Ranking of Texas Counties By Number of People and Percentage of Population With No Health Insurance Coverage in 2021 (ACS-5Yrs)
Updated on October 27, 2025.
Based on the US Census ACS-5Yrs estimates, in 2021, the percentage of the Texas population without a health insurance coverage was 17.58% (i.e. 4,995,381 people). Percentagewise, among all Texas counties, Starr County had the highest percentage of its population with no health insurance coverage (33.79%), followed by Bailey County (32.43%), and Hidalgo County (30.84%).
In numerical terms, Harris County had the highest number of people without a health insurance coverage (986,977), followed by Dallas County (552,483), and Tarrant County (348,156).
The charts below shows the top 10 counties by the number of people and percentage of the population without a health insurance coverage. The tables below shows the ranking for all Texas counties.
You can see similar information for other types of health insurance coverages.
You can also see similar information for other states.
Related Topics: Texas ACS-5Yrs Estimates, 2021 Topic List.
Data Source: US Census - ACS 5-Year Estimates.
Ranking of Texas Counties By Percentage of Population With
No Health Insurance Coverage in 2021
Items per page:
25
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| Rank | County | Percentage of Population (%) |
|---|---|---|
| 1 | Starr County | 33.79 |
| 2 | Bailey County | 32.43 |
| 3 | Hidalgo County | 30.84 |
| 4 | Gaines County | 30.47 |
| 5 | Dallam County | 29.47 |
| 6 | Presidio County | 29.30 |
| 7 | Willacy County | 29.12 |
| 8 | Maverick County | 28.68 |
| 9 | Webb County | 28.58 |
| 10 | Cameron County | 28.50 |
| 11 | Culberson County | 28.01 |
| 12 | Glasscock County | 27.85 |
| 13 | Sterling County | 27.11 |
| 14 | Menard County | 26.71 |
| 15 | Edwards County | 26.13 |
| 16 | Briscoe County | 26.07 |
| 17 | Zapata County | 26.04 |
| 18 | Schleicher County | 25.80 |
| 19 | Collingsworth County | 25.29 |
| 20 | Yoakum County | 24.69 |
| 21 | Coleman County | 24.19 |
| 22 | McMullen County | 24.14 |
| 23 | Caldwell County | 24.11 |
| 24 | Liberty County | 23.99 |
| 25 | Floyd County | 23.78 |
| 26 | Andrews County | 23.68 |
| 27 | Lamb County | 23.56 |
| 28 | Jim Hogg County | 23.55 |
| 29 | Deaf Smith County | 23.25 |
| 30 | San Saba County | 23.14 |
| 31 | Hale County | 23.00 |
| 32 | Brooks County | 22.72 |
| 33 | Throckmorton County | 22.58 |
| 34 | Real County | 22.46 |
| 35 | Cochran County | 22.38 |
| 36 | Castro County | 22.27 |
| 37 | Winkler County | 22.26 |
| 38 | Terry County | 22.14 |
| 39 | Hall County | 22.11 |
| 40 | Duval County | 22.00 |
| 41 | Childress County | 21.91 |
| 42 | Ochiltree County | 21.81 |
| 43 | Potter County | 21.79 |
| 44 | Swisher County | 21.75 |
| 45 | Wheeler County | 21.64 |
| 46 | Ector County | 21.63 |
| 47 | Newton County | 21.58 |
| 48 | Val Verde County | 21.37 |
| 49 | Dallas County | 21.35 |
