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ZIP code

63457

in Monticello, MissouriPopulation 389

ZipVitals Score
How is the ZipVitals Score calculated? →

40.21/ 100

Ranked #26,607 of 32,066 US ZIPs (bottom 17%)

Ranked #686 of 993 Missouri ZIPs (bottom 31%)

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.

Home broadband subscription

68.3%

in the bottom 5.3% nationally

Higher is healthier

ST6th
US5th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Crowded housing

7.7%

in the top 7.2% nationally

Lower is healthier

ST95th
US93rd
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Distance to an emergency room

17.9 mi

in the top 7.3% nationally

Lower is healthier

ST88th
US93rd
Definition & source ›

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

Full methodology ›

Households without a vehicle

14.4%

in the top 7.8% nationally

Lower is healthier

ST93rd
US92nd
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Cognitive disability

20.2%

in the top 8.5% nationally

Lower is healthier

ST74th
US92nd
Definition & source ›

The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.

Full methodology ›

PFAS in drinking water

9.7%

in the bottom 8.5% nationally

Lower is healthier

ST17th
US8th
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

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 ›

Energy-cost burden

5.1%

in the top 8.3% nationally

Lower is healthier

ST90th
US92nd
Definition & 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 ›

Distance to a community health center

11.7 mi

in the top 17% nationally

Lower is healthier

ST95th
US83rd
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.

Full methodology ›

Air-toxics cancer risk

20 per million

in the bottom 25% nationally

Lower is healthier

ST1st
US25th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

The read

Overall, Monticello, Missouri (ZIP 63457) lands in the bottom 17% nationally (26,607th) and the bottom 31% of Missouri (686th).

continue reading

The picture here is genuinely mixed, with readings on both sides: modeled pfas lands in the bottom 8.5% nationally. Modeled loud transportation noise sits at the national minimum, shared with about 22% of ZIPs. On the other side, home broadband subscription is in the bottom 5.3% nationally, crowded housing settles in the top 7.2% nationally, and distance to an emergency room resides in the top 7.3% nationally. Households without a vehicle registers in the top 7.8% nationally, modeled cognitive disability rests in the top 8.5% nationally, and modeled energy burden stands in the top 8.3% nationally. Modeled tooth loss lies in the top 11.0% nationally, and hearing disability lands in the top 12.7% nationally.

A note on the terms: 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. Energy burden is the share of household income that goes to home energy bills. 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. For a healthier nearby comparison, ZIP 63435, just across the boundary, ranks better overall.

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%

Holding it back

Chronic Disease Burden

healthier than 28%

21%

Social Need / SDOH

healthier than 8%

16%

Preventive Care

healthier than 27%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 15%

8%

Disability

healthier than 17%

7%

Climate / Disaster Risk

healthier than 40%

5%

Healthcare Access

healthier than 15%

5%

Lifting this score

Environmental Hazard

healthier than 98%

14%

Climate / Disaster Risk

healthier than 60%

5%

About typical

Chronic Disease Burden

healthier than 42%

21%

Holding it back

Social Need / SDOH

healthier than 5%

16%

Preventive Care

healthier than 29%

13%

Risk Behavior

healthier than 19%

11%

Mental Health

healthier than 17%

8%

Disability

healthier than 29%

7%

Healthcare Access

healthier than 5%

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.

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 adults31.7%28.1–35.4
High blood pressure among adults38.7%34.3–42.9
Cancer (non-skin) or melanoma among adults9.4%8.5–10.4
Current asthma among adults11.1%9.8–12.5
Coronary heart disease among adults8.6%7.5–9.7
Chronic obstructive pulmonary disease among adults10.5%9.0–12.0
Depression among adults26.3%22.6–30.2
Diagnosed diabetes among adults13.1%11.2–15.0
High cholesterol among adults who have ever been screened37.6%33.3–42.1
Obesity among adults38.2%30.2–46.7
Stroke among adults4.3%3.8–4.8
All teeth lost among adults aged >=65 years22.7%18.7–26.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.7%7.9–12.2
Taking medicine to control high blood pressure among adults with high blood pressure78.2%75.2–81.0
Visits to doctor for routine checkup within the past year among adults78.2%74.5–81.9
Cholesterol screening among adults83.4%81.2–85.7
Colorectal cancer screening among adults aged 45–75 years63.8%58.0–69.0
Visited dentist or dental clinic in the past year among adults56.3%52.2–60.1
Mammography use among women aged 50-74 years71.1%62.1–78.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.8%12.1–18.0
Current cigarette smoking among adults21.0%17.7–24.4
No leisure-time physical activity among adults34.3%28.7–39.9
Short sleep duration among adults40.1%33.0–47.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.8%21.3–28.5
Frequent mental distress among adults19.3%17.0–21.6
Frequent physical distress among adults16.9%14.7–19.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.2%17.6–22.7
Any disability among adults40.8%35.5–45.9
Hearing disability among adults10.6%9.3–11.9
Independent living disability among adults11.3%9.8–12.8
Mobility disability among adults18.9%16.2–21.8
Self-care disability among adults4.8%4.1–5.4
Vision disability among adults6.0%5.3–6.9
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.2%17.0–23.7
Food insecurity in the past 12 months among adults16.5%13.6–19.7
Received food stamps in the past 12 months among adults14.3%11.7–17.1
Housing insecurity in the past 12 months among adults13.2%11.1–15.7
Lack of reliable transportation in the past 12 months among adults9.3%8.0–10.8
Loneliness among adults31.8%26.9–37.3
Utility services shut-off threat in the past 12 months among adults9.9%8.5–11.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate17.6%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6412.3%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)23.0%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)20.5%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)7.9%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle14.4%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription68.3%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)15.4%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate82.7%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)7.7%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households73.6%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+26.2%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age32.0 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$57,778$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$181,300$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$783$1,021 ($677–$1,912) n=25,670$813 ($553–$1,265) n=786
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)MO median (p10–p90)
Life expectancy at birth77.2 yr ± 1.3578.9 yr (74.7–82.8) n=31,30877.6 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 1.35 years of 77.2, 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