RANKING · 2020 CENSUS · 254 SHOWN OF 254

Highest uninsured rate, Texas counties · 2020

Texas counties ranked by the share of residents without health insurance (2020 ACS). This list covers the 254 counties in Texas that qualify, ranked against each other statewide.

TexasAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS –

01Sterling County, TXTX1,34935.2%–

02Starr County, TXTX66,31933.4%–

03Bailey County, TXTX6,96332.3%–

04Menard County, TXTX1,95630.8%–

05Hidalgo County, TXTX921,54930.6%–

06Hudspeth County, TXTX3,43330.6%–

07Gaines County, TXTX23,95629.9%–

08Maverick County, TXTX58,82329.2%–

09Webb County, TXTX281,22428.7%–

10Cameron County, TXTX433,94628.6%–

11Dallam County, TXTX7,50827.5%–

12Kenedy County, TXTX31927.4%–

13Willacy County, TXTX19,97127.1%–

14Culberson County, TXTX2,26726.7%–

15Zapata County, TXTX13,75325.9%–

16Brooks County, TXTX6,57925.6%–

17Schleicher County, TXTX2,24525.6%–

18Yoakum County, TXTX7,43825.6%–

19Presidio County, TXTX5,43325.2%–

20Terry County, TXTX11,72025.0%–

21McMullen County, TXTX54424.9%–

22Winkler County, TXTX7,54024.8%–

23Coleman County, TXTX7,91524.8%–

24San Saba County, TXTX5,78724.5%–

25Jeff Davis County, TXTX1,71124.1%–

26King County, TXTX19223.7%–

27Lamb County, TXTX12,57923.7%–

28Ochiltree County, TXTX9,28423.6%–

29Collingsworth County, TXTX2,48723.6%–

30Cochran County, TXTX2,54623.4%–

31Liberty County, TXTX121,36423.4%–

32La Salle County, TXTX6,51723.3%–

33Floyd County, TXTX4,88123.3%–

34Castro County, TXTX7,29522.9%–

35Hale County, TXTX31,81922.8%–

36Real County, TXTX2,74522.7%–

37Hemphill County, TXTX3,08322.6%–

38Deaf Smith County, TXTX18,62622.1%–

39Potter County, TXTX114,45322.1%–

40Reagan County, TXTX3,16622.1%–

41Glasscock County, TXTX1,12821.9%–

42Hall County, TXTX2,73721.9%–

43Crockett County, TXTX2,76921.8%–

44Val Verde County, TXTX47,83521.8%–

45Briscoe County, TXTX1,47421.7%–

46Shelby County, TXTX24,28621.7%–

47Swisher County, TXTX6,70321.7%–

48Caldwell County, TXTX55,15021.5%–

49Reeves County, TXTX12,13821.3%–

50Dimmit County, TXTX8,02421.3%–

51Newton County, TXTX11,95421.2%–

52Wheeler County, TXTX4,77321.1%–

53Edwards County, TXTX1,37021.0%–

54Cherokee County, TXTX53,33720.8%–

55Gray County, TXTX20,91920.8%–

56Dallas County, TXTX2,661,39720.8%–

57Mills County, TXTX4,58020.6%–

58El Paso County, TXTX877,85820.5%–

59Harris County, TXTX5,045,02620.4%–

60Stonewall County, TXTX1,18620.3%–

61Crosby County, TXTX4,85220.3%–

62Ector County, TXTX173,80120.2%–

63Uvalde County, TXTX24,96320.2%–

64Andrews County, TXTX18,91420.1%–

65Stephens County, TXTX9,38020.1%–

66Gillespie County, TXTX28,52719.9%–

67Jefferson County, TXTX254,32119.8%–

68Waller County, TXTX69,85819.8%–

69Kimble County, TXTX4,43819.7%–

70Scurry County, TXTX16,16219.7%–

71Moore County, TXTX21,89119.6%–

72Duval County, TXTX9,40219.4%–

73Frio County, TXTX18,82319.4%–

74Lipscomb County, TXTX2,95519.2%–

75Trinity County, TXTX14,38419.2%–

76Wharton County, TXTX42,06019.2%–

77Leon County, TXTX16,89419.1%–

78McCulloch County, TXTX7,47219.1%–

79Pecos County, TXTX14,56019.1%–

80Jasper County, TXTX33,07519.0%–

81Young County, TXTX18,15419.0%–

