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ZipVitals

How Alabama's ZIP codes measure up on health

The ZipVitals Score across Alabama — built one ZIP code at a time, then rolled up to the state by resident population.

Data release 2026619 of 637 ZIP codes scored · 5.1M residents represented

Score snapshot

47.11Statewide ZipVitals Scorepopulation-weighted average of its ZIP codes
42.60Median scoremiddle of 619 scored ZIPs
70.98Highest score35223 · Mountain Brook
19.86Lowest score36723 · Boykin
51.11Spreadpoints between highest & lowest ZIP

People & national context

#44State rankof 51 states and equivalents with a computed score
74%Residents in below-average ZIPs3.8M of 5.1M, in ZIPs scoring under the national average (53.48)
1.1MResidents in the top 50 ZIPs21% of the state
0.25MResidents in the bottom 50 ZIPs5% of the state
0ZIPs in the national top 100

Alabama's ZIP codes, ranked

Highest-scoring

Top 50 of 619
  1. 135223in Mountain Brook · 10,666 residents70.98
  2. 235213in Mountain Brook · 15,603 residents69.22
  3. 335243in Vestavia Hills · 18,176 residents66.66
  4. 435226in Hoover · 38,588 residents65.72
  5. 535242in Hoover · 57,374 residents65.35
  6. 635758in Madison · 50,266 residents64.08
  7. 735763in Owens Cross Roads · 19,819 residents63.98
  8. 835406in Tuscaloosa · 18,904 residents63.88
  9. 935244in Hoover · 38,217 residents63.74
  10. 1035756in Madison · 24,947 residents63.59
  11. 1135757in Madison · 18,529 residents63.26
  12. 1236064in Pike Road · 14,103 residents62.39
  13. 1335741in Brownsboro · 4,571 residents62.17
  14. 1435080in Helena · 20,251 residents61.80
  15. 1535824in Huntsville · 9,645 residents61.74
  16. 1636013in Cecil · 245 residents61.22
  17. 1735803in Huntsville · 29,197 residents60.90
  18. 1836561in Orange Beach · 9,528 residents60.68
  19. 1935209in Homewood · 32,734 residents60.63
  20. 2036526in Daphne · 36,484 residents60.61
  21. 2135801in Huntsville · 23,357 residents60.49
  22. 2235173in Trussville · 31,603 residents60.38
  23. 2335124in Pelham · 25,238 residents60.33
  24. 2435043in Chelsea · 15,837 residents60.17
  25. 2536115in Montgomery · 1,255 residents60.14
  26. 2635802in Huntsville · 23,858 residents59.82
  27. 2735229in Homewood · 2,792 residents59.74
  28. 2836528in Dauphin Island · 1,852 residents59.66
  29. 2935806in Huntsville · 29,161 residents59.63
  30. 3036879in Waverly · 2,826 residents59.30
  31. 3136532in Fairhope · 38,108 residents59.23
  32. 3236527in Spanish Fort · 21,765 residents59.07
  33. 3335233in Birmingham · 3,570 residents59.07
  34. 3435210in Irondale · 13,775 residents59.07
  35. 3535216in Vestavia Hills · 34,327 residents58.83
  36. 3635649in Mooresville · 81 residents58.77
  37. 3736093in Wetumpka · 11,410 residents58.56
  38. 3835222in Birmingham · 8,361 residents58.51
  39. 3935007in Alabaster · 28,586 residents58.47
  40. 4035205in Birmingham · 18,858 residents58.38
  41. 4136559in Montrose · 221 residents58.24
  42. 4236830in Auburn · 49,292 residents58.07
  43. 4336066in Prattville · 22,632 residents57.69
  44. 4436695in Mobile · 52,690 residents57.41
  45. 4535114in Maylene · 7,922 residents57.20
  46. 4636117in Montgomery · 53,172 residents57.00
  47. 4736542in Gulf Shores · 18,906 residents56.97
  48. 4835749in Harvest · 30,710 residents56.90
  49. 4935759in Meridianville · 14,103 residents56.72
  50. 5036305in Dothan · 17,610 residents56.53
Open the full Alabama ranking →One page, all 619 scored ZIPs — sortable by score, residents, or place

What the distribution shows

Across Alabama’s 637 ZIP codes, the ZipVitals Score spans a wide range. 619 of them carry enough measured coverage across all nine health domains to enter the population-weighted composite above; the rest are held out rather than filled from a coarser geography.

Assembled from the same ZIP-level data as every per-ZIP page. Read the full method →

Where Alabama stands, domain by domain

The ZipVitals Score above combines nine domains of health into one number. This is where Alabama's ZIP codes sit against ZIP codes across the country on each of them, weighted by how many residents live in each one — strongest at the top.

Strongest domain

Healthcare Access · 66th

Weighted by residents, this state’s ZIP codes sit around the 66th percentile of US ZIP codes here — its highest of the nine scoring domains.

Weakest domain

Climate / Disaster Risk · 31st

Weighted by residents, this state’s ZIP codes sit around the 31st percentile of US ZIP codes here — its lowest of the nine scoring domains.

Healthcare Access66
Preventive Care54
Social Need / SDOH43
Mental Health43
Environmental Hazard42
Risk Behavior41
Chronic Disease Burden41
Disability38
Climate / Disaster Risk31

Read each bar as a national percentile from 0 to 100. The dark line marks the national median: a bar past it means Alabama's ZIP codes typically place above most ZIP codes in the country on that domain. A domain Alabama cannot place honestly is shown greyed as "Not enough data" rather than given a number.

Each figure is the population-weighted average of this state's ZIP codes' standing on that domain, compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes. A ZIP code counts toward a domain only if it carries enough measured data on it and enough of Alabama's residents live in the ZIP codes that do; the rest are held out rather than filled in from a coarser geography. Read the full method →

Why this matters

The ZipVitals Score combines nine domains of health — from chronic disease and preventive care to environmental hazard, social need, and healthcare access — into one 0–100 index for each ZIP code, computed the same way everywhere from public federal and academic data. The Alabama figures on this page are population-weighted rollups of those per-ZIP scores, so they describe Alabama's residents rather than a coarser geography relabeled as the state.

A high score describes favorable documented conditions; it is not a claim about individual residents, and it does not capture everything that shapes a community's health. Where a ZIP code scores low, that pattern reflects structural conditions — investment, environment, and access — far more than the choices of the people who live there.