ZIP code
78251
in San Antonio, TexasPopulation 59,435
55.41/ 100
Ranked #8,976 of 32,066 US ZIPs (top 28%)
Ranked #270 of 1,868 Texas ZIPs (top 14.5%)
Ranked #31 of 117 San Antonio-New Braunfels, TX ZIPs (top 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.
Dry extreme heat
98.6 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 ›Uninsured (under 65)
19.8%
in the top 4.7% nationally
Lower is healthier
ST66thUS95thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Humid extreme heat
151.1 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 ›High cholesterol
30.4%
in the bottom 3.9% nationally
Lower is healthier
ST5thUS4thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Coronary heart disease
4.1%
in the bottom 3.7% nationally
Lower is healthier
ST7thUS4thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›Subsidized affordable housing
397 units
in the top 6.0% nationally
Higher is healthier
ST90thUS94thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Natural-disaster risk
in the top 6.9% nationally
Lower is healthier
ST87thUS93rdDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Hearing disability
4.9%
in the bottom 5.7% nationally
Lower is healthier
ST10thUS6thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Distance to a Superfund site
1.1 mi
in the bottom 7.5% nationally
Higher is healthier
ST5thUS7thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
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 ›The read
On balance, and by the composite measure, ZIP 78251, one of several in San Antonio, Texas ranks in the top 28% healthiest ZIPs nationally (8,976th) and the top 14.5% of Texas (270th).
Neither strongly one way nor the other, the measures sit mixed: modeled high cholesterol resides in the bottom 3.9% nationally, and coronary heart disease lands in the bottom 3.7% nationally. Subsidized affordable housing registers in the top 6.0% nationally, and modeled hearing disability sits in the bottom 5.7% nationally. Against that, modeled extreme heat rests in the top 1.6% nationally, uninsured is in the top 4.7% nationally, and humid heat stands in the top 4.5% nationally. Modeled disaster risk settles in the top 6.9% nationally, distance to a Superfund site lies in the bottom 7.5% nationally, and modeled expected annual loss resides in the top 7.6% nationally.
Compared with the ZIPs it borders, park land runs far lower than the surrounding ZIPs on this measure. In plainer terms, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. For a healthier nearby ZIP overall, look to ZIP 78253, 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 95%
21%
Social Need / SDOH
healthier than 76%
16%
Environmental Hazard
healthier than 71%
14%
Disability
healthier than 74%
7%
Healthcare Access
healthier than 85%
5%
About typical
Mental Health
healthier than 57%
8%
Holding it back
Preventive Care
healthier than 9%
13%
Risk Behavior
healthier than 33%
11%
Climate / Disaster Risk
healthier than 10%
5%
Lifting this score
Chronic Disease Burden
healthier than 91%
21%
Social Need / SDOH
healthier than 78%
16%
Mental Health
healthier than 62%
8%
Disability
healthier than 79%
7%
Healthcare Access
healthier than 83%
5%
About typical
Environmental Hazard
healthier than 52%
14%
Risk Behavior
healthier than 49%
11%
Climate / Disaster Risk
healthier than 51%
5%
Holding it back
Preventive Care
healthier than 33%
13%
Lifting this score
Chronic Disease Burden
healthier than 88%
21%
Social Need / SDOH
healthier than 62%
16%
Disability
healthier than 72%
7%
Climate / Disaster Risk
healthier than 69%
5%
Healthcare Access
healthier than 77%
5%
About typical
Preventive Care
healthier than 41%
13%
Risk Behavior
healthier than 47%
11%
Mental Health
healthier than 48%
8%
Holding it back
Environmental Hazard
healthier than 33%
14%
“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
78238
Texasshares a border
Score 48.48
Closest healthier
78253
Texasshares a border
Score 59.61
Similar health profile
76018
Texas99% similar profile
Score 53.00
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 | 18.8% | 16.9–20.9 |
| High blood pressure among adults | 29.7% | 27.0–32.6 |
| Cancer (non-skin) or melanoma among adults | 4.5% | 4.0–4.9 |
| Current asthma among adults | 9.0% | 8.0–10.1 |
| Coronary heart disease among adults | 4.1% | 3.7–4.6 |
| Chronic obstructive pulmonary disease among adults | 3.9% | 3.5–4.3 |
| Depression among adults | 22.1% | 19.5–24.9 |
| Diagnosed diabetes among adults | 11.8% | 10.5–13.3 |
| High cholesterol among adults who have ever been screened | 30.4% | 27.5–33.3 |
| Obesity among adults | 32.9% | 28.8–37.3 |
| Stroke among adults | 2.4% | 2.2–2.6 |
| All teeth lost among adults aged >=65 years | 9.0% | 7.4–10.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 19.8% | 17.6–22.1 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 69.7% | 66.7–72.6 |
| Visits to doctor for routine checkup within the past year among adults | 71.1% | 67.7–74.3 |
| Cholesterol screening among adults | 83.8% | 81.9–85.6 |
| Colorectal cancer screening among adults aged 45–75 years | 60.8% | 56.9–64.7 |
| Visited dentist or dental clinic in the past year among adults | 58.6% | 55.8–61.5 |
| Mammography use among women aged 50-74 years | 75.2% | 69.6–80.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.7% | 15.2–20.5 |
| Current cigarette smoking among adults | 10.6% | 9.3–12.1 |
| No leisure-time physical activity among adults | 27.3% | 24.3–30.7 |
| Short sleep duration among adults | 41.2% | 37.6–45.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.7% | 17.7–21.9 |
| Frequent mental distress among adults | 16.7% | 15.0–18.6 |
| Frequent physical distress among adults | 12.3% | 11.0–13.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.8% | 13.3–16.4 |
| Any disability among adults | 28.6% | 25.6–31.7 |
| Hearing disability among adults | 4.9% | 4.4–5.5 |
| Independent living disability among adults | 7.2% | 6.5–8.0 |
| Mobility disability among adults | 11.6% | 10.3–13.0 |
| Self-care disability among adults | 3.4% | 3.1–3.7 |
| Vision disability among adults | 5.5% | 5.1–6.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 8.7% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 15.0% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 7.1% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 33.8% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 7.9% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 4.5% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 96.2% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 35.6% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 50.8% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 2.9% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 9.1% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 41.7% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 8.7% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 33.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $78,958 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $268,300 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,413 | $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 unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled. | |||
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