Missing Millions · 2026 estimate

Alabama is missing 206,900 lung cancer screenings.

About 1 in 9 adults ages 50 to 80 in Alabama qualifies for lung cancer screening and hasn't been screened. Find your county below.

266,000adults qualify for screening under USPSTF 2021 criteria (estimate)
22.2%were screened, 10th of 51 (American Lung Association, 2025); 18.2% nationally
4,721low-dose CT screening scans billed to Medicare fee-for-service by Alabama providers in 2024

Sources: U.S. Census Bureau Population Estimates 2025; CDC PLACES 2025; USPSTF 2021; American Lung Association, State of Lung Cancer 2025; CMS Medicare Physician and Other Practitioners 2024 (CPT 71271). Modeled estimates; see methodology below.

The gap, county by county

Shade shows how many adults ages 50 to 80 are missing screening. Select a county.

Jefferson County

22,600

missing lung cancer screenings (estimate)

  • Qualify for screening29,000
  • Adults 50 to 80 missing screening1 in 9
  • Medicare low-dose CT scans, 20241,364
Open the Jefferson County page

Every Alabama county, ranked

Ranked by estimated missing screenings. Select a column to sort.
1Jefferson County22,60029,0001 in 91,364
2Mobile County16,20020,9001 in 8531
3Madison County12,40015,9001 in 11881
4Baldwin County10,40013,4001 in 1062
5Montgomery County8,00010,3001 in 9682
6Tuscaloosa County7,0009,0001 in 10210
7Shelby County6,5008,3001 in 1285
8Morgan County5,4007,0001 in 80
9Lee County5,3006,8001 in 1087
10Etowah County5,2006,7001 in 7124
11Calhoun County4,9006,4001 in 890
12Houston County4,8006,1001 in 8248
13Limestone County4,4005,7001 in 90
14Marshall County4,3005,5001 in 872
15Cullman County4,2005,4001 in 811
16Talladega County4,2005,4001 in 70
17St. Clair County4,0005,2001 in 90
18DeKalb County3,8004,9001 in 723
19Elmore County3,8004,9001 in 90
20Lauderdale County3,7004,8001 in 996
21Walker County3,3004,3001 in 731
22Jackson County3,0003,9001 in 70
23Blount County2,7003,5001 in 80
24Colbert County2,7003,4001 in 854
25Russell County2,7003,4001 in 70
26Coffee County2,4003,0001 in 80
27Autauga County2,3002,9001 in 90
28Dale County2,3002,9001 in 744
29Tallapoosa County2,2002,8001 in 826
30Escambia County2,1002,7001 in 60
31Chilton County2,1002,7001 in 80
32Dallas County2,0002,6001 in 70
33Covington County1,9002,5001 in 70
34Lawrence County1,8002,3001 in 70
35Chambers County1,8002,3001 in 70
36Marion County1,6002,0001 in 70
37Franklin County1,5002,0001 in 70
38Cherokee County1,5002,0001 in 70
39Geneva County1,5002,0001 in 70
40Barbour County1,4001,9001 in 60
41Winston County1,4001,9001 in 70
42Randolph County1,2001,5001 in 80
43Bibb County1,2001,5001 in 70
44Pike County1,1001,5001 in 90
45Clarke County1,1001,5001 in 70
46Monroe County1,1001,4001 in 70
47Butler County9801,3001 in 70
48Pickens County9601,2001 in 70
49Marengo County9401,2001 in 70
50Henry County9401,2001 in 80
51Fayette County8701,1001 in 70
52Macon County8201,0001 in 80
53Cleburne County8101,0001 in 70
54Clay County8001,0001 in 70
55Hale County7801,0001 in 70
56Washington County7709901 in 80
57Lamar County7609801 in 70
58Conecuh County7309401 in 60
59Choctaw County7209201 in 70
60Crenshaw County6808701 in 70
61Bullock County6608501 in 50
62Lowndes County6508401 in 60
63Coosa County6408201 in 70
64Wilcox County6408201 in 60
65Sumter County5206601 in 80
66Greene County4806201 in 60
67Perry County4706101 in 60

Methodology

How we estimate the gap

A modeled estimate from public data only. It is not a count of patients and contains no patient information.

missing = adults 50 to 80 × county smoking rate × national eligibility factor × (1 − state screening rate)

  • Adults 50 to 80: U.S. Census Bureau, Population Estimates, Vintage 2025
  • Smoking: CDC PLACES 2025 release (Kentucky and Pennsylvania: 2024 release)
  • Eligibility: USPSTF 2021 criteria, scaled to about 14.5 million eligible adults nationally
  • Screening rates: American Lung Association, State of Lung Cancer 2025
  • Who is missing: Census population estimates (age) and American Community Survey 2020 to 2024 (language)
  • Screening activity: CMS Medicare fee-for-service claims for low-dose CT (CPT 71271), 2024, by provider location

Estimates under 50 are shown as "fewer than 50"; others are rounded. Full methodology

Many of them are already your patients.

Oatmeal Health helps health systems and community health centers find, navigate, and screen the people who qualify, alongside the care teams you already have.

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