ZIP code
63090
in Washington, MissouriPopulation 23,258
50.91/ 100
Ranked #14,981 of 32,066 US ZIPs (top 47%)
Ranked #160 of 993 Missouri ZIPs (top 16%)
Ranked #114 of 234 St. Louis, MO-IL ZIPs (top 49%)
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
In this ZIP
at the national minimum
Higher is healthier
ST1stUS1stDefinition & 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 ›Dental provider access
1.2 per 1,000 residents
in the top 4.6% nationally
Higher is healthier
ST98thUS95thDefinition & 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 ›Loneliness
28.1%
in the bottom 7.9% nationally
Lower is healthier
ST4thUS8thDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Expected annual disaster loss
$0
in the top 8.4% nationally
Lower is healthier
ST92ndUS92ndDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Physician access
1.4 per 1,000 residents
in the top 12.7% nationally
Higher is healthier
ST91stUS87thDefinition & 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 ›Natural-disaster risk
in the top 17% nationally
Lower is healthier
ST91stUS83rdDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Energy-cost burden
2.3%
in the bottom 20% nationally
Lower is healthier
ST9thUS20thDefinition & 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 ›Short sleep
33%
in the bottom 28% nationally
Lower is healthier
ST6thUS28thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›The read
Washington, Missouri (ZIP 63090), on the composite measure, lands in the top 47% healthiest ZIPs nationally (14,981st) and the top 16% of Missouri (160th).
The readings split fairly evenly between strengths and concerns: dental providers settles in the top 4.6% nationally. Distance to an emergency room stands at the national minimum, shared with about 11% of ZIPs. Modeled loneliness is in the bottom 7.9% nationally. Distance to a community health center rests at the national minimum, shared with about 23% of ZIPs. Elder services sits in the top 11.6% nationally, and physicians registers in the top 12.7% nationally. Distance to a nursing home lands at the national minimum, shared with about 27% of ZIPs. Outpatient resides in the top 14.4% nationally. Working the other way, distance to a Superfund site lies at the national minimum, and modeled expected annual loss settles in the top 8.4% nationally.
Set against the neighboring ZIPs, park land runs far higher than the surrounding ZIPs on this measure. In everyday language, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. A healthier neighbor overall sits at ZIP 63013, 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 St. Louis, MO-IL 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 85%
16%
Preventive Care
healthier than 63%
13%
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 49%
21%
Risk Behavior
healthier than 53%
11%
Mental Health
healthier than 41%
8%
Disability
healthier than 50%
7%
Holding it back
Environmental Hazard
healthier than 7%
14%
Climate / Disaster Risk
healthier than 29%
5%
Lifting this score
Chronic Disease Burden
healthier than 72%
21%
Social Need / SDOH
healthier than 90%
16%
Preventive Care
healthier than 85%
13%
Risk Behavior
healthier than 88%
11%
Mental Health
healthier than 74%
8%
Disability
healthier than 81%
7%
Healthcare Access
in the top 0.00%
5%
Holding it back
Environmental Hazard
healthier than 9%
14%
Climate / Disaster Risk
healthier than 28%
5%
Lifting this score
Social Need / SDOH
healthier than 73%
16%
Preventive Care
healthier than 70%
13%
Risk Behavior
healthier than 68%
11%
Healthcare Access
in the top 0.00%
5%
About typical
Mental Health
healthier than 49%
8%
Disability
healthier than 46%
7%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Environmental Hazard
healthier than 23%
14%
Climate / Disaster Risk
healthier than 40%
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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 78.1 ± 1.0 years. A median household income of $85,025 predicts 79.4 years — 1.3 years below.
Ranked #1,617 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
63013
Missourishares a border
Score 53.07
Closest healthier
63332
Missourishares a border
Score 59.09
Similar health profile
64057
Missouri93% similar profile
Score 50.29
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 | 31.3% | 28.0–34.8 |
| High blood pressure among adults | 36.9% | 33.0–41.0 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.1–11.1 |
| Current asthma among adults | 10.4% | 9.2–11.7 |
| Coronary heart disease among adults | 7.2% | 6.4–8.0 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 7.0–8.9 |
| Depression among adults | 25.2% | 21.7–28.9 |
| Diagnosed diabetes among adults | 11.8% | 10.2–13.6 |
| High cholesterol among adults who have ever been screened | 39.5% | 35.4–43.8 |
| Obesity among adults | 38.3% | 31.6–45.4 |
| Stroke among adults | 3.6% | 3.2–3.9 |
| All teeth lost among adults aged >=65 years | 11.5% | 9.3–13.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.0% | 5.9–8.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.3% | 76.5–81.9 |
| Visits to doctor for routine checkup within the past year among adults | 79.7% | 76.5–82.7 |
| Cholesterol screening among adults | 86.2% | 84.5–87.8 |
| Colorectal cancer screening among adults aged 45–75 years | 67.9% | 62.9–72.4 |
| Visited dentist or dental clinic in the past year among adults | 64.7% | 61.2–68.0 |
| Mammography use among women aged 50-74 years | 74.0% | 66.1–80.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.2% | 14.3–20.3 |
| Current cigarette smoking among adults | 14.5% | 12.4–16.8 |
| No leisure-time physical activity among adults | 27.4% | 23.2–31.9 |
| Short sleep duration among adults | 33.0% | 27.1–39.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.9% | 16.5–21.6 |
| Frequent mental distress among adults | 16.3% | 14.5–18.4 |
| Frequent physical distress among adults | 14.1% | 12.4–15.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.8% | 14.0–17.7 |
| Any disability among adults | 35.1% | 30.9–39.5 |
| Hearing disability among adults | 8.9% | 7.9–10.0 |
| Independent living disability among adults | 8.4% | 7.5–9.4 |
| Mobility disability among adults | 15.2% | 13.3–17.3 |
| Self-care disability among adults | 3.6% | 3.2–3.9 |
| Vision disability among adults | 4.4% | 4.0–4.9 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 17.7% | 14.9–20.6 |
| Food insecurity in the past 12 months among adults | 10.0% | 8.4–11.8 |
| Received food stamps in the past 12 months among adults | 7.6% | 6.4–9.1 |
| Housing insecurity in the past 12 months among adults | 9.1% | 7.7–10.6 |
| Lack of reliable transportation in the past 12 months among adults | 6.6% | 5.7–7.5 |
| Loneliness among adults | 28.1% | 23.7–32.6 |
| Utility services shut-off threat in the past 12 months among adults | 6.7% | 5.8–7.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 6.1% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 8.9% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 5.8% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 32.7% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 3.6% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 4.8% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 91.5% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 20.6% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 76.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 1.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.7% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 54.3% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 20.2% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 44.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $85,025 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $273,600 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $881 | $1,021 ($677–$1,912) n=25,670 | $813 ($553–$1,265) n=786 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.1 yr ± 0.51 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.6–81.0) n=995 |
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 0.51 years of 78.1, 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