Health · Royal

Royal, NE health

Royal differs from Nebraska on 15 of 40 measures. It has fewer uninsured adults (7.1% vs 9.9%) and fewer adults facing housing insecurity (7.3% vs 9.5%). Where it trails the state: more adults with heart disease (9.8% vs 6.1%).

CDC PLACES 2025 · adults 18+ · ZIP code 68773 (all of Royal)
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 35 people are less certain, so we show Royal's figures without a grade.

Report card

How Royal compares with Nebraska

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 Royal adults…

45 of every 100 Royal adults have high blood pressure
Nebraska: 33 in 100 · worse · margin 39.9–49.3%

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

Habits

Everyday habits, side by side with the state

Royal, betterRoyal, worseToo close to callNebraska
Get no exerciseshare of adults 29.6% Royal
NE 24.3%
Sleep under 7 hoursshare of adults 28.9% Royal
NE 31.3%
Binge drinkshare of adults 18.3% Royal
NE 19.7%
Smoke cigarettesshare of adults 16% Royal
NE 13.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

80%
Yearly checkup
NE 76%
65%
Dentist visit
NE 64%
87%
Cholesterol check
NE 84%
64%
Colon screening
NE 62%
74%
Mammogram
NE 75%
85%
Taking BP meds
NE 78%
1 in 14
working-age adults has no health insurance
Royal 7.1% · Nebraska 1 in 10 (9.9%)
Mind & connection

How Royal adults are doing

1 in 4Royal adults feel lonely
26% · Nebraska 29.3% · too close to call
1 in 6Royal adults have been diagnosed with depression
15.4% · Nebraska 18.3% · too close to call
1 in 5Royal adults lack social or emotional support
19.6% · Nebraska 20.5% · too close to call
1 in 8Royal adults are in frequent mental distress
12.4% · Nebraska 14.1% · 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
Royal adults worry about having enough food
10.7% · NE 12.3% · about the same
1 in 14
Royal adults worry about keeping their housing
7.3% · NE 9.5% · better
1 in 18
Royal adults were threatened with a utility shut-off
5.5% · NE 6.4% · about the same
1 in 17
Royal adults lack reliable transportation
5.9% · NE 6.7% · about the same

8% of Royal adults receive SNAP (food stamps), compared with 8.5% across Nebraska.

Disability

Living with a disability

32.2%

of Royal adults live with a disability (Nebraska 27.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs17.3%
Thinking or memory11.6%
Hearing11%
Errands alone7.7%
Vision5.2%
Dressing or bathing4.5%

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

Getting care

Care in and near Royal

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

HNearest ERAvera Creighton HospitalCreighton · 14.1 miDirections →
+Low-cost careMidtown Health CenterOneill · 28 mi · sliding-scale feesDirections →
14.1 mi
Avera Creighton Hospital
Creighton · not rated
ERRural critical access
14.6 mi
Antelope Memorial Hospital
Neligh · not rated
ERRural critical access
17.4 mi
Chi Health Plainview Hospital
Plainview · not rated
ERRural critical access
26.1 mi
Osmond General Hospital
Osmond · not rated
ERRural critical access
28 mi
Midtown Health Center
8 sites · nearest in Oneill
Sliding-scale fees
Directions to nearest
! Primary careRoyal's county is a federal shortage area.Antelope County · need score 9 of 25
✓ Dental careRoyal is not a shortage area
! Mental healthRoyal's county is a federal shortage area.Catchment Area 4 · need score 17 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 Royal. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Royal
MeasureRoyalMarginNebraska
Chronic conditions
High blood pressure44.6%39.9–49.3%32.6%worse
High cholesterol40.8%36.3–45.6%33%worse
Obesity44.4%36.9–51.9%37.7%about the same
Arthritis34.1%30.2–38.2%24%worse
Depression15.4%12.8–18.3%18.3%about the same
Lost all teeth (65+)10%8.1–12.3%12.4%better
Asthma9.1%8–10.2%9%about the same
Cancer (not skin)12%10.8–13.3%8.3%worse
Diabetes15.8%13.5–18.4%10.7%worse
COPD9.6%7.8–11.4%6.1%worse
Heart disease9.8%8.6–11.1%6.1%worse
Stroke4.7%4.1–5.4%3.1%worse
Habits
Smoke cigarettes16%12.5–19.6%13.2%about the same
Binge drink18.3%15.2–21.5%19.7%about the same
Get no exercise29.6%24.3–35.3%24.3%about the same
Sleep under 7 hours28.9%23.2–35.2%31.3%about the same
Care & screenings
Yearly checkup80.2%76.8–83.2%75.9%better
Dentist visit64.6%61–68.4%64.3%about the same
Cholesterol check87.4%85.2–89.3%83.7%better
Colon screening64.2%58.9–69.5%62.3%about the same
Mammogram74.3%66.4–81.4%75%about the same
Taking BP meds84.5%81.9–87%77.5%better
No health insurance7.1%5.3–9.5%9.9%better
Mind & connection
Feel lonely26%21.5–30.8%29.3%about the same
Lack emotional support19.6%16.2–23.3%20.5%about the same
Frequent mental distress12.4%10.7–14.3%14.1%about the same
Fair or poor health19.1%15.7–22.8%16.1%about the same
Frequent physical distress14.6%12.4–16.8%11.6%worse
Everyday needs
Food insecurity10.7%8.2–13.7%12.3%about the same
Housing insecurity7.3%5.8–9%9.5%better
Utility shut-off threat5.5%4.5–6.6%6.4%about the same
No reliable transportation5.9%4.8–7%6.7%about the same
Receive SNAP8%5.9–10.3%8.5%
Disability
Any disability32.2%27.5–37.4%27.4%
Walking or climbing stairs17.3%14.4–20.4%12%
Thinking or memory11.6%9.8–13.6%12.1%
Hearing11%9.7–12.5%7.3%
Vision5.2%4.4–6.2%4.4%
Dressing or bathing4.5%3.8–5.4%3.2%
Errands alone7.7%6.5–9.1%6.9%
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 Royal door to door.
Close calls stay grayEvery figure has a margin of error. When the Nebraska figure falls inside it, we don't call Royal better or worse.
Why a ZIP codeCDC publishes towns like Royal by ZIP code. We weight the ZIP codes that cover Royal by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The Nebraska 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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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/18 · 2025-01-01