ZIP code
78228
in San Antonio, TexasPopulation 56,165
39.61/ 100
Ranked #27,008 of 32,066 US ZIPs (bottom 16%)
Ranked #1,482 of 1,868 Texas ZIPs (bottom 21%)
Ranked #102 of 117 San Antonio-New Braunfels, TX ZIPs (bottom 12.9%)
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)
35.4%
in the top 0.5% nationally
Lower is healthier
ST93rdUS99thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Vision disability
11.8%
in the top 2.3% nationally
Lower is healthier
ST93rdUS98thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Subsidized affordable housing
1,228 units
in the top 1.0% 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 ›Fair or poor health
34.6%
in the top 3.0% nationally
Lower is healthier
ST93rdUS97thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Dry extreme heat
98 days/year
in the top 1.6% nationally
Lower is healthier
ST93rdUS98thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Diabetes
20.4%
in the top 3.2% nationally
Lower is healthier
ST95thUS97thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Colon-cancer screening
53.9%
in the bottom 4.0% nationally
Higher is healthier
ST14thUS4thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Self-care disability
7.1%
in the top 5.4% nationally
Lower is healthier
ST92ndUS95thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Transit access
5.7 per 1,000 residents
in the top 3.9% nationally
Higher is healthier
ST97thUS96thDefinition & 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 ›Humid extreme heat
150.9 days/year
in the top 4.5% nationally
Lower is healthier
ST73rdUS96thDefinition & 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 ›The read
By its overall health score, ZIP 78228, one of several in San Antonio, Texas lands in the bottom 16% nationally (27,008th) and the bottom 21% of Texas (1,482nd).
The burdens that read clearest in the data come first: modeled uninsured sits in the top 0.5% nationally, and vision disability rests in the top 2.3% nationally. Modeled fair or poor health is in the top 3.0% nationally, and extreme heat stands in the top 1.6% nationally. Modeled diabetes settles in the top 3.2% nationally, colon screening lies in the bottom 4.0% nationally, and self-care disability resides in the top 5.4% nationally. Modeled humid heat lands in the top 4.5% nationally. Better still, subsidized affordable housing registers in the top 1.0% nationally, and transit sits in the top 3.9% nationally.
Weighed against the ZIPs nearby, park land runs far lower than the surrounding ZIPs on this measure. To translate a couple of terms, 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. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. Overall, the nearest healthier neighbor is ZIP 78227, 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 78%
14%
Healthcare Access
healthier than 80%
5%
About typical
Chronic Disease Burden
healthier than 51%
21%
Social Need / SDOH
healthier than 41%
16%
Mental Health
healthier than 52%
8%
Holding it back
Preventive Care
healthier than 3%
13%
Risk Behavior
healthier than 7%
11%
Disability
healthier than 6%
7%
Climate / Disaster Risk
healthier than 11%
5%
Lifting this score
Environmental Hazard
healthier than 61%
14%
Healthcare Access
healthier than 77%
5%
About typical
Mental Health
healthier than 54%
8%
Climate / Disaster Risk
healthier than 57%
5%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Social Need / SDOH
healthier than 35%
16%
Preventive Care
healthier than 13%
13%
Risk Behavior
healthier than 8%
11%
Disability
healthier than 7%
7%
Lifting this score
Climate / Disaster Risk
healthier than 74%
5%
Healthcare Access
healthier than 62%
5%
About typical
Environmental Hazard
healthier than 49%
14%
Holding it back
Chronic Disease Burden
healthier than 25%
21%
Social Need / SDOH
healthier than 22%
16%
Preventive Care
healthier than 14%
13%
Risk Behavior
healthier than 14%
11%
Mental Health
healthier than 38%
8%
Disability
healthier than 8%
7%
“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
78201
Texasshares a border
Score 39.48
Closest healthier
78227
Texasshares a border
Score 41.10
Similar health profile
78582
Texas99% similar profile
Score 34.34
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 | 25.4% | 23.0–27.9 |
| High blood pressure among adults | 39.2% | 36.1–42.4 |
| Cancer (non-skin) or melanoma among adults | 5.2% | 4.7–5.7 |
| Current asthma among adults | 9.0% | 7.9–10.1 |
| Coronary heart disease among adults | 7.8% | 7.1–8.6 |
| Chronic obstructive pulmonary disease among adults | 7.0% | 6.3–7.7 |
| Depression among adults | 21.5% | 18.9–24.4 |
| Diagnosed diabetes among adults | 20.4% | 18.3–22.6 |
| High cholesterol among adults who have ever been screened | 36.9% | 33.7–40.2 |
| Obesity among adults | 39.0% | 34.5–43.7 |
| Stroke among adults | 4.3% | 4.0–4.7 |
| All teeth lost among adults aged >=65 years | 17.6% | 14.8–20.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 35.4% | 32.1–38.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.4% | 72.8–77.9 |
| Visits to doctor for routine checkup within the past year among adults | 71.9% | 68.6–74.9 |
| Cholesterol screening among adults | 81.5% | 79.5–83.3 |
| Colorectal cancer screening among adults aged 45–75 years | 53.9% | 49.9–58.2 |
| Visited dentist or dental clinic in the past year among adults | 44.5% | 41.7–47.5 |
| Mammography use among women aged 50-74 years | 69.2% | 62.9–75.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.0% | 11.9–16.3 |
| Current cigarette smoking among adults | 15.5% | 13.6–17.5 |
| No leisure-time physical activity among adults | 43.2% | 39.3–47.1 |
| Short sleep duration among adults | 43.0% | 39.4–46.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 34.6% | 31.7–37.7 |
| Frequent mental distress among adults | 17.7% | 15.8–19.6 |
| Frequent physical distress among adults | 18.9% | 17.0–20.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.9% | 18.0–21.9 |
| Any disability among adults | 42.0% | 38.5–45.5 |
| Hearing disability among adults | 8.8% | 7.9–9.9 |
| Independent living disability among adults | 11.7% | 10.6–13.0 |
| Mobility disability among adults | 22.3% | 20.2–24.6 |
| Self-care disability among adults | 7.1% | 6.5–7.7 |
| Vision disability among adults | 11.8% | 10.9–12.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 23.9% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 31.8% | 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+) | 15.0% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 7.1% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 9.8% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 85.9% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 34.5% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 59.3% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 6.4% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 15.9% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 36.9% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 16.0% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 36.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $52,976 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $174,900 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,032 | $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 ± 0.42 | 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 0.42 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