| 50 | Hudspeth County | 21.27 |
| 51 | El Paso County | 21.25 |
| 52 | Parmer County | 21.24 |
| 53 | Harris County | 21.12 |
| 54 | La Salle County | 21.05 |
| 55 | Crosby County | 21.04 |
| 55 | Jefferson County | 21.04 |
| 56 | Jeff Davis County | 20.86 |
| 57 | Cherokee County | 20.74 |
| 58 | Kenedy County | 20.71 |
| 59 | Gray County | 20.70 |
| 60 | Scurry County | 20.57 |
| 61 | Shelby County | 20.56 |
| 62 | Camp County | 20.43 |
| 63 | Crockett County | 20.39 |
| 64 | Gonzales County | 20.27 |
| 65 | Moore County | 19.92 |
| 66 | Haskell County | 19.83 |
| 67 | Waller County | 19.74 |
| 68 | McCulloch County | 19.73 |
| 68 | Reeves County | 19.73 |
| 69 | San Jacinto County | 19.63 |
| 70 | Navarro County | 19.58 |
| 71 | Hopkins County | 19.55 |
| 72 | Atascosa County | 19.47 |
| 73 | Jasper County | 19.35 |
| 74 | Trinity County | 19.34 |
| 75 | Motley County | 19.31 |
| 76 | Panola County | 19.30 |
| 77 | Stephens County | 19.22 |
| 78 | Knox County | 19.19 |
| 79 | Angelina County | 19.17 |
| 80 | Hockley County | 19.13 |
| 81 | Jim Wells County | 19.06 |
| 82 | Reagan County | 18.99 |
| 83 | Wharton County | 18.98 |
| 84 | San Augustine County | 18.93 |
| 85 | Tyler County | 18.89 |
| 86 | Jack County | 18.88 |
| 87 | Uvalde County | 18.87 |
| 88 | Lipscomb County | 18.72 |
| 89 | Titus County | 18.67 |
| 90 | Limestone County | 18.66 |
| 91 | Bastrop County | 18.60 |
| 92 | Hutchinson County | 18.55 |
| 93 | Pecos County | 18.51 |
| 94 | Nueces County | 18.39 |
| 94 | Young County | 18.39 |
| 95 | Matagorda County | 18.38 |
| 96 | Henderson County | 18.37 |
| 97 | Gillespie County | 18.36 |
| 97 | Hemphill County | 18.36 |
| 98 | Palo Pinto County | 18.35 |
| 99 | Kerr County | 18.25 |
| 100 | Burnet County | 18.10 |
| 101 | Leon County | 18.05 |
| 102 | Gregg County | 17.97 |
| 103 | Baylor County | 17.95 |
| 104 | Kimble County | 17.82 |
| 105 | Lamar County | 17.78 |
| 106 | Polk County | 17.69 |
| 107 | Kinney County | 17.65 |
| 108 | Nolan County | 17.58 |
| 108 | Rains County | 17.58 |
| 109 | Hartley County | 17.52 |
| 110 | Mitchell County | 17.43 |
| 111 | Wise County | 17.27 |
| 112 | Howard County | 17.26 |
| 113 | Sutton County | 17.22 |
| 114 | Dickens County | 17.21 |
| 115 | Smith County | 17.17 |
| 115 | Van Zandt County | 17.17 |
| 116 | Eastland County | 17.12 |
| 117 | Sherman County | 17.11 |
| 118 | Stonewall County | 17.10 |
| 119 | Anderson County | 16.93 |
| 119 | Brown County | 16.93 |
| 120 | Crane County | 16.90 |
| 121 | Jones County | 16.89 |
| 122 | Foard County | 16.86 |
| 123 | Dawson County | 16.85 |
| 123 | Fannin County | 16.85 |
| 124 | Bosque County | 16.84 |
| 124 | Hill County | 16.84 |
| 125 | Archer County | 16.81 |
| 126 | Grayson County | 16.77 |
| 126 | Tarrant County | 16.77 |
| 127 | Victoria County | 16.65 |
| 128 | Nacogdoches County | 16.63 |
| 129 | Orange County | 16.57 |
| 130 | Frio County | 16.56 |
| 131 | San Patricio County | 16.50 |
