RANKING · 2020 CENSUS · 500 SHOWN OF 918

Most uninsured people, US metro areas · 2020

US metro areas 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-Newark-Jersey City, NY-NJ leads at 1,294,721. 918 metro areas qualify in total. Texas carries 5 of the top 25 entries.

All statesAll rankings

SAME RANKING BYCities Counties States

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS –

USUnited States8.5% of US population331,449,28128,058,903–

01New York, NYNY20,112,4481,294,721–

02Houston, TXTX7,904,6271,268,333–

03Dallas, TXTX8,477,1571,207,561–

04Los Angeles, CACA12,844,4411,139,088–

05Miami, FLFL6,391,072906,063–

06Atlanta, GAGA6,482,182742,630–

07Chicago, ILIL9,434,123692,201–

08Phoenix, AZAZ5,228,938515,065–

09Washington, DCDC6,465,724454,401–

10Riverside, CACA4,769,007380,063–

11San Antonio, TXTX2,813,140375,009–

12Tampa, FLFL3,418,895364,187–

13Philadelphia, PAPA6,329,118325,331–

14Orlando, FLFL2,957,672308,113–

15Austin, TXTX2,620,945261,399–

16Charlotte, NCNC2,938,830261,237–

17McAllen, TXTX921,549260,885–

18Las Vegas, NVNV2,407,226258,326–

19San Diego, CACA3,282,248244,072–

20Detroit, MIMI4,390,913222,688–

21Denver, COCO3,092,037222,129–

22Seattle, WAWA4,161,883217,539–

23San Francisco, CACA4,630,041196,105–

24Kansas City, MOMO2,270,682189,270–

25Nashville, TNTN2,197,416176,918–

26Oklahoma City, OKOK1,512,813176,316–

27St. Louis, MOMO2,814,421174,202–

28El Paso, TXTX881,291168,069–

29Jacksonville, FLFL1,785,500161,144–

30Minneapolis, MNMN3,790,295153,874–

31Indianapolis, ININ2,205,695153,043–

32Portland, OROR2,542,282146,682–

33Memphis, TNTN1,341,412144,755–

34Columbus, OHOH2,242,028142,897–

35Boston, MAMA5,034,221141,631–

36Tulsa, OKOK1,069,273134,754–

37Virginia Beach, VAVA1,797,213133,203–

38Baltimore, MDMD2,857,781129,831–

39Raleigh, NCNC1,595,720122,602–

40Brownsville, TXTX433,946120,426–

41Salt Lake City, UTUT1,308,377119,611–

42Cleveland, OHOH2,165,775116,993–

43Sacramento, CACA2,477,274115,185–

44Cincinnati, OHOH2,312,858113,756–

45Cape Coral, FLFL875,607100,493–

46Richmond, VAVA1,389,33898,990–

47Birmingham, ALAL1,197,76698,948–

48New Orleans, LALA970,84997,154–

49North Port, FLFL948,15892,607–

50Greenville, SCSC1,014,10192,258–

51Tucson, AZAZ1,074,68590,650–

52Lakeland, FLFL874,79090,387–

53Pittsburgh, PAPA2,421,99290,282–

54Milwaukee, WIWI1,575,01088,115–

55Fresno, CACA1,203,38387,544–

56San Jose, CACA1,984,47385,053–

57Charleston, SCSC889,26380,184–

58Laredo, TXTX281,22478,374–

59Corpus Christi, TXTX451,19178,222–

60Columbia, SCSC879,91877,809–

61Deltona, FLFL746,93375,631–

62Greensboro, NCNC805,94575,616–

63Knoxville, TNTN968,13773,252–

64Winston-Salem, NCNC712,20672,693–

65Omaha, NENE1,009,83672,225–

66Boise City, IDID864,24371,721–

67Albuquerque, NMNM925,27971,211–

68Oxnard, CACA830,85170,449–

69Beaumont, TXTX399,31070,012–

70Louisville, KYKY1,402,50967,543–

71Jackson, MSMS609,84766,933–

