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Alpine, Texas from atop Hancock HillPhoto: Patriarca12 · CC BY 4.0
≈ B+Health Grade
Health in Alpine · CDC PLACES 2025

Among U.S. towns with similar household incomes, Alpine is healthier than 94%

Alpine differs from Texas on 4 of 31 measures CDC estimates: 3 better, 1 worse.

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

What stands out · In brief

What stands out about health in Alpine

Alpine is short on every kind of care federal data tracks

Alpine’s county is a federal shortage area for primary care, dental care and mental health care, meaning too few providers for the people who live there. Getting care ↓

Cancer runs high in Alpine

1 in 14 adults have had cancer (7.1%), vs 6.1% across Texas. Conditions ↓

Alpine is healthier than its income would predict

Against all U.S. towns, Alpine is healthier than 72%. Against the 8,950 towns with similar household incomes ($45K–$75K), it’s healthier than 94%. Health Grade ↓

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 Texas figure falls outside Alpine’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Health Grade

What’s behind Alpine’s grade

On seven CDC estimates for adults, Alpine is healthier than 72% of U.S. towns, #155 of 641 in Texas. All seven estimates beat the typical U.S. town. The strongest is smoking (fewer adults who smoke than 89% of towns); the weakest is diabetes, still better than 52%.

B−Self-rated health19.2% · TX 21.8% · U.S. 19.4%
A−Physical distress12.2% · TX 13.2% · U.S. 13%
A−Mental distress15.4% · TX 16.9% · U.S. 15.9%
B+Obesity32.9% · TX 35.6% · U.S. 32.9%
B−Diabetes11.9% · TX 12.7% · U.S. 12%
ASmoking9.7% smoke · TX 12.5% · U.S. 11.8%
BExercise24.9% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 72%
Less healthyHealthier
Texas towns we grade (641)Healthier than 76%
U.S. towns with similar incomes, $45K–$75K (8,950)Healthier than 94%

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). Alpine’s median household income is $60,139; among the 8,950 U.S. towns within 25% of that ($45K–$75K), it’s healthier than 94%, more than its income alone would suggest.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Alpine could be anywhere from C+ to A. The letter shows with “≈”.

How TownRatings grades health →

Getting care

Care in and near Alpine

1 hospital and 1 community health center in Alpine, plus the nearest just outside it.

HNearest ERBig Bend Regional Medical CenterAlpine · 1.5 miDirections →
+Low-cost carePreventative Care Health ServicesAlpine · 0.6 mi · sliding-scale feesDirections →
0.6 mi
Preventative Care Health Services
5 sites · nearest in Alpine
Sliding-scale feesIn Alpine
Directions to nearest
1.5 mi
Big Bend Regional Medical Center
Alpine · not rated
ERRural critical accessIn Alpine
57.8 mi
Pecos County Memorial Hospital
Fort Stockton · not rated
ERRural critical access
59.2 mi
Cactus Health Services
Fort Stockton · community health center
Sliding-scale fees
72.3 mi
Reeves Regional Health
Pecos · ★★★★★
ERRural critical access
76.1 mi
Culberson Hospital
Van Horn · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Alpine itself
✓ Dental careNo HRSA shortage area covers Alpine itself
✓ Mental healthNo HRSA shortage area covers Alpine 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 Alpine; ≈ 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).

Chronic conditions

Out of every 100 Alpine adults…

Alpine runs above TX on 1 of 12 conditions. Tap one to see it as people.

7 of every 100 Alpine adults have had cancer
Texas: 6 in 100 · worse · likely 6.4–7.8%
Better than TXWorseAbout the sameTexas
Habits

Everyday habits, side by side with Texas

Share of adults, with the Texas figure marked.

Get no exercise 24.9%TX 27.8%
Sleep under 7 hours 35.5%TX 38.2%
Binge drink 17.6%TX 17%
Smoke cigarettes 9.7%TX 12.5%
0%10%20%30%40%
Alpine, betterAlpine, worseAbout the sameTexas
Where Alpine gets moving

7 miles of trails across 6 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

74%Yearly checkupTX 74%
57%Dentist visitTX 55%
86%Cholesterol checkTX 85%
63%Colon screeningTX 58%
73%MammogramTX 74%
76%Taking BP medsTX 74%
1 in 6
working-age adults has no health insurance
Alpine 16.9% · Texas 1 in 5 (19.1%)
Mind & connection

How Alpine adults are doing

About the same as Texas on each measure.

