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Fall skyline of Columbia SC from Arsenal HillPhoto: Akhenaton06 · CC BY-SA 3.0
B−Health Grade
Health in Columbia · CDC PLACES 2025

Among U.S. towns with similar household incomes, Columbia is healthier than 83%

Columbia differs from South Carolina on 19 of 32 measures CDC estimates: 8 better, 11 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 52%. Against the 7,588 towns with similar household incomes ($42K–$69K), it’s healthier than 83%. Health Grade ↓

Making ends meet is harder in Columbia

1 in 7 adults lack reliable transportation (13.5%), vs 8.6% across South Carolina. Food insecurity (23.3% vs 17.4%) and utility shut-off threats (13.5% vs 8.9%) are higher too. 18% of adults receive SNAP, vs 10.5% statewide. Everyday needs ↓

Mental distress runs high in Columbia

1 in 5 adults are in frequent mental distress (19.2%), vs 16.4% across South Carolina. Loneliness is above the state too: 36.2%, vs 31.7% across South Carolina. Mind & connection ↓

Cancer and heart disease are less common in Columbia

Columbia runs below South Carolina on four chronic conditions, most of all cancer (5.4% vs 8.6%), heart disease (5.3% vs 6.8%) and arthritis (22.6% vs 28.5%). A young population is part of it: only 12% of residents are 65 or older (South Carolina 19%). Conditions ↓

Columbia has three hospitals within its borders

3 hospitals and 2 community health centers are inside Columbia. Prisma Health Baptist 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 South Carolina figure falls outside Columbia’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C to B+.

Health Grade

What’s behind Columbia’s grade

On seven CDC estimates for adults, Columbia is healthier than 52% of U.S. towns, #59 of 169 in South Carolina. Smoking holds the grade up (fewer adults who smoke than 67% of U.S. towns); mental distress pulls it down (better than 16%).

CSelf-rated health21.5% · SC 20.1% · U.S. 19.4%
BPhysical distress13.4% · SC 14% · U.S. 13%
C−Mental distress19.2% · SC 16.4% · U.S. 15.9%
BObesity34.4% · SC 35.8% · U.S. 32.9%
B−Diabetes12.1% · SC 13.9% · U.S. 12%
B+Smoking13% smoke · SC 13.3% · U.S. 11.8%
B+Exercise23.3% · SC 25.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 52%
Less healthyHealthier
South Carolina towns we grade (169)Healthier than 65%
U.S. towns with similar incomes, $42K–$69K (7,588)Healthier than 83%

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 $55,529; among the 7,588 U.S. towns within 25% of that ($42K–$69K), it’s healthier than 83%, more than its income alone would suggest.

At 147,035 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 C to B+. For a city of 113,330 adults, CDC’s ranges are narrow (obesity 30.5–38.7%).

How TownRatings grades health →

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 4
Columbia adults worry about having enough food
23.3% · SC 17.4%
Worse than SC
1 in 6
Columbia adults worry about keeping their housing
18.1% · SC 13.3%
Worse than SC
1 in 7
Columbia adults were threatened with a utility shut-off
13.5% · SC 8.9%
Worse than SC
1 in 7
Columbia adults lack reliable transportation
13.5% · SC 8.6%
Worse than SC

18% of Columbia adults receive SNAP (food stamps), compared with 10.5% across South Carolina.

Mind & connection

How Columbia adults are doing

On 3 of 4 measures, Columbia runs above South Carolina.

4 in 10Columbia adults feel lonely
36.2% · SC 31.7% · Worse than SC
1 in 4Columbia adults lack social or emotional support
24.9% · SC 23.6% · About the same as SC
1 in 4Columbia adults have been diagnosed with depression
25.2% · SC 22.3% · Worse than SC
1 in 5Columbia adults are in frequent mental distress
19.2% · SC 16.4% · Worse than SC
The one neighbors can help with

4 in 10 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.

Chronic conditions

Out of every 100 Columbia adults…

Columbia runs below SC on 8 of 12 conditions and above it on 1. Tap one to see it as people.

