ZIP code
98856
in Twisp, WashingtonPopulation 2,920
54.78/ 100
Ranked #9,729 of 32,066 US ZIPs (top 30%)
Ranked #243 of 581 Washington ZIPs (top 42%)
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.
Park land
77.8%
in the top 0.8% nationally
Higher is healthier
ST97thUS99thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Fine-particle (PM2.5) exceedance
2.2%
in the top 4.0% nationally
Lower is healthier
ST82ndUS96thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Walkability
1.4 intersections/sq mi
in the bottom 4.5% nationally
Higher is healthier
ST8thUS4thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Air-toxics cancer risk
10.6 per million
in the bottom 5.4% nationally
Lower is healthier
ST5thUS5thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›Distance to a Superfund site
72.7 mi
in the top 6.1% nationally
Higher is healthier
ST99thUS94thDefinition & 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 ›Civic-institution access
0.72 per 1,000 residents
in the top 7.3% nationally
Higher is healthier
ST90thUS93rdDefinition & source ›
The number of civic and social organizations 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 ›The read
In overall standing, Twisp, Washington (ZIP 98856) comes out in the top 30% healthiest ZIPs nationally (9,729th) and the top 42% of Washington (243rd), based on limited data; treat as directional.
The measures fall on both sides of the ledger for this area: park land is in the top 0.8% nationally, modeled air-toxics cancer risk resides in the bottom 5.4% nationally, and distance to a Superfund site rests in the top 6.1% nationally. Civic lies in the top 7.3% nationally. Households without a vehicle sits at the national minimum, shared with about 16% of ZIPs. Distance to a community health center settles at the national minimum, shared with about 23% of ZIPs. Set against that, modeled fine-particle registers in the top 4.0% nationally, and walkability stands in the bottom 4.5% nationally. Modeled disaster risk lands in the top 10.9% nationally, and unemployment is in the top 12.9% nationally.
Relative to the ZIPs around it, park land runs far higher than the surrounding ZIPs on this measure. In plain terms, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. The nearest healthier ZIP overall is ZIP 98814, 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.
Lifting this score
Environmental Hazard
healthier than 63%
14%
Risk Behavior
healthier than 89%
11%
Climate / Disaster RiskPartial
healthier than 98%
5%
About typical
Chronic Disease Burden
healthier than 47%
21%
Social Need / SDOH
healthier than 58%
16%
Preventive Care
healthier than 48%
13%
Mental Health
healthier than 53%
8%
Disability
healthier than 56%
7%
Healthcare Access
healthier than 46%
5%
Nothing measured is holding this score back.
Lifting this score
Preventive Care
healthier than 75%
13%
Risk Behavior
healthier than 65%
11%
Mental Health
healthier than 74%
8%
Climate / Disaster RiskPartial
healthier than 89%
5%
About typical
Environmental Hazard
healthier than 59%
14%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 19%
16%
Disability
healthier than 30%
7%
Healthcare Access
healthier than 37%
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.
Nearby
98812
Washingtonshares a border
Score 44.45
Closest healthier
98814
Washingtonshares a border
Score 55.76
Similar health profile
87059
New Mexico97% similar profile
Score 58.08
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 | 33.2% | 30.1–36.5 |
| High blood pressure among adults | 37.5% | 34.0–41.2 |
| Cancer (non-skin) or melanoma among adults | 11.5% | 10.4–12.6 |
| Current asthma among adults | 11.3% | 10.1–12.7 |
| Coronary heart disease among adults | 8.0% | 7.1–9.1 |
| Chronic obstructive pulmonary disease among adults | 7.6% | 6.4–8.9 |
| Depression among adults | 24.7% | 21.5–28.1 |
| Diagnosed diabetes among adults | 11.7% | 10.1–13.5 |
| High cholesterol among adults who have ever been screened | 38.2% | 34.5–42.0 |
| Obesity among adults | 30.1% | 25.1–35.6 |
| Stroke among adults | 4.1% | 3.6–4.6 |
| All teeth lost among adults aged >=65 years | 8.9% | 7.2–10.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.1% | 5.8–8.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.5% | 73.4–79.3 |
| Visits to doctor for routine checkup within the past year among adults | 75.5% | 72.0–78.7 |
| Cholesterol screening among adults | 86.9% | 85.2–88.6 |
| Colorectal cancer screening among adults aged 45–75 years | 71.5% | 67.3–75.3 |
| Visited dentist or dental clinic in the past year among adults | 65.7% | 62.4–68.9 |
| Mammography use among women aged 50-74 years | 70.0% | 62.6–76.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.7% | 12.2–17.4 |
| Current cigarette smoking among adults | 12.3% | 10.1–14.7 |
| No leisure-time physical activity among adults | 19.6% | 16.2–23.2 |
| Short sleep duration among adults | 31.3% | 26.6–36.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.8% | 15.3–20.7 |
| Frequent mental distress among adults | 15.3% | 13.5–17.1 |
| Frequent physical distress among adults | 14.4% | 12.5–16.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.3% | 11.6–15.2 |
| Any disability among adults | 31.2% | 27.1–35.3 |
| Hearing disability among adults | 9.0% | 8.0–10.1 |
| Independent living disability among adults | 7.7% | 6.6–8.8 |
| Mobility disability among adults | 14.4% | 12.2–16.8 |
| Self-care disability among adults | 4.0% | 3.4–4.5 |
| Vision disability among adults | 4.7% | 4.1–5.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.4% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 13.5% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 2.8% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 50.0% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 8.7% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 95.6% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 32.7% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 75.4% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 5.0% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 51.4% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 24.2% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 45.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $70,089 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $484,600 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $846 | $1,021 ($677–$1,912) n=25,670 | $1,416 ($840–$2,197) n=476 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 82.4 yr ± 2.03 | 78.9 yr (74.7–82.8) n=31,308 | 80.2 yr (77.3–83.1) n=584 |
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 2.03 years of 82.4, 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