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ZipVitals

ZIP code

78614

in Cost, TexasPopulation 262

39.62/ 100

Ranked #27,001 of 32,066 US ZIPs (bottom 16%)

Ranked #1,481 of 1,868 Texas ZIPs (bottom 21%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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)

19.9%

in the top 4.6% nationally

Lower is healthier

ST66th
US95th
Definition & source ›

The estimated share of adults aged 18–64 with no current health-insurance coverage.

Full methodology ›

Dry extreme heat

90.9 days/year

in the top 2.7% nationally

Lower is healthier

ST76th
US97th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

PFAS in drinking water

6.5%

in the bottom 2.8% nationally

Lower is healthier

ST2nd
US3rd
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.

Full methodology ›

Crowded housing

13.2%

in the top 2.8% nationally

Lower is healthier

ST96th
US97th
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Humid extreme heat

153.8 days/year

in the top 3.7% nationally

Lower is healthier

ST81st
US96th
Definition & 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 ›

PFAS in drinking water

100%

at the national maximum

Lower is healthier

ST99th
US99th
Definition & source ›

The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.

Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.

Full methodology ›

Transportation noise

0.04%

in the bottom 6.7% nationally

Lower is healthier

ST6th
US7th
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Mammography

68.5%

in the bottom 8.8% nationally

Higher is healthier

ST13th
US9th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

Colon-cancer screening

58.3%

in the bottom 9.9% nationally

Higher is healthier

ST32nd
US10th
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Tooth loss

22.7%

in the top 11.0% nationally

Lower is healthier

ST91st
US89th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

The read

Cost, Texas (ZIP 78614), by its overall standing, sits in the bottom 16% nationally (27,001st) and the bottom 21% of Texas (1,481st).

continue reading

The profile opens balanced, with readings on either hand: modeled pfas stands in the bottom 2.8% nationally, and transportation noise lands in the bottom 6.7% nationally. Unemployment is at the national minimum, shared with about 15% of ZIPs. Households without a vehicle resides at the national minimum, shared with about 16% of ZIPs. By contrast, modeled uninsured rests in the top 4.6% nationally, and extreme heat lies in the top 2.7% nationally. Crowded housing sits in the top 2.8% nationally, and modeled humid heat settles in the top 3.7% nationally. PFAS in drinking water registers at the national maximum, and modeled mammography stands in the bottom 8.8% nationally.

Defined in plain terms, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. The nearest ZIP ranking healthier overall is ZIP 78122, 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.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Environmental Hazard

healthier than 97%

14%

About typical

Mental Health

healthier than 41%

8%

Holding it back

Chronic Disease Burden

healthier than 18%

21%

Social Need / SDOH

healthier than 33%

16%

Preventive Care

healthier than 10%

13%

Risk Behavior

healthier than 23%

11%

Disability

healthier than 14%

7%

Climate / Disaster Risk

healthier than 8%

5%

Healthcare Access

healthier than 34%

5%

Lifting this score

Environmental Hazard

healthier than 96%

14%

Holding it back

Chronic Disease Burden

healthier than 7%

21%

Social Need / SDOH

healthier than 24%

16%

Preventive Care

healthier than 37%

13%

Risk Behavior

healthier than 35%

11%

Mental Health

healthier than 37%

8%

Disability

healthier than 16%

7%

Climate / Disaster Risk

healthier than 37%

5%

Healthcare Access

healthier than 32%

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.

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
MeasureCrude prevalence95% CI
Arthritis among adults30.5%26.9–34.2
High blood pressure among adults42.8%38.3–47.4
Cancer (non-skin) or melanoma among adults9.2%8.2–10.2
Current asthma among adults10.1%8.9–11.5
Coronary heart disease among adults9.9%8.6–11.2
Chronic obstructive pulmonary disease among adults10.5%8.8–12.3
Depression among adults22.9%19.5–26.7
Diagnosed diabetes among adults16.6%14.3–19.0
High cholesterol among adults who have ever been screened41.8%37.2–46.5
Obesity among adults38.8%30.1–47.9
Stroke among adults4.9%4.3–5.5
All teeth lost among adults aged >=65 years22.7%19.0–26.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years19.9%16.8–23.3
Taking medicine to control high blood pressure among adults with high blood pressure79.8%76.8–82.5
Visits to doctor for routine checkup within the past year among adults75.6%71.5–79.2
Cholesterol screening among adults85.3%83.2–87.2
Colorectal cancer screening among adults aged 45–75 years58.3%52.7–63.9
Visited dentist or dental clinic in the past year among adults52.6%48.7–56.6
Mammography use among women aged 50-74 years68.5%59.4–76.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.3%12.5–18.5
Current cigarette smoking among adults18.1%15.1–21.5
No leisure-time physical activity among adults34.2%28.6–40.0
Short sleep duration among adults36.1%29.1–43.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults28.5%24.5–32.8
Frequent mental distress among adults17.9%15.8–20.2
Frequent physical distress among adults17.6%15.2–20.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults17.5%15.2–20.0
Any disability among adults39.8%34.4–45.2
Hearing disability among adults10.6%9.3–12.0
Independent living disability among adults11.0%9.5–12.6
Mobility disability among adults20.8%17.8–24.0
Self-care disability among adults5.8%4.9–6.6
Vision disability among adults7.7%6.7–8.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)TX median (p10–p90)
Poverty rate21.0%10.6% (3.1–25.8%) n=32,36412.4% (3.5–26.4%) n=1,869
Uninsured 18–6447.9%9.0% (1.5–24.3%) n=32,28622.3% (8.2–41.5%) n=1,862
No HS diploma (25+)18.5%7.9% (1.8–20.7%) n=32,50512.2% (2.5–30.0%) n=1,881
Bachelor's or higher (25+)26.0%23.3% (9.2–53.6%) n=32,50521.9% (9.0–51.4%) n=1,881
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.4%) n=1,865
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3223.7% (0.0–10.8%) n=1,868
Broadband subscription81.6%89.3% (75.1–97.1%) n=32,32289.2% (75.0–97.3%) n=1,868
Housing cost burden (≥30% income)36.8%23.7% (10.6–40.0%) n=32,32226.2% (8.8–40.3%) n=1,868
Homeownership rate81.6%78.7% (51.7–94.0%) n=32,32275.0% (46.4–92.3%) n=1,868
Crowded housing (>1 per room)13.2%1.3% (0.0–6.3%) n=32,3223.1% (0.0–9.0%) n=1,868
Foreign-born population11.5%2.6% (0.0–18.6%) n=32,5538.1% (0.1–26.4%) n=1,886
Single-parent households47.0%53.6% (37.3–74.1%) n=32,08748.5% (34.3–70.6%) n=1,861
Population 65+23.7%19.4% (10.8–33.6%) n=32,55316.1% (8.6–30.1%) n=1,886
Median age51.9 yr42.2 yr (33.0–56.3) n=32,29238.3 yr (30.9–52.3) n=1,866
Median household income$72,070 ($46,039–$118,707) n=30,318$69,983 ($46,006–$112,413) n=1,737
Median home value$222,200 ($100,300–$579,820) n=30,049$210,500 ($97,060–$429,760) n=1,693
Median gross rent$1,021 ($677–$1,912) n=25,670$1,154 ($764–$1,815) n=1,508
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)TX median (p10–p90)
Life expectancy at birth78.2 yr ± 0.9278.9 yr (74.7–82.8) n=31,30878.2 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 0.92 years of 78.2, and it’s very unlikely to be off by more than twice that.

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