Health · Colstrip

Colstrip, MT health

On most measures Colstrip looks like Montana as a whole. It has fewer adults with heart disease (5.2% vs 6.6%) and fewer adults who have had a stroke (2.8% vs 3.5%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Colstrip
TownTapestry Health GradeNew

Colstrip’s Health Grade: B+

On seven CDC health estimates for adults, Colstrip is healthier than 70% of U.S. towns and 60% of Montana towns.

A-Self-rated healthB+Physical distressC+Mental distressBObesityADiabetesB-SmokingAExercise
All U.S. towns we grade (19,420)Healthier than 70%
Less healthyHealthier
Montana towns we grade (93)Healthier than 60%
Towns with similar incomes, $62K–$103K (9,662)Healthier than 76%

About what its income would suggest. Colstrip does about as well against towns with similar incomes as against all towns.

These are estimates. At the ends of CDC’s likely ranges, Colstrip could be anywhere from C+ 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 our Healthiest towns in Montana ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Colstrip 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. Colstrip uses CDC’s own estimate for it. 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.
Report card

How Colstrip compares with Montana

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Colstrip adults…

32 of every 100 Colstrip adults have high blood pressure
Montana: 32 in 100 · too close to call · margin 28.7–36.5%

Bars show Colstrip; the black tick is Montana. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Colstrip, betterColstrip, worseToo close to callMontana
Get no exerciseshare of adults 18.8% Colstrip
MT 20.6%
Sleep under 7 hoursshare of adults 32.3% Colstrip
MT 31.4%
Binge drinkshare of adults 22.2% Colstrip
MT 20.3%
Smoke cigarettesshare of adults 14.4% Colstrip
MT 13.6%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

70%
Yearly checkup
MT 72%
67%
Dentist visit
MT 63%
83%
Cholesterol check
MT 83%
64%
Colon screening
MT 64%
79%
Mammogram
MT 75%
70%
Taking BP meds
MT 73%
1 in 12
working-age adults has no health insurance
Colstrip 8.1% · Montana 1 in 11 (9.3%)
Mind & connection

How Colstrip adults are doing

1 in 3Colstrip adults feel lonely
32.6% · Montana 30.7% · too close to call
1 in 4Colstrip adults have been diagnosed with depression
23.9% · Montana 24.9% · too close to call
1 in 4Colstrip adults lack social or emotional support
23.1% · Montana 21.2% · too close to call
1 in 6Colstrip adults are in frequent mental distress
17.8% · Montana 17.2% · too close to call
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
Colstrip adults worry about having enough food
11.3% · MT 11.7% · about the same
1 in 10
Colstrip adults worry about keeping their housing
9.6% · MT 9.1% · about the same
1 in 15
Colstrip adults were threatened with a utility shut-off
6.7% · MT 6.5% · about the same
1 in 14
Colstrip adults lack reliable transportation
7.4% · MT 7.5% · about the same

7.2% of Colstrip adults receive SNAP (food stamps), compared with 8.3% across Montana.

Disability

Living with a disability

27.6%

of Colstrip adults live with a disability (Montana 30.9%). Thinking or memory is the most common.

Walking or climbing stairs10.7%
Thinking or memory13.8%
Hearing6.8%
Errands alone7%
Vision3.9%
Dressing or bathing3.1%

Black tick: Montana. Shown without a better/worse judgment.

Getting care

Care in and near Colstrip

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

HNearest ERRosebud Health Care CenterForsyth · 26.1 miDirections →
★Best rated nearbyHoly Rosary Hospital★★★★★ · 51.6 miDirections →
+Low-cost careBighorn Valley Health CenterAshland · 27.2 mi · sliding-scale feesDirections →
26.1 mi
Rosebud Health Care Center
Forsyth · not rated
ERRural critical access
27.2 mi
Bighorn Valley Health Center
7 sites · nearest in Ashland
Sliding-scale fees
Directions to nearest
40.2 mi
P H S Indian Hospital Crow / Northern Cheyenne
Crow Agency · not rated
ERRural critical access
49 mi
Big Horn Hospital
Hardin · not rated
ERRural critical access
51.6 mi
Holy Rosary Hospital
Miles City · ★★★★★
ERRural critical access
73.8 mi
Riverstone Health Clinic - Worden
Worden · community health center
Sliding-scale fees
! Primary careColstrip's county is a federal shortage area.Rosebud County · need score 17 of 25
! Dental careColstrip's county is a federal shortage area for some residents.Low-income residents, Rosebud County · need score 19 of 25
! Mental healthColstrip's county is a federal shortage area.Eastern Montana · need score 18 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 Colstrip. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Colstrip
MeasureColstripMarginMontana
Chronic conditions
High blood pressure32.4%28.7–36.5%31.9%about the same
High cholesterol29.8%26.3–33.8%32.8%about the same
Obesity35.4%29.3–42.2%31.4%about the same
Arthritis26.1%23–29.5%28.4%about the same
Depression23.9%20.5–27.7%24.9%about the same
Lost all teeth (65+)11.4%9.2–14%12.3%about the same
Asthma11.7%10.3–13.2%11.1%about the same
Cancer (not skin)7.9%7.1–8.8%9.3%better
Diabetes9%7.6–10.5%9.9%about the same
COPD5.9%4.8–6.9%7%better
Heart disease5.2%4.5–5.9%6.6%better
Stroke2.8%2.5–3.2%3.5%better
Habits
Smoke cigarettes14.4%11.8–17.5%13.6%about the same
Binge drink22.2%18.8–26.2%20.3%about the same
Get no exercise18.8%15.4–22.9%20.6%about the same
Sleep under 7 hours32.3%26.7–38.4%31.4%about the same
Care & screenings
Yearly checkup69.7%65.8–73.9%72.4%about the same
Dentist visit66.7%63.3–70.1%63.3%about the same
Cholesterol check83.3%81–85.5%82.5%about the same
Colon screening64.2%59.5–68.9%63.8%about the same
Mammogram78.7%71.8–84.6%74.8%about the same
Taking BP meds69.9%66.3–73.6%73.4%about the same
No health insurance8.1%6.4–9.9%9.3%about the same
Mind & connection
Feel lonely32.6%27.9–37.9%30.7%about the same
Lack emotional support23.1%19.7–27.2%21.2%about the same
Frequent mental distress17.8%15.5–20.2%17.2%about the same
Fair or poor health16.2%13.6–18.9%18.3%about the same
Frequent physical distress13.1%11.3–15.2%14%about the same
Everyday needs
Food insecurity11.3%9.2–13.9%11.7%about the same
Housing insecurity9.6%7.9–11.5%9.1%about the same
Utility shut-off threat6.7%5.6–8%6.5%about the same
No reliable transportation7.4%6.3–8.6%7.5%about the same
Receive SNAP7.2%5.6–9%8.3%
Disability
Any disability27.6%23.6–32.1%30.9%
Walking or climbing stairs10.7%9–12.7%12.9%
Thinking or memory13.8%11.9–15.9%14.3%
Hearing6.8%5.9–7.7%8.6%
Vision3.9%3.4–4.4%4.6%
Dressing or bathing3.1%2.6–3.6%3.5%
Errands alone7%6–8.1%8%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Colstrip door to door.
Close calls stay grayEvery figure has a margin of error. When the Montana figure falls inside it, we don't call Colstrip better or worse.
CDC's own town estimateCDC publishes Colstrip directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Montana figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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