1 in 4Alpine adults lack social or emotional support
26.2% · TX 28.4% · About the same as TX
1 in 5Alpine adults have been diagnosed with depression
20.8% · TX 21.2% · About the same as TX
1 in 6Alpine adults are in frequent mental distress
15.4% · TX 16.9% · About the same as TX
The one neighbors can help with

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
Alpine adults worry about having enough food
17.8% · TX 19.3%
About the same as TX
1 in 7
Alpine adults worry about keeping their housing
14.4% · TX 16.4%
Better than TX
1 in 11
Alpine adults were threatened with a utility shut-off
9.4% · TX 10.7%
Better than TX
1 in 10
Alpine adults lack reliable transportation
10.1% · TX 10.5%
About the same as TX

13.2% of Alpine adults receive SNAP (food stamps), compared with 14.6% across Texas.

Around town

Alpine and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
AlpineB+32.9%11.9%9.7%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

29.7%

of Alpine adults live with a disability (Texas 30.9%). Thinking or memory is the most common.

Walking or climbing stairs12.9%
Thinking or memory13.5%
Hearing6.7%
Errands alone7.2%
Vision5.2%
Dressing or bathing3.4%
Texas

Every CDC estimate for Alpine

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Alpine is better than Texas on 3 and worse on 1; on the rest, the Texas figure falls inside Alpine’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…AlpineTXU.S.vs TX
Overall health
Fair or poor health19.2%16.4–22.121.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)12.2%10.6–13.913.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)15.4%13.4–17.416.9%15.9%About the same
Conditions
Obesity32.9%25.1–41.435.6%32.9%About the same
Diabetes11.9%10.3–13.612.7%12%About the same
High blood pressure32.1%28.2–36.133.1%34.4%About the same
High cholesterol (adults screened in 5 years)35.5%31.2–39.735.1%37.1%About the same
Arthritis22.3%19.5–25.221.6%25.3%About the same
Asthma9.1%8–10.29.5%9.9%About the same
Cancer, other than skin cancer7.1%6.4–7.86.1%7.9%Worse
Coronary heart disease5.8%5.1–6.45.6%6.4%About the same
COPD5.2%4.4–6.15.7%6.3%About the same
Stroke2.9%2.6–3.33.2%3.4%About the same
Lost all teeth (ages 65+)12.1%10–14.712.5%12.3%About the same
Habits
Smoke cigarettes9.7%7.9–11.612.5%11.8%Better
No exercise outside work24.9%20.5–29.527.8%24.7%About the same
Binge drinking17.6%14.5–20.817%15.4%About the same
Sleep under 7 hours35.5%29.1–43.238.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)16.9%14.2–19.719.1%11%About the same
Checkup in the past year74.3%70.4–77.973.8%77.4%About the same
Dentist visit in the past year56.9%53.4–60.554.6%63.2%About the same
Cholesterol check in 5 years85.5%83.5–87.484.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)75.8%73.1–78.274.1%76.5%About the same
Colorectal cancer screening (ages 45–75)62.5%57.4–67.657.9%65.5%About the same
Mammogram in 2 years (women 50–74)72.8%64.8–80.374.1%76.4%About the same
Mind and connection
Ever told they have depression20.8%17.5–24.221.2%20.6%About the same
Lack social and emotional support26.2%22.8–29.928.4%23.6%About the same
Everyday needs
Worried about having enough food17.8%16.1–19.619.3%15%About the same
Worried about keeping housing14.4%12.8–16.116.4%12%Better
Threatened with a utility shut-off9.4%8.3–10.510.7%7.6%Better
Lack reliable transportation10.1%9.2–1110.5%7.9%About the same
Received SNAP (food stamps)13.2%11.7–14.614.6%11.6%About the same
Disability
Any disability29.7%25.3–34.230.9%30.1%About the same
Difficulty walking or climbing stairs12.9%11.1–14.914%13.6%About the same
Difficulty concentrating or remembering13.5%11.6–15.415.1%13.9%About the same
Hearing difficulty6.7%5.9–7.56.3%6.7%About the same
Vision difficulty5.2%4.6–5.86.1%5.4%Lower
Difficulty doing errands alone7.2%6.2–8.28.2%7.9%About the same
Difficulty dressing or bathing3.4%3–3.84%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 Texas figure falls inside that range.

Questions about health in Alpine

Is Alpine a healthy place to live?

On seven CDC estimates for adults, Alpine is healthier than 72% of U.S. towns: ≈ B+ for health, #155 of 641 in Texas. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Alpine?

CDC estimates 32.9% of adults have obesity, likely between 25.1% and 41.4%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Alpine?

Big Bend Regional Medical Center in Alpine, 1.5 miles in a straight line from Alpine’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Alpine have no health insurance?

CDC estimates 16.9% of adults ages 18–64 have no health insurance (likely 14.2–19.7%), against 19.1% across Texas.

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 Alpine more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Neighbors talk health

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

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Texas 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.