ZIP code
78254
in San Antonio, TexasPopulation 77,893
60.79/ 100
Ranked #4,272 of 32,066 US ZIPs (top 13.4%)
Ranked #133 of 1,868 Texas ZIPs (top 7.2%)
Ranked #15 of 117 San Antonio-New Braunfels, TX ZIPs (top 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.
Dry extreme heat
91.6 days/year
in the top 2.5% nationally
Lower is healthier
ST80thUS98thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Coronary heart disease
3.5%
in the bottom 2.1% nationally
Lower is healthier
ST3rdUS2ndDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›High cholesterol
29.4%
in the bottom 2.9% nationally
Lower is healthier
ST3rdUS3rdDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Stroke
2.0%
in the bottom 2.3% nationally
Lower is healthier
ST4thUS2ndDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Hearing disability
4.3%
in the bottom 2.8% nationally
Lower is healthier
ST4thUS3rdDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Humid extreme heat
148.5 days/year
in the top 5.1% nationally
Lower is healthier
ST68thUS95thDefinition & 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 ›Expected annual disaster loss
$0
in the top 6.3% nationally
Lower is healthier
ST87thUS94thDefinition & 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 ›High blood pressure
27.2%
in the bottom 4.9% nationally
Lower is healthier
ST6thUS5thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Home broadband subscription
98.4%
in the top 6.7% nationally
Higher is healthier
ST93rdUS93rdDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Natural-disaster risk
in the top 7.3% 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 ›The read
ZIP 78254, one of several in San Antonio, Texas, on the composite measure, lands in the top 13.4% healthiest ZIPs nationally (4,272nd) and the top 7.2% of Texas (133rd).
The profile cuts both ways, and the readings bear that out: modeled coronary heart disease stands in the bottom 2.1% nationally, high cholesterol is in the bottom 2.9% nationally, and stroke rests in the bottom 2.3% nationally. Modeled hearing disability sits in the bottom 2.8% nationally, modeled high blood pressure registers in the bottom 4.9% nationally, and home broadband subscription lands in the top 6.7% nationally. Working the other way, modeled extreme heat resides in the top 2.5% nationally, and humid heat lies in the top 5.1% nationally. Modeled expected annual loss settles in the top 6.3% nationally, and disaster risk stands in the top 7.3% nationally.
Set against the neighboring ZIPs, park land runs far higher than the surrounding ZIPs on this measure. In everyday language, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. A healthier neighbor overall sits at ZIP 78023, 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 97%
21%
Social Need / SDOH
healthier than 86%
16%
Environmental Hazard
healthier than 81%
14%
Mental Health
healthier than 68%
8%
Disability
healthier than 92%
7%
Healthcare Access
healthier than 94%
5%
About typical
Risk Behavior
healthier than 51%
11%
Holding it back
Preventive Care
healthier than 16%
13%
Climate / Disaster Risk
healthier than 8%
5%
Lifting this score
Chronic Disease Burden
healthier than 96%
21%
Social Need / SDOH
healthier than 87%
16%
Environmental Hazard
healthier than 67%
14%
Risk Behavior
healthier than 70%
11%
Mental Health
healthier than 74%
8%
Disability
healthier than 91%
7%
Healthcare Access
healthier than 94%
5%
About typical
Preventive Care
healthier than 52%
13%
Holding it back
Climate / Disaster Risk
healthier than 38%
5%
Lifting this score
Chronic Disease Burden
healthier than 95%
21%
Social Need / SDOH
healthier than 80%
16%
Risk Behavior
healthier than 69%
11%
Mental Health
healthier than 68%
8%
Disability
healthier than 90%
7%
Healthcare Access
healthier than 94%
5%
About typical
Environmental Hazard
healthier than 58%
14%
Preventive Care
healthier than 56%
13%
Climate / Disaster Risk
healthier than 44%
5%
Nothing measured is holding this score back.
“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
78023
Texasshares a border
Score 64.15
Closest healthier
78255
Texasabout 2.1 mi away
Score 64.34
Similar health profile
76001
Texas99% similar profile
Score 56.78
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 | 17.8% | 15.9–19.8 |
| High blood pressure among adults | 27.2% | 24.5–29.9 |
| Cancer (non-skin) or melanoma among adults | 4.8% | 4.3–5.3 |
| Current asthma among adults | 8.7% | 7.7–9.8 |
| Coronary heart disease among adults | 3.5% | 3.1–3.8 |
| Chronic obstructive pulmonary disease among adults | 3.2% | 2.8–3.6 |
| Depression among adults | 22.1% | 19.4–24.9 |
| Diagnosed diabetes among adults | 9.7% | 8.5–10.9 |
| High cholesterol among adults who have ever been screened | 29.4% | 26.5–32.4 |
| Obesity among adults | 30.7% | 26.7–34.9 |
| Stroke among adults | 2.0% | 1.8–2.1 |
| All teeth lost among adults aged >=65 years | 6.7% | 5.5–8.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 15.4% | 13.6–17.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 68.3% | 65.0–71.5 |
| Visits to doctor for routine checkup within the past year among adults | 71.3% | 67.9–74.6 |
| Cholesterol screening among adults | 86.2% | 84.6–87.8 |
| Colorectal cancer screening among adults aged 45–75 years | 62.4% | 58.7–66.2 |
| Visited dentist or dental clinic in the past year among adults | 64.0% | 61.3–66.8 |
| Mammography use among women aged 50-74 years | 76.3% | 70.9–81.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 19.0% | 16.3–22.0 |
| Current cigarette smoking among adults | 9.0% | 7.8–10.4 |
| No leisure-time physical activity among adults | 22.2% | 19.4–25.1 |
| Short sleep duration among adults | 39.8% | 36.3–43.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 15.4% | 13.7–17.3 |
| Frequent mental distress among adults | 15.5% | 13.9–17.2 |
| Frequent physical distress among adults | 10.6% | 9.5–11.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.4% | 11.1–13.8 |
| Any disability among adults | 23.9% | 21.2–26.7 |
| Hearing disability among adults | 4.3% | 3.8–4.8 |
| Independent living disability among adults | 5.6% | 5.1–6.3 |
| Mobility disability among adults | 9.1% | 8.0–10.2 |
| Self-care disability among adults | 2.6% | 2.3–2.8 |
| Vision disability among adults | 4.0% | 3.6–4.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 3.6% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 10.4% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 5.0% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 42.9% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 5.1% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 2.3% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 98.4% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 23.7% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 82.3% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 2.1% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 9.9% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 38.4% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 7.8% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 33.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $115,526 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $320,800 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,765 | $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 | 80.2 yr ± 0.99 | 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 0.99 years of 80.2, 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