| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| GRAYSON (SHERMAN), TX-BRYAN, OK -HSA# 436 | 1,950 | 529,055 | 368.6 | 293.5 |
| MC LENNAN (WACO), TX-HILL, TX -HSA# 462 | 2,868 | 884,596 | 324.2 | 281.7 |
| NOLAN, TX-MITCHELL, TX -HSA# 503 | 321 | 88,814 | 361.4 | 265.6 |
| GALVESTON (GALVESTON), TX -HSA# 532 | 1,565 | 727,042 | 215.3 | 264.1 |
| ECTOR (ODESSA), TX-WARD, TX -HSA# 444 | 1,018 | 486,290 | 209.3 | 262.1 |
| MADISON, TX-LEON, TX -HSA# 501 | 269 | 78,430 | 343.0 | 260.7 |
| NACOGDOCHES, TX-SHELBY, TX -HSA# 447 | 909 | 292,689 | 310.6 | 260.0 |
| PALO PINTO, TX-JACK, TX -HSA# 479 | 329 | 98,713 | 333.3 | 258.6 |
| CHILDRESS, TX-HALL, TX -HSA# 512 | 167 | 39,828 | 419.3 | 257.3 |
| BELL (KILLEEN), TX-MILAM, TX -HSA# 452 | 1,833 | 1,011,248 | 181.3 | 255.3 |
| LAMAR, TX-RED RIVER, TX -HSA# 438 | 805 | 238,538 | 337.5 | 249.9 |
| VICTORIA (VICTORIA), TX-LAVACA, TX -HSA# 433 | 1,394 | 504,690 | 276.2 | 247.3 |
| HARRISON (MARSHALL), TX-CASS, TX -HSA# 485 | 843 | 302,196 | 279.0 | 243.6 |
| TARRANT (FORT WORTH), TX-JOHNSON, TX -HSA# 434 | 8,037 | 4,683,825 | 171.6 | 243.2 |
| SMITH (TYLER), TX-HENDERSON, TX -HSA# 441 | 2,653 | 930,233 | 285.2 | 242.3 |
| LEA, NM-ANDREWS, TX -HSA# 508 | 526 | 254,858 | 206.4 | 242.0 |
| TITUS, TX-CAMP, TX -HSA# 465 | 515 | 176,405 | 291.9 | 241.7 |
| BOWIE (TEXARKANA), TX-MILLER, AR -HSA# 404 | 1,939 | 721,066 | 268.9 | 239.5 |
| JEFFERSON (BEAUMONT), TX-ORANGE, TX -HSA# 413 | 3,245 | 1,326,664 | 244.6 | 238.8 |
| DENTON (DENTON), TX-COOKE, TX -HSA# 495 | 1,667 | 1,320,083 | 126.3 | 238.2 |
| WICHITA (WICHITA FALLS), TX-YOUNG, TX -HSA# 420 | 1,624 | 580,502 | 279.8 | 238.2 |
| TAYLOR (ABILENE), TX-JONES, TX -HSA# 428 | 1,628 | 578,008 | 281.7 | 238.1 |
| HOWARD, TX-GLASSCOCK, TX -HSA# 518 | 261 | 100,698 | 259.2 | 238.1 |
| WOODWARD, OK-ELLIS, OK -HSA# 469 | 325 | 103,480 | 314.1 | 237.8 |
| WILBARGER, TX-HARDEMAN, TX -HSA# 458 | 216 | 61,661 | 350.3 | 232.8 |
| BRAZORIA (LAKE JACKSON), TX-WHARTON, TX -HSA# 505 | 1,565 | 904,415 | 173.0 | 230.6 |
| BEXAR (SAN ANTONIO), TX-GUADALUPE, TX -HSA# 410 | 8,985 | 4,800,011 | 187.2 | 230.2 |
| MIDLAND (MIDLAND), TX-PECOS, TX -HSA# 492 | 794 | 429,989 | 184.7 | 229.8 |
| COLORADO, TX-FAYETTE, TX -HSA# 490 | 447 | 119,668 | 373.5 | 229.6 |
| NUECES (CORPUS CHRISTI), TX-SAN PATRICIO, TX -HSA# 437 | 2,901 | 1,526,472 | 190.0 | 228.0 |
