Rural Hill is a census-designated place in Wilson County, Tennessee. The population was 2,132 at the 2010 census. Rural Hill is located at 36°7′7″N 86°31′8″W / 36.11861°N 86.51889°W. According to the United States Census Bureau, the CDP has a total area of 3.8 square miles, of which 3.8 square miles is land and 0.02 square miles is water.