City rankings

Wellbeing Cities in Missouri

Town and Country ranks #1 in Missouri for community wellbeing score at 81.5.

This ranking orders all 50 qualifying Missouri 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 Town and Country's standing against every other Missouri city ranked below.

Data updated 2026-08-21

50
Cities ranked
81.5
#1 Town and Country
63.6
Lowest, Excelsior Springs

What this Missouri 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.

Town and Country leads 50 Missouri cities at 81.5, while Excelsior Springs sits at the bottom with 63.6 - a total spread of 17.9 on wellbeing score. The top 5 occupy 21% of that range, indicating a moderate distribution with meaningful steps between rungs.

The median Missouri city in this list sits at 72.0, 9.5 behind Town and Country. See our methodology for ranking construction, data vintage, refresh cadence, and the federal upstream tables we join, and triangulate via the 8 other Missouri rankings below, cities that lead on multiple lenses are the most robust signals.

Top 5 - Community Wellbeing Score

Top 5 Missouri cities ranked by wellbeing score
Rank City wellbeing score Population
#1 Town and Country 81.5 11K
#2 Wildwood 79.7 36K
#3 Chesterfield 79.5 48K
#4 Webster Groves 78.1 23K
#5 Ballwin 77.8 31K

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 70758085 Population wellbeing score
Source: U.S. Census Bureau (population), wellbeing score per methodology

Community Wellbeing Score 50

More Missouri Rankings 8

Reading this Missouri 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 Missouri; it tells you that, among cities of population ten thousand and above in Missouri 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 Missouri 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).