, TXTX7,29522.2%−0.7 pts
34▲28Ector County, TXTX173,80122.1%+1.9 pts
35▼6Collingsworth County, TXTX2,48722.1%−1.5 pts
36▲75Bastrop County, TXTX118,90821.8%+4.3 pts
37▲80Kinney County, TXTX3,12821.7%+4.4 pts
38▲20El Paso County, TXTX877,85821.6%+1.1 pts
39▲57Titus County, TXTX31,56321.5%+3.4 pts
40▲16Dallas County, TXTX2,661,39721.5%+0.7 pts
41▼25Brooks County, TXTX6,57921.4%−4.2 pts
42▲6Caldwell County, TXTX55,15021.4%−0.1 pts
43▲70Hansford County, TXTX4,94421.3%+3.8 pts
44▼21Coleman County, TXTX7,91521.3%−3.5 pts
45▲7Wheeler County, TXTX4,77321.2%+0.1 pts
46▼8Deaf Smith County, TXTX18,62621.0%−1.1 pts
47▼12Hale County, TXTX31,81921.0%−1.8 pts
48▲11Harris County, TXTX5,045,02620.9%+0.5 pts
49▲90Jim Wells County, TXTX38,80420.9%+4.3 pts
50▼4Shelby County, TXTX24,28620.9%−0.8 pts
51▲153Comanche County, TXTX14,43220.7%+7.1 pts
52▲31Motley County, TXTX1,04320.7%+1.8 pts
53▲124Baylor County, TXTX3,47220.6%+5.9 pts
54▲13Jefferson County, TXTX254,32120.6%+0.8 pts
55▲125Throckmorton County, TXTX1,55420.6%+5.9 pts
56▲5Crosby County, TXTX4,85220.2%−0.1 pts
57▲11Waller County, TXTX69,85820.1%+0.3 pts
58▼4Cherokee County, TXTX53,33719.9%−0.9 pts
59▼14Briscoe County, TXTX1,47419.8%−1.9 pts
60▲18McCulloch County, TXTX7,47219.8%+0.7 pts
61▲23Atascosa County, TXTX53,59019.5%+0.8 pts
62▲47Camp County, TXTX13,38019.5%+1.9 pts
63▲107San Augustine County, TXTX7,72219.4%+4.2 pts
64▲50Jones County, TXTX20,86119.3%+1.8 pts
65▼26Potter County, TXTX114,45319.3%−2.8 pts
66▲65Lamar County, TXTX51,50319.3%+2.4 pts
67▼53Culberson County, TXTX2,26719.2%−7.5 pts
68▼15Edwards County, TXTX1,37019.2%−1.8 pts
69▼18Newton County, TXTX11,95419.2%−2.0 pts
70▲16Hockley County, TXTX21,60019.1%+0.4 pts
71▲118Foard County, TXTX1,04419.1%+4.6 pts
72▼32Reagan County, TXTX3,16619.0%−3.1 pts
73▼51Winkler County, TXTX7,54019.0%−5.8 pts
74▲155Oldham County, TXTX1,78318.9%+7.7 pts
75▲51Burnet County, TXTX57,01518.9%+1.8 pts
76▲77Ward County, TXTX11,12518.9%+2.9 pts
77▲10Bee County, TXTX32,51518.8%+0.2 pts
78▲2Jasper County, TXTX33,07518.8%−0.2 pts
79▲171Upton County, TXTX3,13118.8%+11.3 pts
80▲11Hopkins County, TXTX39,06318.7%+0.1 pts
81▲63San Patricio County, TXTX72,05318.7%+2.3 pts
82▼19Uvalde County, TXTX24,96318.7%−1.5 pts
83▲6Crane County, TXTX4,55418.6%0.0 pts
84▲54Hill County, TXTX39,50318.6%+2.0 pts
85▼4Young County, TXTX18,15418.6%−0.4 pts
86▲100Anderson County, TXTX59,80518.5%+4.0 pts
87▼50Hemphill County, TXTX3,08318.4%−4.2 pts
88▲22Navarro County, TXTX57,18118.4%+0.8 pts
89▲26Van Zandt County, TXTX66,13018.4%+0.9 pts
