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ZipVitals

ZIP code

49405

in Custer, MichiganPopulation 1,635

47.08/ 100

Ranked #20,067 of 32,066 US ZIPs (bottom 37%)

Ranked #682 of 973 Michigan ZIPs (bottom 30%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Park land

23%

in the top 6.0% nationally

Higher is healthier

ST91st
US94th
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Slow internet speeds

1.6%

in the top 7.1% nationally

Lower is healthier

ST97th
US93rd
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Nitrate in drinking water

0.29%

in the top 7.7% nationally

Lower is healthier

ST99th
US92nd
Definition & source ›

The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.

A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.

Full methodology ›

Homeownership rate

95%

in the top 8.7% nationally

Higher is healthier

ST91st
US91st
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

Distance to an emergency room

15.7 mi

in the top 10.1% nationally

Lower is healthier

ST93rd
US90th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Distance to a nursing home

9.4 mi

in the top 12.2% nationally

Lower is healthier

ST90th
US88th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.

Full methodology ›

Fatal road crashes

30.6 per 100,000 residents per year

in the top 12.8% nationally

Lower is healthier

ST93rd
US87th
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Transportation noise

0.61%

in the bottom 17% nationally

Lower is healthier

ST9th
US17th
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

The read

Custer, Michigan (ZIP 49405), by its overall standing, sits in the bottom 37% nationally (20,067th) and the bottom 30% of Michigan (682nd).

continue reading

The profile opens balanced, with readings on either hand: park land resides in the top 6.0% nationally, homeownership rests in the top 8.7% nationally, and floodplain exposure lies in the bottom 12.7% nationally. By contrast, slow internet speeds sits in the top 7.1% nationally, and modeled nitrate settles in the top 7.7% nationally. Fiber broadband registers at the national minimum, shared with about 19% of ZIPs. Distance to an emergency room stands in the top 10.1% nationally, and unemployment lands in the top 12.0% nationally. Distance to a nursing home is in the top 12.2% nationally, and fatal road crashes resides in the top 12.8% nationally.

Held up against its neighbors, park land runs far higher than the surrounding ZIPs on this measure. Defined in plain terms, nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". The nearest ZIP ranking healthier overall is ZIP 49420, 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.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Environmental Hazard

healthier than 95%

14%

Preventive Care

healthier than 65%

13%

Climate / Disaster Risk

healthier than 96%

5%

About typical

Risk Behavior

healthier than 43%

11%

Holding it back

Chronic Disease Burden

healthier than 26%

21%

Social Need / SDOH

healthier than 23%

16%

Mental Health

healthier than 14%

8%

Disability

healthier than 35%

7%

Healthcare Access

healthier than 31%

5%

Lifting this score

Environmental Hazard

healthier than 93%

14%

Climate / Disaster Risk

healthier than 91%

5%

Holding it back

Chronic Disease Burden

healthier than 24%

21%

Social Need / SDOH

healthier than 23%

16%

Preventive Care

healthier than 31%

13%

Risk Behavior

healthier than 32%

11%

Mental Health

healthier than 33%

8%

Disability

healthier than 29%

7%

Healthcare Access

healthier than 26%

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 ›

Findings that name this ZIP

One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.

  • Clean environment, heavy chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 95.2 (top 10%); chronic-disease standing 25.6 — 70 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #1,098 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

