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ZipVitals

ZIP code

63638

in Ellington, MissouriPopulation 2,489

37.37/ 100

Ranked #28,359 of 32,066 US ZIPs (bottom 11.6%)

Ranked #786 of 993 Missouri ZIPs (bottom 21%)

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

Broad coverage across 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.

Distance to an emergency room

30.4 mi

in the top 1.9% nationally

Lower is healthier

ST99th
US98th
Definition & source ›

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

Full methodology ›

Fatal road crashes

60.3 per 100,000 residents per year

in the top 2.2% nationally

Lower is healthier

ST98th
US98th
Definition & 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 ›

Unemployment rate

17.7%

in the top 2.6% nationally

Lower is healthier

ST98th
US97th
Definition & source ›

The share of the civilian labor force that is unemployed.

Full methodology ›

Grocery access

0.36 per 1,000 residents

in the top 2.8% nationally

Higher is healthier

ST98th
US97th
Definition & source ›

The number of full supermarkets 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. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”

Full methodology ›

Tree cover

85.2%

in the top 3.0% nationally

Higher is healthier

ST99th
US97th
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Elder-services access

0.36 per 1,000 residents

in the top 3.6% nationally

Higher is healthier

ST96th
US96th
Definition & source ›

The number of services for older adults and people with disabilities 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 ›

Arsenic in groundwater

1.1%

in the bottom 4.3% nationally

Lower is healthier

ST9th
US4th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

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 ›

Hearing disability

11.8%

in the top 5.2% nationally

Lower is healthier

ST86th
US95th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Expected annual disaster loss

$0

in the top 5.3% nationally

Lower is healthier

ST95th
US95th
Definition & 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 ›

Cognitive disability

20.9%

in the top 6.3% nationally

Lower is healthier

ST82nd
US94th
Definition & source ›

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

Full methodology ›

The read

Ellington, Missouri (ZIP 63638), overall, ranks in the bottom 11.6% nationally (28,359th) and the bottom 21% of Missouri (786th), based on limited data; treat as directional.

continue reading

This area's pressures are easy to read across the measures: distance to an emergency room sits in the top 1.9% nationally, fatal road crashes lands in the top 2.2% nationally, and unemployment lies in the top 2.6% nationally. Modeled hearing disability stands in the top 5.2% nationally, expected annual loss rests in the top 5.3% nationally, and cognitive disability registers in the top 6.3% nationally. On the brighter side, grocery resides in the top 2.8% nationally, and modeled tree cover settles in the top 3.0% nationally. Elder services is in the top 3.6% nationally, and modeled arsenic sits in the bottom 4.3% nationally.

Measured against the nearby ZIPs, expected annual loss runs far higher than the surrounding ZIPs on this measure. Defined simply, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. ZIP 63629, just across the boundary, comes out healthier 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 91%

14%

About typical

Healthcare Access

healthier than 54%

5%

Holding it back

Chronic Disease Burden

healthier than 13%

21%

Social Need / SDOH

healthier than 18%

16%

Preventive Care

healthier than 21%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 17%

8%

Disability

healthier than 7%

7%

Climate / Disaster RiskPartial

healthier than 30%

5%

Lifting this score

Environmental Hazard

healthier than 94%

14%

About typical

Healthcare Access

healthier than 59%

5%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 17%

16%

Preventive Care

healthier than 18%

13%

Risk Behavior

healthier than 19%

11%

Mental Health

healthier than 19%

8%

Disability

healthier than 11%

7%

Climate / Disaster RiskPartial

healthier than 30%

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 adults35.9%32.1–39.9
High blood pressure among adults42.3%37.9–46.9
Cancer (non-skin) or melanoma among adults10.3%9.3–11.4
Current asthma among adults11.3%10.0–12.8
Coronary heart disease among adults9.9%8.8–11.1
Chronic obstructive pulmonary disease among adults12.7%10.9–14.6
Depression among adults26.3%22.5–30.3
Diagnosed diabetes among adults15.4%13.3–17.7
High cholesterol among adults who have ever been screened41.6%36.8–46.2
Obesity among adults41.0%32.5–50.0
Stroke among adults5.1%4.6–5.7
All teeth lost among adults aged >=65 years15.5%12.6–18.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.7%8.6–13.2
Taking medicine to control high blood pressure among adults with high blood pressure80.2%77.4–82.7
Visits to doctor for routine checkup within the past year among adults78.9%75.3–82.3
Cholesterol screening among adults83.5%81.3–85.5
Colorectal cancer screening among adults aged 45–75 years60.2%54.5–65.5
Visited dentist or dental clinic in the past year among adults54.0%50.2–57.8
Mammography use among women aged 50-74 years69.2%60.2–76.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.3%11.7–17.3
Current cigarette smoking among adults21.9%18.6–25.4
No leisure-time physical activity among adults36.8%31.0–42.7
Short sleep duration among adults38.3%31.1–45.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults27.8%23.9–31.7
Frequent mental distress among adults19.0%16.7–21.4
Frequent physical distress among adults18.8%16.4–21.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.9%18.3–23.6
Any disability among adults44.8%39.4–50.2
Hearing disability among adults11.8%10.5–13.3
Independent living disability among adults12.6%11.0–14.2
Mobility disability among adults22.5%19.4–25.7
Self-care disability among adults5.8%5.0–6.6
Vision disability among adults7.2%6.3–8.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.5%17.1–24.0
Food insecurity in the past 12 months among adults17.7%14.5–21.2
Received food stamps in the past 12 months among adults15.5%12.6–18.5
Housing insecurity in the past 12 months among adults13.3%11.1–15.7
Lack of reliable transportation in the past 12 months among adults10.0%8.5–11.5
Loneliness among adults31.4%26.2–36.9
Utility services shut-off threat in the past 12 months among adults10.1%8.6–11.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate13.4%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6420.8%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)21.5%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)13.4%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)17.7%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle10.1%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription82.5%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)23.9%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate69.5%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)0.1%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 households49.3%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+19.5%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age44.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$55,257$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$137,500$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$656$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 birth77.6 yr ± 1.4378.9 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 1.43 years of 77.6, 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