Photo: Larry D. Moore · CC BY 4.0On CDC estimates, Horseshoe Bay is healthier than 74% of U.S. towns
Horseshoe Bay differs from Texas on 25 of 31 measures CDC estimates: 18 better, 7 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Horseshoe Bay. How CDC estimates town health
What stands out about health in Horseshoe Bay
Cancer, arthritis and heart disease run high in Horseshoe Bay
1 in 7 adults have had cancer (15.1%), more than twice the Texas rate. 36.7% of adults have arthritis, vs 21.6% across Texas. Heart disease is also above the state: 9.3%, vs 5.6% across Texas. In all, Horseshoe Bay runs above Texas on seven of 11 chronic conditions. Age is part of it: 48% of residents are 65 or older (Texas 13%), and cancer, arthritis and heart disease are more common later in life. Conditions ↓
More high blood pressure in Horseshoe Bay, and more people treating it
45.3% of adults have high blood pressure (Texas 33.1%), but 85.8% of them take medicine for it, vs 74.1% statewide. Checkups ↓
Horseshoe Bay keeps up with checkups
It beats Texas on four of five routine checkups and screenings, including yearly checkups (83.7% vs 73.8%) and dentist visits (67.9% vs 54.6%). Checkups ↓
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 Horseshoe Bay’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B− to A.
What’s behind Horseshoe Bay’s grade
On seven CDC estimates for adults, Horseshoe Bay is healthier than 74% of U.S. towns, #141 of 641 in Texas. Mental distress holds the grade up (fewer adults with frequent mental distress than 98% of U.S. towns); diabetes pulls it down (better than 20%).
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). Horseshoe Bay’s median household income is $96,794; among the 9,053 U.S. towns within 25% of that ($73K–$121K), it’s healthier than 67%, about where its income would put it.
Out of every 100 Horseshoe Bay adults…
Horseshoe Bay runs below TX on 1 of 12 conditions and above it on 7. Tap one to see it as people.
Horseshoe Bay is an older town: 48% 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 Horseshoe Bay as about how healthy they are.
Keeping up with care
Share of Horseshoe Bay adults getting routine care. The full ring is 100%; the dark tick marks Texas.
Care in and near Horseshoe Bay
No hospital or community health center in Horseshoe Bay itself. These are the nearest.
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 Horseshoe Bay; ≈ 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).
Everyday habits, side by side with Texas
Share of adults, with the Texas figure marked.
5.8 miles of trails across 2 parks and preserves
How Horseshoe Bay adults are doing
On 2 of 3 measures, Horseshoe Bay does better than Texas.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
5.6% of Horseshoe Bay adults receive SNAP (food stamps), compared with 14.6% across Texas.
Horseshoe Bay and the towns around it
Horseshoe Bay has the best Health Grade of the 3 graded towns around it.
Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Horseshoe Bay | B+ | 32.3% | 14.4% | 8.8% | CDC place |
| Granite Shoals | C | 37.7% | 13.8% | 14.2% | CDC place |
| Sunrise Beach Village | — | — | — | — | |
| Cottonwood Shores | C+ | 37.3% | 11.9% | 14.8% | CDC place |
Sunrise Beach Village: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Horseshoe Bay adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.
Every CDC estimate for Horseshoe Bay
Share of adults, 39 measures, with CDC’s likely range.
