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ZIP code

63461

in Palmyra, MissouriPopulation 5,446

ZipVitals Score
How is the ZipVitals Score calculated? →

51.38/ 100

Ranked #14,321 of 32,066 US ZIPs (top 45%)

Ranked #147 of 993 Missouri ZIPs (top 14.9%)

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

Robust across all 9 health domains

The read

Palmyra, Missouri (ZIP 63461), by its composite score, sits in the top 45% healthiest ZIPs nationally (14,321st) and the top 14.9% of Missouri (147th).

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The standout strengths in the data are the natural place to begin: distance to a nursing home lands at the national minimum, shared with about 27% of ZIPs. Modeled pfas stands in the bottom 14.3% nationally, and food insecurity registers in the bottom 19% nationally. Modeled loneliness settles in the bottom 21% nationally, fiber broadband sits in the top 21% nationally, and housing-cost burden lies in the bottom 22% nationally. On the other side, floodplain exposure rests in the top 12.6% nationally, and PFAS in drinking water resides in the top 15% nationally. Distance to a hazardous-chemical facility is at the national minimum, shared with about 31% of ZIPs. Modeled extreme heat lands in the top 20% nationally.

For anyone unfamiliar, 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. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. 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. For a healthier comparison close by, see ZIP 62305, 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

Social Need / SDOH

healthier than 71%

16%

Healthcare Access

healthier than 70%

5%

About typical

Chronic Disease Burden

healthier than 57%

21%

Preventive Care

healthier than 55%

13%

Mental Health

healthier than 51%

8%

Disability

healthier than 55%

7%

Holding it back

Environmental Hazard

healthier than 34%

14%

Risk Behavior

healthier than 32%

11%

Climate / Disaster Risk

healthier than 21%

5%

Lifting this score

Chronic Disease Burden

healthier than 79%

21%

Social Need / SDOH

healthier than 77%

16%

Preventive Care

healthier than 77%

13%

Risk Behavior

healthier than 71%

11%

Mental Health

healthier than 86%

8%

Disability

healthier than 85%

7%

Healthcare Access

healthier than 76%

5%

Holding it back

Environmental Hazard

healthier than 26%

14%

Climate / Disaster Risk

healthier than 13%

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 adults29.8%26.4–33.3
High blood pressure among adults36.4%32.3–40.6
Cancer (non-skin) or melanoma among adults9.7%8.8–10.7
Current asthma among adults10.1%8.9–11.4
Coronary heart disease among adults6.8%6.0–7.6
Chronic obstructive pulmonary disease among adults7.6%6.5–8.7
Depression among adults23.7%20.2–27.5
Diagnosed diabetes among adults11.4%9.8–13.2
High cholesterol among adults who have ever been screened36.9%32.6–41.4
Obesity among adults37.1%29.7–44.9
Stroke among adults3.4%3.0–3.8
All teeth lost among adults aged >=65 years14.4%11.5–17.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.2%5.8–8.7
Taking medicine to control high blood pressure among adults with high blood pressure77.5%74.5–80.4
Visits to doctor for routine checkup within the past year among adults79.0%75.5–82.4
Cholesterol screening among adults85.8%83.8–87.7
Colorectal cancer screening among adults aged 45–75 years66.3%60.8–71.4
Visited dentist or dental clinic in the past year among adults61.9%57.8–65.8
Mammography use among women aged 50-74 years75.7%67.2–82.7
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.9%14.0–20.3
Current cigarette smoking among adults14.6%12.3–17.1
No leisure-time physical activity among adults27.3%22.8–32.1
Short sleep duration among adults38.8%31.9–45.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.3%15.7–21.1
Frequent mental distress among adults16.3%14.4–18.4
Frequent physical distress among adults13.7%12.0–15.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.7%13.8–17.8
Any disability among adults33.5%29.1–38.1
Hearing disability among adults8.5%7.5–9.6
Independent living disability among adults8.0%7.0–9.2
Mobility disability among adults14.6%12.5–16.9
Self-care disability among adults3.4%3.0–3.8
Vision disability among adults4.3%3.8–4.8
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults18.7%15.9–21.8
Food insecurity in the past 12 months among adults9.9%8.1–11.8
Received food stamps in the past 12 months among adults7.2%5.9–8.7
Housing insecurity in the past 12 months among adults9.1%7.6–10.8
Lack of reliable transportation in the past 12 months among adults6.4%5.6–7.4
Loneliness among adults29.8%25.5–34.5
Utility services shut-off threat in the past 12 months among adults6.6%5.6–7.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate5.9%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–647.6%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)6.7%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)27.4%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)3.1%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle5.6%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription87.8%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)16.2%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate76.0%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)1.7%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population0.5%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households53.2%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+21.7%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age40.7 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$69,707$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$212,000$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$805$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 birth79.2 yr ± 0.7778.9 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 0.77 years of 79.2, 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