ZIP code
69144
in Keystone, NebraskaPopulation 145
53.33/ 100
Ranked #11,587 of 32,066 US ZIPs (top 36%)
Ranked #318 of 566 Nebraska ZIPs (bottom 44%)
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.
Distance to a community health center
90.8 mi
in the top 0.07% nationally
Lower is healthier
ST99thUS99thDefinition & 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 ›Loneliness
25.3%
in the bottom 0.6% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Walkability
0.95 intersections/sq mi
in the bottom 2.5% nationally
Higher is healthier
ST6thUS2ndDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Home broadband subscription
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Energy-cost burden
5.9%
in the top 3.0% nationally
Lower is healthier
ST90thUS97thDefinition & 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 ›Housing-cost burden
1.4%
in the bottom 3.9% nationally
Lower is healthier
ST2ndUS4thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Homeownership rate
44.6%
in the bottom 6.7% nationally
Higher is healthier
ST3rdUS7thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Short sleep
29.1%
in the bottom 6.2% nationally
Lower is healthier
ST30thUS6thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Slow internet speeds
1.7%
in the top 6.9% nationally
Lower is healthier
ST95thUS93rdDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Air-toxics cancer risk
18.6 per million
in the bottom 7.0% nationally
Lower is healthier
ST7thUS7thDefinition & 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
In its overall standing, Keystone, Nebraska (ZIP 69144) lands in the top 36% healthiest ZIPs nationally (11,587th) and the bottom 44% of Nebraska (318th), based on limited data; treat as directional.
This area's measures are easy to read as a mixed set: modeled loneliness resides in the bottom 0.6% nationally, home broadband subscription settles at the national maximum, and housing-cost burden is in the bottom 3.9% nationally. Modeled short sleep sits in the bottom 6.2% nationally, and air-toxics cancer risk lands in the bottom 7.0% nationally. Set against that, distance to a community health center lies in the top 0.07% nationally, and walkability stands in the bottom 2.5% nationally. Modeled energy burden rests in the top 3.0% nationally, and homeownership registers in the bottom 6.7% nationally. Slow internet speeds resides in the top 6.9% nationally.
Put simply, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. Energy burden is the share of household income that goes to home energy bills. On the overall standing, ZIP 69153, just across the boundary, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Mental Health
in the top 0.6%
8%
Disability
healthier than 61%
7%
About typical
Chronic Disease Burden
healthier than 42%
21%
Environmental Hazard
healthier than 57%
14%
Preventive Care
healthier than 48%
13%
Risk Behavior
healthier than 49%
11%
Climate / Disaster RiskPartial
healthier than 44%
5%
Holding it back
Social Need / SDOH
healthier than 27%
16%
Healthcare Access
healthier than 1%
5%
Lifting this score
Environmental Hazard
healthier than 92%
14%
Mental Health
in the top 0.2%
8%
Climate / Disaster RiskPartial
healthier than 69%
5%
About typical
Preventive Care
healthier than 40%
13%
Holding it back
Chronic Disease Burden
healthier than 20%
21%
Social Need / SDOH
healthier than 14%
16%
Risk Behavior
healthier than 34%
11%
Disability
healthier than 36%
7%
Healthcare Access
healthier than 9%
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
69121
Nebraskashares a border
Score 52.88
Closest healthier
69153
Nebraskashares a border
Score 53.90
Similar health profile
68720
Nebraska99% similar profile
Score 50.78
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 | 29.1% | 25.9–32.4 |
| High blood pressure among adults | 41.9% | 37.7–46.1 |
| Cancer (non-skin) or melanoma among adults | 11.3% | 10.3–12.5 |
| Current asthma among adults | 8.1% | 7.2–9.1 |
| Coronary heart disease among adults | 9.5% | 8.4–10.6 |
| Chronic obstructive pulmonary disease among adults | 8.0% | 6.7–9.4 |
