RANKING · 2024 ACS · 34 SHOWN OF 34

Most uninsured people, Nebraska cities

Nebraska 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 34 cities in Nebraska that qualify, ranked against each other statewide. The median across all 34 is 949. Biggest climber in the top 100 since 2020: Wayne, NE, up 10 places to #22.

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SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Omaha, NENE488,79744,699−10%

02Lincoln, NENE301,52218,414−15%

03Grand Island, NENE53,9437,587+17%

04Bellevue, NENE64,8634,900−18%

05Kearney, NENE34,7822,531−12%

06▲1Columbus, NENE25,2481,886−23%

07▲2Norfolk, NENE26,6771,884−13%

08Fremont, NENE28,3501,874−20%

09▲1Hastings, NENE25,1211,677−3%

10▲5Lexington, NENE11,1761,662+59%

11▼5North Platte, NENE22,5241,567−38%

12Scottsbluff, NENE14,2591,2670%

13▼2South Sioux City, NENE14,1581,220−16%

14▲4Schuyler, NENE6,8001,106+30%

15▲1Papillion, NENE25,127990−1%

16▼3Crete, NENE7,747967−19%

17▲2Gering, NENE8,535949+19%

18▼4La Vista, NENE16,543943−19%

19▲2McCook, NENE7,157870+22%

20▲4Ralston, NENE6,382761+50%

21▼4Beatrice, NENE12,318727−16%

22▲10Wayne, NENE6,338473+112%

23▲3Chalco, NENE10,595466+24%

24▼4Plattsmouth, NENE6,955450−40%

25▲4Holdrege, NENE5,555447+48%

26▼3Alliance, NENE7,914419−25%

27▼2York, NENE8,284330−26%

28Sidney, NENE6,432325−1%

29▲2Offutt AFB, NENE6,074302+34%

30▼3Seward, NENE7,892261−23%

31▼1Blair, NENE7,997230−15%

32▲2Wahoo, NENE5,023210+114%

33▼11Nebraska City, NENE7,512174−73%

34▼1Gretna, NENE9,207129−21%

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