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Healthiest & Unhealthiest Cities in America (2024)

Adam McCann, WalletHub Financial WriterApr 1, 2024

Location matters when it comes to health. Some places promote wellness by expanding access to nutritious food and recreational facilities. Others strive to keep healthcare costs affordable for everyone or keep parks clean and well-maintained. When a city doesn’t take care of these important issues, it can be hard to keep up good health.

To determine which areas prioritize residents’ well-being, WalletHub compared more than 180 of the most populated U.S. cities across 41 key indicators of good health. Our data set ranges from the cost of a medical visit to fruit and vegetable consumption to the share of physically active adults.

“Staying healthy is a personal responsibility, and everyone should strive to eat nutritious food, exercise regularly and look after their mental health. However, where people live can have a big influence on how successful they are at staying in good health, so the best cities are the ones that provide the greatest access to high-quality healthcare, green spaces, recreation centers, and healthy food.”

CASSANDRA HAPPE, WALLETHUB ANALYST

Table of Contents

Main FindingsIn-Depth Look at the Healthiest CitiesAsk the ExpertsMethodology

Main Findings

11182182

City	Rank
San Francisco, CA	1
Honolulu, HI	2
Seattle, WA	3
San Diego, CA	4
Washington, DC	5
Portland, OR	6
Denver, CO	7
Salt Lake City, UT	8
Scottsdale, AZ	9
Irvine, CA	10
Los Angeles, CA	11
Minneapolis, MN	12
Austin, TX	13
Huntington Beach, CA	14
South Burlington, VT	15
Boston, MA	16
Madison, WI	17
New York, NY	18
Pittsburgh, PA	19
Glendale, CA	20
Atlanta, GA	21
San Jose, CA	22
Orlando, FL	23
Fremont, CA	24
Portland, ME	25
Oakland, CA	26
Tampa, FL	27
Las Vegas, NV	28
Burlington, VT	29
Garden Grove, CA	30
Raleigh, NC	31
Long Beach, CA	32
Missoula, MT	33
Chicago, IL	34
Sacramento, CA	35
St. Louis, MO	36
Boise, ID	37
Overland Park, KS	38
Cincinnati, OH	39
Miami, FL	40
St. Paul, MN	41
Grand Rapids, MI	42
Rochester, NY	43
Phoenix, AZ	44
Oceanside, CA	45
Richmond, VA	46
Tempe, AZ	47
Philadelphia, PA	48
Fort Lauderdale, FL	49
Columbia, MD	50
Santa Clarita, CA	51
Anaheim, CA	52
Virginia Beach, VA	53
Plano, TX	54
Bismarck, ND	55
Louisville, KY	56
Vancouver, WA	57
Billings, MT	58
Pembroke Pines, FL	59
Sioux Falls, SD	60
Yonkers, NY	61
Santa Rosa, CA	62
St. Petersburg, FL	63
Albuquerque, NM	64
Buffalo, NY	65
Colorado Springs, CO	66
Charlotte, NC	67
Nashua, NH	68
Tacoma, WA	69
Providence, RI	70
Lincoln, NE	71
Spokane, WA	72
Bridgeport, CT	73
Juneau, AK	74
Jersey City, NJ	75
Manchester, NH	76
Charleston, SC	77
Aurora, CO	78
Pearl City, HI	79
Tucson, AZ	80
Milwaukee, WI	81
Omaha, NE	82
Jacksonville, FL	83
Nashville, TN	84
West Valley City, UT	85
Salem, OR	86
Reno, NV	87
Fargo, ND	88
Worcester, MA	89
Santa Ana, CA	90
Baltimore, MD	91
Houston, TX	92
Chula Vista, CA	93
Dallas, TX	94
Chandler, AZ	95
Durham, NC	96
Cedar Rapids, IA	97
Warwick, RI	98
Oxnard, CA	99
New Orleans, LA	100
Chesapeake, VA	101
Lexington-Fayette, KY	102
Modesto, CA	103
San Antonio, TX	104
New Haven, CT	105
Mesa, AZ	106
Riverside, CA	107
Henderson, NV	108
Fort Worth, TX	109
Columbus, OH	110
Springfield, MO	111
Aurora, IL	112
Wilmington, DE	113
Kansas City, MO	114
Rancho Cucamonga, CA	115
Nampa, ID	116
Glendale, AZ	117
Anchorage, AK	118
Peoria, AZ	119
Des Moines, IA	120
Gilbert, AZ	121
Columbia, SC	122
Little Rock, AR	123
Indianapolis, IN	124
Rapid City, SD	125
Cleveland, OH	126
Newport News, VA	127
Casper, WY	128
Knoxville, TN	129
Port St. Lucie, FL	130
Dover, DE	131
Akron, OH	132
Tulsa, OK	133
Tallahassee, FL	134
Lubbock, TX	135
Cheyenne, WY	136
Ontario, CA	137
Norfolk, VA	138
Fresno, CA	139
Stockton, CA	140
Birmingham, AL	141
Oklahoma City, OK	142
Arlington, TX	143
Grand Prairie, TX	144
Chattanooga, TN	145
Cape Coral, FL	146
El Paso, TX	147
Irving, TX	148
Huntsville, AL	149
Newark, NJ	150
Moreno Valley, CA	151
Hialeah, FL	152
Garland, TX	153
Bakersfield, CA	154
San Bernardino, CA	155
Fort Wayne, IN	156
Fontana, CA	157
Lewiston, ME	158
Charleston, WV	159
Mobile, AL	160
Greensboro, NC	161
Wichita, KS	162
Baton Rouge, LA	163
Toledo, OH	164
Las Cruces, NM	165
Amarillo, TX	166
North Las Vegas, NV	167
Montgomery, AL	168
Jackson, MS	169
Memphis, TN	170
Winston-Salem, NC	171
Fort Smith, AR	172
Huntington, WV	173
Detroit, MI	174
Corpus Christi, TX	175
Fayetteville, NC	176
Augusta, GA	177
Shreveport, LA	178
Columbus, GA	179
Laredo, TX	180
Gulfport, MS	181
Brownsville, TX	182

