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B+Health Grade
Health in Columbia · CDC PLACES 2025

On CDC estimates, Columbia as a whole is healthier than 70% of U.S. towns

Columbia differs from Missouri on 17 of 32 measures CDC estimates: 14 better, 3 worse.

Modeled estimates for adults 18+, CDC’s own estimate for Columbia. How CDC estimates town health

What stands out · In brief

What stands out about health in Columbia

Columbia is healthier than its income would predict

Against all U.S. towns, Columbia is healthier than 70%. Against the 10,144 towns with similar household incomes ($50K–$83K), it’s healthier than 90%. Health Grade ↓

Heart disease and stroke are less common in Columbia

Columbia runs below Missouri on nine chronic conditions, most of all heart disease (4.5% vs 6.8%), stroke (2.5% vs 3.6%) and diabetes (8.5% vs 12.1%). A young population is part of it: only 12% of residents are 65 or older (Missouri 18%). Conditions ↓

Columbia has three hospitals within its borders

3 hospitals and 2 community health centers are inside Columbia. Boone Hospital Center is rated 4 of 5 stars by Medicare and has an emergency room. Getting care ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Missouri figure falls outside Columbia’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B− to A.

Health Grade

What’s behind Columbia’s grade

On seven CDC estimates for adults, Columbia is healthier than 70% of U.S. towns, #53 of 247 in Missouri. Diabetes holds the grade up (fewer adults with diabetes than 94% of U.S. towns); mental distress pulls it down (better than 17%).

BSelf-rated health18.1% · MO 20.5% · U.S. 19.4%
A−Physical distress11.9% · MO 14.2% · U.S. 13%
C−Mental distress19.1% · MO 17.5% · U.S. 15.9%
A−Obesity30.1% · MO 36.6% · U.S. 32.9%
ADiabetes8.5% · MO 12.1% · U.S. 12%
B+Smoking12.4% smoke · MO 16% · U.S. 11.8%
BExercise24.6% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 70%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 79%
U.S. towns with similar incomes, $50K–$83K (10,144)Healthier than 90%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Columbia’s median household income is $66,498; among the 10,144 U.S. towns within 25% of that ($50K–$83K), it’s healthier than 90%, more than its income alone would suggest.

At 130,851 residents, Columbia is graded like any town, from one citywide estimate; its rank among the 395 U.S. cities over 100,000 is the fairer comparison.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Columbia could be anywhere from B− to A. For a city of 102,176 adults, CDC’s ranges are narrow (obesity 24.6–35.7%).

How TownRatings grades health →

Chronic conditions

Out of every 100 Columbia adults…

Columbia runs below MO on 10 of 12 conditions. Tap one to see it as people.

5 of every 100 Columbia adults have heart disease
Missouri: 7 in 100 · better · likely 4.1–5%
Better than MOWorseAbout the sameMissouri
Why age matters in Columbia

Only 12% of Columbia residents are 65 or older, vs 18% across Missouri. Heart disease, COPD and arthritis run low partly because the town is young.

Residents 65 and older

Columbia12%
Missouri18%
Getting care

Care in and near Columbia

3 hospitals and 2 community health centers in Columbia, plus the nearest just outside it.

HNearest ERUniversity of Missouri Health CareColumbia · ≈0 miDirections →
★Best rated nearbyBoone Hospital Center★★★★★ · 0.6 miDirections →
+Low-cost careCompass HealthColumbia · 0.7 mi · sliding-scale feesDirections →
≈0 mi
University of Missouri Health Care
Columbia · ★★★★★
ERIn Columbia
0.6 mi
Boone Hospital Center
Columbia · ★★★★★
ERIn Columbia
0.7 mi
Columbia Mo VA Medical Center
Columbia · ★★★★★
ERFor veteransIn Columbia
0.7 mi
Compass Health
10 sites · nearest in Columbia
Sliding-scale feesIn Columbia
Directions to nearest
0.9 mi
Preferred Family Healthcare, Incorporated
3 sites · nearest in Columbia
Sliding-scale feesIn Columbia
Directions to nearest
26 mi
SSM Health St. Mary's Hospital - Jefferson City
Jefferson City · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Columbia itself
✓ Dental careNo HRSA shortage area covers Columbia itself
✓ Mental healthNo HRSA shortage area covers Columbia itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Columbia; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 24.6%MO 28.8%
Sleep under 7 hours 35.2%MO 36.5%
Binge drink 18.5%MO 16.3%
Smoke cigarettes 12.4%MO 16%
0%10%20%30%40%
Columbia, betterColumbia, worseAbout the sameMissouri
Where Columbia gets moving

92 miles of trails across 75 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

Share of Columbia adults getting routine care. The full ring is 100%; the dark tick marks Missouri.

76%Yearly checkupMO 78%
60%Dentist visitMO 60%
78%Cholesterol checkMO 85%
64%Colon screeningMO 64%
78%MammogramMO 75%
69%Taking BP medsMO 77%
1 in 12
working-age adults has no health insurance
Columbia 8.4% · Missouri 1 in 11 (8.7%)
Mind & connection

How Columbia adults are doing

About the same as Missouri on each measure.