5 of every 100 Columbia adults have had cancer
South Carolina: 9 in 100 · better · likely 4.9–5.9%
Better than SCWorseAbout the sameSouth Carolina
Why age matters in Columbia

Only 12% of Columbia residents are 65 or older, vs 19% across South Carolina. Heart disease, COPD and arthritis run low partly because the town is young.

Residents 65 and older

Columbia12%
South Carolina19%
Getting care

Care in and near Columbia

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

HNearest ERPrisma Health BaptistColumbia · ≈0 miDirections →
★Best rated nearbyPrisma Health Baptist★★★★★ · 0.0 miDirections →
+Low-cost careGenehis Health CareColumbia · 3.8 mi · sliding-scale feesDirections →
≈0 mi
Prisma Health Baptist
Columbia · ★★★★★
ERIn Columbia
3.8 mi
Genehis Health Care
2 sites · nearest in Columbia
Sliding-scale feesIn Columbia
Directions to nearest
5.5 mi
Columbia SC VA Medical Center
Columbia · ★★★★★
ERFor veteransIn Columbia
6.8 mi
MUSC Health Columbia Medical Center Downtown
Columbia · ★★★★★
ERIn Columbia
6.8 mi
Eau Claire Cooperative Health Center
11 sites · nearest in Hopkins
Sliding-scale feesIn Columbia
Directions to nearest
9.2 mi
Prisma Health Richland Hospital
Columbia · ★★★★★
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 South Carolina

Share of adults, with the South Carolina figure marked.

Get no exercise 23.3%SC 25.8%
Sleep under 7 hours 41.1%SC 35.8%
Binge drink 17.7%SC 15.7%
Smoke cigarettes 13%SC 13.3%
0%10%20%30%40%50%
Columbia, betterColumbia, worseAbout the sameSouth Carolina
Where Columbia gets moving

400 miles of trails across 46 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 South Carolina.

78%Yearly checkupSC 81%
59%Dentist visitSC 63%
80%Cholesterol checkSC 87%
71%Colon screeningSC 69%
79%MammogramSC 78%
72%Taking BP medsSC 80%
1 in 8
working-age adults has no health insurance
Columbia 13.2% · South Carolina 1 in 8 (11.8%)
Around town

Columbia and the towns around it

Columbia’s Health Grade ranks 4th of 10 graded towns around it.

St. Andrews: 40.8%Capitol View: 38.8%Forest Acres: 29.6%Dentsville: 39.9%Olympia: 37.8%Arthurtown: 37.5%West Columbia: 36.2%Seven Oaks: 36.6%Irmo: 33.3%Woodfield: 39.5%Cayce: 36.4%Arcadia Lakes: 27.3%Oak Grove: 36.2%Springdale: 37.8%Lexington: 32.7%Lake Murray of Richland: 28.3%Pine Ridge: 38.3%Columbia: 34.4%ColumbiaSt. AndrewsCapitol ViewForest AcresDentsvilleOlympiaArthurtownWest ColumbiaSeven OaksIrmoWoodfieldCaycePrisma Health Baptist · Columbia · 0 mi · 4★ MedicareHColumbia SC VA Medical Center · Columbia · 5.5 mi · 5★ MedicareHMUSC Health Columbia Medical Center Downtown · Columbia · 6.8 mi · 3★ MedicareHPrisma Health Richland Hospital · Columbia · 9.2 mi · 3★ MedicareHGenesis Healthcare, Inc. - Corporate · Columbia · 3.8 mi+Hopkins Pediatrics and Family Practice · Hopkins · 6.8 mi+
Healthier than SCNear SCLess healthyHHospital+Health center
Obesity
#6 of 18 towns on this map, healthiest first
Forest Acres29.6%
Irmo33.3%
Columbia34.4%
West Columbia36.2%
Cayce36.4%
Seven Oaks36.6%
Arthurtown37.5%
Olympia37.8%
Capitol View38.8%
Woodfield39.5%
Dentsville39.9%
St. Andrews40.8%
SC35.8%

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
ColumbiaB−34.4%12.1%13%CDC place
St. AndrewsC−40.8%16.1%15.4%CDC place
Capitol ViewC38.8%15.8%14.3%CDC place
Forest AcresA29.6%11.2%8.4%CDC place
DentsvilleC−39.9%17.7%14.2%CDC place
Olympia————
ArthurtownC37.5%11.5%15.2%CDC place
West ColumbiaB−36.2%13.3%12.9%CDC place

Olympia: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

32.8%

of Columbia adults live with a disability (South Carolina 31.5%). Thinking or memory is the most common.

