How Missouri's ZIP codes measure up on health

Name: Missouri health by ZIP code — ZipVitals Score rollup
Creator: ZipVitals
License: https://creativecommons.org/licenses/by/4.0/

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

Data release 2026993 of 1,018 ZIP codes scored · 6.2M residents represented

Open the full ranking →Download the data (CSV)How the Score works

Score snapshot

48.27Statewide ZipVitals Scorepopulation-weighted average of its ZIP codes

43.75Median scoremiddle of 993 scored ZIPs

69.05Highest score63005 · Chesterfield

19.04Lowest score63851 · Hayti

50.01Spreadpoints between highest & lowest ZIP

People & national context

#43State rankof 51 states and equivalents with a computed score

70%Residents in below-average ZIPs4.3M of 6.2M, in ZIPs scoring under the national average (53.48)

0.91MResidents in the top 50 ZIPs15% of the state

0.25MResidents in the bottom 50 ZIPs4% of the state

0ZIPs in the national top 100—

Missouri's ZIP codes, ranked

Highest-scoring

Top 50 of 993

Open the full Missouri ranking →One page, all 993 scored ZIPs — sortable by score, residents, or place

What the distribution shows

Across Missouri’s 1,018 ZIP codes, the ZipVitals Score spans a wide range. 993 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 Missouri stands, domain by domain

The ZipVitals Score above combines nine domains of health into one number. This is where Missouri'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 · 74th

Weighted by residents, this state’s ZIP codes sit around the 74th percentile of US ZIP codes here — its highest of the nine scoring domains.

Weakest domain

Environmental Hazard · 33rd

Weighted by residents, this state’s ZIP codes sit around the 33rd percentile of US ZIP codes here — its lowest of the nine scoring domains.

Healthcare Access74

Social Need / SDOH58

Chronic Disease Burden53

Preventive Care44

Disability43

Risk Behavior36

Mental Health35

Climate / Disaster Risk35

Environmental Hazard33

Read each bar as a national percentile from 0 to 100. The dark line marks the national median: a bar past it means Missouri's ZIP codes typically place above most ZIP codes in the country on that domain. A domain Missouri 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 Missouri'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 Missouri figures on this page are population-weighted rollups of those per-ZIP scores, so they describe Missouri'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.