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Healthiest Places to Live in the U.S.

Overall Rank	City	Total Score	Health Care Rank	Food Rank	Fitness Rank	Green Space Rank
1	San Francisco, CA	67.60	76	1	28	1
2	Honolulu, HI	64.28	99	4	27	2
3	Seattle, WA	63.68	28	10	5	11
4	San Diego, CA	63.08	81	5	13	6
5	Washington, DC	63.04	39	7	25	9
6	Portland, OR	62.65	47	6	31	8
7	Denver, CO	61.99	29	11	19	16
8	Salt Lake City, UT	61.18	42	18	17	3
9	Scottsdale, AZ	60.32	19	65	1	13
10	Irvine, CA	60.29	12	30	10	17
11	Los Angeles, CA	59.61	101	3	41	20
12	Minneapolis, MN	59.47	14	32	42	10
13	Austin, TX	59.43	22	25	6	23
14	Huntington Beach, CA	59.40	24	33	2	35
15	South Burlington, VT	58.52	2	17	83	65
16	Boston, MA	58.41	8	12	48	48
17	Madison, WI	58.39	15	39	8	29
18	New York, NY	58.12	86	2	117	18
19	Pittsburgh, PA	57.76	11	20	43	31
20	Glendale, CA	57.17	53	40	15	12
21	Atlanta, GA	57.01	105	19	4	36
22	San Jose, CA	56.60	44	13	75	39
23	Orlando, FL	56.36	61	22	9	49
24	Fremont, CA	56.34	40	26	16	54
25	Portland, ME	55.70	32	16	137	4
26	Oakland, CA	55.36	98	8	64	57
27	Tampa, FL	55.26	70	28	18	58
28	Las Vegas, NV	55.23	155	27	12	25
29	Burlington, VT	54.83	4	42	86	41
30	Garden Grove, CA	54.79	73	37	74	5
31	Raleigh, NC	54.34	17	41	3	124
32	Long Beach, CA	54.29	62	21	34	63
33	Missoula, MT	54.24	13	99	44	21
34	Chicago, IL	54.23	107	14	62	45
35	Sacramento, CA	54.06	135	15	63	33
36	St. Louis, MO	53.46	139	38	11	47
37	Boise, ID	53.40	25	110	35	19
38	Overland Park, KS	53.11	1	106	45	90
39	Cincinnati, OH	53.06	113	56	26	27
40	Miami, FL	53.05	96	9	89	77
41	St. Paul, MN	53.01	41	79	53	26
42	Grand Rapids, MI	52.96	27	52	61	44
43	Rochester, NY	52.69	78	29	116	15
44	Phoenix, AZ	52.65	92	34	47	51
45	Oceanside, CA	52.24	80	58	7	94
46	Richmond, VA	52.13	36	54	23	95
47	Tempe, AZ	52.12	60	78	39	32
48	Philadelphia, PA	52.04	120	23	66	52
49	Fort Lauderdale, FL	51.97	56	44	77	50
50	Columbia, MD	51.78	6	69	71	91
51	Santa Clarita, CA	51.72	20	48	90	56
52	Anaheim, CA	51.37	64	35	51	82
53	Virginia Beach, VA	51.36	3	74	46	99
54	Plano, TX	50.98	26	97	14	84
55	Bismarck, ND	50.92	35	100	30	100
56	Louisville, KY	50.79	65	66	82	42
57	Vancouver, WA	50.66	88	72	20	87
58	Billings, MT	50.32	63	43	68	121
59	Pembroke Pines, FL	50.27	43	90	67	38
60	Sioux Falls, SD	50.08	7	89	78	112
61	Yonkers, NY	49.90	37	36	150	43
62	Santa Rosa, CA	49.88	97	55	72	59
63	St. Petersburg, FL	49.75	94	57	54	67
64	Albuquerque, NM	49.59	140	64	104	24
65	Buffalo, NY	49.47	66	47	99	69
66	Colorado Springs, CO	49.33	82	88	33	74
67	Charlotte, NC	49.19	48	49	21	151
68	Nashua, NH	49.17	23	105	38	137
69	Tacoma, WA	48.99	112	73	29	104