72Bakersfield, CACA927,06866,775–

73Baton Rouge, LALA888,69965,786–

74Augusta, GAGA641,23162,888–

75Lancaster, PAPA563,15962,745–

76Wichita, KSKS663,80962,414–

77Providence, RIRI1,708,16160,540–

78Palm Bay, FLFL663,98259,668–

79Port St. Lucie, FLFL568,72158,739–

80Grand Rapids, MIMI1,183,64557,437–

81Durham, NCNC625,48557,315–

82Chattanooga, TNTN594,53055,848–

83Killeen, TXTX511,49754,396–

84Little Rock, ARAR777,60754,363–

85Gulfport, MSMS431,32953,408–

86Springfield, MOMO500,69453,159–

87Fayetteville, ARAR622,17752,480–

88Naples, FLFL417,13151,245–

89Pensacola, FLFL544,94951,215–

90Colorado Springs, COCO781,79650,472–

91Reno, NVNV578,73450,235–

92Savannah, GAGA438,31448,767–

93Provo, UTUT773,42648,472–

94Lubbock, TXTX368,43147,832–

95Myrtle Beach, SCSC427,55147,202–

96Stockton, CACA823,81546,860–

97Dayton, OHOH826,55446,815–

98Longview, TXTX297,31546,219–

99Mobile, ALAL411,65845,822–

100Asheville, NCNC422,34544,986–

101Allentown, PAPA887,61544,682–

102Anchorage, AKAK405,82144,544–

103Santa Maria, CACA442,06543,302–

104Ogden, UTUT672,78442,905–

105Wilmington, NCNC492,77242,680–

106Hickory, NCNC376,89041,202–

107Waco, TXTX308,80741,038–

108Ocala, FLFL442,66040,955–

109Akron, OHOH701,78039,620–

110Salinas, CACA433,72939,081–

111Amarillo, TXTX276,23538,400–

112Fayetteville, NCNC395,41237,794–

113Tyler, TXTX252,54937,616–

114Huntsville, ALAL556,44437,335–

115Lafayette, LALA423,75836,679–

116Visalia, CACA485,14635,869–

117Rochester, NYNY1,056,14935,406–

118Spartanburg, SCSC407,65634,929–

119Buffalo, NYNY1,155,65334,355–

120Fort Wayne, ININ466,25833,907–

121Gainesville, GAGA226,56833,732–

122Columbus, GAGA324,83033,436–

123Montgomery, ALAL388,74733,036–

124Toledo, OHOH599,37632,919–

125Crestview, FLFL315,09832,788–

126Salem, OROR445,81432,763–

127Shreveport, LALA383,47432,701–

128Odessa, TXTX173,80132,449–

129Harrisburg, PAPA617,42732,339–

130College Station, TXTX287,47631,626–

131Tallahassee, FLFL397,44231,479–

132Honolulu, HIHI988,70331,201–

133Portland, MEME577,63530,961–

134Kiryas Joel, NYNY718,37730,926–

135Gainesville, FLFL359,03630,837–

136Lexington, KYKY535,17430,631–

137Modesto, CACA557,71930,491–

138Elkhart, ININ208,77430,412–

139Yakima, WAWA259,18530,318–

140Santa Rosa, CACA486,44429,765–

141Spokane, WAWA608,01229,062–

142Midland, TXTX193,13928,937–

143Des Moines, IAIA758,53928,548–

144Albany, NYNY915,83528,346–

145Greeley, COCO378,42627,740–

146Panama City, FLFL231,17427,304–

147Fort Smith, ARAR234,14027,266–

148Kingsport, TNTN314,83427,111–

149Kennewick, WAWA324,33427,056–

150Scranton, PAPA574,41826,867–

151Eugene, OROR381,58426,138–

152Yuma, AZAZ224,44925,719–

153Reading, PAPA440,07225,627–

154Trenton, NJNJ399,28925,605–

155Macon-Bibb County, GAGA238,55325,482–

156Joplin, MOMO208,79625,421–

157Manchester, NHNH433,41525,350–

158Atlantic City, NJNJ372,04724,905–

159Madison, WIWI709,68524,886–

160Roanoke, VAVA316,54724,304–