| 132 | DeWitt County | 16.49 |
| 132 | Lee County | 16.49 |
| 133 | Refugio County | 16.47 |
| 134 | Hardin County | 16.40 |
| 135 | Mills County | 16.36 |
| 136 | Cooke County | 16.35 |
| 137 | Callahan County | 16.31 |
| 137 | Donley County | 16.31 |
| 138 | Johnson County | 16.29 |
| 139 | Hunt County | 16.25 |
| 140 | Colorado County | 16.24 |
| 141 | Jackson County | 16.18 |
| 142 | Roberts County | 16.16 |
| 143 | Midland County | 16.15 |
| 144 | Ellis County | 16.11 |
| 144 | Hansford County | 16.11 |
| 145 | Red River County | 16.07 |
| 146 | Aransas County | 16.02 |
| 147 | Upshur County | 15.98 |
| 148 | Grimes County | 15.95 |
| 149 | Hamilton County | 15.92 |
| 150 | Falls County | 15.91 |
| 150 | Llano County | 15.91 |
| 150 | Wood County | 15.91 |
| 151 | Karnes County | 15.85 |
| 152 | Comanche County | 15.74 |
| 153 | Bee County | 15.73 |
| 154 | King County | 15.72 |
| 155 | Bexar County | 15.65 |
| 156 | Houston County | 15.55 |
| 157 | Madison County | 15.49 |
| 158 | Austin County | 15.41 |
| 159 | Bandera County | 15.38 |
| 160 | Rusk County | 15.36 |
| 161 | Blanco County | 15.32 |
| 162 | Montague County | 15.31 |
| 163 | Harrison County | 15.26 |
| 164 | Franklin County | 15.09 |
| 165 | Kleberg County | 15.05 |
| 166 | Milam County | 15.04 |
| 167 | Live Oak County | 15.00 |
| 168 | Lampasas County | 14.98 |
| 169 | Wichita County | 14.94 |
| 170 | Ward County | 14.91 |
| 171 | Erath County | 14.89 |
| 172 | Taylor County | 14.78 |
| 173 | Cass County | 14.73 |
| 174 | Montgomery County | 14.71 |
| 175 | Bowie County | 14.66 |
| 176 | Lynn County | 14.59 |
| 177 | Irion County | 14.56 |
| 178 | Clay County | 14.42 |
| 179 | Walker County | 14.34 |
| 180 | Somervell County | 14.25 |
| 181 | Washington County | 14.20 |
| 182 | Chambers County | 14.15 |
| 183 | Dimmit County | 14.13 |
| 184 | Zavala County | 14.06 |
| 185 | McLennan County | 14.00 |
| 186 | Burleson County | 13.93 |
| 187 | Kaufman County | 13.90 |
| 187 | Medina County | 13.90 |
| 188 | Hays County | 13.89 |
| 189 | Bell County | 13.83 |
| 190 | Parker County | 13.77 |
| 191 | Hood County | 13.74 |
| 191 | Sabine County | 13.74 |
| 192 | Robertson County | 13.62 |
| 193 | Calhoun County | 13.58 |
| 194 | Lubbock County | 13.43 |
| 195 | Brazoria County | 13.37 |
| 196 | Coke County | 13.35 |
| 196 | Tom Green County | 13.35 |
| 197 | Runnels County | 13.33 |
| 198 | Galveston County | 13.17 |
| 199 | Wilson County | 13.01 |
| 200 | Brewster County | 12.66 |
| 201 | Coryell County | 12.64 |
| 202 | Cottle County | 12.63 |
| 203 | Wilbarger County | 12.59 |
| 204 | Mason County | 12.56 |
| 205 | Fisher County | 12.39 |
| 205 | Travis County | 12.39 |
| 206 | Kendall County | 12.37 |
| 207 | Hardeman County | 12.31 |
| 208 | Brazos County | 12.30 |
| 209 | Fort Bend County | 12.24 |
| 210 | Marion County | 12.15 |
| 211 | Garza County | 11.93 |
| 212 | Guadalupe County | 11.87 |
