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Twisp River Valley in Twisp, WashingtonPhoto: Guywelch2000 · CC BY-SA 4.0
≈ B+Health Grade
Health in Twisp · CDC PLACES 2025

On CDC estimates, Twisp is healthier than 73% of U.S. towns

Twisp differs from Washington on 7 of 31 measures CDC estimates: 1 better, 6 worse.

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

What stands out · In brief

What stands out about health in Twisp

COPD, heart disease and stroke run high in Twisp

1 in 14 adults have COPD (6.9%), vs 5.1% across Washington. 1 in 14 adults have heart disease (6.9%), vs 5.4% across Washington. Stroke is also above the state: 3.7%, vs 2.9% across Washington. In all, Twisp runs above Washington on five of 11 chronic conditions. Age is part of it: 28% of residents are 65 or older (Washington 17%), and COPD, heart disease and stroke are more common later in life. Conditions ↓

The nearest ER is 23 miles from Twisp

The closest emergency room is Three Rivers Hospital in Brewster, 23.4 miles away in a straight line. For everyday care, Family Health Centers is closer (0.7 mi) and charges on a sliding scale. Getting care ↓

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

34.3% of adults have high blood pressure (Washington 30.5%), but 74% of them take medicine for it, vs 70.7% statewide. Checkups ↓

Twisp is healthier than its income would predict

Against all U.S. towns, Twisp is healthier than 73%. Against the 8,920 towns with similar household incomes ($45K–$75K), it’s healthier than 95%. 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 Washington figure falls outside Twisp’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Health Grade

What’s behind Twisp’s grade

On seven CDC estimates for adults, Twisp is healthier than 73% of U.S. towns. No exercise holds the grade up (fewer adults who get no exercise than 84% of U.S. towns); physical distress pulls it down (better than 49%).

B+Self-rated health17.7% · WA 16.3% · U.S. 19.4%
B−Physical distress14.2% · WA 12.4% · U.S. 13%
BMental distress16.3% · WA 16.4% · U.S. 15.9%
A−Obesity30.5% · WA 30.6% · U.S. 32.9%
B+Diabetes10.8% · WA 9.5% · U.S. 12%
B+Smoking12.4% smoke · WA 10.1% · U.S. 11.8%
A−Exercise19.8% · WA 17.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 73%
Less healthyHealthier
U.S. towns with similar incomes, $45K–$75K (8,920)Healthier than 95%

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). Twisp’s median household income is $60,000; among the 8,920 U.S. towns within 25% of that ($45K–$75K), it’s healthier than 95%, 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, Twisp could be anywhere from C+ to A. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Twisp adults…

Twisp runs above WA on 6 of 12 conditions. Tap one to see it as people.

7 of every 100 Twisp adults have COPD
Washington: 5 in 100 · worse · likely 5.7–8.4%
Better than WAWorseAbout the sameWashington
Why age matters here

Twisp is an older town: 28% of residents are 65 or older, vs 17% across Washington. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Twisp as about how healthy they are.

Residents 65 and older

Twisp28%
Washington17%
Getting care

Care in and near Twisp

1 community health center in Twisp, plus the nearest just outside it.

HNearest ERThree Rivers HospitalBrewster · 23.4 miDirections →
+Low-cost careFamily Health CentersTwisp · 0.7 mi · sliding-scale feesDirections →
0.7 mi
Family Health Centers
7 sites · nearest in Twisp
Sliding-scale feesIn Twisp
Directions to nearest
23.4 mi
Three Rivers Hospital
Brewster · not rated
ERRural critical access
26.4 mi
Mid Valley Hospital & Clinic
Omak · not rated
ERRural critical access
32.5 mi
CVCH Manson Secondary School Health Center
Manson · community health center
Sliding-scale fees
36.7 mi
Lake Chelan Community Hospital
Chelan · not rated
ERRural critical access
39.2 mi
North Valley Hospital
Tonasket · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Twisp itself
✓ Dental careNo HRSA shortage area covers Twisp itself
✓ Mental healthNo HRSA shortage area covers Twisp 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 Twisp; ≈ 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 Twisp adults getting routine care. The full ring is 100%; the dark tick marks Washington.

74%Yearly checkupWA 71%
65%Dentist visitWA 67%
86%Cholesterol checkWA 84%
66%Colon screeningWA 66%
71%MammogramWA 74%
74%Taking BP medsWA 71%
1 in 13
working-age adults has no health insurance
Twisp 7.8% · Washington 1 in 12 (8.4%)
Habits

Everyday habits, side by side with Washington

Share of adults, with the Washington figure marked.

Get no exercise 19.8%WA 17.9%
Sleep under 7 hours 32.7%WA 31.8%
Binge drink 15.5%WA 16.6%
Smoke cigarettes 12.4%WA 10.1%
0%10%20%30%40%
Twisp, betterTwisp, worseAbout the sameWashington
Where Twisp gets moving

0.6 miles of trails across 3 parks and preserves

Parks & trails →
Mind & connection

How Twisp adults are doing

About the same as Washington on each measure.

