ZIP code
63456
in Monroe City, MissouriPopulation 4,749
43.59/ 100
Ranked #23,805 of 32,066 US ZIPs (bottom 26%)
Ranked #505 of 993 Missouri ZIPs (bottom 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 an emergency room
19.2 mi
in the top 6.1% nationally
Lower is healthier
ST91stUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Loud transportation noise
2.0%
in the top 7.3% nationally
Lower is healthier
ST95thUS93rdDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›Fatal road crashes
35.8 per 100,000 residents per year
in the top 9.1% nationally
Lower is healthier
ST85thUS91stDefinition & 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
7.9%
in the top 12.4% nationally
Lower is healthier
ST91stUS88thDefinition & 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
Overall, Monroe City, Missouri (ZIP 63456) places in the bottom 26% nationally (23,805th) and the bottom 49% of Missouri (505th).
The data opens on a genuinely even set of readings: distance to a community health center registers at the national minimum, shared with about 23% of ZIPs. Distance to a nursing home settles at the national minimum, shared with about 27% of ZIPs. On the other side, distance to an emergency room sits in the top 6.1% nationally, modeled loud transportation noise lies in the top 7.3% nationally, and fatal road crashes rests in the top 9.1% nationally. Modeled transportation noise resides in the top 12.4% nationally. Distance to a hazardous-chemical facility is at the national minimum, shared with about 31% of ZIPs. Modeled hearing disability lands in the top 15% nationally, homeownership stands in the bottom 18% nationally, and modeled cognitive disability registers in the top 18% nationally.
For readers new to these terms, 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. Loud transportation noise is the modeled share of an area exposed to road, rail, and air noise at or above 65 decibels, near conversation volume. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. Among nearby ZIPs, the nearest healthier one overall is ZIP 63436, 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.
Lifting this score
Healthcare Access
healthier than 63%
5%
About typical
Environmental Hazard
healthier than 44%
14%
Climate / Disaster Risk
healthier than 41%
5%
Holding it back
Chronic Disease Burden
healthier than 26%
21%
Social Need / SDOH
healthier than 31%
16%
Preventive Care
healthier than 37%
13%
Risk Behavior
healthier than 18%
11%
Mental Health
healthier than 29%
8%
Disability
healthier than 23%
7%
Lifting this score
Climate / Disaster Risk
healthier than 64%
5%
Healthcare Access
healthier than 68%
5%
About typical
Preventive Care
healthier than 50%
13%
Risk Behavior
healthier than 42%
11%
Mental Health
healthier than 50%
8%
Disability
healthier than 42%
7%
Holding it back
Chronic Disease Burden
healthier than 39%
21%
Social Need / SDOH
healthier than 33%
16%
Environmental Hazard
healthier than 34%
14%
“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
63401
Missourishares a border
Score 42.28
Closest healthier
63436
Missourishares a border
Score 44.80
Similar health profile
65567
Missouri99% similar profile
Score 42.70
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 | 33.4% | 30.8–35.9 |
| High blood pressure among adults | 40.5% | 37.4–43.5 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.5–10.9 |
| Current asthma among adults | 10.7% | 9.7–11.7 |
| Coronary heart disease among adults | 8.6% | 7.9–9.3 |
| Chronic obstructive pulmonary disease among adults | 10.2% | 9.2–11.3 |
| Depression among adults | 25.1% | 22.4–27.8 |
| Diagnosed diabetes among adults | 13.9% | 12.6–15.4 |
| High cholesterol among adults who have ever been screened | 39.8% | 36.7–42.9 |
| Obesity among adults | 38.8% | 33.3–44.5 |
| Stroke among adults | 4.4% | 4.0–4.7 |
| All teeth lost among adults aged >=65 years | 17.7% | 15.1–20.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.0% | 7.6–10.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.7% | 77.7–81.6 |
| Visits to doctor for routine checkup within the past year among adults | 79.5% | 77.0–81.8 |
| Cholesterol screening among adults | 84.9% | 83.3–86.4 |
| Colorectal cancer screening among adults aged 45–75 years | 63.3% | 59.4–67.3 |
| Visited dentist or dental clinic in the past year among adults | 57.0% | 53.9–60.0 |
| Mammography use among women aged 50-74 years | 72.8% | 66.7–78.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.1% | 13.2–17.2 |
| Current cigarette smoking among adults | 18.7% | 16.6–21.0 |
| No leisure-time physical activity among adults | 32.3% | 28.6–36.0 |
| Short sleep duration among adults | 38.7% | 33.6–44.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.2% | 20.8–25.7 |
| Frequent mental distress among adults | 17.8% | 16.2–19.4 |
| Frequent physical distress among adults | 16.3% | 14.8–17.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.3% | 16.6–20.1 |
| Any disability among adults | 39.6% | 36.1–43.1 |
| Hearing disability among adults | 10.3% | 9.4–11.2 |
| Independent living disability among adults | 10.3% | 9.3–11.3 |
| Mobility disability among adults | 18.8% | 17.0–20.7 |
| Self-care disability among adults | 4.6% | 4.2–5.1 |
| Vision disability among adults | 5.8% | 5.3–6.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.6% | 17.4–22.1 |
| Food insecurity in the past 12 months among adults | 14.0% | 12.2–16.1 |
| Received food stamps in the past 12 months among adults | 11.5% | 9.9–13.4 |
| Housing insecurity in the past 12 months among adults | 11.6% | 10.2–13.1 |
| Lack of reliable transportation in the past 12 months among adults | 8.4% | 7.5–9.4 |
| Loneliness among adults | 30.2% | 26.7–33.8 |
| Utility services shut-off threat in the past 12 months among adults | 8.7% | 7.7–9.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 9.9% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 11.5% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 8.2% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 22.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 1.1% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 8.4% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 87.6% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 21.3% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 61.7% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.5% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 45.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 18.5% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 39.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $64,160 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $161,200 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $671 | $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 | 80.1 yr ± 1.00 | 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 1.00 years of 80.1, 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