| 213 | Shackelford County | 11.69 |
| 214 | Fayette County | 11.67 |
| 215 | Freestone County | 11.62 |
| 216 | Morris County | 11.54 |
| 217 | Lavaca County | 11.43 |
| 218 | Goliad County | 11.28 |
| 219 | Comal County | 11.12 |
| 220 | Denton County | 10.89 |
| 221 | Terrell County | 10.62 |
| 222 | Collin County | 10.59 |
| 223 | Martin County | 10.51 |
| 224 | Carson County | 10.19 |
| 225 | Oldham County | 9.83 |
| 226 | Randall County | 9.67 |
| 227 | Williamson County | 9.56 |
| 228 | Delta County | 9.27 |
| 229 | Upton County | 8.86 |
| 230 | Rockwall County | 8.82 |
| 231 | Armstrong County | 8.47 |
| 232 | Concho County | 7.16 |
| 233 | Borden County | 5.46 |
| 234 | Kent County | 2.92 |
| 235 | Loving County | 0.00 |
Ranking of Texas Counties By Number of People With
NO Health Insurance Coverage in 2021
Items per page:
25
0 of 0
| Rank | County | Number of People |
|---|---|---|
| 1 | Harris County | 986977 |
| 2 | Dallas County | 552483 |
| 3 | Tarrant County | 348156 |
| 4 | Bexar County | 306100 |
| 5 | Hidalgo County | 264565 |
| 6 | El Paso County | 177706 |
| 7 | Travis County | 156161 |
| 8 | Cameron County | 119447 |
| 9 | Collin County | 109865 |
| 10 | Fort Bend County | 98134 |
| 11 | Denton County | 96068 |
| 12 | Montgomery County | 89053 |
| 13 | Webb County | 75760 |
| 14 | Nueces County | 64026 |
| 15 | Williamson County | 56289 |
| 16 | Jefferson County | 51233 |
| 17 | Brazoria County | 47678 |
| 18 | Bell County | 47434 |
| 19 | Galveston County | 45093 |
| 20 | Lubbock County | 40927 |
| 21 | Smith County | 39309 |
| 22 | McLennan County | 35569 |
| 23 | Ector County | 34653 |
| 24 | Hays County | 32371 |
| 25 | Ellis County | 30096 |
| 26 | Johnson County | 28439 |
| 27 | Brazos County | 27877 |
| 28 | Midland County | 26778 |
| 29 | Potter County | 24479 |
| 30 | Grayson County | 22339 |
| 31 | Starr County | 21980 |
| 32 | Gregg County | 21865 |
| 33 | Taylor County | 20114 |
| 34 | Liberty County | 20051 |
| 35 | Guadalupe County | 19815 |
| 36 | Parker County | 19748 |
| 37 | Kaufman County | 19320 |
| 38 | Wichita County | 17439 |
| 39 | Bastrop County | 17259 |
| 40 | Comal County | 17232 |
| 41 | Maverick County | 16510 |
| 42 | Angelina County | 16263 |
| 43 | Hunt County | 15932 |
| 44 | Tom Green County | 15260 |
| 45 | Victoria County | 15055 |
| 46 | Henderson County | 14847 |
| 47 | Orange County | 13980 |
| 48 | Randall County | 13380 |
| 49 | Bowie County | 12813 |
| 50 | Wise County | 11589 |
| 51 | San Patricio County | 11206 |
| 52 | Waller County | 10921 |
| 53 | Nacogdoches County | 10661 |
| 54 | Caldwell County | 10431 |
| 55 | Harrison County | 10379 |
| 56 | Navarro County | 10023 |
| 57 | Van Zandt County | 9997 |
| 58 | Cherokee County | 9926 |
| 59 | Val Verde County | 9563 |
| 60 | Kerr County | 9424 |
| 61 | Atascosa County | 9413 |
| 62 | Rockwall County | 9227 |
| 63 | Walker County | 9145 |
| 64 | Hardin County | 9140 |
| 65 | Lamar County | 8801 |