Walking or climbing stairs13.8%
Thinking or memory17.9%
Hearing5.3%
Errands alone10.9%
Vision7.1%
Dressing or bathing4.9%
South Carolina

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 South Carolina on 8 and worse on 11; on the rest, the South Carolina 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…ColumbiaSCU.S.vs SC
Overall health
Fair or poor health21.5%19.6–23.520.1%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)13.4%12.1–14.814%13%About the same
Frequent mental distress (mental health not good 14+ days a month)19.2%17.4–21.216.4%15.9%Worse
Conditions
Obesity34.4%30.5–38.735.8%32.9%About the same
Diabetes12.1%10.9–13.413.9%12%Better
High blood pressure33.2%30.7–3638.5%34.4%Better
High cholesterol (adults screened in 5 years)31.9%29.4–34.738.1%37.1%Better
Arthritis22.6%20.7–24.728.5%25.3%Better
Asthma10.2%9.1–11.39.6%9.9%About the same
Cancer, other than skin cancer5.4%4.9–5.98.6%7.9%Better
Coronary heart disease5.3%4.8–5.86.8%6.4%Better
COPD6.5%5.9–7.17.5%6.3%Better
Stroke3.4%3.2–3.73.9%3.4%Better
Lost all teeth (ages 65+)16.1%13.7–18.513.9%12.3%About the same
Habits
Smoke cigarettes13%11.6–14.613.3%11.8%About the same
No exercise outside work23.3%20.7–2625.8%24.7%About the same
Binge drinking17.7%15.2–20.415.7%15.4%About the same
Sleep under 7 hours41.1%37–44.935.8%36%Worse
Checkups and coverage
No health insurance (ages 18–64)13.2%11.7–14.911.8%11%About the same
Checkup in the past year78.2%75.3–8180.6%77.4%About the same
Dentist visit in the past year59.3%56.3–6263.1%63.2%Worse
Cholesterol check in 5 years80.2%78.1–82.186.9%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)72.2%69.9–74.480.2%76.5%Worse
Colorectal cancer screening (ages 45–75)71.3%67.5–74.669.3%65.5%About the same
Mammogram in 2 years (women 50–74)78.5%72.9–83.177.6%76.4%About the same
Mind and connection
Ever told they have depression25.2%22.4–28.222.3%20.6%Worse
Feel lonely36.2%32.4–40.131.7%32.5%Worse
Lack social and emotional support24.9%22–2823.6%23.6%About the same
Everyday needs
Worried about having enough food23.3%20.9–25.717.4%15%Worse
Worried about keeping housing18.1%16.1–20.213.3%12%Worse
Threatened with a utility shut-off13.5%12.1–15.18.9%7.6%Worse
Lack reliable transportation13.5%12.1–14.98.6%7.9%Worse
Received SNAP (food stamps)18%16.2–19.910.5%11.6%Higher
Disability
Any disability32.8%29.9–3631.5%30.1%About the same
Difficulty walking or climbing stairs13.8%12.5–15.215.4%13.6%Lower
Difficulty concentrating or remembering17.9%16.3–19.614.3%13.9%Higher
Hearing difficulty5.3%4.7–5.97%6.7%Lower
Vision difficulty7.1%6.6–7.75.6%5.4%Higher
Difficulty doing errands alone10.9%10–128.7%7.9%Higher
Difficulty dressing or bathing4.9%4.5–5.34.3%3.8%Higher

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 South Carolina 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 52% of U.S. towns: B− for health, #59 of 169 in South Carolina. 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 34.4% of adults have obesity, likely between 30.5% and 38.7%, against 35.8% across South Carolina and 32.9% nationally.

What hospital is closest to Columbia?

Prisma Health Baptist 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 4 of 5 stars.

How many people in Columbia have no health insurance?

CDC estimates 13.2% of adults ages 18–64 have no health insurance (likely 11.7–14.9%), against 11.8% across South Carolina.

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 C to B+.

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 South Carolina 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.