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US Counties With the Lowest Emergency Room Visits per 1,000 Medicare Enrollees

3,141 US counties ranked by emergency room visits per 1,000 Medicare enrollees, from lowest to highest. First are Kusilvak Census Area, AK (54.6), Dillingham Census Area, AK (63.7) and Bethel Census Area, AK (68.3). The middle one of the 3,141 has 601.

What this measures

Emergency room visits in a year for every 1,000 people in traditional Medicare. It counts visits that ended with a hospital stay and visits where the patient went home. It leaves out people in private Medicare Advantage plans. Source: CMS Medicare Geographic Variation Public Use File.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 lowest counties

RankCountyvisits per 1,000 enrollees
1Kusilvak Census Area, AK54.6
2Dillingham Census Area, AK63.7
3Bethel Census Area, AK68.3
4Aleutians West Census Area, AK89.7
5Sitka City and Borough, AK96.7
6Yakutat City and Borough, AK125
7Northwest Arctic Borough, AK172
8Skagway Municipality, AK173
9Lake and Peninsula Borough, AK174
10North Slope Borough, AK174
11Prince of Wales-Hyder Census Area, AK179
12Aleutians East Borough, AK180
13Wrangell City and Borough, AK180
14Bristol Bay Borough, AK189
15Haines Borough, AK218
16San Miguel County, CO219
17Washington County, TX232
18Fremont County, CO235
19Hayes County, NE241
20Harding County, SD244
21Hoonah-Angoon Census Area, AK247
22Ziebach County, SD258
23Rock County, NE259
24Sublette County, WY266
25Nye County, NV280
26Yancey County, NC281
27Ouray County, CO286
28Camas County, ID286
29Santa Cruz County, AZ287
30Copper River Census Area, AK292
31Mitchell County, NC294
32Wayne County, UT303
33Roberts County, TX304
34Hudspeth County, TX308
35Southeast Fairbanks Census Area, AK311
36Thayer County, NE311
37Gilpin County, CO315
38Sanborn County, SD319
39Boise County, ID320
40Summit County, CO321
41Kent County, TX321
42Powder River County, MT330
43Douglas County, SD333
44Denali Borough, AK335
45Custer County, CO335
46Camp County, TX337
47Holt County, NE344
48Custer County, ID346
49Cedar County, NE348
50Issaquena County, MS348
51Dewey County, SD349
52Perkins County, SD350
53Park County, CO351
54Greeley County, NE353
55Judith Basin County, MT353
56McKinley County, NM354
57Torrance County, NM355
58Jefferson County, MT358
59Jackson County, CO358
60Golden Valley County, MT358
61Butler County, NE359
62Eagle County, CO359
63Sully County, SD361
64Boyd County, NE362
65Meagher County, MT363
66Macon County, NC364
67Hanson County, SD366
68Liberty County, GA368
69Oldham County, TX369
70Jones County, SD370
71Pawnee County, NE370
72Hinsdale County, CO371
73Hettinger County, ND373
74Aurora County, SD376
75Wheeler County, NE377
76Clear Creek County, CO378
77Brown County, NE381
78Treasure County, MT382
79Leelanau County, MI382
80Stanton County, NE383
81Routt County, CO384
82Saguache County, CO387
83Columbia County, GA387
84Frontier County, NE387
85Petersburg Borough, AK387
86Sioux County, ND391
87Buncombe County, NC391
88Warren County, IA393
89Howard County, MD393
90Teton County, WY393
91Garfield County, NE394
92Meade County, SD395
93Grant County, NE396
94Carbon County, MT396
95Rich County, UT397
96McCook County, SD398
97Deuel County, SD398
98Esmeralda County, NV398
99Mellette County, SD399
100Madison County, NC400

Every state, lowest first

Each state’s own published figure, not an average of its counties.

RankStatevisits per 1,000 enrollees
1Puerto Rico379
2South Dakota469
3Hawaii491
4Nebraska504
5Idaho505
6Montana507
7Arizona519
8Utah521
9Wyoming532
10Colorado533
11Tennessee538
12Iowa538
13Alaska540
14North Dakota542
15Delaware549
16Maryland553
17Washington554
18New Mexico558
19New Jersey558
20Pennsylvania559
21Georgia559
22Kansas559
23South Carolina560
24Oregon563
25Rhode Island564
26North Carolina565
27New York568
28California571
29Texas580
30New Hampshire585
31Virginia585
32Nevada590
33Arkansas591
34Alabama597
35Missouri606
36Illinois607
37Ohio610
38Florida612
39Indiana619
40Kentucky626
41Massachusetts632
42Mississippi632
43Wisconsin634
44Michigan640
45Louisiana652
46Minnesota656
47Vermont657
48Oklahoma661
49District of Columbia676
50Maine678
51West Virginia683
52Connecticut698

More on emergency room visits per 1,000 Medicare enrollees

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.