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
MeasureCrude prevalence95% CI
Arthritis among adults33.8%30.4–37.5
High blood pressure among adults39.1%34.8–43.3
Cancer (non-skin) or melanoma among adults10.1%9.2–11.1
Current asthma among adults11.8%10.4–13.2
Coronary heart disease among adults8.5%7.5–9.4
Chronic obstructive pulmonary disease among adults10.1%8.8–11.5
Depression among adults27.7%23.9–31.8
Diagnosed diabetes among adults13.3%11.5–15.2
High cholesterol among adults who have ever been screened37.2%32.8–41.5
Obesity among adults41.5%33.6–49.8
Stroke among adults4.2%3.8–4.7
All teeth lost among adults aged >=65 years16.6%13.6–20.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.3%5.9–8.9
Taking medicine to control high blood pressure among adults with high blood pressure78.7%75.7–81.3
Visits to doctor for routine checkup within the past year among adults80.0%76.4–83.2
Cholesterol screening among adults86.9%85.1–88.6
Colorectal cancer screening among adults aged 45–75 years68.6%63.7–73.1
Visited dentist or dental clinic in the past year among adults63.7%60.0–67.4
Mammography use among women aged 50-74 years74.6%66.7–81.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.0%13.1–19.1
Current cigarette smoking among adults17.8%15.0–20.7
No leisure-time physical activity among adults26.0%21.5–30.7
Short sleep duration among adults35.3%29.0–42.0
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.5%18.6–24.6
Frequent mental distress among adults18.6%16.4–20.9
Frequent physical distress among adults16.0%14.1–18.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults16.1%14.1–18.1
Any disability among adults35.4%30.7–39.9
Hearing disability among adults9.0%8.0–10.1
Independent living disability among adults9.8%8.6–11.0
Mobility disability among adults16.4%14.2–18.7
Self-care disability among adults4.4%3.9–5.0
Vision disability among adults5.5%4.9–6.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults22.8%19.4–26.9
Food insecurity in the past 12 months among adults15.6%13.0–18.6
Received food stamps in the past 12 months among adults15.4%12.8–18.3
Housing insecurity in the past 12 months among adults11.4%9.6–13.5
Lack of reliable transportation in the past 12 months among adults8.3%7.2–9.6
Loneliness among adults31.8%27.0–37.5
Utility services shut-off threat in the past 12 months among adults8.6%7.4–10.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MI median (p10–p90)
Poverty rate11.5%10.6% (3.1–25.8%) n=32,36410.7% (4.3–22.3%) n=974
Uninsured 18–6410.5%9.0% (1.5–24.3%) n=32,2866.8% (2.5–13.5%) n=975
No HS diploma (25+)5.8%7.9% (1.8–20.7%) n=32,5056.7% (2.5–14.2%) n=974
Bachelor's or higher (25+)18.2%23.3% (9.2–53.6%) n=32,50522.1% (11.4–48.3%) n=974
Unemployment rate (16+)9.0%3.9% (0.0–9.8%) n=32,2744.6% (1.3–10.0%) n=974
Households without a vehicle1.3%3.9% (0.0–12.5%) n=32,3224.5% (0.9–10.8%) n=973
Broadband subscription83.2%89.3% (75.1–97.1%) n=32,32288.8% (79.5–95.5%) n=973
Housing cost burden (≥30% income)20.1%23.7% (10.6–40.0%) n=32,32222.5% (14.8–32.9%) n=973
Homeownership rate95.0%78.7% (51.7–94.0%) n=32,32285.3% (62.2–94.6%) n=973
Crowded housing (>1 per room)0.8%1.3% (0.0–6.3%) n=32,3221.1% (0.0–3.6%) n=973
Foreign-born population0.2%2.6% (0.0–18.6%) n=32,5531.8% (0.3–10.0%) n=975
Single-parent households46.2%53.6% (37.3–74.1%) n=32,08756.5% (43.6–74.2%) n=970
Population 65+20.4%19.4% (10.8–33.6%) n=32,55320.5% (13.7–35.2%) n=975
Median age42.8 yr42.2 yr (33.0–56.3) n=32,29243.6 yr (35.2–58.2) n=974
Median household income$70,139$72,070 ($46,039–$118,707) n=30,318$68,216 ($47,282–$105,129) n=962
Median home value$170,200$222,200 ($100,300–$579,820) n=30,049$192,350 ($116,360–$355,650) n=952
Median gross rent$788$1,021 ($677–$1,912) n=25,670$972 ($719–$1,368) n=849
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)MI median (p10–p90)
Life expectancy at birth76.6 yr ± 0.8578.9 yr (74.7–82.8) n=31,30878.6 yr (75.7–81.6) n=940

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 0.85 years of 76.6, and it’s very unlikely to be off by more than twice that.

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