| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| DYER, TN-LAUDERDALE, TN -HSA# 248 | 8 | 206,252 | 3.9 | 3.8 | UNSTABLE |
| BEDFORD, TN -HSA# 260 | 4 | 102,545 | 3.9 | 3.7 | UNSTABLE |
| MONTGOMERY (CLARKSVILLE), TN-HOUSTON, TN -HSA# 234 | 13 | 429,561 | 3.0 | 3.4 | UNSTABLE |
| BELL, KY-CLAIBORNE, TN -HSA# 96 | 9 | 281,713 | 3.2 | 3.3 | UNSTABLE |
| HAMBLEN (MORRI), TN-JEFFERSON, TN -HSA# 217 | 11 | 365,870 | 3.0 | 3.1 | UNSTABLE |
| MADISON (JACKSON), TN-GIBSON, TN -HSA# 188 | 24 | 718,938 | 3.3 | 2.9 |
| SHELBY (MEMPHIS), TN-PANOLA, MS -HSA# 146 | 90 | 3,414,127 | 2.6 | 2.7 |
| LAWRENCE, TN-WAYNE, TN -HSA# 232 | 5 | 188,497 | 2.7 | 2.5 | UNSTABLE |
| WASHINGTON (JOHNSON CITY), TN-CARTER, TN -HSA# 169 | 14 | 514,411 | 2.7 | 2.5 | UNSTABLE |
| BRADLEY, TN-GILMER, GA -HSA# 173 | 9 | 397,555 | 2.3 | 2.3 | UNSTABLE |
| DAVIDSON (NASHVILLE-DAVIDSON), TN-DICKSON, TN -HSA# 148 | 51 | 2,428,583 | 2.1 | 2.2 |
| SULLIVAN (KINGSPORT), TN-WASHINGTON, VA -HSA# 151 | 26 | 1,049,398 | 2.5 | 2.2 |
| PUTNAM, TN-OVERTON, TN -HSA# 215 | 8 | 363,198 | 2.2 | 2.0 | UNSTABLE |
| HAMILTON (CHATTANOOGA), TN-CATOOSA, GA -HSA# 141 | 28 | 1,372,233 | 2.0 | 2.0 |
| CUMBERLAND, TN-FENTRESS, TN -HSA# 223 | 4 | 208,774 | 1.9 | 1.9 | UNSTABLE |
| RUTHERFORD (MURFREESBORO), TN-WARREN, TN -HSA# 211 | 10 | 685,352 | 1.5 | 1.7 | UNSTABLE |
| GREENE, TN-COCKE, TN -HSA# 252 | 5 | 272,667 | 1.8 | 1.7 | UNSTABLE |
| MAURY, TN-GILES, TN -HSA# 208 | 6 | 399,654 | 1.5 | 1.5 | UNSTABLE |
| MADISON (HUNTSVILLE), AL-JACKSON, AL -HSA# 210 | 15 | 1,244,561 | 1.2 | 1.4 | UNSTABLE |
| KNOX (KNOXVILLE), TN-BLOUNT, TN -HSA# 147 | 27 | 2,037,799 | 1.3 | 1.3 |
| SUMNER (HENDERSONVILLE), TN-WILSON, TN -HSA# 231 | 9 | 731,336 | 1.2 | 1.3 | UNSTABLE |
| HARDIN, TN-MC NAIRY, TN -HSA# 245 | 2 | 145,547 | 1.4 | 1.3 | UNSTABLE |
| WATAUGA, NC-ASHE, NC -HSA# 194 | 3 | 243,329 | 1.2 | 1.1 | UNSTABLE |
| OBION, TN-WEAKLEY, TN -HSA# 181 | 3 | 217,388 | 1.4 | 1.1 | UNSTABLE |
| ANDERSON (OAK RIDGE), TN-ROANE, TN -HSA# 226 | 7 | 614,642 | 1.1 | 1.0 | UNSTABLE |
| CALLOWAY, KY-CARROLL, TN -HSA# 115 | 4 | 323,954 | 1.2 | 1.0 | UNSTABLE |
| COFFEE, TN-FRANKLIN, TN -HSA# 239 | 3 | 305,231 | 1.0 | 0.9 | UNSTABLE |
| SCOTT, TN -HSA# 263 | 0 | 59,486 | 0.0 | 0.0 | UNSTABLE |
