ZIP code
77864
in Madisonville, TexasPopulation 7,640
40.94/ 100
Ranked #26,081 of 32,066 US ZIPs (bottom 19%)
Ranked #1,380 of 1,868 Texas ZIPs (bottom 26%)
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.
Uninsured (under 65)
20.7%
in the top 4.0% nationally
Lower is healthier
ST70thUS96thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›PFAS in drinking water
7.2%
in the bottom 3.7% nationally
Lower is healthier
ST3rdUS4thDefinition & 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 ›Fatal road crashes
45.8 per 100,000 residents per year
in the top 5.1% nationally
Lower is healthier
ST90thUS95thDefinition & source ›
The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.
A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.
Full methodology ›Dry extreme heat
76.9 days/year
in the top 5.3% nationally
Lower is healthier
ST46thUS95thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Humid extreme heat
141.9 days/year
in the top 6.8% nationally
Lower is healthier
ST62ndUS93rdDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Child-care access
0.55 per 1,000 residents
in the top 8.7% nationally
Higher is healthier
ST96thUS91stDefinition & 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 ›Lead in tap water
0.0000099 ppb
in the bottom 9.2% nationally
Lower is healthier
US9thDefinition & source ›
The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.
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 ›The read
On the composite measure, Madisonville, Texas (ZIP 77864) stands in the bottom 19% nationally (26,081st) and the bottom 26% of Texas (1,380th), based on limited data; treat as directional.
A balanced set of signals defines this area, not any single one: modeled pfas stands in the bottom 3.7% nationally. Distance to an emergency room sits at the national minimum, shared with about 11% of ZIPs. Childcare resides in the top 8.7% nationally, and lead in tap water stands in the bottom 9.2% nationally. Distance to a community health center sits at the national minimum, shared with about 23% of ZIPs. By contrast, modeled uninsured resides in the top 4.0% nationally, fatal road crashes stands in the top 5.1% nationally, and modeled extreme heat sits in the top 5.3% nationally. Modeled humid heat resides in the top 6.8% nationally, and expected annual loss stands in the top 12.4% nationally.
Set beside the wider area around it, park land runs far higher than the surrounding ZIPs on this measure. For clarity, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. ZIP 75850, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 93%
14%
Healthcare Access
in the top 0.00%
5%
About typical
Social Need / SDOH
healthier than 60%
16%
Holding it back
Chronic Disease Burden
healthier than 33%
21%
Preventive Care
healthier than 9%
13%
Risk Behavior
healthier than 19%
11%
Mental Health
healthier than 35%
8%
Disability
healthier than 17%
7%
Climate / Disaster RiskPartial
in the bottom 0.5%
5%
Lifting this score
Environmental Hazard
healthier than 89%
14%
Healthcare Access
in the top 0.00%
5%
About typical
Social Need / SDOH
healthier than 60%
16%
Holding it back
Chronic Disease Burden
healthier than 19%
21%
Preventive Care
healthier than 34%
13%
Risk Behavior
healthier than 30%
11%
Mental Health
healthier than 27%
8%
Disability
healthier than 20%
7%
Climate / Disaster RiskPartial
healthier than 3%
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
75850
Texasshares a border
Score 46.22
Closest healthier
77320
Texasshares a border
Score 43.23
Similar health profile
32609
Florida99% similar profile
Score 43.61
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 | 28.4% | 25.1–31.7 |
| High blood pressure among adults | 40.5% | 36.0–44.8 |
| Cancer (non-skin) or melanoma among adults | 7.7% | 7.0–8.5 |
| Current asthma among adults | 10.8% | 9.6–12.2 |
| Coronary heart disease among adults | 8.0% | 7.1–8.8 |
| Chronic obstructive pulmonary disease among adults | 9.0% | 7.9–10.1 |
| Depression among adults | 22.8% | 19.4–26.5 |
| Diagnosed diabetes among adults | 16.0% | 14.0–18.2 |
| High cholesterol among adults who have ever been screened | 38.5% | 34.1–43.1 |
| Obesity among adults | 38.6% | 30.2–47.5 |
| Stroke among adults | 4.6% | 4.2–5.0 |
| All teeth lost among adults aged >=65 years | 20.1% | 16.8–23.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 20.7% | 17.8–23.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.3% | 75.7–80.9 |
| Visits to doctor for routine checkup within the past year among adults | 75.6% | 71.8–79.4 |
| Cholesterol screening among adults | 84.3% | 82.3–86.4 |
| Colorectal cancer screening among adults aged 45–75 years | 58.9% | 53.5–64.2 |
| Visited dentist or dental clinic in the past year among adults | 50.4% | 46.7–54.3 |
| Mammography use among women aged 50-74 years | 70.7% | 62.3–78.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.9% | 12.2–18.2 |
| Current cigarette smoking among adults | 16.5% | 14.2–18.9 |
| No leisure-time physical activity among adults | 34.3% | 29.2–39.5 |
| Short sleep duration among adults | 39.5% | 32.4–47.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 27.9% | 24.6–31.2 |
| Frequent mental distress among adults | 18.7% | 16.6–21.0 |
| Frequent physical distress among adults | 16.5% | 14.6–18.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.1% | 16.0–20.2 |
| Any disability among adults | 38.8% | 34.1–43.5 |
| Hearing disability among adults | 8.4% | 7.5–9.4 |
| Independent living disability among adults | 11.3% | 10.0–12.6 |
| Mobility disability among adults | 19.9% | 17.5–22.4 |
| Self-care disability among adults | 5.8% | 5.1–6.3 |
| Vision disability among adults | 8.0% | 7.2–8.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.4% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 18.5% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 15.8% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 22.7% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 8.3% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 3.9% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 89.1% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 21.7% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 72.4% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 3.3% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 10.9% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 39.2% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 18.3% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 37.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $73,247 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $168,400 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $912 | $1,021 ($677–$1,912) n=25,670 | $1,154 ($764–$1,815) n=1,508 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 77.2 yr ± 1.24 | 78.9 yr (74.7–82.8) n=31,308 | 78.2 yr (75.1–81.7) n=1,772 |
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 1.24 years of 77.2, 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