ZIP code
78223
in San Antonio, TexasPopulation 58,983
40.25/ 100
Ranked #26,587 of 32,066 US ZIPs (bottom 17%)
Ranked #1,435 of 1,868 Texas ZIPs (bottom 23%)
Ranked #100 of 117 San Antonio-New Braunfels, TX ZIPs (bottom 14.6%)
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)
31.3%
in the top 0.9% nationally
Lower is healthier
ST89thUS99thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Subsidized affordable housing
1,390 units
in the top 0.7% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Dry extreme heat
100.4 days/year
in the top 1.5% nationally
Lower is healthier
ST94thUS99thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Vision disability
10.2%
in the top 4.5% nationally
Lower is healthier
ST89thUS96thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Fair or poor health
31.4%
in the top 6.1% nationally
Lower is healthier
ST87thUS94thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Colon-cancer screening
55.4%
in the bottom 5.3% nationally
Higher is healthier
ST19thUS5thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Short sleep
43.6%
in the top 5.3% nationally
Lower is healthier
ST95thUS95thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Diabetes
18.1%
in the top 7.8% nationally
Lower is healthier
ST87thUS92ndDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Expected annual disaster loss
$0
in the top 7.6% nationally
Lower is healthier
ST84thUS92ndDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Transit access
3.8 per 1,000 residents
in the top 7.8% nationally
Higher is healthier
ST95thUS92ndDefinition & source ›
The number of public-transit stops 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 ›The read
In overall standing, ZIP 78223, one of several in San Antonio, Texas comes out in the bottom 17% nationally (26,587th) and the bottom 23% of Texas (1,435th).
The data points to real strain across a number of measures here: modeled uninsured is in the top 0.9% nationally, extreme heat resides in the top 1.5% nationally, and vision disability rests in the top 4.5% nationally. Modeled fair or poor health lies in the top 6.1% nationally, colon screening sits in the bottom 5.3% nationally, and short sleep settles in the top 5.3% nationally. Modeled diabetes registers in the top 7.8% nationally, and expected annual loss stands in the top 7.6% nationally. On the brighter side, subsidized affordable housing lands in the top 0.7% nationally, and transit is in the top 7.8% nationally.
Relative to the ZIPs around it, subsidized affordable housing runs far higher than the surrounding ZIPs on this measure. In plain terms, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Subsidized affordable housing is the main federal tax-credit program (HUD) funding affordable rental housing, counted as local units it supports. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. The nearest healthier ZIP overall is ZIP 78101, 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
Chronic Disease Burden
healthier than 62%
21%
Environmental Hazard
healthier than 68%
14%
Healthcare Access
healthier than 84%
5%
About typical
Mental Health
healthier than 41%
8%
Holding it back
Social Need / SDOH
healthier than 40%
16%
Preventive Care
healthier than 3%
13%
Risk Behavior
healthier than 6%
11%
Disability
healthier than 12%
7%
Climate / Disaster Risk
healthier than 4%
5%
Lifting this score
Healthcare Access
healthier than 82%
5%
About typical
Chronic Disease Burden
healthier than 50%
21%
Environmental Hazard
healthier than 48%
14%
Holding it back
Social Need / SDOH
healthier than 33%
16%
Preventive Care
healthier than 14%
13%
Risk Behavior
healthier than 7%
11%
Mental Health
healthier than 36%
8%
Disability
healthier than 13%
7%
Climate / Disaster Risk
healthier than 15%
5%
Lifting this score
Healthcare Access
healthier than 76%
5%
Holding it back
Chronic Disease Burden
healthier than 36%
21%
Social Need / SDOH
healthier than 19%
16%
Environmental Hazard
healthier than 31%
14%
Preventive Care
healthier than 17%
13%
Risk Behavior
healthier than 12%
11%
Mental Health
healthier than 14%
8%
Disability
healthier than 14%
7%
Climate / Disaster Risk
healthier than 4%
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
78101
Texasshares a border
Score 52.99
Closest healthier
78112
Texasshares a border
Score 45.56
Similar health profile
75217
Texas99% similar profile
Score 35.68
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 | 24.3% | 22.0–26.6 |
| High blood pressure among adults | 37.2% | 34.2–40.3 |
| Cancer (non-skin) or melanoma among adults | 5.1% | 4.6–5.6 |
| Current asthma among adults | 9.3% | 8.3–10.5 |
| Coronary heart disease among adults | 6.9% | 6.2–7.5 |
| Chronic obstructive pulmonary disease among adults | 6.8% | 6.1–7.5 |
| Depression among adults | 22.5% | 19.9–25.4 |
| Diagnosed diabetes among adults | 18.1% | 16.4–20.0 |
| High cholesterol among adults who have ever been screened | 35.1% | 32.1–38.3 |
| Obesity among adults | 38.6% | 34.1–43.2 |
| Stroke among adults | 3.9% | 3.6–4.2 |
| All teeth lost among adults aged >=65 years | 17.3% | 14.6–20.3 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 31.3% | 28.3–34.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 73.8% | 71.1–76.4 |
| Visits to doctor for routine checkup within the past year among adults | 71.3% | 68.0–74.4 |
| Cholesterol screening among adults | 81.6% | 79.6–83.4 |
| Colorectal cancer screening among adults aged 45–75 years | 55.4% | 51.4–59.5 |
| Visited dentist or dental clinic in the past year among adults | 46.6% | 43.7–49.6 |
| Mammography use among women aged 50-74 years | 70.0% | 63.9–76.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.1% | 12.8–17.5 |
| Current cigarette smoking among adults | 15.7% | 13.9–17.7 |
| No leisure-time physical activity among adults | 39.8% | 36.2–43.6 |
| Short sleep duration among adults | 43.6% | 40.1–47.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 31.4% | 28.7–34.3 |
| Frequent mental distress among adults | 18.3% | 16.5–20.2 |
| Frequent physical distress among adults | 17.7% | 16.0–19.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.4% | 17.6–21.4 |
| Any disability among adults | 39.3% | 35.9–42.8 |
| Hearing disability among adults | 7.7% | 6.9–8.6 |
| Independent living disability among adults | 11.0% | 10.0–12.1 |
| Mobility disability among adults | 19.8% | 17.9–21.8 |
| Self-care disability among adults | 6.3% | 5.8–6.9 |
| Vision disability among adults | 10.2% | 9.4–11.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 22.0% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 27.9% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 21.2% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 11.8% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 5.6% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 11.4% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 84.0% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 39.8% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 57.6% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 5.8% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 10.8% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 37.4% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 12.5% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 34.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $52,088 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $172,600 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,128 | $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 | 76.6 yr ± 0.58 | 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 0.58 years of 76.6, 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