Missing Millions · 2026 estimate

North Dakota is missing 24,300 lung cancer screenings.

About 1 in 10 adults ages 50 to 80 in North Dakota qualifies for lung cancer screening and hasn't been screened. Find your county below.

30,800adults qualify for screening under USPSTF 2021 criteria (estimate)
21.1%were screened, 15th of 51 (American Lung Association, 2025); 18.2% nationally
1,831low-dose CT screening scans billed to Medicare fee-for-service by North Dakota 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.

Cass County

4,500

missing lung cancer screenings (estimate)

  • Qualify for screening5,700
  • Adults 50 to 80 missing screening1 in 11
  • Medicare low-dose CT scans, 2024614
Open the Cass County page

Every North Dakota county, ranked

Ranked by estimated missing screenings. Select a column to sort.
1Cass County4,5005,7001 in 11614
2Burleigh County2,9003,7001 in 11474
3Ward County1,8002,3001 in 10359
4Grand Forks County1,6002,1001 in 11253
5Williams County1,2001,5001 in 812
6Morton County1,2001,5001 in 10119
7Stark County1,0001,3001 in 90
8Stutsman County8801,1001 in 80
9Rolette County6708401 in 50
10Richland County5807401 in 100
11Ramsey County4806101 in 80
12Walsh County4405601 in 90
13McLean County4305401 in 90
14Mountrail County4205301 in 70
15Barnes County4205301 in 100
16McKenzie County4105201 in 80
17Mercer County3804801 in 80
18Pembina County3003801 in 90
19Benson County2903601 in 60
20Traill County2603301 in 100
21Bottineau County2603301 in 100
22Sioux County2403001 in 40
23McHenry County2303001 in 80
24Ransom County2302901 in 90
25Wells County1802301 in 90
26Dickey County1802301 in 90
27LaMoure County1702201 in 90
28Pierce County1602001 in 90
29Sargent County1602001 in 90
30Emmons County1602001 in 90
31Dunn County1401801 in 90
32Cavalier County1301701 in 100
33Nelson County1301701 in 100
34Foster County1301701 in 100
35Grant County1201601 in 80
36McIntosh County1201501 in 80
37Adams County1101401 in 80
38Bowman County1101401 in 90
39Kidder County1101401 in 90
40Towner County1101401 in 80
41Hettinger County1101401 in 90
42Eddy County1101401 in 80
43Renville County1001201 in 90
44Griggs County901101 in 100
45Divide County801101 in 90
46Burke County801101 in 100
47Steele County801101 in 90
48Golden Valley County801001 in 80
49Logan County801001 in 90
50Oliver County801001 in 100
51Sheridan County60701 in 90
52Billings Countyfewer than 50fewer than 501 in 90
53Slope Countyfewer than 50fewer than 501 in 90

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.

Find my missing patients Explore your screening network