ZIP code
99204
in Spokane, WashingtonPopulation 7,643
53.51/ 100
Ranked #11,354 of 32,066 US ZIPs (top 35%)
Ranked #294 of 581 Washington ZIPs (bottom 49%)
Ranked #19 of 57 Spokane-Spokane Valley, WA ZIPs (top 33%)
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.
Physician access
11 per 1,000 residents
in the top 0.3% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of physicians’ offices located 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 ›Outpatient-care access
2 per 1,000 residents
in the top 0.4% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of outpatient clinics located 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 ›Mental-health provider access
0.71 per 1,000 residents
in the top 0.5% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of mental-health clinics located 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 ›Walkability
340 intersections/sq mi
in the top 0.5% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Dental provider access
2.1 per 1,000 residents
in the top 1.0% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of dental offices located 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 ›Homeownership rate
30.1%
in the bottom 3.2% nationally
Higher is healthier
ST4thUS3rdDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Floodplain exposure
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
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 ›High cholesterol
30.4%
in the bottom 3.9% nationally
Lower is healthier
ST6thUS4thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›High blood pressure
26.6%
in the bottom 4.2% nationally
Lower is healthier
ST9thUS4thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›The read
By the composite measure, ZIP 99204, one of several in Spokane, Washington sits in the top 35% healthiest ZIPs nationally (11,354th) and the bottom 49% of Washington (294th).
Where the data leans one way, another reading answers it: physicians registers in the top 0.3% nationally, outpatient lands in the top 0.4% nationally, and mental-health providers resides in the top 0.5% nationally. Walkability lies in the top 0.5% nationally, dental providers settles in the top 1.0% nationally, and floodplain exposure stands at the national minimum. Modeled high cholesterol is in the bottom 3.9% nationally, and high blood pressure rests in the bottom 4.2% nationally. On the other hand, homeownership sits in the bottom 3.2% nationally, and modeled fine-particle registers in the top 4.0% nationally.
Compared with the ZIPs that surround it, physicians runs far higher than the surrounding ZIPs on this measure. In plain language, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". ZIP 99203, 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 Spokane-Spokane Valley, WA 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 88%
21%
Social Need / SDOH
healthier than 83%
16%
Risk Behavior
healthier than 70%
11%
Disability
healthier than 72%
7%
Climate / Disaster Risk
healthier than 96%
5%
Healthcare Access
healthier than 83%
5%
Holding it back
Environmental Hazard
healthier than 8%
14%
Preventive Care
healthier than 14%
13%
Mental Health
healthier than 9%
8%
Lifting this score
Chronic Disease Burden
healthier than 76%
21%
Climate / Disaster Risk
healthier than 78%
5%
Healthcare Access
healthier than 72%
5%
About typical
Social Need / SDOH
healthier than 58%
16%
Disability
healthier than 54%
7%
Holding it back
Environmental Hazard
healthier than 9%
14%
Preventive Care
healthier than 23%
13%
Risk Behavior
healthier than 21%
11%
Mental Health
healthier than 8%
8%
Lifting this score
Chronic Disease Burden
healthier than 94%
21%
Social Need / SDOH
healthier than 69%
16%
Disability
healthier than 66%
7%
Climate / Disaster Risk
healthier than 91%
5%
Healthcare Access
healthier than 66%
5%
Holding it back
Environmental Hazard
healthier than 31%
14%
Preventive Care
healthier than 19%
13%
Risk Behavior
healthier than 22%
11%
Mental Health
healthier than 19%
8%
“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
4 of our published findings list 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 74.5 ± 2.4 years. A median household income of $58,277 predicts 77.9 years — 3.5 years below.
Ranked #4,683 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Below its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 74.5 ± 2.4 years. The 50 nearest ZIP codes with estimates average 79.3 years — 4.9 years below them.
Ranked #3,353 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 7.9 (bottom 10%); chronic-disease standing 88.0 — 80 points apart, heavier on the environment than it is on chronic illness.
Ranked #17,197 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Highest-risk tenth
Air toxics and the years between the two ends of the risk scale
Modeled air-toxics cancer risk is 38.7 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 74.5 ± 2.4 years.
Ranked #1,663 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
99201
Washingtonshares a border
Score 45.27
Closest healthier
99203
Washingtonshares a border
Score 62.47
Similar health profile
59801
Montana99% similar profile
Score 54.33
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 | 21.4% | 19.9–23.2 |
| High blood pressure among adults | 26.6% | 24.7–28.7 |
| Cancer (non-skin) or melanoma among adults | 6.2% | 5.7–6.8 |
| Current asthma among adults | 12.0% | 10.9–13.3 |
| Coronary heart disease among adults | 4.7% | 4.3–5.2 |
| Chronic obstructive pulmonary disease among adults | 5.3% | 4.7–5.9 |
| Depression among adults | 28.5% | 26.0–31.2 |
| Diagnosed diabetes among adults | 8.6% | 7.7–9.6 |
| High cholesterol among adults who have ever been screened | 30.4% | 28.3–32.7 |
| Obesity among adults | 35.1% | 31.9–38.7 |
| Stroke among adults | 2.6% | 2.4–2.8 |
| All teeth lost among adults aged >=65 years | 9.5% | 7.8–11.3 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.1% | 6.8–9.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 63.9% | 61.3–66.5 |
| Visits to doctor for routine checkup within the past year among adults | 69.5% | 66.8–72.2 |
| Cholesterol screening among adults | 78.7% | 76.5–80.7 |
| Colorectal cancer screening among adults aged 45–75 years | 65.9% | 62.5–69.0 |
| Visited dentist or dental clinic in the past year among adults | 62.5% | 59.9–65.1 |
| Mammography use among women aged 50-74 years | 78.1% | 73.5–82.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 19.4% | 17.3–21.7 |
| Current cigarette smoking among adults | 11.9% | 10.5–13.8 |
| No leisure-time physical activity among adults | 18.3% | 16.3–20.7 |
| Short sleep duration among adults | 33.3% | 30.3–36.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.3% | 15.6–19.3 |
| Frequent mental distress among adults | 19.5% | 17.8–21.6 |
| Frequent physical distress among adults | 12.4% | 11.2–13.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.5% | 14.9–18.5 |
| Any disability among adults | 28.1% | 25.8–31.0 |
| Hearing disability among adults | 5.8% | 5.2–6.4 |
| Independent living disability among adults | 8.1% | 7.3–9.2 |
| Mobility disability among adults | 10.0% | 8.9–11.2 |
| Self-care disability among adults | 3.3% | 3.0–3.7 |
| Vision disability among adults | 4.3% | 4.0–4.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 17.1% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 10.2% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 3.7% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 41.0% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 6.1% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 8.8% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 93.9% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 40.6% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 30.1% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 2.4% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 10.3% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 41.9% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 10.1% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 33.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $58,277 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $397,700 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $1,184 | $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 | 74.5 yr ± 1.20 | 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 1.20 years of 74.5, 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