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Compare ZIP codes side by side

Line up 2–5 ZIP codes and read the ZipVitals Score, both ranks, and every scoring domain against the same national scale. Descriptive of documented conditions — never a verdict on the people who live there.

Comparing51459Ralston, IA57235Florence, SD
2–5 ZIPs · 2 selected
ZipVitals Score and its national and state ranks, compared across 2 ZIP codes. Higher is healthier. The nine scoring domains follow, one table each.
Metric
Ralston51459 · IA
Florence57235 · SD
ZipVitals Score52.1452.92 Leads
National rank#13,256of 32,066 US ZIPs#12,198of 32,066 US ZIPs Leads
State rank#483of 922 IA ZIPs#199of 360 SD ZIPs
Metro rankNot in a metro areaNot in a metro area

ZipVitals Score — Composite of 9 scoring domainsNational rank, State rank and Metro rank — Among ZIPs with a computed score

Metro areas — 51459: not in a metro area · 57235: not in a metro area.

Where these ZIPs differ, domain by domain

Nine domains make up the ZipVitals Score. Each one is placed on the same national scale, and the domains where these ZIPs are furthest apart come first. Higher is healthier in every one.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes. How the score works, and who it compares you with ›

Every ranking, bar and gap below is measured against the same national group. Where a ZIP’s line also mentions its state or its metro area, that figure is measured against a different group — its own — so it is context for that one ZIP and never a comparison between them.

Furthest apart first

all 2 ZIPs can be placed on these 9 domains
Climate / Disaster Risk5% of the score 51459 leads · 18-point gap
51459Ralstonhealthier than 76% · 95% in Iowa1 of 2
57235Florencehealthier than 58% · 47% in South Dakota2 of 2
Preventive Care13% of the score 57235 leads · 13-point gap
57235Florencehealthier than 70% · 56% in South Dakota1 of 2
51459Ralstonhealthier than 57% · 17% in Iowa2 of 2
Mental Health8% of the score 57235 leads · 11-point gap
57235Florencehealthier than 79% · 42% in South Dakota1 of 2
51459Ralstonhealthier than 68% · 31% in Iowa2 of 2
Risk Behavior11% of the score 57235 leads · 6-point gap
57235Florencehealthier than 53% · 24% in South Dakota1 of 2
51459Ralstonhealthier than 47% · 68% in Iowa2 of 2
Social Need / SDOH16% of the score 51459 leads · 4-point gap
51459Ralstonhealthier than 23% · 21% in Iowa1 of 2
57235Florencehealthier than 19% · 19% in South Dakota2 of 2
Disability7% of the score 51459 leads · 4-point gap
51459Ralstonhealthier than 72% · 71% in Iowa1 of 2
57235Florencehealthier than 68% · 66% in South Dakota2 of 2
Chronic Disease Burden21% of the score 57235 leads · 1-point gap
57235Florencehealthier than 65% · 67% in South Dakota1 of 2
51459Ralstonhealthier than 64% · 72% in Iowa2 of 2
Healthcare Access5% of the score 51459 leads · 1-point gap
51459Ralstonhealthier than 2% · 4% in Iowa1 of 2
57235Florencehealthier than 1% · 11% in South Dakota2 of 2
Environmental Hazard14% of the scoretied — no single leader
51459Ralstonhealthier than 29% · 43% in Iowa=1 of 2
57235Florencehealthier than 29% · 24% in South Dakota=1 of 2

“Of the score” is the domain’s weight in the ZipVitals Score — a property of the score itself, the same on every ZIP. Not every ZIP sits in a metro area — those show a state figure only. A gap is the distance between the highest and lowest of these ZIPs on that domain’s national scale. Percentages are rounded; higher is healthier in every domain.

Data release 2026 · higher is healthier on every row. How the ZipVitals Score is calculated →

The State rank and Metro rank rows show no “Leads” marker: each ZIP is ranked against the ZIPs in its own state and the ZIPs in its own metro area, so those ranks are not ordered against one another.

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Florence vs. Ralston

Florence 57235 · SDLEADS52.92
Ralston 51459 · IA52.14

Data release 2026 · public federal and academic sources · higher is healthier

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