161Athens, GAGA224,14824,250–

162Dalton, GAGA147,81924,211–

163Syracuse, NYNY652,27323,681–

164Lincoln, NENE352,08123,606–

165Canton, OHOH400,24623,575–

166South Bend, ININ324,53823,561–

167Abilene, TXTX185,42923,474–

168Huntington, WVWV365,96523,449–

169Youngstown, OHOH423,67823,041–

170Las Cruces, NMNM229,09122,757–

171Flint, MIMI401,09322,650–

172Prescott Valley, AZAZ252,55222,431–

173Clarksville, TNTN349,00122,359–

174Lansing, MIMI479,72222,171–

175York, PAPA473,19722,075–

176Vallejo, CACA455,37621,737–

177Hilton Head Island, SCSC242,96621,686–

178Merced, CACA297,26021,609–

179Valdosta, GAGA153,27621,417–

180Albany, GAGA145,51021,304–

181Rio Grande City, TXTX66,31921,240–

182Sherman, TXTX153,61321,019–

183Fort Collins, COCO377,29220,839–

184Daphne, ALAL267,76120,501–

185St. George, UTUT213,67020,279–

186Wichita Falls, TXTX149,44820,187–

187Lynchburg, VAVA269,16920,179–

188Hattiesburg, MSMS158,01420,018–

189Johnson City, TNTN216,41619,999–

190Rockford, ILIL337,24219,869–

191Warner Robins, GAGA208,09119,742–

192Lake Havasu City, AZAZ228,10219,536–

193Florence, SCSC201,39219,440–

194Slidell, LALA279,10819,219–

195Peoria, ILIL363,50519,151–

196Worcester, MAMA888,50219,087–

197Punta Gorda, FLFL217,21219,085–

198Davenport, IAIA380,45218,965–

199Houma, LALA199,66818,882–

200Lake Charles, LALA244,65518,863–

201Sioux Falls, SDSD314,63818,834–

202Tuscaloosa, ALAL281,85018,750–

203Lumberton, NCNC119,94118,507–

204Monroe, LALA222,39018,458–

205Jackson, TNTN184,56918,163–

206Greenville, NCNC182,93618,060–

207Bend, OROR266,37617,952–

208Burlington, NCNC186,17717,902–

209Evansville, ININ273,78617,497–

210Sebastian, FLFL172,79917,287–

211Eagle Pass, TXTX58,82316,921–

212Coeur d'Alene, IDID191,86416,674–

213Topeka, KSKS233,05216,535–

214Victoria, TXTX99,86416,468–

215San Luis Obispo, CACA282,36716,434–

216Texarkana, TXTX146,81616,341–

217St. Simons, GAGA118,52416,329–

218Dothan, ALAL156,26616,294–

219Charlottesville, VAVA228,59716,176–

220Farmington, NMNM120,34016,061–

221Rapid City, SDSD156,93415,998–

222Santa Fe, NMNM156,90715,902–

223Lufkin, TXTX88,15415,820–

224Green Bay, WIWI336,75615,810–

225Flagstaff, AZAZ144,36815,646–

226Lawton, OKOK127,59015,575–

227Goldsboro, NCNC122,27815,514–

228Lafayette, ININ228,46815,498–

229Homosassa Springs, FLFL171,66615,491–

230San Angelo, TXTX122,06515,375–

231Hagerstown, MDMD315,28015,360–

232Athens, TXTX88,59515,053–

233Rocky Mount, NCNC148,48615,002–

234Decatur, ALAL160,32614,950–

235Jacksonville, NCNC217,17514,935–

236Medford, OROR221,79514,722–

237Wooster, OHOH116,75814,680–

238Seaford, DEDE277,14014,501–

239Show Low, AZAZ109,94614,500–

240Columbia, MOMO219,06214,492–

241Tupelo, MSMS133,16714,483–

242Boulder, COCO328,56014,420–

243Kalamazoo, MIMI263,79514,350–

244Auburn, ALAL208,01314,313–

245Grand Junction, COCO162,84514,312–

246Gallup, NMNM68,11914,255–

247Rome, GAGA101,37814,246–

