Most uninsured people, US cities · 2020
US cities with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate. New York, New York leads at 579,557. 6,811 cities qualify in total. Cities with fewer than 5,000 residents are excluded. Texas carries 8 of the top 25 entries.
UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS
Frequently asked
Which city has the highest uninsured residents?
New York, New York ranks #1 with 579,557 (2020 Decennial Census).
What are the top 5 cities by uninsured residents?
New York, New York, Houston, Texas, Los Angeles, California, Dallas, Texas, San Antonio, Texas.
How many cities are in this ranking?
6,811 cities qualify after filtering for population minimums and data availability (minimum 5,000 residents). The ranking covers 2020 Decennial Census data.
How is uninsured residents measured?
Number of civilian noninstitutionalized residents without health insurance (ACS S2701). The raw-count companion to the uninsured rate. Source: US Census Bureau, 2020 Decennial Census.