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Downtown Fredericksburg, TX IMG 0406Photo: Hot Furnace · CC BY-SA 4.0
≈ B+Health Grade
Health in Fredericksburg · CDC PLACES 2025

Among U.S. towns with similar household incomes, Fredericksburg is healthier than 88%

Fredericksburg differs from Texas on 19 of 31 measures CDC estimates: 12 better, 7 worse.

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

What stands out · In brief

What stands out about health in Fredericksburg

Cancer, heart disease and arthritis run high in Fredericksburg

1 in 9 adults have had cancer (11.7%), about twice the Texas rate. 1 in 12 adults have heart disease (8.2%), vs 5.6% across Texas. Arthritis is also above the state: 31.1%, vs 21.6% across Texas. In all, Fredericksburg runs above Texas on seven of 11 chronic conditions. Age is part of it: 32% of residents are 65 or older (Texas 13%), and cancer, heart disease and arthritis are more common later in life. Conditions ↓

Fredericksburg is healthier than its income would predict

Against all U.S. towns, Fredericksburg is healthier than 66%. Against the 9,837 towns with similar household incomes ($48K–$81K), it’s healthier than 88%. Health Grade ↓

Fredericksburg keeps up with checkups

It beats Texas on four of five routine checkups and screenings, including yearly checkups (79% vs 73.8%) and dentist visits (62.9% vs 54.6%). Checkups ↓

More high blood pressure in Fredericksburg, and more people treating it

39.9% of adults have high blood pressure (Texas 33.1%), but 82.1% of them take medicine for it, vs 74.1% statewide. Checkups ↓

Fredericksburg has a top-rated hospital

Hill Country Memorial Hospital 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 Texas figure falls outside Fredericksburg’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C to A.

Health Grade

What’s behind Fredericksburg’s grade

On seven CDC estimates for adults, Fredericksburg is healthier than 66% of U.S. towns, #184 of 641 in Texas. Mental distress holds the grade up (fewer adults with frequent mental distress than 89% of U.S. towns); diabetes pulls it down (better than 32%).

B−Self-rated health19.6% · TX 21.8% · U.S. 19.4%
BPhysical distress13.6% · TX 13.2% · U.S. 13%
AMental distress14.1% · TX 16.9% · U.S. 15.9%
A−Obesity32.1% · TX 35.6% · U.S. 32.9%
CDiabetes13.3% · TX 12.7% · U.S. 12%
ASmoking10.4% smoke · TX 12.5% · U.S. 11.8%
B−Exercise25.3% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 66%
Less healthyHealthier
Texas towns we grade (641)Healthier than 71%
U.S. towns with similar incomes, $48K–$81K (9,837)Healthier than 88%

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). Fredericksburg’s median household income is $64,534; among the 9,837 U.S. towns within 25% of that ($48K–$81K), it’s healthier than 88%, 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, Fredericksburg could be anywhere from C to A. The letter shows with “≈”.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Fredericksburg adults…

Fredericksburg runs above TX on 7 of 12 conditions. Tap one to see it as people.

12 of every 100 Fredericksburg adults have had cancer
Texas: 6 in 100 · worse · likely 10.6–12.9%
Better than TXWorseAbout the sameTexas
Why age matters here

Fredericksburg is an older town: 32% of residents are 65 or older, vs 13% across Texas. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Fredericksburg as about how healthy they are.

Residents 65 and older

Fredericksburg32%
Texas13%
Checkups & screenings

Keeping up with care

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

79%Yearly checkupTX 74%
63%Dentist visitTX 55%
90%Cholesterol checkTX 85%
69%Colon screeningTX 58%
73%MammogramTX 74%
82%Taking BP medsTX 74%
1 in 7
working-age adults has no health insurance
Fredericksburg 13.4% · Texas 1 in 5 (19.1%)
Getting care

Care in and near Fredericksburg

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

HNearest ERHill Country Memorial HospitalFredericksburg · 0.4 miDirections →
★Best rated nearbyHill Country Memorial Hospital★★★★★ · 0.4 miDirections →
+Low-cost careFrontera Healthcare NetworkFredericksburg · 0.3 mi · sliding-scale feesDirections →
0.3 mi
Frontera Healthcare Network
5 sites · nearest in Fredericksburg
Sliding-scale feesIn Fredericksburg
Directions to nearest
0.4 mi
Hill Country Memorial Hospital
Fredericksburg · ★★★★★
ERIn Fredericksburg
22.5 mi
Peterson Regional Medical Center
Kerrville · ★★★★★
ER
34.5 mi
Barrio Comprehensive Family Health Care Center
3 sites · nearest in Boerne
Sliding-scale fees
Directions to nearest
35.1 mi
Mid Coast Medical Center - Central
Llano · not rated
ERRural critical access
38 mi
Baylor Scott & White Medical Center - Marble Falls
Marble Falls · ★★★★★
ER
✓ Primary careFredericksburg is not a shortage area
✓ Dental careFredericksburg is not a shortage area
✓ Mental healthNo HRSA shortage area covers Fredericksburg 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 Fredericksburg; ≈ 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 Texas

Share of adults, with the Texas figure marked.

