ZIP code
78220
in San Antonio, TexasPopulation 19,423
28.64/ 100
Ranked #31,009 of 32,066 US ZIPs (bottom 3.3%)
Ranked #1,834 of 1,868 Texas ZIPs (bottom 1.9%)
Ranked #116 of 117 San Antonio-New Braunfels, TX ZIPs (bottom 0.9%)
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)
31.1%
in the top 1.0% nationally
Lower is healthier
ST89thUS99thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Vision disability
14.5%
in the top 0.6% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Self-care disability
10.2%
in the top 0.6% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Diabetes
24.3%
in the top 0.6% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Fair or poor health
39.6%
in the top 0.8% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Independent-living disability
16.1%
in the top 1.6% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Short sleep
48.1%
in the top 0.9% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Mobility disability
27.9%
in the top 1.2% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Stroke
6.6%
in the top 2.0% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Subsidized affordable housing
979 units
in the top 1.5% nationally
Higher is healthier
ST98thUS99thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›The read
Judged by its overall standing, ZIP 78220, one of several in San Antonio, Texas sits in the bottom 3.3% nationally (31,009th) and the bottom 1.9% of Texas (1,834th).
A demanding profile, and several measures drive it: modeled uninsured resides in the top 1.0% nationally, vision disability sits in the top 0.6% nationally, and self-care disability stands in the top 0.6% nationally. Modeled diabetes resides in the top 0.6% nationally, fair or poor health sits in the top 0.8% nationally, and independent living disability stands in the top 1.6% nationally. Modeled short sleep resides in the top 0.9% nationally, and mobility disability sits in the top 1.2% nationally. Modeled stroke stands in the top 2.0% nationally. On the stronger side, subsidized affordable housing resides in the top 1.5% nationally.
Placed beside its immediate neighbors, park land runs far higher than the surrounding ZIPs on this measure. Put plainly, subsidized affordable housing is the main federal tax-credit program (HUD) funding affordable rental housing, counted as local units it supports. A healthier nearby ZIP overall is ZIP 78202, 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. Compare it against the US, this state and the San Antonio-New Braunfels, TX 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 65%
14%
Healthcare Access
healthier than 87%
5%
Holding it back
Chronic Disease Burden
healthier than 9%
21%
Social Need / SDOH
healthier than 25%
16%
Preventive Care
healthier than 4%
13%
Risk Behavior
in the bottom 1.0%
11%
Mental Health
healthier than 21%
8%
Disability
healthier than 1%
7%
Climate / Disaster Risk
healthier than 7%
5%
Lifting this score
Healthcare Access
healthier than 86%
5%
About typical
Environmental Hazard
healthier than 45%
14%
Holding it back
Chronic Disease Burden
healthier than 3%
21%
Social Need / SDOH
healthier than 16%
16%
Preventive Care
healthier than 17%
13%
Risk Behavior
in the bottom 0.5%
11%
Mental Health
healthier than 10%
8%
Disability
in the bottom 0.7%
7%
Climate / Disaster Risk
healthier than 33%
5%
Lifting this score
Healthcare Access
healthier than 81%
5%
Holding it back
Chronic Disease Burden
healthier than 2%
21%
Social Need / SDOH
healthier than 9%
16%
Environmental Hazard
healthier than 27%
14%
Preventive Care
healthier than 24%
13%
Risk Behavior
in the bottom 0.00%
11%
Mental Health
healthier than 4%
8%
Disability
healthier than 2%
7%
Climate / Disaster Risk
healthier than 34%
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 ›
Findings that name this ZIP
3 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 72.4 ± 1.5 years. A median household income of $41,710 predicts 76.6 years — 4.3 years below.
Ranked #5,211 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Below its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 72.4 ± 1.5 years. The 44 nearest ZIP codes with estimates average 77.0 years — 4.6 years below them.
Ranked #3,254 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.
Clean environment, heavy chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 65.2; chronic-disease standing 9.4 (bottom 10%) — 56 points apart, cleaner on the environment than it is on chronic illness.
Ranked #2,059 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
78202
Texasshares a border
Score 41.03
Closest healthier
78203
Texasshares a border
Score 34.67
Similar health profile
33838
Florida99% similar profile
Score 28.93
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 | 30.6% | 28.0–33.3 |
| High blood pressure among adults | 47.7% | 44.6–50.9 |
| Cancer (non-skin) or melanoma among adults | 5.3% | 4.8–5.8 |
| Current asthma among adults | 11.2% | 9.9–12.5 |
| Coronary heart disease among adults | 9.4% | 8.5–10.4 |
| Chronic obstructive pulmonary disease among adults | 10.8% | 9.7–12.0 |
| Depression among adults | 22.9% | 20.1–25.8 |
| Diagnosed diabetes among adults | 24.3% | 22.0–26.7 |
| High cholesterol among adults who have ever been screened | 37.1% | 33.9–40.4 |
| Obesity among adults | 44.4% | 39.6–49.2 |
| Stroke among adults | 6.6% | 6.1–7.1 |
| All teeth lost among adults aged >=65 years | 26.7% | 23.1–30.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 31.1% | 28.2–34.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.5% | 76.3–80.7 |
| Visits to doctor for routine checkup within the past year among adults | 75.0% | 72.0–77.9 |
| Cholesterol screening among adults | 80.9% | 79.0–82.8 |
| Colorectal cancer screening among adults aged 45–75 years | 56.0% | 52.0–60.2 |
| Visited dentist or dental clinic in the past year among adults | 40.3% | 37.5–43.3 |
| Mammography use among women aged 50-74 years | 70.6% | 64.5–76.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 12.0% | 10.2–14.1 |
| Current cigarette smoking among adults | 21.5% | 19.1–24.0 |
| No leisure-time physical activity among adults | 47.2% | 43.0–51.1 |
| Short sleep duration among adults | 48.1% | 44.5–52.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 39.6% | 36.2–42.8 |
| Frequent mental distress among adults | 20.6% | 18.5–22.8 |
| Frequent physical distress among adults | 21.1% | 19.0–23.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 22.8% | 20.6–25.0 |
| Any disability among adults | 47.1% | 43.3–50.7 |
| Hearing disability among adults | 8.7% | 7.7–9.7 |
| Independent living disability among adults | 16.1% | 14.6–17.7 |
| Mobility disability among adults | 27.9% | 25.4–30.3 |
| Self-care disability among adults | 10.2% | 9.3–11.0 |
| Vision disability among adults | 14.5% | 13.3–15.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 35.7% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 36.1% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 25.2% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 9.5% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 11.6% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 14.5% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 83.7% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 33.0% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 52.7% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 9.3% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 10.5% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 39.0% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 14.4% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 33.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $41,710 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $143,700 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,156 | $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 | 72.4 yr ± 0.79 | 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 0.79 years of 72.4, 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