Cities with the Highest and Lowest Uninsured Rates

The national uninsured rate rose in 2018 to 8.5% from 7.9% the previous year, according to data from the U.S. Census Bureau. This marked the first year there was an increase since the Affordable Care Act (ACA) took effect. But how widely do the rates differ from city to city?

With the uninsured rate climbing yet the Affordable Care Act remaining in place, WalletHub measured the uninsured rates for 548 U.S. cities and broke them down even further by age, income level and race. In addition, we conducted the same analysis at the state level. Read on for the complete ranking, a ranking by city size and a full description of our methodology.

Main Findings

 

Uninsured Rates by City

*Note: Overall rank based on 2018 uninsured rates.

Ranking by City Size

Rank (1 = Lowest)	Large City Name		Rank (1 = Lowest)	Midsize City Name		Rank (1 = Lowest)	Small City Name
1	Washington, DC		1	Highlands Ranch, CO		1	Newton, MA
2	San Francisco, CA		2	San Mateo, CA		2	San Ramon, CA
3	Boston, MA		3	Cambridge, MA		3	Fishers, IN
4	Honolulu, HI		4	Naperville, IL		4	Folsom, CA
5	Seattle, WA		5	Fremont, CA		5	Pleasanton, CA
6	San Jose, CA		6	Elk Grove, CA		6	Redondo Beach, CA
7	Pittsburgh, PA		7	Hayward, CA		7	Union City, CA
8	Sacramento, CA		8	Santa Clara, CA		8	Rochester Hills, MI
9	Louisville, KY		9	Rochester, MN		9	Carmel, IN
10	Minneapolis, MN		10	Centennial, CO		10	Newport Beach, CA
11	Portland, OR		11	Ann Arbor, MI		11	Livonia, MI
12	Baltimore, MD		12	Worcester, MA		12	Mount Pleasant, SC
13	St. Paul, MN		13	Springfield, MA		13	Mountain View, CA
14	Oakland, CA		14	Madison, WI		14	Yorba Linda, CA
15	Henderson, NV		15	Simi Valley, CA		15	Fall River, MA
16	Cincinnati, OH		16	Berkeley, CA		16	Somerville, MA
17	Stockton, CA		17	Sunnyvale, CA		17	Livermore, CA
18	Bakersfield, CA		18	Vallejo, CA		18	Troy, MI
19	New York, NY		19	Burbank, CA		19	Albany, NY
20	Philadelphia, PA		20	Cary, NC		20	Waldorf, MD
21	Fresno, CA		21	Springfield, IL		21	Mission Viejo, CA
22	Long Beach, CA		22	Syracuse, NY		22	Lee's Summit, MO
23	Virginia Beach, VA		23	Bellevue, WA		23	Plymouth, MN
24	Lexington, KY		24	Sugar Land, TX		24	Cheektowaga, NY
25	Cleveland, OH		25	Daly City, CA		25	Alameda, CA
26	Detroit, MI		26	Huntington Beach, CA		26	St. Cloud, MN
27	Albuquerque, NM		27	Cedar Rapids, IA		27	Camarillo, CA
28	San Diego, CA		28	Rochester, NY		28	Quincy, MA
29	New Orleans, LA		29	Torrance, CA		29	Davis, CA
30	Denver, CO		30	Irvine, CA		30	Lynn, MA
31	Milwaukee, WI		31	Fairfield, CA		31	Ellicott City, MD
32	Colorado Springs, CO		32	Billings, MT		32	Duluth, MN
33	Chicago, IL		33	Rancho Cucamonga, CA		33	Cranston, RI
34	Columbus, OH		34	San Buenaventura (Ventura), CA		34	San Leandro, CA
35	Raleigh, NC		35	Vacaville, CA		35	Turlock, CA
36	Atlanta, GA		36	Roseville, CA		36	Brockton, MA
37	Riverside, CA		37	Buffalo, NY		37	Milpitas, CA
38	Anaheim, CA		38	Arvada, CO		38	St. Charles, MO
39	St. Louis, MO		39	Columbia, MD		39	Lakewood, CA
40	Indianapolis, IN		40	Boulder, CO		40	Indio, CA
41	Los Angeles, CA		41	Lowell, MA		41	Hoover, AL
42	Aurora, CO		42	Lafayette, LA		42	Warwick, RI
43	Tampa, FL		43	Modesto, CA		43	Bloomington, IL
44	Omaha, NE		44	Lancaster, CA		44	Alhambra, CA
45	Mesa, AZ		45	Santa Clarita, CA		45	Bloomington, MN
46	Kansas City, MO		46	Temecula, CA		46	Eau Claire, WI
47	Las Vegas, NV		47	Lansing, MI		47	Arlington Heights, IL
48	Nashville, TN		48	Murrieta, CA		48	Tracy, CA
49	Wichita, KS		49	Yonkers, NY		49	Manteca, CA
50	Tucson, AZ		50	Victorville, CA		50	Bellingham, WA
51	Austin, TX		51	Westminster, CO		51	Mount Vernon, NY
52	Jacksonville, FL		52	Peoria, IL		52	Waukesha, WI
53	Charlotte, NC		53	Thornton, CO		53	Nashua, NH
54	Phoenix, AZ		54	Orange, CA		54	Redwood City, CA
