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With health care costs rising and U.S. life expectancy declining for the second year in a row, the personal-finance website WalletHub conducted an in-depth analysis of 2018’s Healthiest & Unhealthiest Cities in America.

To identify the places where health is a priority, WalletHub compared more than 170 of the largest U.S. cities across 40 key metrics. The data set ranges from cost of doctor visit to fruit and vegetable consumption to fitness clubs per capita.

Source: WalletHub

Key Stats

— Overland Park, Kansas, has the lowest share of physically unhealthy adults, 6.8 percent, which is 2.8 times lower than in San Bernardino, California and Detroit, the cities with the highest at 18.7 percent.

— Laredo, Texas has the lowest cost per doctor’s visit, $62.78, which is three times less expensive than in Boston, the city with the highest at $188.00.

— Burlington, Vermont has the lowest share of adults eating fruit less than once daily, 31.7 percent, which is 1.8 times lower than in Little Rock, Arkansas, the city with the highest at 56.2 percent.

— Bridgeport, Connecticut, has the lowest average monthly cost for a fitness-club membership, $10.00, which is 7.3 times less expensive than in New York, the city with the highest at $73.48.

Healthiest Cities

  1. San Francisco, CA
  2. Seattle, WA
  3. Portland, OR
  4. San Diego, CA
  5. Washington, DC
  6. Burlington, VT
  7. Scottsdale, AZ
  8. Honolulu, HI
  9. Irvine, CA
  10. Denver, CO

Least Healthy Cities

  1. Memphis, TN
  2. Corpus Christi, TX
  3. Jackson, MS
  4. Detroit, MI
  5. Fort Smith, AR
  6. Gulfport, MS
  7. Shreveport, LA
  8. Augusta, GA
  9. Laredo, TX
  10. Brownsville, TX

To view the full report and your city’s rank, please visit