RANKING · 2024 ACS · 115 SHOWN OF 115

Most uninsured people, Missouri counties

Missouri counties 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 115 counties in Missouri that qualify, ranked against each other statewide. The median across all 115 is 1,864. Biggest climber in the top 100 since 2020: Harrison County, MO, up 22 places to #81.

MissouriAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Jackson County, MOMO732,99476,545−3%

02St. Louis County, MOMO990,91156,318−6%

03Greene County, MOMO309,28631,157−5%

04St. Louis, MOMO278,14426,533−13%

05Clay County, MOMO265,03219,385+1%

06▲1St. Charles County, MOMO426,49917,192+1%

07▼1Jefferson County, MOMO233,13215,051−17%

08Jasper County, MOMO127,42814,863−6%

09Boone County, MOMO191,74610,940−10%

10Buchanan County, MOMO83,5409,106−11%

11▲1Cass County, MOMO115,8598,442+9%

12▼1Taney County, MOMO57,0018,192−6%

13Newton County, MOMO62,2637,584−2%

14Franklin County, MOMO108,0907,283−5%

15Christian County, MOMO96,7256,980−6%

16▲5Platte County, MOMO114,4006,683+24%

17St. Francois County, MOMO67,8096,414+3%

18▲1Webster County, MOMO43,0546,133+4%

19▼1Cape Girardeau County, MOMO83,9996,026+1%

20▲3Butler County, MOMO41,9045,394+3%

21▲1Pettis County, MOMO44,2545,387+2%

22▲2Lawrence County, MOMO39,4015,322+2%

23▲10Lincoln County, MOMO66,6765,183+24%

24▲5Morgan County, MOMO22,4185,133+10%

25▼9Howell County, MOMO40,7984,656−26%

26▲5Polk County, MOMO33,6044,516+2%

27▼7Camden County, MOMO44,0474,515−20%

28McDonald County, MOMO23,9924,347−10%

29▼3Johnson County, MOMO56,6704,297−13%

30▼5Cole County, MOMO77,9084,266−17%

31▼1Barry County, MOMO36,2004,194−6%

32▼5Dunklin County, MOMO26,8554,063−17%

33▲6Phelps County, MOMO45,2474,039+19%

34▲1Scott County, MOMO37,9754,019+2%

35▲2Laclede County, MOMO36,9433,916+6%

36Callaway County, MOMO45,7653,581−8%

37▼3Pulaski County, MOMO54,4423,372−18%

38▲9Audrain County, MOMO24,5283,205+20%

39▼1Stoddard County, MOMO28,2843,152−14%

40▼8Texas County, MOMO25,9943,144−27%

41▲1Stone County, MOMO32,5032,999−3%

42▼2Crawford County, MOMO22,9292,904−11%

43▲1Vernon County, MOMO19,9462,769−7%

44▲6Dallas County, MOMO18,0252,758+7%

45▲1Warren County, MOMO39,0162,729−3%

46▲2Lafayette County, MOMO33,5312,678+3%

47▼2Miller County, MOMO25,8172,676−8%

48▲8Moniteau County, MOMO15,4282,620+17%

49▲8Adair County, MOMO25,6842,597+21%

50▼7Wright County, MOMO19,6712,533−16%

51▼10Washington County, MOMO23,8102,342−25%

52Dent County, MOMO14,5842,248−6%

53▲7Marion County, MOMO28,5252,203+7%

54Randolph County, MOMO24,5132,196−6%

55▼2Cedar County, MOMO14,8882,134−9%

56▼7Henry County, MOMO22,6712,096−19%

57▼6Ray County, MOMO23,3982,086−14%

58▲4Pemiscot County, MOMO14,4651,8640%

59▲11Clinton County, MOMO21,6611,859+15%

60▲3Saline County, MOMO23,2651,8460%

61▼3Benton County, MOMO20,5361,841−14%

62▲7Scotland County, MOMO4,7961,815+11%

63▲11Bates County, MOMO16,5121,790+18%

64▼9New Madrid County, MOMO15,0861,757−24%

65▲11Macon County, MOMO15,1901,716+20%

66▼7Ripley County, MOMO10,7171,664−22%

67▼1Grundy County, MOMO9,7441,549−9%

68▼7Nodaway County, MOMO20,1741,507−25%

69▼2Livingston County, MOMO14,7081,492−12%

70▲7Pike County, MOMO17,9551,446+2%

71▼3Wayne County, MOMO10,7821,444−14%

72▲11Daviess County, MOMO8,5581,427+18%

73▼2Oregon County, MOMO8,7091,397−14%

74▼10Douglas County, MOMO12,3421,355−26%

75▼3Cooper County, MOMO17,1361,353−12%

76▼11Madison County, MOMO12,8581,322−23%

77▲2Ozark County, MOMO9,1721,166−13%

78▲2Mississippi County, MOMO12,0031,150−12%

79▼4Hickory County, MOMO9,0441,115−25%

80▲10Montgomery County, MOMO11,5901,103+2%

81▲22Harrison County, MOMO8,2811,100+50%

82▲4Linn County, MOMO11,8151,090−5%

83▼10Barton County, MOMO11,7951,078−30%

84▲1Perry County, MOMO19,0931,062−9%

85▲10Lewis County, MOMO9,8791,043+14%

86▲1Andrew County, MOMO18,2411,022−8%

87▼6St. Clair County, MOMO9,976994−24%

88▼4Iron County, MOMO9,318988−16%

89▲10Knox County, MOMO3,728946+20%

90▲8Monroe County, MOMO8,959910+7%

91▲6Gasconade County, MOMO14,784849−3%

92▲10Gentry County, MOMO6,384848+15%

93▲3Caldwell County, MOMO9,012836−5%

94▼6Ste. Genevieve County, MOMO18,689827−26%

95▲6Howard County, MOMO10,180816+9%

96▼7Carter County, MOMO5,418765−29%

97▼3Dade County, MOMO7,804762−21%

98▼6Bollinger County, MOMO10,646759−25%

99▼8Clark County, MOMO6,475716−29%

100▲8Reynolds County, MOMO5,992715+11%

101▼8Carroll County, MOMO8,417672−31%

102▼24Shannon County, MOMO7,285627−54%

103▲1Schuyler County, MOMO4,140624−12%

104▲1Shelby County, MOMO5,870615−9%

105▲1DeKalb County, MOMO9,795598−11%

106▲7Atchison County, MOMO5,175571+27%

107▼7Ralls County, MOMO10,444566−25%

108▼1Osage County, MOMO13,611547−17%

109▲2Sullivan County, MOMO5,738499−7%

110▼28Maries County, MOMO8,397457−62%

111▼1Putnam County, MOMO4,546440−25%

112▲2Holt County, MOMO4,200401+17%

113▼4Chariton County, MOMO7,377341−45%

114▼2Mercer County, MOMO3,404313−38%

115Worth County, MOMO1,914151+14%

SHOWING 1–115 OF 115

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