55	Memphis, TN		55	Arlington, VA		55	Santa Monica, CA
56	Santa Ana, CA		56	Spokane, WA		56	Evanston, IL
57	Oklahoma City, OK		57	Gilbert, AZ		57	Southfield, MI
58	Tulsa, OK		58	Garden Grove, CA		58	Redlands, CA
59	San Antonio, TX		59	Carlsbad, CA		59	Framingham, MA
60	Corpus Christi, TX		60	Thousand Oaks, CA		60	Waterloo, IA
61	Arlington, TX		61	Clovis, CA		61	O'Fallon, MO
62	Fort Worth, TX		62	Peoria, AZ		62	Missoula, MT
63	Miami, FL		63	The Woodlands, TX		63	Hemet, CA
64	El Paso, TX		64	Sterling Heights, MI		64	New Bedford, MA
65	Houston, TX		65	Des Moines, IA		65	Pawtucket, RI
66	Dallas, TX		66	Visalia, CA		66	Weston, FL
			67	Warren, MI		67	Chino Hills, CA
			68	Overland Park, KS		68	Pittsburg, CA
			69	Tacoma, WA		69	Westland, MI
			70	Fargo, ND		70	Champaign, IL
			71	Chandler, AZ		71	Rio Rancho, NM
			72	Shreveport, LA		72	Appleton, WI
			73	Providence, RI		73	Farmington Hills, MI
			74	Fullerton, CA		74	Loveland, CO
			75	Columbia, MO		75	Spokane Valley, WA
			76	Fort Collins, CO		76	Lawrence, KS
			77	Charleston, SC		77	Fayetteville, AR
			78	Norwalk, CA		78	Decatur, IL
			79	Antioch, CA		79	Goodyear, AZ
			80	Kenosha, WI		80	Brooklyn Park, MN
			81	Frisco, TX		81	Toms River, NJ
			82	Vancouver, WA		82	Dearborn, MI
			83	Joliet, IL		83	Auburn, WA
			84	Hillsboro, OR		84	Redding, CA
			85	Palmdale, CA		85	Carson, CA
			86	Davenport, IA		86	Bend, OR
			87	Chesapeake, VA		87	Oshkosh, WI
			88	Allen, TX		88	Scranton, PA
			89	Scottsdale, AZ		89	Hesperia, CA
			90	Rockford, IL		90	New Britain, CT
			91	Green Bay, WI		91	Erie, PA
			92	Meridian, ID		92	Citrus Heights, CA
			93	Las Cruces, NM		93	Layton, UT
			94	Arden-Arcade, CA		94	Whittier, CA
			95	New Haven, CT		95	Edmond, OK
			96	Lakewood, CO		96	Longmont, CO
			97	Eugene, OR		97	Suffolk, VA
			98	Clarksville, TN		98	Chino, CA
			99	Lincoln, NE		99	Lake Forest, CA
			100	Murfreesboro, TN		100	Centreville, VA
			101	Grand Rapids, MI		101	Parma, OH
			102	Gainesville, FL		102	Upland, CA
			103	Pueblo, CO		103	Iowa City, IA
			104	Little Rock, AR		104	Lawrence, MA
			105	West Covina, CA		105	Perris, CA
			106	Glendale, CA		106	Merced, CA
			107	Akron, OH		107	Wyoming, MI
			108	Pasadena, CA		108	Chico, CA
			109	Baton Rouge, LA		109	Kalamazoo, MI
			110	Concord, CA		110	Schenectady, NY
			111	Sioux Falls, SD		111	Tustin, CA
			112	Surprise, AZ		112	Youngstown, OH
			113	Tempe, AZ		113	Flint, MI
			114	Sparks, NV		114	Racine, WI
			115	Corona, CA		115	Sioux City, IA
			116	Salem, OR		116	Bloomington, IN
			117	Hampton, VA		117	Concord, NC
			118	Olathe, KS		118	Schaumburg, IL
			119	Boise, ID		119	Asheville, NC
			120	College Station, TX		120	Westminster, CA
			121	Tuscaloosa, AL		121	Napa, CA
			122	Santa Rosa, CA		122	Silver Spring, MD
			123	Enterprise, NV		123	Wilmington, DE
			124	Richmond, CA		124	Apple Valley, CA
			125	Chula Vista, CA		125	Boca Raton, FL
			126	Downey, CA		126	Compton, CA
			127	El Cajon, CA		127	Flower Mound, TX
			128	Kent, WA		128	Portland, ME
			129	Stamford, CT		129	Palatine, IL
			130	Fort Wayne, IN		130	Menifee, CA
			131	Manchester, NH		131	Federal Way, WA
			132	Greeley, CO		132	Skokie, IL
			133	Toledo, OH		133	Bethlehem, PA
			134	Fayetteville, NC		134	New Rochelle, NY
			135	Hartford, CT		135	Kendall, FL
			136	Renton, WA		136	Medford, OR
			137	Tallahassee, FL		137	Flagstaff, AZ
			138	Sandy Springs, GA		138	Lorain, OH
			139	Waterbury, CT		139	Sandy, UT
			140	Greensboro, NC		140	Johns Creek, GA
			141	Evansville, IN		141	Jacksonville, NC
			142	Topeka, KS		142	Reading, PA
			143	Oceanside, CA		143	Hammond, IN
			144	High Point, NC		144	Bolingbrook, IL
			145	Columbia, SC		145	Buena Park, CA
			146	South Bend, IN		146	Frederick, MD
			147	Reno, NV		147	Lynchburg, VA
			148	McKinney, TX		148	Germantown, MD
