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AHealth Grade
Health in Middletown · CDC PLACES 2025

Middletown is healthier than 94% of U.S. towns

Middletown differs from Maryland on 22 of 40 measures. It has fewer adults facing food insecurity (6.9% vs 15.4%) and fewer adults facing housing insecurity (6.9% vs 13.5%). Where it trails the state: more adults who have had cancer (9.3% vs 7.6%).

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

What stands out about health in Middletown

Read from the numbers below. The page puts what stands out first.

★ What stands out · Habits

Everyday habits, side by side with Maryland

Middletown is #20 of 262 in MD for the most active adults.

Get no exercise 16.6%MD 23.6%
Sleep under 7 hours 33.9%MD 37.7%
Binge drink 16.2%MD 14.1%
Smoke cigarettes 7.9%MD 10.9%
0%10%20%30%40%
Middletown, betterMiddletown, worseAbout the sameMaryland
Map of trails and conserved land in Middletown
Where Middletown gets moving

2.1 miles of trails across 4 parks and preserves

Parks & trails →
Health Grade

Middletown’s Health Grade: A

On seven CDC health estimates for adults, Middletown is healthier than 94% of U.S. towns and 89% of Maryland towns.

A+Self-rated health12% · MD 17.9%
A+Physical distress9.5% · MD 12%
AMental distress14.1% · MD 15%
B+Obesity32.3% · MD 35.1%
ADiabetes9.2% · MD 12.5%
A+Smoking7.9% smoke · MD 10.9%
A+Exercise16.6% · MD 23.6%
All U.S. towns we grade (19,420)Healthier than 94%
Less healthyHealthier
Maryland towns we grade (332)Healthier than 89%
U.S. towns with similar incomes, $130K–$217K (1,523)Healthier than 58%

Wealth explains part of the grade. Middletown is healthier than 94% of U.S. towns overall, but against towns with similar incomes its edge is smaller.

These are estimates. At the ends of CDC’s likely ranges, Middletown could be anywhere from A− to A+.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as the Healthiest towns in Maryland ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places): A+ is the top 5%, A the next 10%, A− the next 10%, the B range the next 30%, the C range the next 30%, D and D− the bottom 15%. There’s no F.
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Middletown with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Checkups & screenings

Keeping up with care

Share of Middletown adults getting routine care. The full ring is 100%; the dark tick marks Maryland.

79% Yearly checkupMD 79%
72% Dentist visitMD 64%
91% Cholesterol checkMD 90%
70% Colon screeningMD 68%
76% MammogramMD 81%
76% Taking BP medsMD 77%
1 in 19
working-age adults has no health insurance
Middletown 5.2% · Maryland 1 in 11 (8.7%)
Getting care

Care in and near Middletown

No hospital or community health center in Middletown itself. These are the nearest.

HNearest ERFrederick Health HospitalFrederick · 6.6 miDirections →
★Best rated nearbyMartinsburg VA Medical Center★★★★★ · 20.3 miDirections →
+Low-cost careThe City of Frederick Housing and Human Services/FcaaFrederick · 6.9 mi · sliding-scale feesDirections →
6.6 mi
Frederick Health Hospital
Frederick · ★★★★★
ER
6.9 mi
The City of Frederick Housing and Human Services/Fcaa
Frederick · community health center
Sliding-scale fees
14.7 mi
Meritus Medical Center
Hagerstown · ★★★★★
ER
16.4 mi
Walnut Street Community Health Center, Inc. D/B/A Family Healthcare of Hagerstown
Hagerstown · community health center
Sliding-scale fees
20 mi
Jefferson Medical Center
Ranson · ★★★★★
ERRural critical access
20.3 mi
Martinsburg VA Medical Center
Martinsburg · ★★★★★
ERVA
! Primary careMiddletown’s county is a federal shortage area for some residents.ME - Frederick County · need score 13 of 25
✓ Dental careMiddletown is not a shortage area
! Mental healthMiddletown’s county is a federal shortage area for some residents.ME - Frederick County · need score 16 of 25

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 Middletown; ≈ 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 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 14
Middletown adults worry about having enough food
6.9% · MD 15.4%
Better than MD
1 in 14
Middletown adults worry about keeping their housing
6.9% · MD 13.5%
Better than MD
1 in 22
Middletown adults were threatened with a utility shut-off
4.5% · MD 8.4%
Better than MD
1 in 23
Middletown adults lack reliable transportation
4.3% · MD 7.8%
Better than MD

4.7% of Middletown adults receive SNAP (food stamps), compared with 11.8% across Maryland.

