ZIP code
63369
in Old Monroe, MissouriPopulation 2,822
47.22/ 100
Ranked #19,893 of 32,066 US ZIPs (bottom 38%)
Ranked #312 of 993 Missouri ZIPs (top 31%)
Ranked #159 of 234 St. Louis, MO-IL ZIPs (bottom 32%)
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.
Lithium in drinking water
99 µg/L
in the top 2.4% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Floodplain exposure
39.4%
in the top 6.4% nationally
Lower is healthier
ST94thUS94thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
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 ›Binge drinking
17.8%
in the top 21% nationally
Lower is healthier
ST91stUS79thDefinition & source ›
The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.
Full methodology ›Median household income
$96,250
in the top 22% nationally
Higher is healthier
ST90thUS78thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›The read
Old Monroe, Missouri (ZIP 63369) ranks in the bottom 38% nationally (19,893rd) and the top 31% of Missouri (312th).
Several signals sit on each side of the ledger here: modeled pfas registers in the bottom 12.6% nationally. Crowded housing lies at the national minimum, shared with about 29% of ZIPs. Housing-cost burden is in the bottom 15.0% nationally, modeled disaster risk registers in the bottom 17% nationally, and unemployment lies in the bottom 18% nationally. Working the other way, lithium in drinking water is in the top 2.4% nationally, floodplain exposure registers in the top 6.4% nationally, and fatal road crashes lies in the top 15.0% nationally. Distance to a hazardous-chemical facility is at the national minimum, shared with about 31% of ZIPs. Recreation registers at the national minimum, shared with about 35% of ZIPs.
For context, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. 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. The closest ZIP that ranks healthier overall is ZIP 63362, 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 74%
16%
About typical
Chronic Disease Burden
healthier than 59%
21%
Environmental Hazard
healthier than 53%
14%
Disability
healthier than 47%
7%
Holding it back
Preventive Care
healthier than 26%
13%
Risk Behavior
healthier than 16%
11%
Mental Health
healthier than 26%
8%
Climate / Disaster Risk
healthier than 11%
5%
Healthcare Access
healthier than 33%
5%
Lifting this score
Chronic Disease Burden
healthier than 81%
21%
Social Need / SDOH
healthier than 81%
16%
Disability
healthier than 79%
7%
About typical
Environmental Hazard
healthier than 42%
14%
Mental Health
healthier than 42%
8%
Holding it back
Preventive Care
healthier than 27%
13%
Risk Behavior
healthier than 37%
11%
Climate / Disaster Risk
healthier than 6%
5%
Healthcare Access
healthier than 33%
5%
Lifting this score
Environmental Hazard
healthier than 79%
14%
About typical
Chronic Disease Burden
healthier than 55%
21%
Social Need / SDOH
healthier than 52%
16%
Disability
healthier than 44%
7%
Holding it back
Preventive Care
healthier than 11%
13%
Risk Behavior
healthier than 20%
11%
Mental Health
healthier than 26%
8%
Climate / Disaster Risk
healthier than 13%
5%
Healthcare Access
healthier than 24%
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
63362
Missourishares a border
Score 49.56
Closest healthier
63366
Missourishares a border
Score 52.35
Similar health profile
76020
Texas97% similar profile
Score 48.09
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 | 28.2% | 24.7–31.6 |
| High blood pressure among adults | 34.4% | 30.2–38.6 |
| Cancer (non-skin) or melanoma among adults | 8.4% | 7.5–9.2 |
| Current asthma among adults | 10.8% | 9.5–12.2 |
| Coronary heart disease among adults | 6.3% | 5.5–7.1 |
| Chronic obstructive pulmonary disease among adults | 8.0% | 6.8–9.3 |
| Depression among adults | 25.0% | 21.2–28.9 |
| Diagnosed diabetes among adults | 11.2% | 9.5–12.9 |
| High cholesterol among adults who have ever been screened | 37.1% | 32.7–41.5 |
| Obesity among adults | 39.5% | 31.6–47.3 |
| Stroke among adults | 3.3% | 2.9–3.7 |
| All teeth lost among adults aged >=65 years | 14.5% | 11.8–17.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.4% | 6.8–10.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.5% | 72.2–78.5 |
| Visits to doctor for routine checkup within the past year among adults | 77.2% | 73.5–80.6 |
| Cholesterol screening among adults | 83.6% | 81.2–85.7 |
| Colorectal cancer screening among adults aged 45–75 years | 61.8% | 56.7–66.8 |
| Visited dentist or dental clinic in the past year among adults | 58.8% | 55.1–62.4 |
| Mammography use among women aged 50-74 years | 72.6% | 64.6–79.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.8% | 14.6–21.1 |
| Current cigarette smoking among adults | 17.6% | 14.5–20.6 |
| No leisure-time physical activity among adults | 28.6% | 23.5–33.8 |
| Short sleep duration among adults | 38.9% | 32.6–45.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.8% | 16.7–22.8 |
| Frequent mental distress among adults | 18.3% | 16.0–20.8 |
| Frequent physical distress among adults | 14.6% | 12.7–16.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.0% | 15.7–20.4 |
| Any disability among adults | 36.6% | 31.5–41.7 |
| Hearing disability among adults | 7.9% | 6.9–8.9 |
| Independent living disability among adults | 8.8% | 7.7–10.1 |
| Mobility disability among adults | 15.1% | 12.7–17.5 |
| Self-care disability among adults | 3.6% | 3.1–4.1 |
| Vision disability among adults | 4.5% | 4.0–5.1 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.7% | 16.7–22.8 |
| Food insecurity in the past 12 months among adults | 11.8% | 9.8–14.1 |
| Received food stamps in the past 12 months among adults | 8.8% | 7.2–10.6 |
| Housing insecurity in the past 12 months among adults | 10.8% | 9.1–12.6 |
| Lack of reliable transportation in the past 12 months among adults | 7.4% | 6.4–8.5 |
| Loneliness among adults | 31.5% | 27.0–36.3 |
| Utility services shut-off threat in the past 12 months among adults | 7.5% | 6.4–8.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 8.7% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 4.8% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 10.3% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 19.3% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 0.9% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 4.4% | 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) | 13.4% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 69.4% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.1% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 45.6% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 13.8% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 35.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $96,250 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $339,400 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $1,294 | $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 | 77.2 yr ± 0.80 | 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 0.80 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