			149	Independence, MO		149	Muncie, IN
			150	Wilmington, NC		150	Portsmouth, VA
			151	Jersey City, NJ		151	Gastonia, NC
			152	West Jordan, UT		152	Greenville, NC
			153	Broken Arrow, OK		153	Plantation, FL
			154	San Tan Valley, AZ		154	Yuma, AZ
			155	Pembroke Pines, FL		155	Jonesboro, AR
			156	Fontana, CA		156	Gary, IN
			157	El Monte, CA		157	Orem, UT
			158	Montgomery, AL		158	Rock Hill, SC
			159	Pearland, TX		159	Lake Charles, LA
			160	Knoxville, TN		160	Dothan, AL
			161	Gresham, OR		161	Beaverton, OR
			162	Huntsville, AL		162	Santa Barbara, CA
			163	Vista, CA		163	Baldwin Park, CA
			164	Lakeland, FL		164	Alafaya, FL
			165	Palm Bay, FL		165	San Marcos, CA
			166	San Angelo, TX		166	Largo, FL
			167	Lubbock, TX		167	Camden, NJ
			168	Newport News, VA		168	Atascocita, TX
			169	Norman, OK		169	Avondale, AZ
			170	Davie, FL		170	Melbourne, FL
			171	Anchorage, AK		171	Kennewick, WA
			172	Dayton, OH		172	Clifton, NJ
			173	Moreno Valley, CA		173	Fort Smith, AR
			174	Rialto, CA		174	Canton, OH
			175	League City, TX		175	Lafayette, IN
			176	Durham, NC		176	Roanoke, VA
			177	Cape Coral, FL		177	Hawthorne, CA
			178	Midland, TX		178	Riverview, FL
			179	Chattanooga, TN		179	Sunrise, FL
			180	Everett, WA		180	Missouri City, TX
			181	Pomona, CA		181	Warner Robins, GA
			182	Brandon, FL		182	Jackson, TN
			183	Metairie, LA		183	St. Joseph, MO
			184	Richmond, VA		184	Norwalk, CT
			185	Glendale, AZ		185	Bellflower, CA
			186	San Bernardino, CA		186	Palm Coast, FL
			187	Spring Valley, NV		187	Ogden, UT
			188	Mobile, AL		188	Deltona, FL
			189	Ontario, CA		189	St. George, UT
			190	St. Petersburg, FL		190	Temple, TX
			191	Killeen, TX		191	South Gate, CA
			192	Jackson, MS		192	Dale City, VA
			193	Allentown, PA		193	Fort Myers, FL
			194	Alexandria, VA		194	Nampa, ID
			195	Costa Mesa, CA		195	Lawton, OK
			196	Aurora, IL		196	East Orange, NJ
			197	Salt Lake City, UT		197	Roswell, GA
			198	Provo, UT		198	Santa Fe, NM
			199	Springfield, MO		199	North Richland Hills, TX
			200	Plano, TX		200	Waukegan, IL
			201	Round Rock, TX		201	Kenner, LA
			202	East Los Angeles, CA		202	Springdale, AR
			203	Escondido, CA		203	Cicero, IL
			204	Columbus, GA		204	Rapid City, SD
			205	Winston-Salem, NC		205	Yakima, WA
			206	Inglewood, CA		206	Trenton, NJ
			207	Elgin, IL		207	Lynwood, CA
			208	Norfolk, VA		208	Town 'n' Country, FL
			209	Port St. Lucie, FL		209	Boynton Beach, FL
			210	Fort Lauderdale, FL		210	Albany, GA
			211	Richardson, TX		211	Lauderhill, FL
			212	Spring Hill, FL		212	Bryan, TX
			213	Salinas, CA		213	Danbury, CT
			214	Birmingham, AL		214	Miami Beach, FL
			215	Orlando, FL		215	Gulfport, MS
			216	Bridgeport, CT		216	Longview, TX
			217	Coral Springs, FL		217	Deerfield Beach, FL
			218	North Las Vegas, NV		218	Harlingen, TX
			219	Wichita Falls, TX		219	Edinburg, TX
			220	Augusta, GA		220	Baytown, TX
			221	Athens, GA		221	Mission, TX
			222	Lewisville, TX		222	Passaic, NJ
			223	Abilene, TX		223	Union City, NJ
			224	North Charleston, SC		224	Pharr, TX
			225	Carrollton, TX
			226	Paradise, NV
			227	Denton, TX
			228	Savannah, GA
			229	Macon, GA
			230	Amarillo, TX
			231	Miramar, FL
			232	Newark, NJ
			233	Odessa, TX
			234	Sunrise Manor, NV
			235	Clearwater, FL
			236	Waco, TX
			237	Oxnard, CA
			238	Paterson, NJ
			239	Hollywood, FL
			240	Tyler, TX
			241	West Palm Beach, FL
			242	Kansas City, KS
			243	Beaumont, TX
			244	Hialeah, FL
			245	Elizabeth, NJ
			246	Lehigh Acres, FL
			247	Santa Maria, CA
			248	Grand Prairie, TX
			249	Mesquite, TX
			250	Irving, TX
			251	West Valley City, UT
			252	Miami Gardens, FL
			253	Pasadena, TX
			254	Garland, TX
			255	Pompano Beach, FL
			256	McAllen, TX
			257	Laredo, TX
			258	Brownsville, TX

