ZIP code
18431
in Honesdale, PennsylvaniaPopulation 12,775
48.31/ 100
Ranked #18,537 of 32,066 US ZIPs (bottom 42%)
Ranked #1,060 of 1,748 Pennsylvania ZIPs (bottom 39%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
Some domains have limited local data — read this Score as directional
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Outpatient-care access
0.63 per 1,000 residents
in the top 4.9% nationally
Higher is healthier
ST95thUS95thDefinition & source ›
The number of outpatient clinics located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Grocery access
0.24 per 1,000 residents
in the top 5.4% nationally
Higher is healthier
ST93rdUS95thDefinition & source ›
The number of full supermarkets inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”
Full methodology ›Energy-cost burden
5.5%
in the top 5.1% nationally
Lower is healthier
ST92ndUS95thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Physician access
2 per 1,000 residents
in the top 7.3% nationally
Higher is healthier
ST91stUS93rdDefinition & source ›
The number of physicians’ offices located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Dental provider access
0.95 per 1,000 residents
in the top 7.6% nationally
Higher is healthier
ST93rdUS92ndDefinition & source ›
The number of dental offices located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Humid extreme heat
21.1 days/year
in the bottom 18% nationally
Lower is healthier
ST8thUS18thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Air-toxics cancer risk
20 per million
in the bottom 25% nationally
Lower is healthier
ST1stUS25thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›The read
On what the available sources can show, Honesdale, Pennsylvania (ZIP 18431) lands in the bottom 42% nationally (18,537th) and the bottom 39% of Pennsylvania (1,060th), based on limited data; treat as directional.
A number of the available measures point to this much: outpatient registers in the top 4.9% nationally, and grocery rests in the top 5.4% nationally. Distance to an emergency room stands at the national minimum, shared with about 11% of ZIPs. Physicians lies in the top 7.3% nationally, and dental providers lands in the top 7.6% nationally. Modeled extreme heat sits at the national minimum, shared with about 19% of ZIPs. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Pharmacy settles in the top 12.6% nationally. On the other hand, modeled energy burden resides in the top 5.1% nationally, and households without a vehicle registers in the top 12.6% nationally.
Read against the ZIPs closest to it, park land runs far higher than the surrounding ZIPs on this measure. To spell things out, energy burden is the share of household income that goes to home energy bills. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. Close by, ZIP 18405, just across the boundary, ranks healthier overall.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 74%
16%
Preventive CarePartial
healthier than 64%
15%
Climate / Disaster Risk
healthier than 86%
6%
Healthcare Access
in the top 0.00%
6%
Holding it back
Social Need / SDOH
healthier than 12%
19%
Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.
No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
18405
Pennsylvaniashares a border
Score 53.14
Closest healthier
18417
Pennsylvaniashares a border
Score 56.25
Similar health profile
25942
West Virginia98% similar profile
Score 46.91
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| All teeth lost among adults aged >=65 years | 15.8% | 12.8–19.4 |
PreventionCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Colorectal cancer screening among adults aged 45–75 years | 67.3% | 61.8–72.2 |
| Visited dentist or dental clinic in the past year among adults | 63.4% | 59.5–67.1 |
| Mammography use among women aged 50-74 years | 76.4% | 68.4–83.2 |
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Short sleep duration among adults | 38.6% | 31.4–46.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | PA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 12.7% | 10.6% (3.1–25.8%) n=32,364 | 9.3% (2.1–21.6%) n=1,759 |
| Uninsured 18–64 | 10.2% | 9.0% (1.5–24.3%) n=32,286 | 6.3% (0.0–16.6%) n=1,753 |
| No HS diploma (25+) | 8.7% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.1%) n=1,762 |
| Bachelor's or higher (25+) | 26.6% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (8.9–50.4%) n=1,762 |
| Unemployment rate (16+) | 5.4% | 3.9% (0.0–9.8%) n=32,274 | 3.9% (0.0–9.6%) n=1,755 |
| Households without a vehicle | 11.0% | 3.9% (0.0–12.5%) n=32,322 | 4.8% (0.0–15.6%) n=1,758 |
| Broadband subscription | 86.1% | 89.3% (75.1–97.1%) n=32,322 | 88.2% (75.7–97.3%) n=1,758 |
| Housing cost burden (≥30% income) | 30.9% | 23.7% (10.6–40.0%) n=32,322 | 21.9% (9.9–35.3%) n=1,758 |
| Homeownership rate | 71.6% | 78.7% (51.7–94.0%) n=32,322 | 80.1% (57.1–94.5%) n=1,758 |
| Crowded housing (>1 per room) | 1.3% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–3.3%) n=1,758 |
| Foreign-born population | 3.4% | 2.6% (0.0–18.6%) n=32,553 | 1.4% (0.0–10.2%) n=1,763 |
| Single-parent households | 49.0% | 53.6% (37.3–74.1%) n=32,087 | 56.3% (38.5–72.8%) n=1,744 |
| Population 65+ | 24.7% | 19.4% (10.8–33.6%) n=32,553 | 21.1% (12.3–31.4%) n=1,763 |
| Median age | 45.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 44.2 yr (33.9–55.5) n=1,752 |
| Median household income | $56,779 | $72,070 ($46,039–$118,707) n=30,318 | $71,250 ($50,880–$112,747) n=1,642 |
| Median home value | $230,200 | $222,200 ($100,300–$579,820) n=30,049 | $197,200 ($99,000–$382,120) n=1,649 |
| Median gross rent | $1,024 | $1,021 ($677–$1,912) n=25,670 | $983 ($701–$1,527) n=1,367 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | PA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 77.2 yr ± 0.90 | 78.9 yr (74.7–82.8) n=31,308 | 79.2 yr (76.0–82.0) n=1,730 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.90 years of 77.2, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured