ZIP code
78621
in Elgin, TexasPopulation 30,411
48.25/ 100
Ranked #18,616 of 32,066 US ZIPs (bottom 42%)
Ranked #664 of 1,868 Texas ZIPs (top 36%)
Ranked #71 of 89 Austin-Round Rock-San Marcos, TX ZIPs (bottom 20%)
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)
21.8%
in the top 3.5% nationally
Lower is healthier
ST73rdUS97thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Dry extreme heat
89.7 days/year
in the top 3.1% nationally
Lower is healthier
ST71stUS97thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Humid extreme heat
153.2 days/year
in the top 3.8% nationally
Lower is healthier
ST79thUS96thDefinition & 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 ›Crowded housing
6.3%
in the top 10.0% nationally
Lower is healthier
ST78thUS90thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›The read
By the composite health measure, Elgin, Texas (ZIP 78621) ranks in the bottom 42% nationally (18,616th) and the top 36% of Texas (664th).
The signals balance out across the profile, strengths against concerns: distance to a community health center lands at the national minimum, shared with about 23% of ZIPs. Distance to a nursing home sits at the national minimum, shared with about 27% of ZIPs. Modeled radon is in the bottom 10.1% nationally. Set against that, modeled uninsured settles in the top 3.5% nationally, extreme heat resides in the top 3.1% nationally, and humid heat registers in the top 3.8% nationally. Crowded housing rests in the top 10.0% nationally, modeled expected annual loss stands in the top 10.7% nationally, and modeled colon screening lies in the bottom 12.3% nationally. Distance to a hazardous-chemical facility lands at the national minimum, shared with about 31% of ZIPs.
To spell things out, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Close by, ZIP 76578, just across the boundary, ranks healthier overall.
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 Austin-Round Rock-San Marcos, 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 69%
21%
Social Need / SDOH
healthier than 65%
16%
Environmental Hazard
healthier than 76%
14%
Healthcare Access
healthier than 74%
5%
About typical
Mental Health
healthier than 49%
8%
Disability
healthier than 42%
7%
Holding it back
Preventive Care
healthier than 8%
13%
Risk Behavior
healthier than 36%
11%
Climate / Disaster Risk
healthier than 7%
5%
Lifting this score
Social Need / SDOH
healthier than 64%
16%
Healthcare Access
healthier than 67%
5%
About typical
Chronic Disease Burden
healthier than 58%
21%
Environmental Hazard
healthier than 59%
14%
Risk Behavior
healthier than 52%
11%
Mental Health
healthier than 50%
8%
Disability
healthier than 52%
7%
Holding it back
Preventive Care
healthier than 29%
13%
Climate / Disaster Risk
healthier than 32%
5%
Nothing measured is lifting this score.
About typical
Healthcare Access
healthier than 46%
5%
Holding it back
Chronic Disease Burden
healthier than 20%
21%
Social Need / SDOH
healthier than 24%
16%
Environmental Hazard
healthier than 39%
14%
Preventive Care
healthier than 22%
13%
Risk Behavior
healthier than 14%
11%
Mental Health
healthier than 36%
8%
Disability
healthier than 19%
7%
Climate / Disaster Risk
healthier than 33%
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 ›
Findings that name this ZIP
One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 78.3 ± 1.2 years. A median household income of $98,534 predicts 80.0 years — 1.7 years below.
Ranked #2,184 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
76578
Texasshares a border
Score 53.81
Closest healthier
78602
Texasshares a border
Score 50.60
Similar health profile
89120
Nevada100% similar profile
Score 48.57
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 | 23.2% | 21.0–25.4 |
| High blood pressure among adults | 34.5% | 31.6–37.5 |
| Cancer (non-skin) or melanoma among adults | 6.4% | 5.9–6.9 |
| Current asthma among adults | 9.9% | 9.0–10.8 |
| Coronary heart disease among adults | 6.1% | 5.6–6.6 |
| Chronic obstructive pulmonary disease among adults | 6.6% | 5.9–7.2 |
| Depression among adults | 22.2% | 19.7–24.8 |
| Diagnosed diabetes among adults | 13.2% | 11.9–14.6 |
| High cholesterol among adults who have ever been screened | 36.6% | 33.4–39.8 |
| Obesity among adults | 39.6% | 34.0–45.4 |
| Stroke among adults | 3.4% | 3.2–3.7 |
| All teeth lost among adults aged >=65 years | 15.2% | 13.0–17.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 21.8% | 19.7–24.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 74.7% | 72.3–77.0 |
| Visits to doctor for routine checkup within the past year among adults | 73.3% | 70.3–76.1 |
| Cholesterol screening among adults | 84.7% | 83.2–86.2 |
| Colorectal cancer screening among adults aged 45–75 years | 59.3% | 55.3–63.3 |
| Visited dentist or dental clinic in the past year among adults | 51.5% | 48.5–54.3 |
| Mammography use among women aged 50-74 years | 72.5% | 66.1–78.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.2% | 15.0–19.7 |
| Current cigarette smoking among adults | 14.0% | 12.4–15.6 |
| No leisure-time physical activity among adults | 30.7% | 27.3–34.3 |
| Short sleep duration among adults | 35.7% | 31.1–40.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 24.1% | 21.9–26.4 |
| Frequent mental distress among adults | 17.5% | 16.0–19.1 |
| Frequent physical distress among adults | 14.4% | 13.1–15.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.1% | 14.7–17.7 |
| Any disability among adults | 32.8% | 29.6–36.0 |
| Hearing disability among adults | 6.7% | 6.1–7.4 |
| Independent living disability among adults | 9.0% | 8.2–9.9 |
| Mobility disability among adults | 15.5% | 14.0–17.1 |
| Self-care disability among adults | 4.5% | 4.2–4.9 |
| Vision disability among adults | 6.6% | 6.1–7.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 6.4% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 26.0% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 20.4% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 24.3% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 3.9% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 3.2% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 89.1% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 28.2% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 81.1% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 6.3% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 20.3% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 47.6% | 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 | 36.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $98,534 | $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 | $1,387 | $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 | 78.3 yr ± 0.63 | 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 0.63 years of 78.3, 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