RANKING · 2024 ACS · 53 SHOWN OF 53

Most uninsured people, North Dakota counties

North Dakota 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 53 counties in North Dakota that qualify, ranked against each other statewide. The median across all 53 is 210. Biggest climber in the top 100 since 2020: Pierce County, ND, up 18 places to #26.

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SAME RANKING BYCities States Metros

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

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Cass County, NDND201,79410,570+4%

02▲1Williams County, NDND41,7674,507−4%

03▼1Burleigh County, NDND103,2514,408−9%

04▲1Ward County, NDND68,2334,122+9%

05▼1Grand Forks County, NDND74,5013,184−19%

06Rolette County, NDND11,6882,614−29%

07Stark County, NDND34,0132,156−25%

08▲3Morton County, NDND34,6011,869+27%

09▼1McKenzie County, NDND15,1921,547−28%

10▼1Mountrail County, NDND9,3951,493−13%

11▼1Stutsman County, NDND21,4141,146−31%

12▲4Richland County, NDND16,7311,100+56%

13▲1Ramsey County, NDND11,530922−17%

14▲4Walsh County, NDND10,179816+49%

15▼3Sioux County, NDND3,667784−45%

16▼3Mercer County, NDND8,441619−44%

17Benson County, NDND5,759603−1%

18▼3Dunn County, NDND4,058588−28%

19▲7Bottineau County, NDND6,284524+125%

20Barnes County, NDND10,5734740%

21▼2Pembina County, NDND6,568458−12%

22▲12McHenry County, NDND5,130426+143%

23▼1McLean County, NDND9,740425+7%

24Dickey County, NDND4,895370+30%

25▼4Traill County, NDND7,920351−18%

26▲18Pierce County, NDND3,838295+157%

27▲1Divide County, NDND2,110210−7%

28▲2Bowman County, NDND2,762204+3%

29▲2LaMoure County, NDND4,135202+12%

30▲5Emmons County, NDND3,215199+19%

31▲12Sargent County, NDND3,711194+60%

32▲8Foster County, NDND3,212161+22%

33▼8Cavalier County, NDND3,497153−43%

34▼5Ransom County, NDND5,617152−32%

35▲10Wells County, NDND3,729142+29%

36▲5Renville County, NDND2,331118−6%

37Nelson County, NDND2,963117−29%

38▼2McIntosh County, NDND2,451117−30%

39▼12Hettinger County, NDND2,492116−50%

40▲10Steele County, NDND1,797116+57%

41▲8Griggs County, NDND2,239112+32%

42▼10Adams County, NDND2,275110−39%

43▼1Eddy County, NDND2,329109−10%

44▼6Grant County, NDND2,20696−32%

45▲3Burke County, NDND2,13294+6%

46▼13Towner County, NDND2,04094−47%

47▼8Oliver County, NDND1,89886−39%

48▼2Sheridan County, NDND1,29681−22%

49▲3Billings County, NDND1,07161+110%

50▼27Kidder County, NDND2,39355−83%

51Logan County, NDND1,85951+42%

52▼5Golden Valley County, NDND1,80836−65%

53Slope County, NDND62834+750%

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