1 in 3Columbia adults feel lonely
31.8% · MO 31.7% · About the same as MO
1 in 5Columbia adults lack social or emotional support
18.9% · MO 20.1% · About the same as MO
1 in 4Columbia adults have been diagnosed with depression
25.3% · MO 24.3% · About the same as MO
1 in 5Columbia adults are in frequent mental distress
19.1% · MO 17.5% · About the same as MO
The one neighbors can help with

1 in 3 Columbia adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 6
Columbia adults worry about having enough food
15.7% · MO 13.7%
About the same as MO
1 in 8
Columbia adults worry about keeping their housing
12.7% · MO 12.1%
About the same as MO
1 in 10
Columbia adults were threatened with a utility shut-off
10% · MO 9%
About the same as MO
1 in 9
Columbia adults lack reliable transportation
10.9% · MO 8.4%
Worse than MO

13.1% of Columbia adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Columbia and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
ColumbiaB+30.1%8.5%12.4%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

34.1%

of Columbia adults live with a disability (Missouri 36.2%). Thinking or memory is the most common.

Walking or climbing stairs11.6%
Thinking or memory19.2%
Hearing6.3%
Errands alone9.8%
Vision5%
Dressing or bathing3.2%
Missouri

Every CDC estimate for Columbia

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Columbia is better than Missouri on 14 and worse on 3; on the rest, the Missouri figure falls inside Columbia’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…ColumbiaMOU.S.vs MO
Overall health
Fair or poor health18.1%15.9–20.220.5%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)11.9%10.5–13.314.2%13%Better
Frequent mental distress (mental health not good 14+ days a month)19.1%17–21.317.5%15.9%About the same
Conditions
Obesity30.1%24.6–35.736.6%32.9%Better
Diabetes8.5%7.4–9.712.1%12%Better
High blood pressure28.1%24.9–31.336.5%34.4%Better
High cholesterol (adults screened in 5 years)31.1%27.6–34.737.5%37.1%Better
Arthritis20.6%18.2–2328.8%25.3%Better
Asthma10.8%9.6–12.210.6%9.9%About the same
Cancer, other than skin cancer6.1%5.5–6.68.6%7.9%Better
Coronary heart disease4.5%4.1–56.8%6.4%Better
COPD5.8%5.2–6.48%6.3%Better
Stroke2.5%2.3–2.73.6%3.4%Better
Lost all teeth (ages 65+)12.5%10.4–15.115.8%12.3%Better
Habits
Smoke cigarettes12.4%10.7–14.116%11.8%Better
No exercise outside work24.6%21–28.328.8%24.7%Better
Binge drinking18.5%15.5–21.716.3%15.4%About the same
Sleep under 7 hours35.2%30.3–40.436.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)8.4%7.3–9.78.7%11%About the same
Checkup in the past year75.5%71.9–78.978.4%77.4%About the same
Dentist visit in the past year59.9%56.6–63.360.4%63.2%About the same
Cholesterol check in 5 years77.6%75.4–79.984.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)68.8%66–71.377.2%76.5%Worse
Colorectal cancer screening (ages 45–75)63.8%59.3–68.464%65.5%About the same
Mammogram in 2 years (women 50–74)77.8%71.2–83.774.7%76.4%About the same
Mind and connection
Ever told they have depression25.3%22–28.824.3%20.6%About the same
Feel lonely31.8%27.3–36.331.7%32.5%About the same
Lack social and emotional support18.9%16.2–21.920.1%23.6%About the same
Everyday needs
Worried about having enough food15.7%13.7–17.913.7%15%About the same
Worried about keeping housing12.7%11–14.512.1%12%About the same
Threatened with a utility shut-off10%8.7–11.39%7.6%About the same
Lack reliable transportation10.9%9.7–12.28.4%7.9%Worse
Received SNAP (food stamps)13.1%11.4–14.910.8%11.6%Higher
Disability
Any disability34.1%30.2–3836.2%30.1%About the same
Difficulty walking or climbing stairs11.6%10.2–1315.8%13.6%Lower
Difficulty concentrating or remembering19.2%17.3–21.117.2%13.9%Higher
Hearing difficulty6.3%5.6–78.3%6.7%Lower
Vision difficulty5%4.5–5.45.1%5.4%About the same
Difficulty doing errands alone9.8%8.8–10.89.2%7.9%About the same
Difficulty dressing or bathing3.2%2.9–3.43.9%3.8%Lower

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Missouri figure falls inside that range.

Questions about health in Columbia

Is Columbia a healthy place to live?

On seven CDC estimates for adults, Columbia is healthier than 70% of U.S. towns: B+ for health, #53 of 247 in Missouri. Among U.S. towns with similar household incomes it’s healthier than 90%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Columbia?

CDC estimates 30.1% of adults have obesity, likely between 24.6% and 35.7%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Columbia?

University of Missouri Health Care in Columbia, 0.0 miles in a straight line from Columbia’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Columbia have no health insurance?

CDC estimates 8.4% of adults ages 18–64 have no health insurance (likely 7.3–9.7%), against 8.7% across Missouri.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Columbia more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B− to A.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Columbia.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Missouri figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.