248Harrisonburg, VAVA140,15514,145–

249Chambersburg, PAPA160,65214,137–

250Santa Cruz, CACA258,85214,114–

251Anderson Creek, NCNC150,13714,096–

252Springfield, MAMA464,33814,026–

253Cleveland, TNTN134,05713,872–

254Sevierville, TNTN101,34213,394–

255Twin Falls, IDID123,90113,337–

256Chico, CACA209,21113,336–

257Lebanon, NHNH224,50013,202–

258Alexandria, LALA147,95213,181–

259Vineland, NJNJ157,14813,164–

260Bellingham, WAWA236,39213,145–

261Idaho Falls, IDID173,85113,051–

262Lacey, WAWA304,26113,022–

263Morristown, TNTN128,86713,020–

264Fargo, NDND269,52812,836–

265Dover, DEDE194,78612,818–

266St. Joseph, MOMO119,17012,684–

267Sebring, FLFL111,12212,684–

268Cookeville, TNTN152,47712,669–

269New Bern, NCNC127,35812,561–

270Clewiston, FLFL61,54612,525–

271Bangor, MEME157,96712,516–

272Winchester, VAVA152,33212,480–

273Key West, FLFL80,40612,471–

274Rifle, COCO80,09912,019–

275El Centro, CACA181,41112,001–

276Florence, ALAL156,60911,974–

277Palatka, FLFL77,73411,960–

278Jefferson City, MOMO152,71211,957–

279Bremerton, WAWA283,37411,924–

280Blacksburg, VAVA181,61611,906–

281Erie, PAPA265,83211,829–

282East Stroudsburg, PAPA167,17911,821–

283Yuba City, CACA187,47811,803–

284Lebanon, PAPA146,38011,795–

285Jonesboro, ARAR139,44011,719–

286Gadsden, ALAL103,88611,688–

287Statesboro, GAGA97,97711,671–

288Wenatchee, WAWA128,41411,648–

289Sumter, SCSC105,06711,599–

290Charleston, WVWV200,17011,588–

291Albertville, ALAL103,53711,564–

292Ann Arbor, MIMI370,21411,531–

293Nacogdoches, TXTX66,03511,435–

294Bloomington, ININ165,23111,428–

295Moses Lake, WAWA105,72711,327–

296Oxford, ALAL115,83411,260–

297Hammond, LALA141,34611,169–

298Shelby, NCNC103,32511,163–

299Kenosha, WIWI168,44811,136–

300Utica, NYNY285,61111,132–

301Duluth, MNMN281,21911,124–

302Pueblo, COCO169,27711,001–

303Redding, CACA181,64810,935–

304Terre Haute, ININ169,24110,932–

305Muskogee, OKOK66,70810,735–

306Tahlequah, OKOK49,19610,645–

307Eau Claire, WIWI176,64710,639–

308Billings, MTMT193,60310,585–

309LaGrange, GAGA107,09710,522–

310Appleton, WIWI249,87610,509–

311Thomasville, GAGA72,95810,509–

312Eureka, CACA131,64710,480–

313Champaign, ILIL239,97910,419–

314Jacksonville, TXTX53,33710,292–

315Bowling Green, KYKY197,18010,290–

316La Crosse, WIWI171,18210,251–

317Logan, UTUT160,88910,122–

318Hanford, CACA154,32710,122–

319Del Rio, TXTX47,83510,094–

320Paris, TXTX63,31910,045–

321Stillwater, OKOK83,88910,037–

322Rochester, MNMN231,18410,016–

323Niles, MIMI152,4449,978–

324Moultrie, GAGA47,4389,947–

325Hot Springs, ARAR99,6959,855–

326Greenwood, SCSC95,2159,826–

327Cedar Rapids, IAIA279,2859,799–

328Staunton, VAVA129,6929,787–

329Shawnee, OKOK75,1029,781–

330Mount Pleasant, TXTX57,0769,688–

331Fort Payne, ALAL74,0859,683–

332Corbin, KYKY150,0409,679–

333Casper, WYWY80,5269,675–

334Hilo, HIHI210,0439,667–

335Cullman, ALAL94,0099,569–

336Wilson, NCNC81,1509,562–