 

Methodology

In order to measure the rates of uninsured by city, WalletHub compared the overall insurance rates in 548 U.S. cities in 2018 using U.S. Census Bureau data. In addition to comparing the overall insurance rates, we examined the city rates based on age, race/ethnicity and income level.

An overall rank of No. 1 corresponds with the city with the lowest uninsured rate. When viewing our findings in the above tables, please note that absolute difference refers to the difference between the percentages of uninsured and insured in 2018 and 2010. A small change in the absolute difference does not necessarily indicate a negative outcome, as the percentage of uninsured people pre-Obamacare may have already been low to start with.

In collecting our sample, we considered only the “city proper” in each case and excluded cities in the surrounding metro area. We then categorized each city according to the following population-size guidelines:

• Large city: More than 300,000 residents
• Midsize city: 100,000 to 300,000 residents
• Small city: Fewer than 100,000 residents

Change in Uninsured Rate Between 2010 & 2018

Health Insurance Rate by Age Group

• Health Insurance Rate for Children (Aged 0 to 18 Years)
• Health Insurance Rate for Adults (Aged Years 19 & Older)

Health Insurance Rate by Race/Ethnicity

• Health Insurance Rate for Whites
• Health Insurance Rate for Black or African Americans
• Health Insurance Rate for Hispanic or Latino

Health Insurance Rate by Household Income

• Health Insurance Rate for Lower-Income Households ($50,000 or less)
• Health Insurance Rate for Higher-Income Households ($100,000 or more)

 

Videos for News Use:

• YouTube (for web embedding National)
• Raw files (for editing into clips)

 
Sources: Data used to create this ranking were collected from the U.S. Census Bureau.

Community Discussion

Submit

More Comments