On the 31 measures below that have a better and a worse direction, Horseshoe Bay is better than Texas on 18 and worse on 7; on the rest, the Texas figure falls inside Horseshoe Bay’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Horseshoe Bay | TX | U.S. | vs TX |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 17.4%15.1–20 | 21.8% | 19.4% | Better |
| Frequent physical distress (physical health not good 14+ days a month) | 13.1%11.5–14.9 | 13.2% | 13% | About the same |
| Frequent mental distress (mental health not good 14+ days a month) | 11.7%10.4–13.1 | 16.9% | 15.9% | Better |
| Conditions | ||||
| Obesity | 32.3%25.6–39.4 | 35.6% | 32.9% | About the same |
| Diabetes | 14.4%12.6–16.4 | 12.7% | 12% | About the same |
| High blood pressure | 45.3%40.9–49.5 | 33.1% | 34.4% | Worse |
| High cholesterol (adults screened in 5 years) | 46.9%42.4–51.4 | 35.1% | 37.1% | Worse |
| Arthritis | 36.7%32.9–40.6 | 21.6% | 25.3% | Worse |
| Asthma | 9.2%8.3–10.3 | 9.5% | 9.9% | About the same |
| Cancer, other than skin cancer | 15.1%13.8–16.4 | 6.1% | 7.9% | Worse |
| Coronary heart disease | 9.3%8.3–10.4 | 5.6% | 6.4% | Worse |
| COPD | 7.6%6.4–8.8 | 5.7% | 6.3% | Worse |
| Stroke | 4.4%3.9–4.9 | 3.2% | 3.4% | Worse |
| Lost all teeth (ages 65+) | 7.7%6.4–9.2 | 12.5% | 12.3% | Better |
| Habits | ||||
| Smoke cigarettes | 8.8%7.4–10.4 | 12.5% | 11.8% | Better |
| No exercise outside work | 22.5%18.8–26.6 | 27.8% | 24.7% | Better |
| Binge drinking | 12.2%10.3–14.4 | 17% | 15.4% | Better |
| Sleep under 7 hours | 31.2%25.7–37.1 | 38.2% | 36% | Better |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 8.6%7.5–9.9 | 19.1% | 11% | Better |
| Checkup in the past year | 83.7%81.3–86 | 73.8% | 77.4% | Better |
| Dentist visit in the past year | 67.9%64.9–70.8 | 54.6% | 63.2% | Better |
| Cholesterol check in 5 years | 93.4%92.7–94.2 | 84.6% | 87.1% | Better |
| Taking blood pressure medicine (adults with high blood pressure) | 85.8%83.5–88 | 74.1% | 76.5% | Better |
| Colorectal cancer screening (ages 45–75) | 75.3%71.3–79 | 57.9% | 65.5% | Better |
| Mammogram in 2 years (women 50–74) | 77.3%70.6–83.1 | 74.1% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 19.5%16.9–22.4 | 21.2% | 20.6% | About the same |
| Lack social and emotional support | 20.4%17.8–23.1 | 28.4% | 23.6% | Better |
| Everyday needs | ||||
| Worried about having enough food | 8%7.2–8.8 | 19.3% | 15% | Better |
| Worried about keeping housing | 6.5%5.8–7.2 | 16.4% | 12% | Better |
| Threatened with a utility shut-off | 4.5%4–5 | 10.7% | 7.6% | Better |
| Lack reliable transportation | 4.8%4.4–5.2 | 10.5% | 7.9% | Better |
| Received SNAP (food stamps) | 5.6%5–6.2 | 14.6% | 11.6% | Lower |
| Disability | ||||
| Any disability | 31.5%27.6–35.7 | 30.9% | 30.1% | About the same |
| Difficulty walking or climbing stairs | 16.2%14–18.7 | 14% | 13.6% | About the same |
| Difficulty concentrating or remembering | 9.7%8.6–11 | 15.1% | 13.9% | Lower |
| Hearing difficulty | 10.4%9.2–11.6 | 6.3% | 6.7% | Higher |
| Vision difficulty | 4.3%3.8–4.8 | 6.1% | 5.4% | Lower |
| Difficulty doing errands alone | 6.6%5.8–7.5 | 8.2% | 7.9% | Lower |
| Difficulty dressing or bathing | 3.4%3–3.9 | 4% | 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 Horseshoe Bay
Is Horseshoe Bay a healthy place to live?
On seven CDC estimates for adults, Horseshoe Bay is healthier than 74% of U.S. towns: B+ for health, #141 of 641 in Texas. Among U.S. towns with similar household incomes it’s healthier than 67%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Horseshoe Bay?
CDC estimates 32.3% of adults have obesity, likely between 25.6% and 39.4%, against 35.6% across Texas and 32.9% nationally.
What hospital is closest to Horseshoe Bay?
Baylor Scott & White Medical Center - Marble Falls in Marble Falls, 4.9 miles in a straight line from Horseshoe Bay’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.
How many people in Horseshoe Bay have no health insurance?
CDC estimates 8.6% of adults ages 18–64 have no health insurance (likely 7.5–9.9%), 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 Horseshoe Bay 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 Horseshoe Bay.
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.