| 66 | Burnet County | 8640 |
| 67 | Hood County | 8226 |
| 68 | Polk County | 8130 |
| 69 | Coryell County | 7958 |
| 70 | Wharton County | 7840 |
| 71 | Anderson County | 7678 |
| 72 | Rusk County | 7416 |
| 73 | Jim Wells County | 7410 |
| 74 | Hale County | 7187 |
| 75 | Hopkins County | 7077 |
| 76 | Wood County | 6947 |
| 77 | Medina County | 6685 |
| 78 | Cooke County | 6676 |
| 79 | Matagorda County | 6605 |
| 80 | Upshur County | 6446 |
| 81 | Gaines County | 6423 |
| 82 | Chambers County | 6364 |
| 83 | Wilson County | 6340 |
| 84 | Jasper County | 6290 |
| 85 | Brown County | 6281 |
| 86 | Erath County | 6231 |
| 87 | Hill County | 5908 |
| 88 | Titus County | 5815 |
| 89 | Willacy County | 5619 |
| 90 | Fannin County | 5502 |
| 91 | Kendall County | 5377 |
| 92 | San Jacinto County | 5351 |
| 93 | Howard County | 5323 |
| 94 | Palo Pinto County | 5151 |
| 95 | Shelby County | 4958 |
| 96 | Washington County | 4935 |
| 97 | Gillespie County | 4862 |
| 98 | Uvalde County | 4615 |
| 99 | Austin County | 4608 |
| 100 | Kleberg County | 4568 |
| 101 | Panola County | 4323 |
| 102 | Deaf Smith County | 4302 |
| 103 | Andrews County | 4288 |
| 104 | Moore County | 4255 |
| 105 | Cass County | 4181 |
| 106 | Hockley County | 4108 |
| 107 | Gray County | 4104 |
| 108 | Grimes County | 4034 |
| 109 | Limestone County | 4023 |
| 110 | Gonzales County | 3945 |
| 111 | Hutchinson County | 3841 |
| 112 | Aransas County | 3819 |
| 113 | Bee County | 3720 |
| 114 | Milam County | 3678 |
| 115 | Zapata County | 3622 |
| 116 | Tyler County | 3369 |
| 117 | Llano County | 3353 |
| 118 | Colorado County | 3295 |
| 119 | Young County | 3247 |
| 120 | Bandera County | 3182 |
| 121 | Scurry County | 3179 |
| 122 | Lampasas County | 3159 |
| 123 | Lamb County | 3055 |
| 124 | Bosque County | 3027 |
| 125 | Eastland County | 3008 |
| 126 | Montague County | 2999 |
| 127 | Houston County | 2980 |
| 128 | DeWitt County | 2970 |
| 129 | Leon County | 2854 |
| 130 | Fayette County | 2812 |
| 131 | Lee County | 2808 |
| 132 | Calhoun County | 2736 |
| 133 | Newton County | 2675 |
| 134 | Reeves County | 2663 |
| 135 | Trinity County | 2624 |
| 136 | Nolan County | 2563 |
| 137 | Camp County | 2545 |
| 138 | Terry County | 2471 |
| 139 | Burleson County | 2443 |
| 140 | Falls County | 2428 |
| 141 | Frio County | 2414 |
| 142 | Pecos County | 2400 |
| 143 | Jackson County | 2393 |
| 144 | Lavaca County | 2276 |
| 145 | Robertson County | 2271 |
| 146 | Jones County | 2242 |
| 147 | Callahan County | 2237 |
| 148 | Bailey County | 2198 |
| 149 | Ochiltree County | 2183 |
| 150 | Comanche County | 2105 |
| 151 | Freestone County | 2103 |
| 152 | Rains County | 2102 |
| 153 | Dallam County | 2092 |
| 154 | Duval County | 2086 |
| 155 | Parmer County | 2084 |
| 156 | Yoakum County | 1903 |
| 157 | Coleman County | 1891 |
| 158 | Presidio County | 1854 |
| 159 | Red River County | 1851 |
