Best Healthcare Counties

Counties with the highest health scores — based on life expectancy, uninsured rates, and healthcare access.

Healthcare quality varies dramatically across American counties, and the differences directly impact life expectancy and quality of life. Our health score draws from CDC data and County Health Rankings, incorporating metrics like life expectancy at birth, percentage of residents without health insurance, preventable hospital stays, and access to primary care physicians. Top-ranking counties typically have university medical centers or major hospital systems, higher rates of employer-provided insurance, and more physicians per capita. Colorado, Minnesota, and Massachusetts counties consistently perform well, reflecting state-level investments in public health and insurance coverage. Conversely, counties in the Deep South and Appalachia face persistent health disparities driven by poverty, limited healthcare infrastructure, and higher rates of chronic disease. For anyone considering a move — especially retirees or families with ongoing medical needs — healthcare access should be a primary consideration.

Showing top 100 of 3144 counties with data

#CountyScoreTaxCostIncome
1Los Alamos County, New Mexico99.677.68.999.7
2Douglas County, Colorado99.180.70.899.8
3Nantucket County, Massachusetts99.199.70.598.5
4Carver County, Minnesota99.136.35.298.9
5Broomfield County, Colorado98.872.61.898.7
6Dallas County, Iowa98.815.19.796
7Middlesex County, Massachusetts98.834.20.899.1
8Howard County, Maryland98.726.41.199.8
9Washington County, Minnesota98.637.94.698.1
10Newport County, Rhode Island98.341.43.995.6
11Winneshiek County, Iowa98.227.144.578.1
12Norfolk County, Massachusetts9831.80.899.1
13Hunterdon County, New Jersey983.12.299.6
14Dodge County, Minnesota97.932.219.393
15Delaware County, Ohio97.88.55.399.3
16Dukes County, Massachusetts97.786.15.295.9
17Nassau County, New York97.712.10.399.8
18Ozaukee County, Wisconsin97.72313.794.6
19Marin County, California97.660.90.199.7
20Lower Connecticut River Valley Planning Region, Connecticut97.65.86.495.6
21Saratoga County, New York97.613.19.195.2
22San Francisco County, California97.565.10.299.7
23Olmsted County, Minnesota97.53212.293.2
24Washington County, Rhode Island97.534.17.896
25Addison County, Vermont97.47.312.291.1
26Dakota County, Minnesota97.238.25.996.5
27Putnam County, New York97.21.71.699.1
28Hamilton County, Indiana97.146.66.298.4
29Arlington County, Virginia9745.20.399.6
30Waukesha County, Wisconsin96.825.29.296.3
31San Mateo County, California96.672.90.199.9
32Goochland County, Virginia96.585.87.398.4
33Calumet County, Wisconsin96.51222.190.7
34Chittenden County, Vermont96.49.24.693.6
35Morris County, New Jersey96.35.11.499.5
36Bristol County, Rhode Island96.317.8697.7
37Somerset County, New Jersey96.241.399.5
38Barnstable County, Massachusetts96.1625.293.6
39Wabasha County, Minnesota96.13241.884
40Placer County, California9648.91.398.2
41Clinton County, Michigan9623.321.689.2
42Franklin County, Massachusetts95.912.314.872.9
43Loudoun County, Virginia95.946.40.3100
44Livingston County, Michigan95.83911.395.7
45Wright County, Minnesota95.838.29.596.7
46Monroe County, Illinois95.77.120.395.8
47Story County, Iowa95.714.121.364.2
48Rockingham County, New Hampshire95.78.93.498
49Washtenaw County, Michigan95.610.47.890.3
50Hampshire County, Massachusetts95.514.78.589.7
51Dane County, Wisconsin95.46.77.691
52St. Croix County, Wisconsin95.424.110.296
53Scott County, Minnesota95.333.3598.5
54Johnson County, Iowa95.210.214.876.9
55Westchester County, New York95.210.11.198.4
56Williamson County, Tennessee95.192.12.399.4
57Ouray County, Colorado94.89922.388.2
58Ottawa County, Michigan94.83417.690.2
59Washington County, Wisconsin94.825.714.494.1
60Sarpy County, Nebraska94.75.28.895.7
61Boulder County, Colorado94.682.42.596.1
62Gilpin County, Colorado94.699.57.391.4
63Nicollet County, Minnesota94.63025.884.2
64Tompkins County, New York94.51.210.574
65Montgomery County, Pennsylvania94.516.94.297.8
66King County, Washington94.5500.998.8
67Oldham County, Kentucky94.343.712.198.7
68Santa Clara County, California94.162.50.1100
69Anoka County, Minnesota94.141.78.295
70Loving County, Texas94.1N/AN/A16.8
71El Dorado County, California9462.83.296.6
72Oakland County, Michigan942010.194
73Washington County, Nebraska9413.92392.1
74Orange County, Vermont94616.480.4
75Ontario County, New York93.91.918.783.6
76Sherburne County, Minnesota93.838.411.796.2
77Madison County, Iowa93.710.723.991.8
78Johnson County, Kansas93.627.86.896.8
79Grundy County, Iowa93.533.249.687.4
80Steele County, Minnesota93.525.421.887.3
81Chester County, Pennsylvania93.519.3398.8
82Calvert County, Maryland93.447.1399.4
83Falls Church city, Virginia93.438.50.299.9
84Loup County, Nebraska93.353.478.239.5
85Chisago County, Minnesota93.229.813.194.8
86Hennepin County, Minnesota93.2286.194.4
87Dutchess County, New York93.23.64.694.7
88Bremer County, Iowa93.118.940.587.1
89Keweenaw County, Michigan9342.580.422.6
90Lincoln County, South Dakota92.926.510.894.5
91Jackson County, Minnesota92.844.269.366.2
92Iowa County, Wisconsin92.810.427.387.2
93Alameda County, California92.556.40.299
94DuPage County, Illinois92.52.44.197.6
95Union County, Ohio92.52311.497.4
96Albany County, New York92.44.211.387
97Monroe County, New York92.40.21776.4
98Lyon County, Iowa92.243.848.373.7
99Marion County, Iowa92.221.235.581.6
100Washington County, Vermont92.24.415.283.7

Data: U.S. Census ACS, FBI UCR, CDC, FEMA NRI, NCES, EPA SDWIS. Scores are 0-100 (higher is better).