ZIP code
22645
in Middletown, VirginiaPopulation 4,639
53.82/ 100
Ranked #10,930 of 32,066 US ZIPs (top 34%)
Ranked #308 of 873 Virginia ZIPs (top 35%)
Ranked #8 of 27 Winchester, VA-WV ZIPs (top 30%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
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.
Distance to a Superfund site
1.9 mi
in the bottom 10.6% nationally
Higher is healthier
ST10thUS11thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Radon
2.9 pCi/L
in the top 12.5% nationally
Lower is healthier
ST99thUS88thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›The read
Judged by its overall standing, Middletown, Virginia (ZIP 22645) sits in the top 34% healthiest ZIPs nationally (10,930th) and the top 35% of Virginia (308th).
The measures that most flatter this area set the tone for the rest: unemployment is in the bottom 19% nationally, subsidized affordable housing lies in the top 19% nationally, and modeled arsenic registers in the bottom 21% nationally. Modeled energy burden is in the bottom 21% nationally. Against that, distance to a Superfund site lies in the bottom 10.6% nationally, and modeled radon registers in the top 12.5% nationally. Distance to a hazardous-chemical facility is at the national minimum, shared with about 31% of ZIPs. Physicians lies at the national minimum, shared with about 38% of ZIPs. Childcare registers at the national minimum, shared with about 42% of ZIPs. Distance to a community health center is in the top 22% nationally.
Placed beside its immediate neighbors, park land runs far lower than the surrounding ZIPs on this measure. Put plainly, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. A healthier nearby ZIP overall is ZIP 22602, just across the boundary.
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. Compare it against the US, this state and the Winchester, VA-WV metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Social Need / SDOH
healthier than 82%
16%
Preventive Care
healthier than 72%
13%
Risk Behavior
healthier than 65%
11%
About typical
Chronic Disease Burden
healthier than 52%
21%
Mental Health
healthier than 50%
8%
Disability
healthier than 59%
7%
Climate / Disaster Risk
healthier than 54%
5%
Holding it back
Environmental Hazard
healthier than 24%
14%
Healthcare Access
healthier than 28%
5%
Lifting this score
Chronic Disease Burden
healthier than 68%
21%
Social Need / SDOH
healthier than 76%
16%
Disability
healthier than 67%
7%
Climate / Disaster Risk
healthier than 61%
5%
About typical
Preventive Care
healthier than 54%
13%
Risk Behavior
healthier than 57%
11%
Mental Health
healthier than 57%
8%
Holding it back
Environmental Hazard
healthier than 8%
14%
Healthcare Access
healthier than 30%
5%
Lifting this score
Chronic Disease Burden
healthier than 73%
21%
Social Need / SDOH
healthier than 92%
16%
Preventive Care
healthier than 65%
13%
Risk Behavior
healthier than 77%
11%
Mental Health
healthier than 77%
8%
Disability
healthier than 77%
7%
Holding it back
Environmental Hazard
healthier than 8%
14%
Climate / Disaster Risk
healthier than 4%
5%
Healthcare Access
healthier than 12%
5%
“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
22602
Virginiashares a border
Score 55.54
Closest healthier
22655
Virginiashares a border
Score 55.63
Similar health profile
44067
Ohio96% similar profile
Score 56.10
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 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 29.1% | 26.4–31.9 |
| High blood pressure among adults | 36.6% | 33.4–40.1 |
| Cancer (non-skin) or melanoma among adults | 9.5% | 8.8–10.3 |
| Current asthma among adults | 10.7% | 9.6–11.8 |
| Coronary heart disease among adults | 7.1% | 6.4–7.9 |
| Chronic obstructive pulmonary disease among adults | 7.6% | 6.6–8.6 |
| Depression among adults | 23.4% | 20.6–26.3 |
| Diagnosed diabetes among adults | 12.3% | 10.8–13.9 |
| High cholesterol among adults who have ever been screened | 39.5% | 36.2–43.0 |
| Obesity among adults | 37.9% | 32.2–43.9 |
| Stroke among adults | 3.5% | 3.2–3.9 |
| All teeth lost among adults aged >=65 years | 11.6% | 9.7–13.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.3% | 6.9–9.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.4% | 75.9–80.6 |
| Visits to doctor for routine checkup within the past year among adults | 79.1% | 76.4–81.8 |
| Cholesterol screening among adults | 87.9% | 86.4–89.3 |
| Colorectal cancer screening among adults aged 45–75 years | 68.7% | 65.0–72.2 |
| Visited dentist or dental clinic in the past year among adults | 66.2% | 63.5–69.0 |
| Mammography use among women aged 50-74 years | 77.4% | 71.7–82.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.1% | 13.0–17.4 |
| Current cigarette smoking among adults | 14.1% | 12.1–16.4 |
| No leisure-time physical activity among adults | 24.3% | 20.8–28.3 |
| Short sleep duration among adults | 36.0% | 31.2–40.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.5% | 16.2–21.0 |
| Frequent mental distress among adults | 16.6% | 14.9–18.5 |
| Frequent physical distress among adults | 14.2% | 12.6–15.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.7% | 13.1–16.5 |
| Any disability among adults | 31.1% | 27.6–35.0 |
| Hearing disability among adults | 7.6% | 6.8–8.4 |
| Independent living disability among adults | 8.0% | 7.1–8.9 |
| Mobility disability among adults | 14.5% | 12.7–16.4 |
| Self-care disability among adults | 3.6% | 3.2–4.0 |
| Vision disability among adults | 4.5% | 4.0–5.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.4% | 17.7–23.4 |
| Food insecurity in the past 12 months among adults | 11.0% | 9.3–13.0 |
| Received food stamps in the past 12 months among adults | 8.9% | 7.5–10.7 |
| Housing insecurity in the past 12 months among adults | 9.1% | 7.8–10.5 |
| Lack of reliable transportation in the past 12 months among adults | 6.4% | 5.6–7.3 |
| Loneliness among adults | 31.8% | 27.8–36.1 |
| Utility services shut-off threat in the past 12 months among adults | 5.8% | 5.0–6.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 7.5% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 3.0% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 6.3% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 30.3% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 1.1% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 3.4% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 86.7% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 31.0% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 80.4% | 78.7% (51.7–94.0%) n=32,322 | 78.1% (52.2–95.9%) n=862 |
| Crowded housing (>1 per room) | 0.2% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.0%) n=862 |
| Foreign-born population | 5.6% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 48.6% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 19.9% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 43.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | $90,875 | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | $419,900 | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | $1,019 | $1,021 ($677–$1,912) n=25,670 | $1,144 ($742–$2,191) n=615 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.3 yr ± 0.92 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.5–81.4) n=826 |
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 0.92 years of 78.3, 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