70	Providence, RI	48.78	59	83	119	28
71	Lincoln, NE	48.72	5	127	70	80
72	Spokane, WA	48.71	71	71	59	98
73	Bridgeport, CT	48.55	55	114	120	7
74	Juneau, AK	48.55	149	76	148	13
75	Jersey City, NJ	48.48	67	31	115	108
76	Manchester, NH	48.47	31	117	60	93
77	Charleston, SC	48.41	9	113	73	126
78	Aurora, CO	48.28	30	46	92	127
79	Pearl City, HI	48.04	95	59	110	73
80	Tucson, AZ	47.69	126	61	88	70
81	Milwaukee, WI	47.58	104	81	105	61
82	Omaha, NE	47.51	10	107	65	128
83	Jacksonville, FL	47.38	119	87	52	78
84	Nashville, TN	47.33	132	51	98	72
85	West Valley City, UT	47.27	128	70	111	55
86	Salem, OR	47.17	50	80	121	76
87	Reno, NV	47.12	137	75	96	64
88	Fargo, ND	47.08	33	101	108	105
89	Worcester, MA	47.08	51	104	85	88
90	Santa Ana, CA	46.86	125	45	113	92
91	Baltimore, MD	46.74	143	24	130	96
92	Houston, TX	46.66	106	63	32	141
93	Chula Vista, CA	46.60	85	67	57	135
94	Dallas, TX	46.51	122	86	37	111
95	Chandler, AZ	46.39	46	96	22	152
96	Durham, NC	46.17	21	50	87	168
97	Cedar Rapids, IA	46.08	18	149	69	115
98	Warwick, RI	45.95	34	92	128	122
99	Oxnard, CA	45.91	123	68	134	53
100	New Orleans, LA	45.58	169	123	97	34
101	Chesapeake, VA	45.54	16	119	129	89
102	Lexington-Fayette, KY	45.38	49	77	118	134
103	Modesto, CA	45.27	151	98	95	68
104	San Antonio, TX	45.21	160	112	40	83
105	New Haven, CT	45.18	87	93	159	30
106	Mesa, AZ	44.99	102	95	55	130
107	Riverside, CA	44.90	148	91	49	106
108	Henderson, NV	44.90	127	136	100	62
109	Fort Worth, TX	44.74	69	125	36	143
110	Columbus, OH	44.73	83	84	106	131
111	Springfield, MO	44.71	114	147	76	75
112	Aurora, IL	44.14	91	109	152	22
113	Wilmington, DE	44.12	52	85	178	40
114	Kansas City, MO	43.94	77	121	101	113
115	Rancho Cucamonga, CA	43.92	115	138	58	101
116	Nampa, ID	43.87	124	139	50	117
117	Glendale, AZ	43.84	117	111	84	107
118	Anchorage, AK	43.75	165	102	157	37
119	Peoria, AZ	43.68	72	120	127	97
120	Des Moines, IA	43.18	58	122	126	118
121	Gilbert, AZ	43.18	75	103	24	178
122	Columbia, SC	43.18	45	143	81	165
123	Little Rock, AR	42.99	68	148	91	140
124	Indianapolis, IN	42.93	130	94	79	150
125	Rapid City, SD	42.75	38	126	144	139
126	Cleveland, OH	42.61	116	53	158	120
127	Newport News, VA	42.05	74	141	142	81
128	Casper, WY	42.02	133	151	143	85
129	Knoxville, TN	41.98	136	115	107	147
130	Port St. Lucie, FL	41.80	100	116	114	167
131	Dover, DE	41.46	90	152	122	161
132	Akron, OH	41.37	89	160	139	71
133	Tulsa, OK	41.33	103	159	80	136
134	Tallahassee, FL	41.33	79	165	103	129
135	Lubbock, TX	40.78	129	176	56	132
136	Cheyenne, WY	40.66	57	171	155	144
137	Ontario, CA	40.31	167	133	141	46
138	Norfolk, VA	40.04	54	128	138	154
139	Fresno, CA	40.03	161	82	147	142