1 in 4Twisp adults lack social or emotional support
25.4% · WA 28% · About the same as WA
1 in 4Twisp adults have been diagnosed with depression
25.6% · WA 25.1% · About the same as WA
1 in 6Twisp adults are in frequent mental distress
16.3% · WA 16.4% · About the same as WA
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 9
Twisp adults worry about having enough food
10.6% · WA 10.2%
About the same as WA
1 in 10
Twisp adults worry about keeping their housing
10.2% · WA 9.9%
About the same as WA
1 in 17
Twisp adults were threatened with a utility shut-off
5.9% · WA 5.1%
About the same as WA
1 in 13
Twisp adults lack reliable transportation
7.6% · WA 7.2%
About the same as WA

13.3% of Twisp adults receive SNAP (food stamps), compared with 11% across Washington.

Around town

Twisp and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
TwispB+30.5%10.8%12.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

30.6%

of Twisp adults live with a disability (Washington 27.1%). Thinking or memory is the most common.

Walking or climbing stairs13.7%
Thinking or memory14.2%
Hearing8%
Errands alone7.9%
Vision4.8%
Dressing or bathing3.9%
Washington

Every CDC estimate for Twisp

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

On the 31 measures below that have a better and a worse direction, Twisp is better than Washington on 1 and worse on 6; on the rest, the Washington figure falls inside Twisp’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…TwispWAU.S.vs WA
Overall health
Fair or poor health17.7%14.9–20.916.3%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14.2%12.2–16.412.4%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.3%14.3–18.516.4%15.9%About the same
Conditions
Obesity30.5%25.3–36.130.6%32.9%About the same
Diabetes10.8%9.2–12.59.5%12%About the same
High blood pressure34.3%30.8–37.930.5%34.4%Worse
High cholesterol (adults screened in 5 years)35.5%32–39.334.9%37.1%About the same
Arthritis30.4%27.4–33.724.4%25.3%Worse
Asthma11.7%10.4–13.110.7%9.9%About the same
Cancer, other than skin cancer10%9–117.9%7.9%Worse
Coronary heart disease6.9%6–7.95.4%6.4%Worse
COPD6.9%5.7–8.45.1%6.3%Worse
Stroke3.7%3.2–4.22.9%3.4%Worse
Lost all teeth (ages 65+)7.8%6.3–9.59%12.3%About the same
Habits
Smoke cigarettes12.4%9.8–15.210.1%11.8%About the same
No exercise outside work19.8%16.2–23.717.9%24.7%About the same
Binge drinking15.5%12.9–18.316.6%15.4%About the same
Sleep under 7 hours32.7%27.8–37.731.8%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.8%6.1–9.98.4%11%About the same
Checkup in the past year73.8%70.2–77.270.7%77.4%About the same
Dentist visit in the past year64.5%61.2–67.767%63.2%About the same
Cholesterol check in 5 years85.6%83.5–87.684%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)74%70.9–7770.7%76.5%Better
Colorectal cancer screening (ages 45–75)65.7%61.1–69.766.2%65.5%About the same
Mammogram in 2 years (women 50–74)70.7%63.2–77.174.2%76.4%About the same
Mind and connection
Ever told they have depression25.6%22.3–29.125.1%20.6%About the same
Lack social and emotional support25.4%22.3–28.528%23.6%About the same
Everyday needs
Worried about having enough food10.6%9.4–11.910.2%15%About the same
Worried about keeping housing10.2%9–11.59.9%12%About the same
Threatened with a utility shut-off5.9%5.1–6.65.1%7.6%About the same
Lack reliable transportation7.6%6.8–8.47.2%7.9%About the same
Received SNAP (food stamps)13.3%11.9–14.811%11.6%Higher
Disability
Any disability30.6%26.5–3527.1%30.1%About the same
Difficulty walking or climbing stairs13.7%11.3–16.210.9%13.6%Higher
Difficulty concentrating or remembering14.2%12.2–16.413.5%13.9%About the same
Hearing difficulty8%7–9.16.4%6.7%Higher
Vision difficulty4.8%4.1–5.64.1%5.4%About the same
Difficulty doing errands alone7.9%6.6–9.26.8%7.9%About the same
Difficulty dressing or bathing3.9%3.3–4.63.1%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 Washington figure falls inside that range.

Questions about health in Twisp

Is Twisp a healthy place to live?

On seven CDC estimates for adults, Twisp is healthier than 73% of U.S. towns: ≈ B+ for health. Among U.S. towns with similar household incomes it’s healthier than 95%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Twisp?

CDC estimates 30.5% of adults have obesity, likely between 25.3% and 36.1%, against 30.6% across Washington and 32.9% nationally.

What hospital is closest to Twisp?

Three Rivers Hospital in Brewster, 23.4 miles in a straight line from Twisp’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Twisp have no health insurance?

CDC estimates 7.8% of adults ages 18–64 have no health insurance (likely 6.1–9.9%), against 8.4% across Washington.

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 Twisp 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 Twisp.

Town Square →
Ask your neighbors

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