82Limestone County, TXTX22,84918.9%–

83Motley County, TXTX1,04318.9%–

84Atascosa County, TXTX53,59018.7%–

85Hartley County, TXTX4,90418.7%–

86Hockley County, TXTX21,60018.7%–

87Bee County, TXTX32,51518.6%–

88Angelina County, TXTX88,15418.6%–

89Crane County, TXTX4,55418.6%–

90Henderson County, TXTX88,59518.6%–

91Hopkins County, TXTX39,06318.6%–

92San Jacinto County, TXTX29,48818.6%–

93Jim Hogg County, TXTX4,55518.5%–

94Brewster County, TXTX9,45818.2%–

95Rains County, TXTX13,54218.1%–

96Titus County, TXTX31,56318.1%–

97Hutchinson County, TXTX19,63318.1%–

98Callahan County, TXTX14,49118.0%–

99Gonzales County, TXTX20,15918.0%–

100Jackson County, TXTX15,39318.0%–

101Dickens County, TXTX1,69217.8%–

102Polk County, TXTX53,43417.8%–

103Gregg County, TXTX126,09517.8%–

104Haskell County, TXTX5,49917.8%–

105Nacogdoches County, TXTX66,03517.8%–

106Aransas County, TXTX26,14617.7%–

107Live Oak County, TXTX11,92917.7%–

108Nueces County, TXTX352,99217.7%–

109Camp County, TXTX13,38017.6%–

110Navarro County, TXTX57,18117.6%–

111Bastrop County, TXTX118,90817.5%–

112Fannin County, TXTX39,26517.5%–

113Hansford County, TXTX4,94417.5%–

114Jones County, TXTX20,86117.5%–

115Van Zandt County, TXTX66,13017.5%–

116Matagorda County, TXTX36,46317.4%–

117Kinney County, TXTX3,12817.3%–

118Mitchell County, TXTX8,94717.3%–

119Sherman County, TXTX2,78117.3%–

120Sutton County, TXTX3,20317.3%–

121Victoria County, TXTX92,65617.3%–

122Kerr County, TXTX54,03717.2%–

123Tyler County, TXTX20,44317.2%–

124Nolan County, TXTX14,11717.1%–

125Wise County, TXTX83,77817.1%–

126Burnet County, TXTX57,01517.1%–

127Bandera County, TXTX22,87617.1%–

128Childress County, TXTX6,64317.0%–

129Palo Pinto County, TXTX30,79117.0%–

130Bosque County, TXTX18,91816.9%–

131Lamar County, TXTX51,50316.9%–

132Midland County, TXTX187,85516.8%–

133Howard County, TXTX30,50416.8%–

134Johnson County, TXTX218,04816.7%–

135Llano County, TXTX23,35316.7%–

136Rusk County, TXTX54,85416.7%–

137Eastland County, TXTX18,14316.7%–

138Hill County, TXTX39,50316.6%–

139Jim Wells County, TXTX38,80416.6%–

140Smith County, TXTX252,54916.5%–

141Knox County, TXTX3,19216.5%–

142Hamilton County, TXTX8,68016.4%–

143Tarrant County, TXTX2,248,46616.4%–

144San Patricio County, TXTX72,05316.4%–

145Panola County, TXTX23,01816.3%–

146Parmer County, TXTX9,67816.3%–

147Orange County, TXTX86,26616.2%–

148Zavala County, TXTX9,03716.2%–

149Colorado County, TXTX21,43916.1%–

150Dawson County, TXTX11,77616.1%–

151Hunt County, TXTX123,33616.0%–

152Hardin County, TXTX58,72316.0%–

153Ward County, TXTX11,12516.0%–

154Bexar County, TXTX2,160,08815.9%–

155Grayson County, TXTX153,61315.9%–

156Jack County, TXTX9,56315.9%–

157Wood County, TXTX49,68815.8%–

158Ellis County, TXTX240,86715.7%–

159Milam County, TXTX26,25815.7%–

160Calhoun County, TXTX19,59915.6%–

161Harrison County, TXTX71,95615.6%–

162Kleberg County, TXTX30,31515.5%–

163Franklin County, TXTX10,99415.5%–

164Donley County, TXTX3,21315.4%–

165Cooke County, TXTX44,46115.3%–

166Lee County, TXTX18,72915.3%–

167Grimes County, TXTX34,25215.2%–

168Madison County, TXTX14,22615.2%–

169Montague County, TXTX21,96615.2%–

