City rankings

Wellbeing Cities in Massachusetts

Lexington ranks #1 in Massachusetts for community wellbeing score at 82.8.

This ranking orders all 50 qualifying Massachusetts cities by a disclosed Community Wellbeing Score: 55% CDC health outcomes, 30% Census economic stability, and 15% healthcare access. It does not measure crime or personal safety. Compare Lexington's standing against every other Massachusetts city ranked below.

Data updated 2026-08-21

50
Cities ranked
82.8
#1 Lexington
70.9
Lowest, Westfield

What this Massachusetts ranking shows

According to the U.S. Census Bureau's American Community Survey (ACS) 5-year estimates, the CDC PLACES population-level health analysis, and the CMS Hospital Compare quality data, Areazine ranks U.S. cities across more than 19,000 incorporated places, census-designated places, and consolidated city-county governments. State-level city rankings combine these federal datasets to produce intra-state comparisons across demographics, economics, health outcomes, and hospital quality.

Lexington leads 50 Massachusetts cities at 82.8, while Westfield sits at the bottom with 70.9 - a total spread of 11.9 on wellbeing score. The top 5 occupy 13% of that range, indicating a tightly-clustered top tier, the leading cities are nearly indistinguishable on this metric.

The median Massachusetts city in this list sits at 76.4, 6.4 behind Lexington. See our methodology for ranking construction, data vintage, refresh cadence, and the federal upstream tables we join, and triangulate via the 8 other Massachusetts rankings below, cities that lead on multiple lenses are the most robust signals.

Top 5 - Community Wellbeing Score

Top 5 Massachusetts cities ranked by wellbeing score
Rank City wellbeing score Population
#1 Lexington 82.8 31K
#2 Belmont 81.8 25K
#3 Wellesley 81.5 28K
#4 Newton 81.2 89K
#5 Needham 81.2 29K

Does wellbeing score track with city size?

Community Wellbeing Score vs. population, top 25 ranked cities

Source: U.S. Census Bureau (population), wellbeing score per methodology 2×2 strategic matrix plotting 25 entities by Population (X) and wellbeing score (Y), with a crosshair dividing the plot into four quadrants. Large & strongSmall & strongLarge & weakSmall & weak 020,00040,00060,00080,000100,000 7678808284 Population wellbeing score
Source: U.S. Census Bureau (population), wellbeing score per methodology

Community Wellbeing Score 50

More Massachusetts Rankings 8

Reading this Massachusetts ranking responsibly

Single-metric rankings are useful precisely because they are honest about what they measure. A "highest income" ranking does not tell you that the top-ranked city is the best place to live in Massachusetts; it tells you that, among cities of population ten thousand and above in Massachusetts that have a published median household income field in the most recent American Community Survey five-year estimates, this city has the highest such value. That precise definition matters, because composite "best places" lists from real-estate marketing sites and lifestyle magazines often combine income with subjective weights on schools, walkability, and amenities, producing a score whose components are not disclosed and whose ordering is not reproducible. Areazine's editorial commitment is to keep the underlying field, source, and vintage visible so the reader can audit any rank in this list against the canonical federal record.

Cross-checking against other rankings is a useful sanity test. A city that appears in the top ten on three or more different rankings, for example, highest income, most educated, and lowest poverty, is showing a robust signal across multiple independent dimensions. A city that appears in the top ten on only one ranking and middling on the others is showing a narrower signal, often driven by a single statistical artifact (a small population pulling the per-capita measure, a recent acquisition spike inflating median home value, an outlier survey year). The other nine Massachusetts rankings linked above provide that cross-check at zero extra effort.

Data Sources

Population and economic data from the Census Bureau American Community Survey (2024 5-year estimates). Health data from the CDC PLACES (2023). Ranking computations use U.S. Census Bureau reference geographies. Crime statistics, where referenced, originate from the FBI Uniform Crime Reporting program (also accessible via the Crime Data Explorer).