90▲77Grimes County, TXTX34,25218.3%+3.1 pts
91▲16Live Oak County, TXTX11,92918.3%+0.6 pts
92▲37Palo Pinto County, TXTX30,79118.2%+1.2 pts
93▼19Lipscomb County, TXTX2,95518.1%−1.1 pts
94▲151Garza County, TXTX4,51018.0%+8.5 pts
95▲4Gonzales County, TXTX20,15918.0%0.0 pts
96▲60Jack County, TXTX9,56318.0%+2.1 pts
97▲19Matagorda County, TXTX36,46317.9%+0.5 pts
98▲66Donley County, TXTX3,21317.9%+2.5 pts
99▼11Angelina County, TXTX88,15417.7%−0.9 pts
100▼45Gray County, TXTX20,91917.7%−3.1 pts
101▼9San Jacinto County, TXTX29,48817.7%−0.9 pts
102▼20Limestone County, TXTX22,84917.7%−1.2 pts
103▲38Knox County, TXTX3,19217.7%+1.2 pts
104▲26Bosque County, TXTX18,91817.6%+0.7 pts
105▲111Clay County, TXTX10,76417.6%+4.9 pts
106▲2Nueces County, TXTX352,99217.6%−0.1 pts
107▼75La Salle County, TXTX6,51717.5%−5.8 pts
108▲10Mitchell County, TXTX8,94717.5%+0.2 pts
109▼14Rains County, TXTX13,54217.5%−0.6 pts
110▼61Reeves County, TXTX12,13817.5%−3.8 pts
111▼67Val Verde County, TXTX47,83517.5%−4.3 pts
112▲140Concho County, TXTX3,60717.4%+10.8 pts
113▲9Kerr County, TXTX54,03717.3%+0.1 pts
114▼37Leon County, TXTX16,89417.2%−1.9 pts
115▲6Victoria County, TXTX92,65617.2%−0.1 pts
116▲132Martin County, TXTX5,28417.1%+8.9 pts
117▲40Wood County, TXTX49,68817.1%+1.3 pts
118▲75DeWitt County, TXTX20,30917.0%+2.9 pts
119▲32Hunt County, TXTX123,33617.0%+1.0 pts
120▲25Panola County, TXTX23,01817.0%+0.7 pts
121▲63Falls County, TXTX17,86916.9%+2.3 pts
122▲18Smith County, TXTX252,54916.9%+0.4 pts
123▼23Jackson County, TXTX15,39316.8%−1.2 pts
124▼54Scurry County, TXTX16,16216.8%−2.9 pts
125▲58Austin County, TXTX33,62516.7%+2.1 pts
126▼36Henderson County, TXTX88,59516.7%−1.9 pts
127▲87Runnels County, TXTX9,69316.7%+3.7 pts
128▲15Tarrant County, TXTX2,248,46616.7%+0.3 pts
129▼26Gregg County, TXTX126,09516.5%−1.3 pts
130▼45Hartley County, TXTX4,90416.5%−2.2 pts
131▼52Pecos County, TXTX14,56016.5%−2.6 pts
132▲53Red River County, TXTX11,81616.5%+1.9 pts
133▲1Johnson County, TXTX218,04816.3%−0.4 pts
134▼15Sherman County, TXTX2,78116.3%−1.0 pts
135▼31Haskell County, TXTX5,49916.2%−1.6 pts
136▼100Real County, TXTX2,74516.2%−6.5 pts
137▲25Kleberg County, TXTX30,31516.2%+0.7 pts
138▲27Cooke County, TXTX44,46116.1%+0.8 pts
139▲27Lee County, TXTX18,72916.1%+0.8 pts
140▲51Refugio County, TXTX6,65716.1%+1.9 pts
141▲13Bexar County, TXTX2,160,08816.0%+0.1 pts
142▼67Trinity County, TXTX14,38416.0%−3.2 pts
143▲84Chambers County, TXTX57,59415.9%+4.7 pts
144▲8Hardin County, TXTX58,72315.9%−0.1 pts
145▲30Karnes County, TXTX15,01815.8%+1.0 pts
146▼11Llano County, TXTX23,35315.8%−0.9 pts
147▼27Sutton County, TXTX3,20315.8%−1.5 pts
148▲7Grayson County, TXTX153,61315.7%−0.2 pts
149▲10Milam County, TXTX26,25815.7%0.0 pts
150▼27Tyler County, TXTX20,44315.7%−1.5 pts
151▼109Hall County, TXTX2,73715.6%−6.3 pts
152▲61Hardeman County, TXTX3,29215.6%+2.5 pts
153▲23Wichita County, TXTX129,55515.6%+0.8 pts
154▼56Callahan County, TXTX14,49115.5%−2.5 pts
155▲56Tom Green County, TXTX120,60215.5%+2.2 pts
156▲25Brown County, TXTX38,71115.5%+0.8 pts
157▼52Nacogdoches County, TXTX66,03515.4%−2.4 pts
158▼64Brewster County, TXTX9,45815.4%−2.8 pts
159▲62Walker County, TXTX83,84215.4%+3.1 pts
160▼23Eastland County, TXTX18,14315.3%−1.4 pts
161▲13Erath County, TXTX43,91115.2%+0.3 pts
162▲80Terrell County, TXTX70215.2%+5.5 pts
163▲19Montgomery County, TXTX781,19415.1%+0.4 pts
164▼91Frio County, TXTX18,82315.1%−4.3 pts
165▼7Ellis County, TXTX240,86715.0%−0.7 pts
166▼145McMullen County, TXTX54415.0%−9.9 pts
167▲41Kaufman County, TXTX209,23515.0%+1.6 pts
168▼5Franklin County, TXTX10,99415.0%−0.5 pts
169▼22Orange County, TXTX86,26614.9%−1.3 pts
170▼45Wise County, TXTX83,77814.9%−2.2 pts
171▼23Zavala County, TXTX9,03714.9%−1.3 pts
172▲7Irion County, TXTX1,46314.8%+0.1 pts
173▲14Blanco County, TXTX13,58114.7%+0.2 pts
174▼149Jeff Davis County, TXTX1,71114.5%−9.6 pts
175▼43Midland County, TXTX187,85514.5%−2.3 pts
176▼7Montague County, TXTX21,96614.5%−0.7 pts
177▼127Dimmit County, TXTX8,02414.5%−6.8 pts
178▲47Washington County, TXTX38,28814.5%+2.8 pts
179▼77Polk County, TXTX53,43414.4%−3.4 pts
180▼68Fannin County, TXTX39,26514.3%−3.2 pts
181▲58Marion County, TXTX9,89614.3%+4.3 pts
182▼54Childress County, TXTX6,64314.2%−2.8 pts
183▲22Hood County, TXTX70,50114.2%+0.6 pts
184▲6McLennan County, TXTX272,02014.2%−0.1 pts
185▼109Wharton County, TXTX42,06014.2%−5.0 pts
186▲6Taylor County, TXTX150,07714.1%−0.1 pts
187▼26Harrison County, TXTX71,95614.1%−1.5 pts
188▲18Bell County, TXTX402,24814.0%+0.5 pts
189▼18Archer County, TXTX9,12913.9%−1.2 pts
190▼124Gillespie County, TXTX28,52713.9%−6.0 pts
191▲19Lubbock County, TXTX328,90613.9%+0.6 pts
192▼127Stephens County, TXTX9,38013.8%−6.3 pts
193▼20Upshur County, TXTX44,41013.8%−1.3 pts
194▼125Kimble County, TXTX4,43813.7%−6.0 pts
195▼59Rusk County, TXTX54,85413.7%−3.0 pts
196▲19Galveston County, TXTX372,20713.6%+0.6 pts
197▼64Howard County, TXTX30,50413.6%−3.2 pts
198▲5Cass County, TXTX28,65113.5%−0.1 pts
199▼57Hamilton County, TXTX8,68013.5%−2.9 pts
200▼12Mason County, TXTX3,99013.5%−1.0 pts
201▲1Bowie County, TXTX92,69613.4%−0.2 pts
202▲38Goliad County, TXTX7,20813.4%+3.6 pts
203▼31Shackelford County, TXTX3,19713.4%−1.7 pts
204▼80Nolan County, TXTX14,11713.3%−3.8 pts
205▼78Bandera County, TXTX22,87613.3%−3.8 pts
206▼11Parker County, TXTX184,76713.2%−0.9 pts
207▼110Hutchinson County, TXTX19,63313.1%−5.0 pts
208▼11Lampasas County, TXTX23,65712.9%−1.0 pts
209▼15Lynn County, TXTX6,01712.9%−1.2 pts
210▼42Madison County, TXTX14,22612.9%−2.3 pts
211▼105Aransas County, TXTX26,14612.8%−4.9 pts
212▲11Sabine County, TXTX10,01212.8%+0.9 pts
213▼4Brazoria County, TXTX419,08012.7%−0.6 pts
214▲4Morris County, TXTX12,13312.7%+0.2 pts
215▼155Stonewall County, TXTX1,18612.7%−7.6 pts
216▼67Colorado County, TXTX21,43912.6%−3.5 pts
217▼17Burleson County, TXTX20,54912.6%−1.2 pts
218▼6Freestone County, TXTX20,81112.6%−0.7 pts
219▼20Somervell County, TXTX10,26112.4%−1.4 pts
220▲2Brazos County, TXTX249,08812.2%+0.1 pts
221▼2Travis County, TXTX1,389,67012.1%−0.2 pts
222▼121Dickens County, TXTX1,69212.0%−5.8 pts
223▲26Carson County, TXTX5,80511.7%+3.8 pts
224▲12Fisher County, TXTX3,69211.7%+1.3 pts
225▼5Fort Bend County, TXTX975,19111.7%−0.6 pts
226▼30Hays County, TXTX304,39011.6%−2.3 pts
227▼20Medina County, TXTX56,88111.6%−1.8 pts
228▼50Houston County, TXTX22,31611.5%−3.2 pts
229▼31Robertson County, TXTX17,83911.3%−2.6 pts
230▼2Cottle County, TXTX1,22411.2%0.0 pts
231▼5Coke County, TXTX3,41211.2%−0.2 pts
232▲6Roberts County, TXTX86711.1%+1.0 pts
233▼9Guadalupe County, TXTX201,11111.0%−0.7 pts
234▲9Randall County, TXTX152,35111.0%+1.4 pts
235▼34Wilson County, TXTX56,13911.0%−2.8 pts
236▲1Kendall County, TXTX53,28910.8%+0.4 pts
237▼180Mills County, TXTX4,58010.8%−9.8 pts
238▼7Coryell County, TXTX85,59210.6%−0.4 pts
239▼6Denton County, TXTX1,069,34610.6%−0.2 pts
240▼8Comal County, TXTX209,16610.5%−0.3 pts
241▲5Lavaca County, TXTX20,65110.5%+1.1 pts
242▼8Fayette County, TXTX25,4599.9%−0.7 pts
243▲1Williamson County, TXTX752,8279.8%+0.2 pts
244▼3Delta County, TXTX5,5499.5%−0.2 pts
245▼10Collin County, TXTX1,297,1799.5%−1.0 pts
246▼29Wilbarger County, TXTX12,4818.9%−3.7 pts
247Rockwall County, TXTX140,7388.7%−0.6 pts
248▼222King County, TXTX1927.6%−16.1 pts
249▼89Calhoun County, TXTX19,5996.8%−8.8 pts
250▲1Armstrong County, TXTX1,8434.2%−2.8 pts
251▲3Kent County, TXTX6743.8%−0.2 pts
252▲1Borden County, TXTX5672.7%−2.2 pts
253▼210Crockett County, TXTX2,7692.3%−19.5 pts
254▼24Loving County, TXTX520.0%−11.1 pts
SHOWING 1–254 OF 254

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