RANKING · 2020 CENSUS · 53 SHOWN OF 53

Most uninsured people, North Dakota counties · 2020

North Dakota counties with the most residents lacking health insurance, as of the 2020 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 232.

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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 –

01Cass County, NDND201,79410,147–

02Burleigh County, NDND103,2514,869–

03Williams County, NDND41,7674,703–

04Grand Forks County, NDND74,5013,918–

05Ward County, NDND68,2333,781–

06Rolette County, NDND11,6883,694–

07Stark County, NDND34,0132,856–

08McKenzie County, NDND15,1922,156–

09Mountrail County, NDND9,3951,724–

10Stutsman County, NDND21,4141,651–

11Morton County, NDND34,6011,471–

12Sioux County, NDND3,6671,419–

13Mercer County, NDND8,4411,113–

14Ramsey County, NDND11,5301,105–

15Dunn County, NDND4,058820–

16Richland County, NDND16,731706–

17Benson County, NDND5,759607–

18Walsh County, NDND10,179547–

19Pembina County, NDND6,568518–

20Barnes County, NDND10,573475–

21Traill County, NDND7,920430–

22McLean County, NDND9,740398–

23Kidder County, NDND2,393319–

24Dickey County, NDND4,895285–

25Cavalier County, NDND3,497268–

26Bottineau County, NDND6,284233–

27Hettinger County, NDND2,492232–

28Divide County, NDND2,110227–

29Ransom County, NDND5,617222–

30Bowman County, NDND2,762199–

31LaMoure County, NDND4,135180–

32Adams County, NDND2,275179–

33Towner County, NDND2,040177–

34McHenry County, NDND5,130175–

35Emmons County, NDND3,215167–

36McIntosh County, NDND2,451167–

37Nelson County, NDND2,963164–

38Grant County, NDND2,206142–

39Oliver County, NDND1,898141–

40Foster County, NDND3,212132–

41Renville County, NDND2,331126–

42Eddy County, NDND2,329121–

43Sargent County, NDND3,711121–

44Pierce County, NDND3,838115–

45Wells County, NDND3,729110–

46Sheridan County, NDND1,296104–

47Golden Valley County, NDND1,808104–

48Burke County, NDND2,13289–

49Griggs County, NDND2,23985–

50Steele County, NDND1,79774–

51Logan County, NDND1,85936–

52Billings County, NDND1,07129–

53Slope County, NDND6284–

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS