RANKING · 2024 ACS · 121 SHOWN OF 121

Most uninsured people, Alabama cities

Alabama cities with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 121 cities in Alabama that qualify, ranked against each other statewide. The median across all 121 is 1,009. Biggest climber in the top 100 since 2020: Muscle Shoals, AL, up 46 places to #49.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Birmingham, ALAL195,89324,938−5%

02▲1Montgomery, ALAL195,30021,241+3%

03▲1Huntsville, ALAL233,62719,777+1%

04▼2Mobile, ALAL200,82419,741−7%

05Tuscaloosa, ALAL114,3168,166+9%

06Dothan, ALAL72,0607,832+8%

07▲1Decatur, ALAL58,0567,475+27%

08▼1Gadsden, ALAL33,3675,478−8%

09▲3Auburn, ALAL85,1135,459+47%

10▼1Florence, ALAL42,5814,666−2%

11Phenix City, ALAL38,3444,654+19%

12▼2Hoover, ALAL93,5504,639+13%

13▲1Bessemer, ALAL24,9843,4980%

14▲1Foley, ALAL30,3543,105−6%

15▼2Albertville, ALAL23,7103,065−13%

16Tillmans Corner, ALAL17,6773,037+3%

17▲5Athens, ALAL34,2092,960+24%

18▲3Opelika, ALAL35,7652,841+16%

19Anniston, ALAL20,9302,781+2%

20▼2Alabaster, ALAL34,7482,702−2%

21▼1Enterprise, ALAL31,2112,663+7%

22▼5Prichard, ALAL18,8252,576−12%

23▲4Fort Payne, ALAL15,1892,376+28%

24▼1Prattville, ALAL40,5822,344+10%

25▲3Madison, ALAL67,9682,323+38%

26▲5Oxford, ALAL22,1992,144+30%

27▼2Gulf Shores, ALAL17,3942,033+3%

28▲16Daphne, ALAL31,3962,023+62%

29▲10Center Point, ALAL15,5381,896+45%

30▲18Russellville, ALAL10,9041,895+56%

31▼2Pelham, ALAL25,6641,829+9%

32▲18Leeds, ALAL12,8311,754+47%

33▲10Hueytown, ALAL16,1591,731+38%

34▼1Irondale, ALAL13,5451,650+11%

35▼3Ozark, ALAL14,2691,510−2%

36▲24Homewood, ALAL28,1181,476+50%

37▲16Jacksonville, ALAL14,4001,414+25%

38▼14Selma, ALAL16,0771,413−29%

39▲12Eufaula, ALAL12,4371,399+20%

40▼5Saks, ALAL10,6811,389−4%

41Pell City, ALAL14,3201,387+8%

42▼8Cullman, ALAL20,7991,380−6%

43▼13Troy, ALAL18,0221,373−17%

44▲37Calera, ALAL18,9921,347+117%

45▼3Alexander City, ALAL14,5151,302+4%

46▲3Tarrant, ALAL5,6391,286+6%

47▲7Vestavia Hills, ALAL38,3061,280+18%

48▼10Northport, ALAL31,6481,277−3%

49▲46Muscle Shoals, ALAL17,6661,276+148%

50▼24Talladega, ALAL14,8401,276−33%

51▲24Fairhope, ALAL26,6251,200+76%

52▲14Valley, ALAL10,2941,182+41%

53▼8Scottsboro, ALAL16,1231,180−5%

54▲10Saraland, ALAL16,6521,148+29%

55▲1Rainbow City, ALAL10,4061,078+3%

56▲45Meridianville, ALAL11,1501,047+139%

57▼5McCalla, ALAL13,2531,039−8%

58▼22Helena, ALAL23,3881,036−27%

59▲11Lanett, ALAL6,7811,035+39%

60▼13Millbrook, ALAL17,6231,012−17%

61▲23Gardendale, ALAL16,4251,009+65%

62▲6Oneonta, ALAL7,022967+18%

63▼23Boaz, ALAL10,619932−28%

64▲14Hartselle, ALAL16,312921+43%

65▲4Opp, ALAL6,738896+16%

66▼20Jasper, ALAL14,585895−27%

67▼9Andalusia, ALAL8,763884−11%

68▼6Moody, ALAL13,559837−14%

69▲5Arab, ALAL9,061824+20%

70▲6Chickasaw, ALAL6,166823+23%

71▲35Semmes, ALAL6,259823+121%

72▼15Clanton, ALAL9,289815−20%

73Guntersville, ALAL9,394783+13%

74▲12Greenville, ALAL6,912767+29%

75▲8Forestdale, ALAL9,742753+23%

76▲21Trussville, ALAL27,273733+47%

77▲16Pinson, ALAL7,830731+38%

78▼17Atmore, ALAL8,360724−26%

79▼20Sylacauga, ALAL12,055700−29%

80▲12Chelsea, ALAL17,716694+28%

81▼44Fairfield, ALAL9,483689−49%

82▲21Grayson Valley, ALAL6,077686+76%

83▼20Robertsdale, ALAL7,761665−32%

84▼13Sheffield, ALAL9,416664−6%

85▼20Fultondale, ALAL9,307635−28%

86▼19Hamilton, ALAL6,769614−26%

87▲9Southside, ALAL9,718606+19%

88▲12Clay, ALAL10,198597+31%

89▲15Headland, ALAL5,603595+56%

90▼3Tuskegee, ALAL8,644582−1%

91▲7Lincoln, ALAL8,110575+22%

92▲21Wetumpka, ALAL7,535570+168%

93▼16Montevallo, ALAL7,872565−15%

94▼5Moores Mill, ALAL6,378563−2%

95▼40Bay Minette, ALAL8,555559−47%

96▲13Pleasant Grove, ALAL9,346544+99%

97▼25Orange Beach, ALAL8,798543−23%

98▼8Attalla, ALAL5,807510−6%

99▲8Smiths Station, ALAL5,596483+56%

100▼18Demopolis, ALAL6,641466−25%

101▼13Tuscumbia, ALAL9,332393−32%

102▼22Monroeville, ALAL5,758367−42%

103▲15Odenville, ALAL6,023359+119%

104▲1Rainsville, ALAL6,020357−5%

105▼14Brook Highland, ALAL8,146354−35%

106▲9Holtville, ALAL5,158349+87%

107▲9Triana, ALAL5,244317+79%

108▼29Roanoke, ALAL5,440313−51%

109▼7Glencoe, ALAL5,426308−26%

110▲10Margaret, ALAL7,149301+113%

111▼12Brewton, ALAL5,113289−37%

112Columbiana, ALAL5,106276+24%

113▼5Meadowbrook, ALAL9,117275−3%

114▼20Satsuma, ALAL6,851248−52%

115▲2Springville, ALAL5,597222+27%

116▼31Spanish Fort, ALAL11,203220−64%

117▼7Mountain Brook, ALAL21,661185−32%

118▼7Pike Road, ALAL11,899184−25%

119Loxley, ALAL6,131172+15%

120▼6Harvest, ALAL5,955149−28%

121Highland Lakes, ALAL5,86678+117%

SHOWING 1–121 OF 121

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