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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.

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

UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES