| | 1994-96 | Rate/100,000 |
| Name | Deaths | Population | Crude | Age Adjusted |
| GALVESTON (GALVESTON), TX | 1,643 | 744,799 | 220.6 | 296.9 |
| BELL (KILLEEN), TX - MILAM, TX | 2,097 | 1,058,521 | 198.1 | 289.8 |
| PALO PINTO, TX - JACK, TX | 374 | 100,028 | 373.9 | 289.3 |
| GRAYSON (SHERMAN), TX - BRYAN, OK | 1,950 | 534,678 | 364.7 | 286.3 |
| ECTOR (ODESSA), TX - WARD, TX | 971 | 510,714 | 190.1 | 279.8 |
| MIDLAND (MIDLAND), TX - PECOS, TX | 802 | 441,691 | 181.6 | 270.1 |
| MC LENNAN (WACO), TX - HILL, TX | 2,795 | 907,525 | 308.0 | 266.2 |
| WOODWARD, OK - ELLIS, OK | 355 | 108,274 | 327.9 | 265.5 |
| WICHITA (WICHITA FALLS), TX - YOUNG, TX | 1,783 | 597,228 | 298.5 | 264.2 |
| WILBARGER, TX - HARDEMAN, TX | 260 | 65,103 | 399.4 | 262.9 |
| TAYLOR (ABILENE), TX - JONES, TX | 1,766 | 601,366 | 293.7 | 258.5 |
| TARRANT (FORT WORTH), TX - JOHNSON, TX | 7,920 | 4,709,889 | 168.2 | 257.2 |
| TITUS, TX - CAMP, TX | 563 | 181,240 | 310.6 | 257.0 |
| BRAZORIA (LAKE JACKSON), TX - WHARTON, TX | 1,585 | 924,425 | 171.5 | 257.0 |
| LEA, NM - ANDREWS, TX | 506 | 268,716 | 188.3 | 254.9 |
| HARRISON (MARSHALL), TX - CASS, TX | 894 | 309,383 | 289.0 | 254.7 |
| TERRY, TX - YOAKUM, TX | 136 | 66,682 | 204.0 | 252.7 |
| GRAY, TX - WHEELER, TX | 342 | 103,798 | 329.5 | 252.0 |
| NACOGDOCHES, TX - SHELBY, TX | 874 | 302,765 | 288.7 | 249.8 |
| NOLAN, TX - MITCHELL, TX | 306 | 92,142 | 332.1 | 248.4 |
| DALLAS (DALLAS), TX - COLLIN, TX | 12,708 | 8,265,473 | 153.7 | 246.5 |
| SMITH (TYLER), TX - HENDERSON, TX | 2,590 | 939,033 | 275.8 | 246.0 |
| VICTORIA (VICTORIA), TX - LAVACA, TX | 1,334 | 522,305 | 255.4 | 244.9 |
| HARRIS (HOUSTON), TX - MONTGOMERY, TX | 15,553 | 11,870,403 | 131.0 | 243.2 |
| DENTON (DENTON), TX - COOKE, TX | 1,584 | 1,271,063 | 124.6 | 243.2 |
| POTTER (AMARILLO), TX - MOORE, TX | 2,038 | 942,468 | 216.2 | 242.0 |
| BOWIE (TEXARKANA), TX - MILLER, AR | 1,932 | 752,889 | 256.6 | 237.8 |
| NUECES (CORPUS CHRISTI), TX - SAN PATRICIO, TX | 2,883 | 1,579,037 | 182.6 | 237.5 |
| CHILDRESS, TX - HALL, TX | 169 | 40,533 | 416.9 | 237.0 |
| HALE, TX - FLOYD, TX | 355 | 166,384 | 213.4 | 236.9 |
| HOWARD, TX - GLASSCOCK, TX | 258 | 105,667 | 244.2 | 236.8 |
| BEXAR (SAN ANTONIO), TX - GUADALUPE, TX | 8,531 | 4,872,468 | 175.1 | 234.8 |
| LUBBOCK (LUBBOCK), TX - LAMB, TX | 1,929 | 1,002,461 | 192.4 | 233.5 |
| LAMAR, TX - RED RIVER, TX | 792 | 247,102 | 320.5 | 231.6 |
| SCURRY, TX | 127 | 56,792 | 223.6 | 228.2 |
| JEFFERSON (BEAUMONT), TX - ORANGE, TX | 3,016 | 1,379,782 | 218.6 | 228.2 |
| BEE, TX - KARNES, TX | 261 | 123,522 | 211.3 | 217.5 |
| VAL VERDE, TX - MAVERICK, TX | 407 | 291,371 | 139.7 | 216.9 |
| MADISON, TX - LEON, TX | 218 | 79,275 | 275.0 | 215.2 |
| DEAF SMITH, TX - PARMER, TX | 167 | 93,820 | 178.0 | 211.9 |
| DIMMIT, TX | 59 | 32,975 | 178.9 | 211.9 |
| COLORADO, TX - FAYETTE, TX | 420 | 123,736 | 339.4 | 210.7 |
| ANGELINA, TX - WALKER, TX | 1,168 | 570,153 | 204.9 | 208.8 |
| GREGG (LONGVIEW), TX - RUSK, TX | 1,480 | 663,534 | 223.0 | 205.3 |
| NAVARRO, TX - FREESTONE, TX | 489 | 181,223 | 269.8 | 203.8 |
| ERATH, TX - COMANCHE, TX | 393 | 136,701 | 287.5 | 198.8 |
| COMAL (NEW BRAUNFELS), TX | 441 | 200,210 | 220.3 | 198.6 |
| CHEROKEE, TX - ANDERSON, TX | 811 | 357,752 | 226.7 | 197.2 |
| BROWN, TX - COLEMAN, TX | 509 | 175,953 | 289.3 | 192.7 |
| COLLINGSWORTH, TX | 36 | 10,452 | 344.4 | 189.7 |
| BRAZOS (BRYAN), TX - WASHINGTON, TX | 981 | 660,438 | 148.5 | 189.1 |
| EL PASO (EL PASO), TX - CULBERSON, TX | 2,337 | 2,188,867 | 106.8 | 187.1 |
| TOM GREEN (SAN ANGELO), TX - MC CULLOCH, TX | 919 | 465,577 | 197.4 | 183.0 |
| KERR, TX - GILLESPIE, TX | 719 | 250,306 | 287.2 | 175.3 |
| UVALDE, TX | 128 | 78,456 | 163.1 | 174.3 |
| TRAVIS (AUSTIN), TX - WILLIAMSON, TX | 3,249 | 2,991,531 | 108.6 | 171.5 |
| HIDALGO (MCALLEN), TX - STARR, TX | 1,871 | 1,732,566 | 108.0 | 171.3 |
| HAYS (SAN MARCOS), TX - CALDWELL, TX | 405 | 337,167 | 120.1 | 163.9 |
| WEBB (LAREDO), TX - JIM HOGG, TX | 607 | 611,755 | 99.2 | 162.7 |
| CAMERON (BROWNSVILLE), TX - WILLACY, TX | 1,085 | 1,053,591 | 103.0 | 148.2 |
| BREWSTER, TX - JEFF DAVIS, TX | 81 | 59,025 | 137.2 | 133.2 |