170San Augustine County, TXTX7,72215.2%–

171Archer County, TXTX9,12915.1%–

172Shackelford County, TXTX3,19715.1%–

173Upshur County, TXTX44,41015.1%–

174Erath County, TXTX43,91114.9%–

175Karnes County, TXTX15,01814.8%–

176Wichita County, TXTX129,55514.8%–

177Baylor County, TXTX3,47214.7%–

178Houston County, TXTX22,31614.7%–

179Irion County, TXTX1,46314.7%–

180Throckmorton County, TXTX1,55414.7%–

181Brown County, TXTX38,71114.7%–

182Montgomery County, TXTX781,19414.7%–

183Austin County, TXTX33,62514.6%–

184Falls County, TXTX17,86914.6%–

185Red River County, TXTX11,81614.6%–

186Anderson County, TXTX59,80514.5%–

187Blanco County, TXTX13,58114.5%–

188Mason County, TXTX3,99014.5%–

189Foard County, TXTX1,04414.5%–

190McLennan County, TXTX272,02014.3%–

191Refugio County, TXTX6,65714.2%–

192Taylor County, TXTX150,07714.2%–

193DeWitt County, TXTX20,30914.1%–

194Lynn County, TXTX6,01714.1%–

195Parker County, TXTX184,76714.1%–

196Hays County, TXTX304,39013.9%–

197Lampasas County, TXTX23,65713.9%–

198Robertson County, TXTX17,83913.9%–

199Somervell County, TXTX10,26113.8%–

200Burleson County, TXTX20,54913.8%–

201Wilson County, TXTX56,13913.8%–

202Bowie County, TXTX92,69613.6%–

203Cass County, TXTX28,65113.6%–

204Comanche County, TXTX14,43213.6%–

205Hood County, TXTX70,50113.6%–

206Bell County, TXTX402,24813.5%–

207Medina County, TXTX56,88113.4%–

208Kaufman County, TXTX209,23513.4%–

209Brazoria County, TXTX419,08013.3%–

210Lubbock County, TXTX328,90613.3%–

211Tom Green County, TXTX120,60213.3%–

212Freestone County, TXTX20,81113.3%–

213Hardeman County, TXTX3,29213.1%–

214Runnels County, TXTX9,69313.0%–

215Galveston County, TXTX372,20713.0%–

216Clay County, TXTX10,76412.7%–

217Wilbarger County, TXTX12,48112.6%–

218Morris County, TXTX12,13312.5%–

219Travis County, TXTX1,389,67012.3%–

220Fort Bend County, TXTX975,19112.3%–

221Walker County, TXTX83,84212.3%–

222Brazos County, TXTX249,08812.1%–

223Sabine County, TXTX10,01211.9%–

224Guadalupe County, TXTX201,11111.7%–

225Washington County, TXTX38,28811.7%–

226Coke County, TXTX3,41211.4%–

227Chambers County, TXTX57,59411.2%–

228Cottle County, TXTX1,22411.2%–

229Oldham County, TXTX1,78311.2%–

230Loving County, TXTX5211.1%–

231Coryell County, TXTX85,59211.0%–

232Comal County, TXTX209,16610.8%–

233Denton County, TXTX1,069,34610.8%–

234Fayette County, TXTX25,45910.6%–

235Collin County, TXTX1,297,17910.5%–

236Fisher County, TXTX3,69210.4%–

237Kendall County, TXTX53,28910.4%–

238Roberts County, TXTX86710.1%–

239Marion County, TXTX9,89610.0%–

240Goliad County, TXTX7,2089.8%–

241Delta County, TXTX5,5499.7%–

242Terrell County, TXTX7029.7%–

243Randall County, TXTX152,3519.6%–

244Williamson County, TXTX752,8279.6%–

245Garza County, TXTX4,5109.5%–

246Lavaca County, TXTX20,6519.4%–

247Rockwall County, TXTX140,7389.3%–

248Martin County, TXTX5,2848.2%–

249Carson County, TXTX5,8057.9%–

250Upton County, TXTX3,1317.5%–

251Armstrong County, TXTX1,8437.0%–

252Concho County, TXTX3,6076.6%–

253Borden County, TXTX5674.9%–

254Kent County, TXTX6744.0%–

SHOWING 1–254 OF 254

Download CSV (full list, 254 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS