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Rainbow, St. Charles Community CollegePhoto: Mitch Harden · CC BY-SA 2.0
A−Health Grade
Health in Cottleville · CDC PLACES 2025

Among U.S. towns with similar household incomes, Cottleville is healthier than 49%

Cottleville differs from Missouri on 20 of 32 measures CDC estimates: 19 better, 1 worse.

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

What stands out · In brief

What stands out about health in Cottleville

Against towns with similar incomes, Cottleville’s lead shrinks

Cottleville is healthier than 82% of U.S. towns, but 49% of the 4,408 towns with similar household incomes ($98K–$164K). Part of its edge is what towns with its incomes tend to have. Health Grade ↓

Binge drinking is the habit Cottleville doesn’t win on

19.9% of adults binge drink, vs 16.3% across Missouri, even though fewer of them smoke and more of them exercise. Habits ↓

COPD and heart disease are less common in Cottleville

Cottleville runs below Missouri on six chronic conditions, most of all COPD (5.1% vs 8%), heart disease (4.5% vs 6.8%) and stroke (2.4% vs 3.6%). Conditions ↓

Cottleville is an active town

Only 21.7% of adults get no exercise outside work, vs 28.8% across Missouri. Habits ↓

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 Cottleville’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B to A+.

Health Grade

What’s behind Cottleville’s grade

On seven CDC estimates for adults, Cottleville is healthier than 82% of U.S. towns, #35 of 247 in Missouri. All seven estimates beat the typical U.S. town. The strongest is diabetes (fewer adults with diabetes than 91% of towns); the weakest is obesity, still better than 56%.

ASelf-rated health14% · MO 20.5% · U.S. 19.4%
APhysical distress11.1% · MO 14.2% · U.S. 13%
B+Mental distress15.7% · MO 17.5% · U.S. 15.9%
BObesity35.4% · MO 36.6% · U.S. 32.9%
ADiabetes9% · MO 12.1% · U.S. 12%
B+Smoking12.2% smoke · MO 16% · U.S. 11.8%
B+Exercise21.7% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 82%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 86%
U.S. towns with similar incomes, $98K–$164K (4,408)Healthier than 49%

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). Cottleville’s median household income is $131,310; among the 4,408 U.S. towns within 25% of that ($98K–$164K), it’s healthier than 49%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Cottleville could be anywhere from B to A+.
A note on the data.2025 figures come from the FBI's Crime Data Explorer; the FBI's published 2025 table doesn't include this department

How TownRatings grades health →

Habits

Everyday habits, side by side with Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 21.7%MO 28.8%
Sleep under 7 hours 40.1%MO 36.5%
Binge drink 19.9%MO 16.3%
Smoke cigarettes 12.2%MO 16%
0%10%20%30%40%50%
Cottleville, betterCottleville, worseAbout the sameMissouri
Where Cottleville gets moving

2 miles of trails across 6 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Cottleville adults…

Cottleville runs below MO on 8 of 12 conditions. Tap one to see it as people.

5 of every 100 Cottleville adults have COPD
Missouri: 8 in 100 · better · likely 4.4–5.8%
Better than MOWorseAbout the sameMissouri
Getting care

Care in and near Cottleville

No hospital or community health center in Cottleville itself. These are the nearest.

HNearest ERProgress West HospitalOfallon · 3.3 miDirections →
★Best rated nearbyBarnes-Jewish West County Hospital★★★★★ · 11.4 miDirections →
+Low-cost careCompass HealthWeldon Spring · 1.7 mi · sliding-scale feesDirections →
1.7 mi
Compass Health
8 sites · nearest in Weldon Spring
Sliding-scale fees
Directions to nearest
3.3 mi
Progress West Hospital
Ofallon · ★★★★★
ER
5.2 mi
Barnes-Jewish St. Peters Hospital
Saint Peters · ★★★★★
ER
7.4 mi
SSM St. Joseph Hospital West
Lake Saint Louis · ★★★★★
ER
9.6 mi
SSM St. Joseph Health Center
Saint Charles · ★★★★★
ER
✓ Primary careCottleville is not a shortage area
✓ Dental careCottleville is not a shortage area
✓ Mental healthNo HRSA shortage area covers Cottleville 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 Cottleville; ≈ 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).

Checkups & screenings

Keeping up with care

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

77%Yearly checkupMO 78%
67%Dentist visitMO 60%
86%Cholesterol checkMO 85%
67%Colon screeningMO 64%
80%MammogramMO 75%
74%Taking BP medsMO 77%
1 in 17
working-age adults has no health insurance
Cottleville 6% · Missouri 1 in 11 (8.7%)
Mind & connection

How Cottleville adults are doing

On 1 of 4 measures, Cottleville does better than Missouri.

3 in 10Cottleville adults feel lonely
28.7% · MO 31.7% · About the same as MO
1 in 6Cottleville adults lack social or emotional support
17% · MO 20.1% · Better than MO
1 in 4Cottleville adults have been diagnosed with depression
23.5% · MO 24.3% · About the same as MO
1 in 6Cottleville adults are in frequent mental distress
15.7% · MO 17.5% · About the same as MO
The one neighbors can help with

3 in 10 Cottleville 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 12
Cottleville adults worry about having enough food
8.3% · MO 13.7%
Better than MO
1 in 12
Cottleville adults worry about keeping their housing
8.4% · MO 12.1%
Better than MO
1 in 17
Cottleville adults were threatened with a utility shut-off
6% · MO 9%
Better than MO
1 in 18
Cottleville adults lack reliable transportation
5.7% · MO 8.4%
Better than MO

5.5% of Cottleville adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Cottleville and the towns around it

Cottleville has the best Health Grade of the 3 graded towns around it.