Get no exercise 25.3%TX 27.8%
Sleep under 7 hours 32.2%TX 38.2%
Binge drink 14.6%TX 17%
Smoke cigarettes 10.4%TX 12.5%
0%10%20%30%40%
Fredericksburg, betterFredericksburg, worseAbout the sameTexas
Where Fredericksburg gets moving

6.7 miles of trails across 6 parks and preserves

Parks & trails →
Mind & connection

How Fredericksburg adults are doing

On 1 of 3 measures, Fredericksburg does better than Texas.

1 in 4Fredericksburg adults lack social or emotional support
24.8% · TX 28.4% · About the same as TX
1 in 5Fredericksburg adults have been diagnosed with depression
20.9% · TX 21.2% · About the same as TX
1 in 7Fredericksburg adults are in frequent mental distress
14.1% · TX 16.9% · Better than 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 8
Fredericksburg adults worry about having enough food
12.5% · TX 19.3%
Better than TX
1 in 10
Fredericksburg adults worry about keeping their housing
10.2% · TX 16.4%
Better than TX
1 in 15
Fredericksburg adults were threatened with a utility shut-off
6.6% · TX 10.7%
Better than TX
1 in 14
Fredericksburg adults lack reliable transportation
7.1% · TX 10.5%
Better than TX

8.7% of Fredericksburg adults receive SNAP (food stamps), compared with 14.6% across Texas.

Around town

Fredericksburg and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
FredericksburgB+32.1%13.3%10.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

32.9%

of Fredericksburg adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.

Walking or climbing stairs16.5%
Thinking or memory12.3%
Hearing9.5%
Errands alone7.8%
Vision5%
Dressing or bathing3.7%
Texas

Every CDC estimate for Fredericksburg

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

On the 31 measures below that have a better and a worse direction, Fredericksburg is better than Texas on 12 and worse on 7; on the rest, the Texas figure falls inside Fredericksburg’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…FredericksburgTXU.S.vs TX
Overall health
Fair or poor health19.6%17–22.421.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)13.6%12–15.513.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)14.1%12.5–15.816.9%15.9%Better
Conditions
Obesity32.1%24.4–40.535.6%32.9%About the same
Diabetes13.3%11.5–15.212.7%12%About the same
High blood pressure39.9%35.5–44.433.1%34.4%Worse
High cholesterol (adults screened in 5 years)41.6%37–46.535.1%37.1%Worse
Arthritis31.1%27.6–34.921.6%25.3%Worse
Asthma9.5%8.4–10.79.5%9.9%About the same
Cancer, other than skin cancer11.7%10.6–12.96.1%7.9%Worse
Coronary heart disease8.2%7.3–9.25.6%6.4%Worse
COPD7.5%6.5–8.55.7%6.3%Worse
Stroke4.1%3.7–4.53.2%3.4%Worse
Lost all teeth (ages 65+)11.3%9.2–13.812.5%12.3%About the same
Habits
Smoke cigarettes10.4%8.8–12.212.5%11.8%Better
No exercise outside work25.3%21.1–29.927.8%24.7%About the same
Binge drinking14.6%12–17.617%15.4%About the same
Sleep under 7 hours32.2%25.7–39.238.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)13.4%11.5–15.519.1%11%Better
Checkup in the past year79%75.5–82.373.8%77.4%Better
Dentist visit in the past year62.9%59.2–66.454.6%63.2%Better
Cholesterol check in 5 years89.8%88.4–91.184.6%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)82.1%79.5–84.674.1%76.5%Better
Colorectal cancer screening (ages 45–75)69.3%64.2–74.157.9%65.5%Better
Mammogram in 2 years (women 50–74)72.8%64.2–80.374.1%76.4%About the same
Mind and connection
Ever told they have depression20.9%17.6–24.521.2%20.6%About the same
Lack social and emotional support24.8%21.4–28.528.4%23.6%About the same
Everyday needs
Worried about having enough food12.5%11.1–13.919.3%15%Better
Worried about keeping housing10.2%9–11.516.4%12%Better
Threatened with a utility shut-off6.6%5.8–7.510.7%7.6%Better
Lack reliable transportation7.1%6.4–7.810.5%7.9%Better
Received SNAP (food stamps)8.7%7.7–9.814.6%11.6%Lower
Disability
Any disability32.9%28.6–37.230.9%30.1%About the same
Difficulty walking or climbing stairs16.5%14.4–18.914%13.6%Higher
Difficulty concentrating or remembering12.3%10.9–13.915.1%13.9%Lower
Hearing difficulty9.5%8.5–10.66.3%6.7%Higher
Vision difficulty5%4.5–5.66.1%5.4%Lower
Difficulty doing errands alone7.8%6.9–8.98.2%7.9%About the same
Difficulty dressing or bathing3.7%3.3–4.14%3.8%About the same

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 Fredericksburg

Is Fredericksburg a healthy place to live?

On seven CDC estimates for adults, Fredericksburg is healthier than 66% of U.S. towns: ≈ B+ for health, #184 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 Fredericksburg?

CDC estimates 32.1% of adults have obesity, likely between 24.4% and 40.5%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Fredericksburg?

Hill Country Memorial Hospital in Fredericksburg, 0.4 miles in a straight line from Fredericksburg’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Fredericksburg have no health insurance?

CDC estimates 13.4% of adults ages 18–64 have no health insurance (likely 11.5–15.5%), 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 Fredericksburg 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 Fredericksburg.

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.