ZIP code
64476
in Pickering, MissouriPopulation 223
47.59/ 100
Ranked #19,452 of 32,066 US ZIPs (bottom 39%)
Ranked #291 of 993 Missouri ZIPs (top 29%)
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.
Radon
3.6 pCi/L
in the top 3.9% nationally
Lower is healthier
ST99thUS96thDefinition & 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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Distance to a Superfund site
63.2 mi
in the top 8.0% nationally
Higher is healthier
ST91stUS92ndDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Fiber broadband
96.8%
in the top 8.4% nationally
Higher is healthier
ST93rdUS92ndDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Short sleep
41.2%
in the top 12.0% nationally
Lower is healthier
ST93rdUS88thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Distance to a community health center
13.5 mi
in the top 14.1% nationally
Lower is healthier
ST97thUS86thDefinition & 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 ›Outer-floodplain exposure
2.0%
in the top 15% nationally
Lower is healthier
ST92ndUS85thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Air-toxics cancer risk
20 per million
in the bottom 25% nationally
Lower is healthier
ST1stUS25thDefinition & 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
On balance, and by the composite measure, Pickering, Missouri (ZIP 64476) ranks in the bottom 39% nationally (19,452nd) and the top 29% of Missouri (291st).
Strengths and concerns sit side by side across the measures here: distance to a Superfund site settles in the top 8.0% nationally, and fiber broadband lies in the top 8.4% nationally. Modeled loud transportation noise resides at the national minimum, shared with about 22% of ZIPs. Modeled transportation noise lands in the bottom 17% nationally. On the other hand, modeled radon registers in the top 3.9% nationally, PFAS in drinking water sits at the national maximum, and home broadband subscription rests in the bottom 11.9% nationally. Modeled short sleep is in the top 12.0% nationally, distance to a community health center stands in the top 14.1% nationally, and outer-floodplain exposure settles in the top 15% nationally.
In plainer terms, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. 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 Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. For a healthier nearby ZIP overall, look to ZIP 64479, 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.
Nothing measured is lifting this score.
About typical
Chronic Disease Burden
healthier than 48%
21%
Social Need / SDOH
healthier than 59%
16%
Preventive Care
healthier than 44%
13%
Disability
healthier than 41%
7%
Climate / Disaster Risk
healthier than 40%
5%
Holding it back
Environmental Hazard
healthier than 37%
14%
Risk Behavior
healthier than 21%
11%
Mental Health
healthier than 30%
8%
Healthcare Access
healthier than 14%
5%
Lifting this score
Chronic Disease Burden
healthier than 71%
21%
Social Need / SDOH
healthier than 65%
16%
Preventive Care
healthier than 63%
13%
Disability
healthier than 72%
7%
Climate / Disaster Risk
healthier than 62%
5%
About typical
Risk Behavior
healthier than 48%
11%
Mental Health
healthier than 52%
8%
Holding it back
Environmental Hazard
healthier than 28%
14%
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.
Nearby
64428
Missourishares a border
Score 43.35
Closest healthier
64479
Missourishares a border
Score 48.72
Similar health profile
29331
South Carolina92% similar profile
Score 47.54
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 | 30.4% | 27.1–33.9 |
| High blood pressure among adults | 36.7% | 32.7–40.9 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 8.9–11.0 |
| Current asthma among adults | 10.7% | 9.4–12.1 |
| Coronary heart disease among adults | 7.4% | 6.5–8.3 |
| Chronic obstructive pulmonary disease among adults | 8.5% | 7.2–9.9 |
| Depression among adults | 25.4% | 21.8–29.3 |
| Diagnosed diabetes among adults | 11.5% | 9.9–13.3 |
| High cholesterol among adults who have ever been screened | 38.2% | 34.0–42.6 |
| Obesity among adults | 37.3% | 30.1–44.8 |
| Stroke among adults | 3.7% | 3.3–4.1 |
| All teeth lost among adults aged >=65 years | 13.6% | 11.1–16.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.0% | 6.3–10.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.4% | 75.6–80.9 |
| Visits to doctor for routine checkup within the past year among adults | 79.2% | 75.8–82.4 |
| Cholesterol screening among adults | 84.7% | 82.5–86.6 |
| Colorectal cancer screening among adults aged 45–75 years | 65.0% | 59.8–69.9 |
| Visited dentist or dental clinic in the past year among adults | 59.6% | 55.8–63.2 |
| Mammography use among women aged 50-74 years | 74.2% | 66.4–81.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.4% | 13.6–19.7 |
| Current cigarette smoking among adults | 15.9% | 13.1–18.8 |
| No leisure-time physical activity among adults | 28.5% | 23.8–33.5 |
| Short sleep duration among adults | 41.2% | 34.8–47.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.1% | 17.1–23.2 |
| Frequent mental distress among adults | 17.5% | 15.5–19.8 |
| Frequent physical distress among adults | 14.6% | 12.7–16.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.3% | 15.0–19.7 |
| Any disability among adults | 36.9% | 32.2–41.8 |
| Hearing disability among adults | 9.4% | 8.3–10.6 |
| Independent living disability among adults | 9.0% | 7.8–10.4 |
| Mobility disability among adults | 15.7% | 13.4–18.2 |
| Self-care disability among adults | 3.6% | 3.1–4.2 |
| Vision disability among adults | 4.7% | 4.1–5.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.3% | 16.1–22.9 |
| Food insecurity in the past 12 months among adults | 11.4% | 9.0–13.9 |
| Received food stamps in the past 12 months among adults | 8.5% | 6.7–10.6 |
| Housing insecurity in the past 12 months among adults | 10.1% | 8.3–12.1 |
| Lack of reliable transportation in the past 12 months among adults | 7.2% | 6.1–8.4 |
| Loneliness among adults | 31.0% | 26.1–36.1 |
| Utility services shut-off threat in the past 12 months among adults | 7.1% | 6.0–8.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 9.4% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 7.8% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 9.6% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 23.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 5.9% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 3.9% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 76.7% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 16.5% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 83.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 3.9% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.8% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 47.1% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 20.6% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 38.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $73,250 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $110,700 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $1,088 | $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 | 81.1 yr ± 1.79 | 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 1.79 years of 81.1, 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