| LUBBOCK (LUBBOCK), TX-LAMB, TX -HSA# 406 | 1,957 | 951,623 | 205.6 | 227.5 |
| DALLAS (DALLAS), TX-COLLIN, TX -HSA# 453 | 12,591 | 8,171,443 | 154.1 | 227.4 |
| TERRY, TX-YOAKUM, TX -HSA# 514 | 137 | 63,022 | 217.4 | 226.8 |
| HARRIS (HOUSTON), TX-MONTGOMERY, TX -HSA# 408 | 15,977 | 11,667,649 | 136.9 | 224.7 |
| NAVARRO, TX-FREESTONE, TX -HSA# 489 | 511 | 176,488 | 289.5 | 223.9 |
| DIMMIT, TX -HSA# 531 | 65 | 31,197 | 208.4 | 223.2 |
| POTTER (AMARILLO), TX-MOORE, TX -HSA# 405 | 1,853 | 908,928 | 203.9 | 219.9 |
| HALE, TX-FLOYD, TX -HSA# 481 | 336 | 159,246 | 211.0 | 217.9 |
| VAL VERDE, TX-MAVERICK, TX -HSA# 516 | 405 | 279,359 | 145.0 | 216.8 |
| ERATH, TX-COMANCHE, TX -HSA# 507 | 392 | 134,037 | 292.5 | 215.7 |
| GRAY, TX-WHEELER, TX -HSA# 460 | 303 | 100,661 | 301.0 | 215.2 |
| BEE, TX-KARNES, TX -HSA# 513 | 276 | 129,120 | 213.8 | 214.3 |
| GREGG (LONGVIEW), TX-RUSK, TX -HSA# 454 | 1,501 | 648,251 | 231.5 | 207.9 |
| DEAF SMITH, TX-PARMER, TX -HSA# 491 | 169 | 88,419 | 191.1 | 205.2 |
| CHEROKEE, TX-ANDERSON, TX -HSA# 509 | 808 | 350,204 | 230.7 | 203.6 |
| ANGELINA, TX-WALKER, TX -HSA# 449 | 1,195 | 572,249 | 208.8 | 199.3 |
| TOM GREEN (SAN ANGELO), TX-MC CULLOCH, TX -HSA# 426 | 1,018 | 451,237 | 225.6 | 198.3 |
| BROWN, TX-COLEMAN, TX -HSA# 468 | 473 | 170,563 | 277.3 | 189.7 |
| BRAZOS (BRYAN), TX-WASHINGTON, TX -HSA# 464 | 990 | 642,937 | 154.0 | 188.6 |
| HIDALGO (MCALLEN), TX-STARR, TX -HSA# 427 | 2,128 | 1,676,639 | 126.9 | 184.9 |
| COMAL (NEW BRAUNFELS), TX -HSA# 517 | 430 | 211,543 | 203.3 | 178.5 |
| TRAVIS (AUSTIN), TX-WILLIAMSON, TX -HSA# 425 | 3,470 | 3,034,742 | 114.3 | 177.0 |
| WEBB (LAREDO), TX-JIM HOGG, TX -HSA# 538 | 655 | 590,096 | 111.0 | 175.3 |
| COLLINGSWORTH, TX -HSA# 524 | 32 | 9,878 | 324.0 | 174.0 |
| UVALDE, TX -HSA# 536 | 131 | 76,056 | 172.2 | 172.7 |
| HAYS (SAN MARCOS), TX-CALDWELL, TX -HSA# 510 | 436 | 350,341 | 124.5 | 170.0 |
| CAMERON (BROWNSVILLE), TX-WILLACY, TX -HSA# 520 | 1,292 | 1,011,710 | 127.7 | 165.5 |
| EL PASO (EL PASO), TX-CULBERSON, TX -HSA# 415 | 2,337 | 2,073,185 | 112.7 | 163.9 |
| SCURRY, TX -HSA# 519 | 98 | 54,381 | 180.2 | 163.3 |
| KERR, TX-GILLESPIE, TX -HSA# 506 | 710 | 251,827 | 281.9 | 150.5 |
| BREWSTER, TX-JEFF DAVIS, TX -HSA# 526 | 92 | 58,349 | 157.7 | 140.6 |