Mind & connection

How Middletown adults are doing

On 2 of 4 measures, Middletown does better than Maryland.

1 in 3Middletown adults feel lonely
30.1% · MD 34.3% · Better than MD
1 in 5Middletown adults lack social or emotional support
20.3% · MD 24.2% · Better than MD
1 in 5Middletown adults have been diagnosed with depression
21% · MD 19.4% · About the same as MD
1 in 7Middletown adults are in frequent mental distress
14.1% · MD 15% · About the same as MD
The one neighbors can help with

1 in 3 Middletown adults feel lonely. 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.

Chronic conditions

Out of every 100 Middletown adults…

Middletown runs below MD on 7 of 12 conditions and above it on 1. Tap one to see it as people.

3 of every 100 Middletown adults have had a stroke
Maryland: 3 in 100 · better · likely 2.2–2.8%
Better than MDWorseAbout the sameMaryland
Disability

Living with a disability

Shown without a better/worse judgment.

20.2%

of Middletown adults live with a disability (Maryland 26.4%). Thinking or memory is the most common.

Walking or climbing stairs8.3%
Thinking or memory9.6%
Hearing5.3%
Errands alone4.8%
Vision2.7%
Dressing or bathing2.2%
Maryland
All 40 CDC measures for Middletown
MeasureMiddletownLikely rangeMaryland
Chronic conditions
High blood pressure32.3%29.7–34.7%36.8%better
High cholesterol39.4%36.6–42%38.1%about the same
Obesity32.3%28.6–35.9%35.1%about the same
Arthritis25.6%23.4–27.7%25.8%about the same
Depression21%18.8–23.3%19.4%about the same
Lost all teeth (65+)8%6.6–9.6%9.9%better
Asthma9.4%8.4–10.4%10.6%better
Cancer (not skin)9.3%8.5–10.2%7.6%worse
Diabetes9.2%8.1–10.3%12.5%better
COPD4.6%3.8–5.5%5.9%better
Heart disease5%4.4–5.6%5.8%better
Stroke2.5%2.2–2.8%3.4%better
Habits
Smoke cigarettes7.9%6.3–9.9%10.9%better
Binge drink16.2%14.1–18.4%14.1%about the same
Get no exercise16.6%14–19.4%23.6%better
Sleep under 7 hours33.9%30.7–37.3%37.7%better
Care & screenings
Yearly checkup79.2%76.6–81.4%79.2%about the same
Dentist visit72.4%70.1–74.8%64.4%better
Cholesterol check91.1%89.6–92.4%89.6%about the same
Colon screening69.6%66.4–72.8%68.2%about the same
Mammogram76%71.2–80.6%80.7%worse
Taking BP meds76.2%73.4–78.6%76.6%about the same
No health insurance5.2%4–6.5%8.7%better
Mind & connection
Feel lonely30.1%26.6–33.6%34.3%better
Lack emotional support20.3%17.5–23.3%24.2%better
Frequent mental distress14.1%12.4–15.8%15%about the same
Fair or poor health12%10.2–14.2%17.9%better
Frequent physical distress9.5%8.3–10.9%12%better
Everyday needs
Food insecurity6.9%5.3–8.7%15.4%better
Housing insecurity6.9%5.6–8.4%13.5%better
Utility shut-off threat4.5%3.7–5.4%8.4%better
No reliable transportation4.3%3.6–5.2%7.8%better
Receive SNAP4.7%3.5–6.2%11.8%
Disability
Any disability20.2%17.5–22.9%26.4%
Walking or climbing stairs8.3%6.9–9.8%12.4%
Thinking or memory9.6%8.2–11.2%12.2%
Hearing5.3%4.7–6%5.6%
Vision2.7%2.4–3.2%4.5%
Dressing or bathing2.2%1.9–2.6%3.5%
Errands alone4.8%4.1–5.7%7%

How CDC estimates town health

Modeled estimates

CDC combines a large national health survey with each area’s age, sex, race and income mix to estimate local rates. Nobody surveyed Middletown door to door.

Close calls stay gray

Every figure has a likely range. When the Maryland figure falls inside it, we don’t call Middletown better or worse.

CDC’s own town estimate

CDC publishes Middletown directly, so these are its own figures.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Middletown.

Town Square →
Weigh in
Live in Middletown? Is an A for health right?

Your answer becomes a post in Town Square.

Ask your neighbors

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

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