St. Peters: 36.3%O'Fallon: 35.9%St. Charles: 35.9%Weldon Spring: 33%Dardenne Prairie: 34.9%Lake St. Louis: 34.9%St. Paul: 36.5%Josephville: 37.2%Wentzville: 36.6%Cottleville: 35.4%CottlevilleSt. PetersO'FallonProgress West Hospital · Ofallon · 3.3 mi · 4★ MedicareHBarnes-Jewish St. Peters Hospital · Saint Peters · 5.2 mi · 3★ MedicareHSSM St. Joseph Hospital West · Lake Saint Louis · 7.4 mi · 3★ MedicareHSSM St. Joseph Health Center · Saint Charles · 9.6 mi · 3★ MedicareHCompass Health · Weldon Spring · 1.7 mi+
Healthier than MONear MOLess healthyHHospital+Health center
Obesity
#4 of 10 towns on this map, healthiest first
Cottleville35.4%
O'Fallon35.9%
St. Peters36.3%
MO36.6%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CottlevilleA−35.4%9%12.2%CDC place
St. PetersB+36.3%10.7%12.7%CDC place
O'FallonA−35.9%9.8%12.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

28.9%

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

Walking or climbing stairs9.9%
Thinking or memory14.2%
Hearing5.8%
Errands alone6.3%
Vision3.2%
Dressing or bathing2.4%
Missouri

Every CDC estimate for Cottleville

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

On the 32 measures below that have a better and a worse direction, Cottleville is better than Missouri on 19 and worse on 1; on the rest, the Missouri figure falls inside Cottleville’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CottlevilleMOU.S.vs MO
Overall health
Fair or poor health14%12.1–16.220.5%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)11.1%9.7–12.714.2%13%Better
Frequent mental distress (mental health not good 14+ days a month)15.7%13.7–17.717.5%15.9%About the same
Conditions
Obesity35.4%29.9–40.936.6%32.9%About the same
Diabetes9%7.8–10.412.1%12%Better
High blood pressure28.6%25.3–31.936.5%34.4%Better
High cholesterol (adults screened in 5 years)34.5%30.8–38.237.5%37.1%About the same
Arthritis23.2%20.6–2628.8%25.3%Better
Asthma10.1%8.9–11.410.6%9.9%About the same
Cancer, other than skin cancer7.6%6.8–8.48.6%7.9%Better
Coronary heart disease4.5%4–56.8%6.4%Better
COPD5.1%4.4–5.88%6.3%Better
Stroke2.4%2.1–2.63.6%3.4%Better
Lost all teeth (ages 65+)7.4%5.8–915.8%12.3%Better
Habits
Smoke cigarettes12.2%10.2–14.516%11.8%Better
No exercise outside work21.7%18.2–25.428.8%24.7%Better
Binge drinking19.9%16.8–23.216.3%15.4%Worse
Sleep under 7 hours40.1%35–44.936.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)6%5–7.18.7%11%Better
Checkup in the past year76.7%73.2–8078.4%77.4%About the same
Dentist visit in the past year67.2%63.7–70.260.4%63.2%Better
Cholesterol check in 5 years86%84.1–87.784.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)74.1%70.6–77.277.2%76.5%About the same
Colorectal cancer screening (ages 45–75)67.4%62.7–71.564%65.5%About the same
Mammogram in 2 years (women 50–74)79.7%73–84.974.7%76.4%About the same
Mind and connection
Ever told they have depression23.5%20.2–26.824.3%20.6%About the same
Feel lonely28.7%24.7–3331.7%32.5%About the same
Lack social and emotional support17%14.4–19.820.1%23.6%Better
Everyday needs
Worried about having enough food8.3%6.8–9.913.7%15%Better
Worried about keeping housing8.4%7–9.912.1%12%Better
Threatened with a utility shut-off6%5.1–6.99%7.6%Better
Lack reliable transportation5.7%4.9–6.58.4%7.9%Better
Received SNAP (food stamps)5.5%4.5–6.710.8%11.6%Lower
Disability
Any disability28.9%25.3–32.836.2%30.1%Lower
Difficulty walking or climbing stairs9.9%8.5–11.515.8%13.6%Lower
Difficulty concentrating or remembering14.2%12.4–16.117.2%13.9%Lower
Hearing difficulty5.8%5.1–6.68.3%6.7%Lower
Vision difficulty3.2%2.8–3.55.1%5.4%Lower
Difficulty doing errands alone6.3%5.5–7.29.2%7.9%Lower
Difficulty dressing or bathing2.4%2.2–2.73.9%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 Cottleville

Is Cottleville a healthy place to live?

On seven CDC estimates for adults, Cottleville is healthier than 82% of U.S. towns: A− for health, #35 of 247 in Missouri. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Cottleville?

CDC estimates 35.4% of adults have obesity, likely between 29.9% and 40.9%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Cottleville?

Progress West Hospital in Ofallon, 3.3 miles in a straight line from Cottleville’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Cottleville have no health insurance?

CDC estimates 6% of adults ages 18–64 have no health insurance (likely 5–7.1%), 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 Cottleville 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 Cottleville.

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.