ZIP code
65644
in Elkland, MissouriPopulation 2,059
46.26/ 100
Ranked #21,032 of 32,066 US ZIPs (bottom 34%)
Ranked #375 of 993 Missouri ZIPs (top 38%)
Ranked #25 of 52 Springfield, MO ZIPs (top 48%)
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.
Arsenic in groundwater
1.2%
in the bottom 5.7% nationally
Lower is healthier
ST16thUS6thDefinition & 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 ›Distance to an emergency room
17.6 mi
in the top 7.6% nationally
Lower is healthier
ST88thUS92ndDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Transportation noise
0.11%
in the bottom 8.6% nationally
Lower is healthier
ST14thUS9thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Natural-disaster risk
in the top 15% nationally
Lower is healthier
ST92ndUS85thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›PFAS in drinking water
35.6%
in the top 28% nationally
Lower is healthier
ST92ndUS72ndDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
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 ›The read
On the composite measure, Elkland, Missouri (ZIP 65644) stands in the bottom 34% nationally (21,032nd) and the top 38% of Missouri (375th).
Several signals sit on each side of the ledger here: modeled arsenic registers in the bottom 5.7% nationally, and transportation noise lies in the bottom 8.6% nationally. Modeled loud transportation noise is at the national minimum, shared with about 22% of ZIPs. Homeownership registers in the top 17% nationally. Outer-floodplain exposure lies at the national minimum, shared with about 36% of ZIPs. Working the other way, distance to an emergency room is in the top 7.6% nationally, fatal road crashes registers in the top 10.3% nationally, and modeled disaster risk lies in the top 15% nationally. Recreation is at the national minimum, shared with about 35% of ZIPs. Physicians registers at the national minimum, shared with about 38% of ZIPs.
For clarity, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. ZIP 65648, just across the boundary, ranks better overall among the ZIPs nearby.
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.
Lifting this score
Environmental Hazard
healthier than 68%
14%
About typical
Social Need / SDOH
healthier than 47%
16%
Climate / Disaster Risk
healthier than 46%
5%
Healthcare Access
healthier than 41%
5%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Preventive Care
healthier than 36%
13%
Risk Behavior
healthier than 19%
11%
Mental Health
healthier than 29%
8%
Disability
healthier than 31%
7%
Lifting this score
Environmental Hazard
healthier than 63%
14%
Climate / Disaster Risk
healthier than 82%
5%
About typical
Chronic Disease Burden
healthier than 57%
21%
Social Need / SDOH
healthier than 52%
16%
Preventive Care
healthier than 46%
13%
Risk Behavior
healthier than 44%
11%
Mental Health
healthier than 49%
8%
Disability
healthier than 57%
7%
Healthcare Access
healthier than 45%
5%
Nothing measured is holding this score back.
Lifting this score
Environmental Hazard
healthier than 66%
14%
Climate / Disaster Risk
healthier than 64%
5%
About typical
Chronic Disease Burden
healthier than 45%
21%
Preventive Care
healthier than 57%
13%
Risk Behavior
healthier than 48%
11%
Mental Health
healthier than 55%
8%
Disability
healthier than 48%
7%
Holding it back
Social Need / SDOH
healthier than 39%
16%
Healthcare Access
healthier than 36%
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
65590
Missourishares a border
Score 44.15
Closest healthier
65648
Missourishares a border
Score 49.02
Similar health profile
40157
Kentucky99% similar profile
Score 44.39
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 | 31.4% | 28.6–34.2 |
| High blood pressure among adults | 38.6% | 35.3–42.0 |
| Cancer (non-skin) or melanoma among adults | 9.5% | 8.7–10.2 |
| Current asthma among adults | 10.7% | 9.6–11.7 |
| Coronary heart disease among adults | 7.8% | 7.1–8.6 |
| Chronic obstructive pulmonary disease among adults | 9.6% | 8.5–10.7 |
| Depression among adults | 25.1% | 22.3–28.2 |
| Diagnosed diabetes among adults | 13.0% | 11.5–14.6 |
| High cholesterol among adults who have ever been screened | 38.7% | 35.4–42.2 |
| Obesity among adults | 39.2% | 33.2–45.8 |
| Stroke among adults | 4.0% | 3.7–4.3 |
| All teeth lost among adults aged >=65 years | 14.4% | 12.2–16.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.6% | 7.3–10.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.5% | 76.1–80.6 |
| Visits to doctor for routine checkup within the past year among adults | 78.3% | 75.6–81.0 |
| Cholesterol screening among adults | 84.5% | 82.8–86.1 |
| Colorectal cancer screening among adults aged 45–75 years | 63.0% | 58.8–66.8 |
| Visited dentist or dental clinic in the past year among adults | 58.3% | 55.3–61.3 |
| Mammography use among women aged 50-74 years | 73.8% | 67.7–79.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.0% | 13.8–18.4 |
| Current cigarette smoking among adults | 18.8% | 16.4–21.2 |
| No leisure-time physical activity among adults | 30.5% | 26.5–34.6 |
| Short sleep duration among adults | 38.1% | 32.9–43.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.0% | 19.6–24.6 |
| Frequent mental distress among adults | 17.9% | 16.2–19.7 |
| Frequent physical distress among adults | 15.7% | 14.2–17.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.0% | 16.2–19.9 |
| Any disability among adults | 38.1% | 34.3–42.1 |
| Hearing disability among adults | 9.5% | 8.6–10.5 |
| Independent living disability among adults | 9.6% | 8.6–10.7 |
| Mobility disability among adults | 17.2% | 15.4–19.3 |
| Self-care disability among adults | 4.3% | 3.9–4.7 |
| Vision disability among adults | 5.3% | 4.8–5.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.7% | 17.2–22.3 |
| Food insecurity in the past 12 months among adults | 13.4% | 11.5–15.5 |
| Received food stamps in the past 12 months among adults | 10.6% | 8.9–12.3 |
| Housing insecurity in the past 12 months among adults | 11.3% | 9.8–12.9 |
| Lack of reliable transportation in the past 12 months among adults | 8.1% | 7.1–9.1 |
| Loneliness among adults | 30.3% | 26.7–34.1 |
| Utility services shut-off threat in the past 12 months among adults | 8.5% | 7.4–9.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 16.7% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 7.5% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 7.0% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 17.4% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 1.7% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 1.5% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 89.6% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 17.1% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 90.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 2.1% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.2% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 64.2% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 16.1% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 39.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $71,527 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $249,100 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $756 | $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 | 78.7 yr ± 1.31 | 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 1.31 years of 78.7, 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