ZIP code
99218
in Spokane, WashingtonPopulation 16,897
54.93/ 100
Ranked #9,521 of 32,066 US ZIPs (top 30%)
Ranked #234 of 581 Washington ZIPs (top 40%)
Ranked #15 of 57 Spokane-Spokane Valley, WA ZIPs (top 26%)
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.
Dental provider access
2.4 per 1,000 residents
in the top 0.7% 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 ›Distance to a Superfund site
In this ZIP
at the national minimum
Higher is healthier
ST1stUS1stDefinition & 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 ›Fine-particle (PM2.5) exceedance
2.2%
in the top 4.2% nationally
Lower is healthier
ST77thUS96thDefinition & 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 ›Physician access
2.5 per 1,000 residents
in the top 4.9% nationally
Higher is healthier
ST97thUS95thDefinition & 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
0.58 per 1,000 residents
in the top 5.9% nationally
Higher is healthier
ST94thUS94thDefinition & 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 ›Grocery access
0.19 per 1,000 residents
in the top 7.9% nationally
Higher is healthier
ST95thUS92ndDefinition & source ›
The number of full supermarkets 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. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”
Full methodology ›Humid extreme heat
12.6 days/year
in the bottom 9.5% nationally
Lower is healthier
ST61stUS9thDefinition & 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 ›Pharmacy access
0.32 per 1,000 residents
in the top 12.3% nationally
Higher is healthier
ST93rdUS88thDefinition & source ›
The number of pharmacies 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 ›Households without a vehicle
11.1%
in the top 12.5% nationally
Lower is healthier
ST92ndUS88thDefinition & source ›
The share of households with no vehicle available.
Full methodology ›The read
By the composite health measure, ZIP 99218, one of several in Spokane, Washington ranks in the top 30% healthiest ZIPs nationally (9,521st) and the top 40% of Washington (234th).
The picture here is genuinely mixed, with readings on both sides: dental providers is in the top 0.7% nationally, and physicians settles in the top 4.9% nationally. Outpatient resides in the top 5.9% nationally, and grocery registers in the top 7.9% nationally. Modeled humid heat rests in the bottom 9.5% nationally, subsidized affordable housing stands in the top 11.2% nationally, and pharmacy lies in the top 12.3% nationally. On the other side, distance to a Superfund site lands at the national minimum, modeled fine-particle sits in the top 4.2% nationally, and PFOS in drinking water is in the top 10.6% nationally.
Read against the ZIPs closest to it, park land runs far lower than the surrounding ZIPs on this measure. To spell things out, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. PFOS in drinking water is a common one of the man-made "forever chemicals" that build up in the body and environment instead of breaking down. Close by, ZIP 99021, 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 64%
21%
Social Need / SDOH
healthier than 85%
16%
Risk Behavior
healthier than 88%
11%
Climate / Disaster Risk
healthier than 89%
5%
Healthcare Access
healthier than 85%
5%
About typical
Preventive Care
healthier than 44%
13%
Disability
healthier than 56%
7%
Holding it back
Environmental Hazard
healthier than 15%
14%
Mental Health
healthier than 29%
8%
Lifting this score
Social Need / SDOH
healthier than 63%
16%
Preventive Care
healthier than 71%
13%
Risk Behavior
healthier than 63%
11%
Healthcare Access
healthier than 75%
5%
About typical
Mental Health
healthier than 40%
8%
Climate / Disaster Risk
healthier than 58%
5%
Holding it back
Chronic Disease Burden
healthier than 37%
21%
Environmental Hazard
healthier than 17%
14%
Disability
healthier than 30%
7%
Lifting this score
Social Need / SDOH
healthier than 84%
16%
Environmental Hazard
healthier than 66%
14%
Risk Behavior
healthier than 84%
11%
Healthcare Access
healthier than 69%
5%
About typical
Preventive Care
healthier than 53%
13%
Mental Health
healthier than 59%
8%
Holding it back
Chronic Disease Burden
healthier than 34%
21%
Disability
healthier than 25%
7%
Climate / Disaster Risk
healthier than 28%
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 77.2 ± 0.8 years. A median household income of $80,733 predicts 79.2 years — 2.0 years below.
Ranked #2,700 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
99021
Washingtonshares a border
Score 56.81
Closest healthier
99208
Washingtonshares a border
Score 55.88
Similar health profile
97756
Oregon97% similar profile
Score 55.63
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 | 28.4% | 26.4–30.4 |
| High blood pressure among adults | 32.3% | 30.1–34.5 |
| Cancer (non-skin) or melanoma among adults | 9.8% | 9.0–10.7 |
| Current asthma among adults | 11.7% | 10.6–12.9 |
| Coronary heart disease among adults | 6.8% | 6.2–7.5 |
| Chronic obstructive pulmonary disease among adults | 6.4% | 5.6–7.2 |
| Depression among adults | 26.1% | 23.9–28.7 |
| Diagnosed diabetes among adults | 10.4% | 9.3–11.6 |
| High cholesterol among adults who have ever been screened | 35.5% | 33.2–37.9 |
| Obesity among adults | 32.5% | 29.3–36.0 |
| Stroke among adults | 3.6% | 3.3–4.1 |
| All teeth lost among adults aged >=65 years | 11.6% | 9.6–13.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.8% | 5.8–7.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 73.2% | 70.9–75.4 |
| Visits to doctor for routine checkup within the past year among adults | 74.5% | 72.1–76.8 |
| Cholesterol screening among adults | 83.4% | 81.7–84.9 |
| Colorectal cancer screening among adults aged 45–75 years | 69.0% | 65.9–71.9 |
| Visited dentist or dental clinic in the past year among adults | 66.0% | 63.5–68.5 |
| Mammography use among women aged 50-74 years | 77.5% | 72.8–81.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.3% | 14.5–18.3 |
| Current cigarette smoking among adults | 10.3% | 9.0–11.7 |
| No leisure-time physical activity among adults | 19.6% | 17.3–22.0 |
| Short sleep duration among adults | 31.4% | 28.4–34.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.7% | 15.9–19.6 |
| Frequent mental distress among adults | 17.1% | 15.6–18.8 |
| Frequent physical distress among adults | 13.3% | 11.9–14.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.8% | 13.4–16.3 |
| Any disability among adults | 31.0% | 28.4–33.7 |
| Hearing disability among adults | 8.4% | 7.6–9.3 |
| Independent living disability among adults | 8.5% | 7.5–9.4 |
| Mobility disability among adults | 13.3% | 11.8–14.9 |
| Self-care disability among adults | 3.6% | 3.3–4.1 |
| Vision disability among adults | 4.7% | 4.2–5.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.9% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 5.7% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 3.2% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 37.5% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 4.1% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 11.1% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 93.5% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 30.2% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 58.4% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 2.7% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 4.8% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 46.8% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 20.4% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 38.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $80,733 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $445,300 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $1,203 | $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 | 77.2 yr ± 0.41 | 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 0.41 years of 77.2, 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