| Depression among adults | 13.8% | 11.8–16.2 |
| Diagnosed diabetes among adults | 14.1% | 12.2–16.1 |
| High cholesterol among adults who have ever been screened | 38.8% | 34.8–42.9 |
| Obesity among adults | 37.8% | 31.5–44.6 |
| Stroke among adults | 4.3% | 3.8–4.8 |
| All teeth lost among adults aged >=65 years | 13.5% | 10.7–16.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.2% | 6.5–10.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.7% | 78.8–84.3 |
| Visits to doctor for routine checkup within the past year among adults | 76.8% | 73.3–80.0 |
| Cholesterol screening among adults | 88.3% | 86.5–89.8 |
| Colorectal cancer screening among adults aged 45–75 years | 62.0% | 56.0–67.5 |
| Visited dentist or dental clinic in the past year among adults | 63.7% | 59.8–67.6 |
| Mammography use among women aged 50-74 years | 73.0% | 64.6–80.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.9% | 16.0–22.1 |
| Current cigarette smoking among adults | 15.6% | 12.7–18.4 |
| No leisure-time physical activity among adults | 29.0% | 24.3–33.8 |
| Short sleep duration among adults | 29.1% | 22.9–35.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.8% | 15.0–20.6 |
| Frequent mental distress among adults | 11.6% | 10.0–13.0 |
| Frequent physical distress among adults | 13.6% | 11.7–15.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 10.4% | 8.9–11.8 |
| Any disability among adults | 29.3% | 25.2–33.3 |
| Hearing disability among adults | 10.9% | 9.6–12.1 |
| Independent living disability among adults | 6.5% | 5.6–7.5 |
| Mobility disability among adults | 14.4% | 12.2–16.7 |
| Self-care disability among adults | 3.8% | 3.3–4.4 |
| Vision disability among adults | 4.5% | 3.9–5.2 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.3% | 17.0–24.0 |
| Food insecurity in the past 12 months among adults | 9.5% | 7.5–11.7 |
| Received food stamps in the past 12 months among adults | 6.6% | 5.1–8.2 |
| Housing insecurity in the past 12 months among adults | 7.4% | 6.0–8.8 |
| Lack of reliable transportation in the past 12 months among adults | 5.3% | 4.5–6.2 |
| Loneliness among adults | 25.3% | 21.1–29.8 |
| Utility services shut-off threat in the past 12 months among adults | 5.4% | 4.5–6.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Poverty rate | 2.8% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (2.6–16.7%) n=578 |
| Uninsured 18–64 | 8.2% | 9.0% (1.5–24.3%) n=32,286 | 8.4% (1.6–20.4%) n=579 |
| No HS diploma (25+) | 12.1% | 7.9% (1.8–20.7%) n=32,505 | 5.2% (1.5–11.9%) n=578 |
| Bachelor's or higher (25+) | 18.2% | 23.3% (9.2–53.6%) n=32,505 | 24.4% (12.1–39.7%) n=578 |
| Unemployment rate (16+) | 0.9% | 3.9% (0.0–9.8%) n=32,274 | 1.4% (0.0–5.8%) n=579 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 2.1% (0.0–7.6%) n=578 |
| Broadband subscription | 100.0% | 89.3% (75.1–97.1%) n=32,322 | 87.6% (75.9–96.3%) n=578 |
| Housing cost burden (≥30% income) | 1.4% | 23.7% (10.6–40.0%) n=32,322 | 18.5% (7.6–30.4%) n=578 |
| Homeownership rate | 44.6% | 78.7% (51.7–94.0%) n=32,322 | 80.5% (61.0–93.2%) n=578 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.6%) n=578 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 1.1% (0.0–8.3%) n=579 |
| Single-parent households | 87.5% | 53.6% (37.3–74.1%) n=32,087 | 57.2% (42.6–77.1%) n=577 |
| Population 65+ | 24.1% | 19.4% (10.8–33.6%) n=32,553 | 21.2% (11.4–34.7%) n=579 |
| Median age | 54.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.0–56.3) n=577 |
| Median household income | $62,500 | $72,070 ($46,039–$118,707) n=30,318 | $73,386 ($53,469–$103,625) n=556 |
| Median home value | $290,300 | $222,200 ($100,300–$579,820) n=30,049 | $168,400 ($90,000–$306,740) n=533 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $850 ($610–$1,250) n=442 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.5 yr ± 1.56 | 78.9 yr (74.7–82.8) n=31,308 | 80.1 yr (77.4–83.0) n=553 |
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 1.56 years of 79.5, 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