337Calhoun, GAGA61,7019,460–

338Kingston, NYNY183,3309,366–

339Albany, OROR132,8439,357–

340Enid, OKOK61,7799,315–

341Laurel, MSMS82,2819,277–

342Racine, WIWI198,9199,270–

343Traverse City, MIMI156,9729,267–

344Sierra Vista, AZAZ126,3329,231–

345Janesville, WIWI166,4729,208–

346Kalispell, MTMT115,4299,124–

347Augusta, MEME129,0679,087–

348Iowa City, IAIA182,7119,041–

349Sioux City, IAIA145,7389,011–

350Meridian, MSMS85,4198,983–

351Orangeburg, SCSC83,1778,939–

352Hobbs, NMNM74,7498,927–

353Durant, OKOK51,3678,915–

354Kerrville, TXTX54,0378,854–

355Binghamton, NYNY243,1898,823–

356State College, PAPA157,3938,823–

357Mount Airy, NCNC72,2878,808–

358Jackson, MIMI159,5528,779–

359Lake City, FLFL74,0948,770–

360Lawrence, KSKS120,9208,753–

361Branson, MOMO57,0018,729–

362Springfield, OHOH135,3408,711–

363Danville, VAVA101,1378,592–

364Plainview, TXTX36,7008,586–

365Corsicana, TXTX57,1818,554–

366Mount Vernon, WAWA132,9758,537–

367Fairbanks, AKAK93,9728,530–

368Roanoke Rapids, NCNC63,0258,510–

369Forest City, NCNC65,7458,505–

370Seneca, SCSC83,7758,502–

371Muncie, ININ113,1068,490–

372Warsaw, ININ80,8928,488–

373Concord, NHNH158,0788,477–

374Kahului, HIHI160,6748,455–

375Lewiston, MEME116,4878,402–

376Washington, ININ34,2098,378–

377Alice, TXTX45,3838,372–

378Tifton, GAGA51,2378,330–

379Mansfield, OHOH124,8938,314–

380Muskegon, MIMI177,9018,305–

381Waycross, GAGA57,6708,303–

382Columbus, MSMS67,1448,291–

383Hinesville, GAGA91,8708,189–

384Bozeman, MTMT128,7408,159–

385Morgantown, WVWV141,9958,138–

386Lexington Park, MDMD211,1768,111–

387Pinehurst, NCNC110,6198,101–

388Granbury, TXTX70,5018,078–

389Wausau, WIWI139,4328,060–

390Ukiah, CACA88,1228,044–

391Napa, CACA132,9498,025–

392Grand Island, NENE78,0768,017–

393Missoula, MTMT128,6988,007–

394Douglas, GAGA52,8617,999–

395Wheeling, WVWV134,0897,932–

396El Campo, TXTX42,0607,926–

397Salisbury, MDMD131,8727,905–

398Sanford, NCNC70,2587,852–

399Ardmore, OKOK48,9107,802–

400Talladega, ALAL91,7647,788–

401North Wilkesboro, NCNC66,2337,752–

402Oshkosh, WIWI174,2187,578–

403Jefferson, GAGA99,2657,563–

404Saginaw, MIMI187,6887,563–

405Riverton, WYWY39,4647,533–

406Michigan City, ININ111,2947,517–

407St. Cloud, MNMN205,8547,511–

408Cheyenne, WYWY102,9387,436–

409Cape Girardeau, MOMO99,2157,419–

410Dublin, GAGA60,3517,408–

411Richmond, ININ66,1697,402–

412Springfield, ILIL206,0337,382–

413New Philadelphia, OHOH92,3737,284–

414Manhattan, KSKS136,1227,260–

415Opelousas, LALA80,7657,228–

416Huntsville, TXTX83,8427,216–

417Searcy, ARAR80,0857,164–

418Clovis, NMNM65,2707,159–

419McComb, MSMS52,6407,129–

420Burlington, VTVT227,8037,046–

421Beckley, WVWV109,9407,031–

422Pottsville, PAPA145,0857,002–

423Natchez, MSMS54,7226,908–

424Meadville, PAPA81,7926,893–

425Waterloo, IAIA169,1896,891–

426Pocatello, IDID91,5916,877–

427Bloomington, ILIL171,4196,863–

428Arcadia, FLFL37,0786,860–

429Morehead City, NCNC70,4696,856–

430McAlester, OKOK43,3206,836–

431Decatur, ININ36,6506,831–

432The Villages, FLFL157,7726,824–

433Bluefield, WVWV96,1386,822–

434Battle Creek, MIMI133,4086,821–

435Athens, TNTN71,5906,819–

436Waynesville, NCNC63,3696,813–

437Bartlesville, OKOK54,0376,777–

438Albemarle, NCNC68,8306,772–

439Sulphur Springs, TXTX39,0636,745–

440Murrells Inlet, SCSC65,9126,736–

441Jamestown, NYNY124,1266,728–

442Roseburg, OROR111,9516,713–

443Richmond, KYKY131,8066,629–

444Barnstable, MAMA233,5396,615–

445Whitewater, WIWI106,1276,614–

446Lima, OHOH100,8816,583–

447Cedartown, GAGA45,5146,583–

448Ada, OKOK38,5286,571–

449Edwards, COCO54,2916,531–

450New Iberia, LALA66,8466,512–

451Weirton, WVWV112,4686,494–

452Bismarck, NDND139,7506,481–

453Palestine, TXTX59,8056,462–

454Oxford, MSMS71,9726,456–

455Burley, IDID49,3086,443–

456Cornelia, GAGA50,4166,441–

457Columbus, ININ85,7296,406–

458Salem, OHOH99,3776,344–

459Greeneville, TNTN73,8316,333–

460Greenville, MSMS40,4466,328–

461West Plains, MOMO40,7986,323–

462Bay City, TXTX36,4636,322–

463Picayune, MSMS59,3636,319–

464Roswell, NMNM63,3646,293–

465Duncan, OKOK44,3106,280–

466Gaffney, SCSC58,2756,261–

467Grants Pass, OROR87,8676,257–

468Farmington, MOMO67,8096,228–

469Kinston, NCNC55,8376,204–

470Stephenville, TXTX43,9116,199–

471Indiana, PAPA82,8786,189–

472Williamsport, PAPA112,5876,177–

473Lawrenceburg, TNTN46,9146,163–

474Altoona, PAPA119,5416,155–

475Russellville, ARAR84,9326,131–

476Massena, NYNY105,4886,121–

477Vidalia, GAGA36,1806,113–

478Gainesville, TXTX44,4616,100–

479Hermiston, OROR93,7216,074–

480Bay City, MIMI102,1236,065–

481Cedar City, UTUT67,1416,037–

482Martinsville, VAVA63,0916,026–

483Paducah, KYKY102,2596,007–

484Mount Vernon, OHOH64,0026,000–

485Ottawa, ILIL145,9025,963–

486Sandusky, OHOH112,7775,947–

487Tullahoma, TNTN69,3395,937–

488Monroe, MIMI156,0045,930–

489Hermitage, PAPA107,8605,916–

490Okeechobee, FLFL42,6085,904–

491Kankakee, ILIL105,5255,884–

492Breckenridge, COCO39,0695,850–

493Hutchinson, KSKS61,5395,787–

494Ames, IAIA128,0905,770–

495Holland, MIMI123,1885,761–

496Great Falls, MTMT85,0295,740–

497Mount Pleasant, MIMI64,6915,702–

498Lewiston, IDID65,4505,695–

499Port Angeles, WAWA78,2025,685–

500Ponca City, OKOK43,4905,673–

SHOWING 1–500 OF 918

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which metro area has the highest uninsured residents?

New York-Newark-Jersey City, NY-NJ ranks #1 with 1,294,721 (2020 Decennial Census).

What are the top 5 metro areas by uninsured residents?

New York-Newark-Jersey City, NY-NJ, Houston-Pasadena-The Woodlands, TX, Dallas-Fort Worth-Arlington, TX, Los Angeles-Long Beach-Anaheim, CA, Miami-Fort Lauderdale-West Palm Beach, FL.

How many metro areas are in this ranking?

918 metro areas qualify after filtering for population minimums and data availability. 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.