ZIP code
64436
in Cosby, MissouriPopulation 873
53.29/ 100
Ranked #11,652 of 32,066 US ZIPs (top 36%)
Ranked #110 of 993 Missouri ZIPs (top 11.1%)
Ranked #4 of 31 St. Joseph, MO-KS ZIPs (top 13.0%)
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.
Poverty rate
0.46%
in the bottom 4.8% nationally
Lower is healthier
ST4thUS5thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Recreation access
1.3 per 1,000 residents
in the top 5.0% nationally
Higher is healthier
ST97thUS95thDefinition & source ›
The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›Radon
3.2 pCi/L
in the top 8.2% nationally
Lower is healthier
ST98thUS92ndDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Fiber broadband
97.8%
in the top 7.1% nationally
Higher is healthier
ST94thUS93rdDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Unemployment rate
9.9%
in the top 9.8% nationally
Lower is healthier
ST94thUS90thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Loneliness
28.5%
in the bottom 10.3% nationally
Lower is healthier
ST7thUS10thDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Median household income
$113,500
in the top 12.0% nationally
Higher is healthier
ST96thUS88thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Dry extreme heat
27.2 days/year
in the top 17% nationally
Lower is healthier
ST91stUS83rdDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Home broadband subscription
95.3%
in the top 18% nationally
Higher is healthier
ST91stUS82ndDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Energy-cost burden
2.2%
in the bottom 18% nationally
Lower is healthier
ST8thUS18thDefinition & 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 ›The read
In its overall standing, Cosby, Missouri (ZIP 64436) lands in the top 36% healthiest ZIPs nationally (11,652nd) and the top 11.1% of Missouri (110th).
This area's strengths are easy to pick out across the measures: poverty registers in the bottom 4.8% nationally, recreation resides in the top 5.0% nationally, and fiber broadband settles in the top 7.1% nationally. Modeled loneliness is in the bottom 10.3% nationally. Modeled loud transportation noise sits at the national minimum, shared with about 22% of ZIPs. Household income lands in the top 12.0% nationally, and distance to a Superfund site lies in the top 15% nationally. Housing-cost burden stands in the bottom 16% nationally. Working the other way, modeled radon rests in the top 8.2% nationally, and unemployment registers in the top 9.8% nationally.
Put simply, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. 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. On the overall standing, ZIP 64401, about 9.1 miles away, ranks healthier.
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. Joseph, MO-KS 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 84%
16%
Preventive Care
healthier than 70%
13%
About typical
Chronic Disease Burden
healthier than 54%
21%
Environmental Hazard
healthier than 43%
14%
Risk Behavior
healthier than 47%
11%
Mental Health
healthier than 54%
8%
Disability
healthier than 54%
7%
Healthcare Access
healthier than 51%
5%
Holding it back
Climate / Disaster Risk
healthier than 27%
5%
Lifting this score
Chronic Disease Burden
healthier than 76%
21%
Social Need / SDOH
healthier than 89%
16%
Preventive Care
healthier than 90%
13%
Risk Behavior
healthier than 85%
11%
Mental Health
healthier than 88%
8%
Disability
healthier than 84%
7%
About typical
Healthcare Access
healthier than 57%
5%
Holding it back
Environmental Hazard
healthier than 32%
14%
Climate / Disaster Risk
healthier than 24%
5%
Lifting this score
Chronic Disease Burden
healthier than 79%
21%
Social Need / SDOH
in the top 0.00%
16%
Preventive Care
healthier than 89%
13%
Risk Behavior
healthier than 74%
11%
Disability
healthier than 79%
7%
Healthcare Access
healthier than 79%
5%
About typical
Mental Health
healthier than 58%
8%
Holding it back
Environmental Hazard
healthier than 21%
14%
Climate / Disaster Risk
healthier than 21%
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
64430
Missourishares a border
Score 50.32
Closest healthier
64401
Missouriabout 9.1 mi away
Score 54.40
Similar health profile
65109
Missouri97% similar profile
Score 55.00
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 | 30.8% | 27.4–34.6 |
| High blood pressure among adults | 38.4% | 34.2–42.9 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.1–11.2 |
| Current asthma among adults | 10.2% | 9.0–11.6 |
| Coronary heart disease among adults | 7.0% | 6.2–8.0 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 6.7–9.4 |
| Depression among adults | 23.5% | 20.0–27.6 |
| Diagnosed diabetes among adults | 11.5% | 9.9–13.4 |
| High cholesterol among adults who have ever been screened | 39.6% | 35.2–44.3 |
| Obesity among adults | 36.0% | 28.9–43.9 |
| Stroke among adults | 3.5% | 3.1–4.0 |
| All teeth lost among adults aged >=65 years | 9.3% | 7.4–11.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.0% | 5.5–9.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.6% | 75.5–81.4 |
| Visits to doctor for routine checkup within the past year among adults | 78.7% | 74.9–82.1 |
| Cholesterol screening among adults | 86.4% | 84.2–88.3 |
| Colorectal cancer screening among adults aged 45–75 years | 69.5% | 64.3–74.2 |
| Visited dentist or dental clinic in the past year among adults | 62.8% | 59.1–66.2 |
| Mammography use among women aged 50-74 years | 78.2% | 70.6–84.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.7% | 13.6–19.9 |
| Current cigarette smoking among adults | 15.0% | 12.3–18.3 |
| No leisure-time physical activity among adults | 26.1% | 21.6–31.4 |
| Short sleep duration among adults | 35.9% | 29.4–42.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.3% | 15.5–21.7 |
| Frequent mental distress among adults | 16.1% | 14.1–18.4 |
| Frequent physical distress among adults | 14.0% | 12.1–16.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.5% | 13.4–17.8 |
| Any disability among adults | 34.2% | 29.7–39.4 |
| Hearing disability among adults | 8.8% | 7.8–10.0 |
| Independent living disability among adults | 8.0% | 6.9–9.4 |
| Mobility disability among adults | 14.8% | 12.6–17.6 |
| Self-care disability among adults | 3.4% | 3.0–4.0 |
| Vision disability among adults | 4.3% | 3.7–5.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 18.2% | 15.0–21.6 |
| Food insecurity in the past 12 months among adults | 9.9% | 7.7–12.4 |
| Received food stamps in the past 12 months among adults | 7.4% | 5.6–9.3 |
| Housing insecurity in the past 12 months among adults | 9.0% | 7.2–10.9 |
| Lack of reliable transportation in the past 12 months among adults | 6.3% | 5.3–7.5 |
| Loneliness among adults | 28.5% | 23.9–33.3 |
| Utility services shut-off threat in the past 12 months among adults | 6.6% | 5.5–7.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 0.5% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 4.4% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 1.3% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 50.7% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 9.9% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 6.4% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 95.3% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 13.8% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 81.2% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.7% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.5% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 51.0% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 10.8% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 37.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $113,500 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $253,800 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $1,660 | $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 | 79.7 yr ± 0.94 | 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 0.94 years of 79.7, 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