140	Stockton, CA	39.99	172	108	153	86
141	Birmingham, AL	39.87	121	157	112	138
142	Oklahoma City, OK	39.83	93	131	136	146
143	Arlington, TX	39.57	110	154	93	155
144	Grand Prairie, TX	39.54	111	155	165	60
145	Chattanooga, TN	39.37	131	170	124	66
146	Cape Coral, FL	39.01	134	153	125	159
147	El Paso, TX	38.76	168	124	154	109
148	Irving, TX	38.75	145	134	94	163
149	Huntsville, AL	38.70	109	167	123	170
150	Newark, NJ	38.64	166	62	175	149
151	Moreno Valley, CA	38.52	150	129	164	119
152	Hialeah, FL	38.50	142	60	169	162
153	Garland, TX	38.28	153	145	149	114
154	Bakersfield, CA	37.88	170	130	151	125
155	San Bernardino, CA	37.69	177	137	160	79
156	Fort Wayne, IN	37.60	147	142	102	171
157	Fontana, CA	37.54	163	135	156	123
158	Lewiston, ME	37.52	152	140	171	110
159	Charleston, WV	37.06	144	132	146	176
160	Mobile, AL	36.88	158	150	132	177
161	Greensboro, NC	36.76	118	144	135	175
162	Wichita, KS	36.54	141	169	109	164
163	Baton Rouge, LA	36.26	159	173	131	133
164	Toledo, OH	36.15	171	163	161	103
165	Las Cruces, NM	35.67	84	179	174	145
166	Amarillo, TX	35.55	164	164	170	116
167	North Las Vegas, NV	35.34	173	158	179	102
168	Montgomery, AL	34.63	157	175	133	181
169	Jackson, MS	34.46	138	161	167	169
170	Memphis, TN	34.11	178	168	145	148
171	Winston-Salem, NC	33.84	108	172	140	182
172	Fort Smith, AR	33.61	154	156	177	173
173	Huntington, WV	33.38	176	146	172	156
174	Detroit, MI	32.98	179	118	180	157
175	Corpus Christi, TX	32.81	174	162	162	166
176	Fayetteville, NC	32.78	146	177	166	172
177	Augusta, GA	32.71	156	166	173	174
178	Shreveport, LA	30.57	162	181	176	160
179	Columbus, GA	29.76	182	174	163	158
180	Laredo, TX	29.67	181	180	181	153
181	Gulfport, MS	29.13	175	178	168	180
182	Brownsville, TX	24.36	180	182	182	179

Note: With the exception of “Total Score,” all of the columns in the table above depict the relative rank of that city, where a rank of 1 represents the best conditions for that metric category.

Cost of Medical Visit

Lowest

• 1. Laredo, TX
• 2. St. Louis, MO
• 3. Brownsville, TX
• T-4. Kansas City, MO
• T-4. Overland Park, KS

Highest

• T-177. Milwaukee, WI
• T-177. Anchorage, AK
• T-177. Madison, WI
• T-177. Seattle, WA
• T-177. Juneau, AK

Best City vs. Worst City: 3x Difference

Laredo, TX vs. Juneau, AK

Premature-Death Rate

Lowest

• 1. San Jose, CA
• 2. Plano, TX
• 3. Columbia, MD
• T-4. Anaheim, CA
• T-4. Santa Ana, CA

Highest

• T-178. Augusta, GA
• T-178. Charleston, WV
• T-178. St. Louis, MO
• T-178. Huntington, WV
• T-178. Baltimore, MD

Best City vs. Worst City: 4x Difference

San Jose, CA vs. Baltimore, MD

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