| 160 | Karnes County | 1845 |
| 161 | Dawson County | 1791 |
| 162 | Madison County | 1766 |
| 163 | Blanco County | 1722 |
| 164 | Ward County | 1682 |
| 165 | Stephens County | 1679 |
| 166 | Winkler County | 1678 |
| 167 | Castro County | 1645 |
| 168 | Wilbarger County | 1571 |
| 169 | Franklin County | 1558 |
| 170 | Live Oak County | 1502 |
| 171 | McCulloch County | 1492 |
| 172 | Brooks County | 1475 |
| 173 | San Augustine County | 1472 |
| 174 | Clay County | 1465 |
| 175 | Archer County | 1442 |
| 176 | Jack County | 1402 |
| 177 | Swisher County | 1397 |
| 178 | Zavala County | 1378 |
| 179 | Morris County | 1368 |
| 180 | Sabine County | 1359 |
| 181 | Floyd County | 1296 |
| 182 | Runnels County | 1294 |
| 183 | Somervell County | 1285 |
| 184 | Hamilton County | 1279 |
| 185 | Mitchell County | 1273 |
| 186 | La Salle County | 1272 |
| 187 | Dimmit County | 1234 |
| 188 | Brewster County | 1193 |
| 189 | San Saba County | 1185 |
| 190 | Marion County | 1174 |
| 191 | Childress County | 1146 |
| 192 | Jim Hogg County | 1138 |
| 193 | Refugio County | 1101 |
| 194 | Crosby County | 1093 |
| 195 | Wheeler County | 1090 |
| 196 | Haskell County | 1015 |
| 197 | Hansford County | 849 |
| 198 | Lynn County | 807 |
| 199 | Goliad County | 791 |
| 200 | Crane County | 771 |
| 201 | Kimble County | 761 |
| 202 | Collingsworth County | 731 |
| 203 | Mills County | 717 |
| 204 | Hartley County | 712 |
| 205 | Schleicher County | 650 |
| 206 | Reagan County | 634 |
| 207 | Knox County | 629 |
| 208 | Hemphill County | 627 |
| 209 | Hall County | 626 |
| 210 | Real County | 622 |
| 211 | Culberson County | 617 |
| 212 | Baylor County | 615 |
| 213 | Carson County | 594 |
| 214 | Crockett County | 590 |
| 215 | Sutton County | 585 |
| 216 | Lipscomb County | 581 |
| 217 | Cochran County | 565 |
| 218 | Martin County | 544 |
| 219 | Kinney County | 526 |
| 220 | Donley County | 523 |
| 221 | Menard County | 520 |
| 222 | Garza County | 516 |
| 223 | Hudspeth County | 503 |
| 224 | Mason County | 495 |
| 225 | Delta County | 482 |
| 226 | Fisher County | 459 |
| 227 | Hardeman County | 438 |
| 228 | Coke County | 428 |
| 229 | Jeff Davis County | 411 |
| 230 | Sherman County | 399 |
| 231 | Sterling County | 369 |
| 232 | Shackelford County | 364 |
| 233 | Edwards County | 353 |
| 234 | Glasscock County | 340 |
| 235 | Briscoe County | 330 |
| 236 | Throckmorton County | 322 |
| 237 | Upton County | 291 |
| 238 | Dickens County | 255 |
| 239 | Motley County | 245 |
| 240 | Stonewall County | 226 |
| 241 | Irion County | 225 |
| 242 | Cottle County | 197 |
| 243 | Foard County | 178 |
| 244 | Oldham County | 177 |
| 245 | McMullen County | 176 |
| 246 | Concho County | 167 |
| 247 | Armstrong County | 163 |
| 248 | Roberts County | 117 |
| 249 | Terrell County | 104 |
| 250 | King County | 36 |
| 251 | Kenedy County | 35 |
| 252 | Borden County | 30 |
| 253 | Kent County | 17 |
| 254 | Loving County | 0 |