ZIP code
65604
in Ash Grove, MissouriPopulation 3,873
48.52/ 100
Ranked #18,282 of 32,066 US ZIPs (bottom 43%)
Ranked #253 of 993 Missouri ZIPs (top 25%)
Ranked #19 of 52 Springfield, MO ZIPs (top 37%)
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.
Child-care access
0.79 per 1,000 residents
in the top 4.0% nationally
Higher is healthier
ST94thUS96thDefinition & source ›
The number of child day-care services 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 ›Grocery access
0.26 per 1,000 residents
in the top 4.6% nationally
Higher is healthier
ST96thUS95thDefinition & 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 ›Outpatient-care access
0.53 per 1,000 residents
in the top 7.1% nationally
Higher is healthier
ST95thUS93rdDefinition & source ›
The number of outpatient clinics located 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 ›Households without a vehicle
13.7%
in the top 8.6% nationally
Lower is healthier
ST92ndUS91stDefinition & source ›
The share of households with no vehicle available.
Full methodology ›The read
Ash Grove, Missouri (ZIP 65604), on the composite measure, lands in the bottom 43% nationally (18,282nd) and the top 25% of Missouri (253rd).
The readings split fairly evenly between strengths and concerns: childcare is in the top 4.0% nationally, grocery rests in the top 4.6% nationally, and outpatient sits in the top 7.1% nationally. Distance to a nursing home registers at the national minimum, shared with about 27% of ZIPs. Pharmacy lands in the top 17% nationally. Working the other way, households without a vehicle resides in the top 8.6% nationally, and fatal road crashes lies in the top 12.5% nationally. Recreation settles at the national minimum, shared with about 35% of ZIPs. Slow internet speeds stands in the top 18% nationally. Physicians is at the national minimum, shared with about 38% of ZIPs.
A healthier neighbor overall sits at ZIP 65612, just across the boundary. Households without a vehicle is in the top 8.6% nationally.
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 Springfield, MO metro area.
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 40%
21%
Social Need / SDOH
healthier than 59%
16%
Environmental Hazard
healthier than 51%
14%
Preventive Care
healthier than 45%
13%
Risk Behavior
healthier than 43%
11%
Holding it back
Mental Health
healthier than 39%
8%
Disability
healthier than 34%
7%
Climate / Disaster Risk
healthier than 39%
5%
Healthcare Access
healthier than 34%
5%
Lifting this score
Social Need / SDOH
healthier than 65%
16%
Preventive Care
healthier than 64%
13%
Risk Behavior
healthier than 82%
11%
Mental Health
healthier than 71%
8%
Disability
healthier than 64%
7%
About typical
Chronic Disease Burden
healthier than 60%
21%
Climate / Disaster Risk
healthier than 58%
5%
Holding it back
Environmental Hazard
healthier than 40%
14%
Healthcare Access
healthier than 34%
5%
Lifting this score
Preventive Care
healthier than 75%
13%
Risk Behavior
healthier than 77%
11%
Mental Health
healthier than 75%
8%
About typical
Chronic Disease Burden
healthier than 50%
21%
Social Need / SDOH
healthier than 59%
16%
Disability
healthier than 59%
7%
Holding it back
Environmental Hazard
healthier than 25%
14%
Climate / Disaster Risk
healthier than 18%
5%
Healthcare Access
healthier than 25%
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
65612
Missourishares a border
Score 53.05
Closest healthier
65781
Missourishares a border
Score 52.75
Similar health profile
35765
Alabama94% similar profile
Score 42.99
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 | 32.7% | 30.1–35.3 |
| High blood pressure among adults | 37.6% | 34.7–40.8 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.4–11.0 |
| Current asthma among adults | 10.8% | 9.8–11.9 |
| Coronary heart disease among adults | 7.8% | 7.1–8.5 |
| Chronic obstructive pulmonary disease among adults | 9.2% | 8.2–10.2 |
| Depression among adults | 24.2% | 21.6–27.0 |
| Diagnosed diabetes among adults | 12.5% | 11.1–13.9 |
| High cholesterol among adults who have ever been screened | 39.3% | 36.2–42.7 |
| Obesity among adults | 37.1% | 32.3–42.2 |
| Stroke among adults | 3.9% | 3.6–4.3 |
| All teeth lost among adults aged >=65 years | 12.7% | 10.9–14.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.0% | 6.7–9.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.8% | 77.6–81.9 |
| Visits to doctor for routine checkup within the past year among adults | 79.5% | 76.9–82.0 |
| Cholesterol screening among adults | 85.8% | 84.2–87.3 |
| Colorectal cancer screening among adults aged 45–75 years | 63.5% | 59.8–67.0 |
| Visited dentist or dental clinic in the past year among adults | 59.4% | 56.6–62.1 |
| Mammography use among women aged 50-74 years | 73.0% | 67.4–78.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.9% | 13.0–17.2 |
| Current cigarette smoking among adults | 16.6% | 14.7–18.7 |
| No leisure-time physical activity among adults | 28.2% | 24.9–31.7 |
| Short sleep duration among adults | 36.9% | 32.7–41.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.7% | 18.5–22.9 |
| Frequent mental distress among adults | 17.2% | 15.5–18.9 |
| Frequent physical distress among adults | 15.5% | 14.0–17.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.3% | 15.6–19.0 |
| Any disability among adults | 37.9% | 34.5–41.4 |
| Hearing disability among adults | 9.6% | 8.6–10.5 |
| Independent living disability among adults | 9.3% | 8.4–10.3 |
| Mobility disability among adults | 17.2% | 15.4–19.1 |
| Self-care disability among adults | 4.0% | 3.6–4.4 |
| Vision disability among adults | 5.0% | 4.5–5.5 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 18.9% | 16.6–21.4 |
| Food insecurity in the past 12 months among adults | 12.0% | 10.4–13.8 |
| Received food stamps in the past 12 months among adults | 9.2% | 7.8–10.8 |
| Housing insecurity in the past 12 months among adults | 10.2% | 8.9–11.6 |
| Lack of reliable transportation in the past 12 months among adults | 7.4% | 6.6–8.3 |
| Loneliness among adults | 30.7% | 27.2–34.4 |
| Utility services shut-off threat in the past 12 months among adults | 7.5% | 6.7–8.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 5.9% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 12.5% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 5.6% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 30.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 2.0% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 13.7% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 88.0% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 19.9% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 86.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.5% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 55.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 17.6% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 37.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $68,683 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $198,200 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $798 | $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 | 79.1 yr ± 0.91 | 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 0.91 years of 79.1, 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