ZIP code
57004
in Beresford, South DakotaPopulation 3,834
56.55/ 100
Ranked #7,705 of 32,066 US ZIPs (top 24%)
Ranked #87 of 360 South Dakota ZIPs (top 24%)
Ranked #26 of 47 Sioux Falls, SD-MN ZIPs (bottom 45%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Radon
4.6 pCi/L
in the top 0.6% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Child-care access
0.87 per 1,000 residents
in the top 3.2% nationally
Higher is healthier
ST87thUS97thDefinition & source ›
The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›PFAS in drinking water
7.2%
in the bottom 3.7% nationally
Lower is healthier
ST3rdUS4thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Grocery access
0.29 per 1,000 residents
in the top 3.9% nationally
Higher is healthier
ST95thUS96thDefinition & source ›
The number of full supermarkets inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”
Full methodology ›Elder-services access
0.29 per 1,000 residents
in the top 4.8% nationally
Higher is healthier
ST85thUS95thDefinition & source ›
The number of services for older adults and people with disabilities inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Lithium in drinking water
70 µg/L
in the top 6.4% nationally
Lower is healthier
ST87thUS94thDefinition & source ›
The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Nitrate in drinking water
0.31%
in the top 7.6% nationally
Lower is healthier
ST96thUS92ndDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Fiber broadband
97.4%
in the top 7.7% nationally
Higher is healthier
ST51stUS92ndDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Loud transportation noise
0.54%
in the top 35% nationally
Lower is healthier
ST93rdUS65thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›The read
Beresford, South Dakota (ZIP 57004) ranks in the top 24% healthiest ZIPs nationally (7,705th) and the top 24% of South Dakota (87th).
A balanced set of signals defines this area, not any single one: childcare stands in the top 3.2% nationally, and modeled pfas sits in the bottom 3.7% nationally. Grocery resides in the top 3.9% nationally, and elder services stands in the top 4.8% nationally. Fiber broadband sits in the top 7.7% nationally, and modeled short sleep resides in the bottom 10.1% nationally. By contrast, modeled radon stands in the top 0.6% nationally, lithium in drinking water sits in the top 6.4% nationally, and modeled nitrate resides in the top 7.6% nationally. Modeled fine-particle stands in the top 11.7% nationally.
For context, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. The closest ZIP that ranks healthier overall is ZIP 57039, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Sioux Falls, SD-MN metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Chronic Disease Burden
healthier than 65%
21%
Preventive Care
healthier than 69%
13%
Risk Behavior
healthier than 68%
11%
Mental Health
healthier than 83%
8%
Disability
healthier than 67%
7%
About typical
Social Need / SDOH
healthier than 58%
16%
Climate / Disaster Risk
healthier than 55%
5%
Healthcare Access
healthier than 48%
5%
Holding it back
Environmental Hazard
healthier than 24%
14%
Lifting this score
Chronic Disease Burden
healthier than 66%
21%
Social Need / SDOH
healthier than 72%
16%
Mental Health
healthier than 60%
8%
Disability
healthier than 64%
7%
Healthcare Access
healthier than 87%
5%
About typical
Preventive Care
healthier than 55%
13%
Risk Behavior
healthier than 57%
11%
Climate / Disaster Risk
healthier than 41%
5%
Holding it back
Environmental Hazard
healthier than 14%
14%
Lifting this score
Mental Health
healthier than 64%
8%
Healthcare Access
healthier than 72%
5%
About typical
Preventive Care
healthier than 44%
13%
Climate / Disaster Risk
healthier than 50%
5%
Holding it back
Chronic Disease Burden
healthier than 36%
21%
Social Need / SDOH
healthier than 36%
16%
Environmental Hazard
healthier than 33%
14%
Risk Behavior
healthier than 36%
11%
Disability
healthier than 31%
7%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
51001
Iowashares a border
Score 54.34
Closest healthier
57039
South Dakotashares a border
Score 58.35
Similar health profile
15217
Pennsylvania99% similar profile
Score 61.35
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 27.2% | 24.8–29.7 |
| High blood pressure among adults | 34.1% | 31.1–37.1 |
| Cancer (non-skin) or melanoma among adults | 10.5% | 9.7–11.3 |
| Current asthma among adults | 9.9% | 9.0–10.9 |
| Coronary heart disease among adults | 7.1% | 6.4–7.8 |
| Chronic obstructive pulmonary disease among adults | 6.9% | 6.1–7.9 |
| Depression among adults | 20.4% | 18.0–23.0 |
| Diagnosed diabetes among adults | 11.4% | 10.2–12.8 |
| High cholesterol among adults who have ever been screened | 35.5% | 32.5–38.7 |
| Obesity among adults | 34.0% | 28.9–39.3 |
| Stroke among adults | 3.6% | 3.3–4.0 |
| All teeth lost among adults aged >=65 years | 12.0% | 10.3–14.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.3% | 6.9–9.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.1% | 75.8–80.2 |
| Visits to doctor for routine checkup within the past year among adults | 77.0% | 74.4–79.6 |
| Cholesterol screening among adults | 86.5% | 84.9–87.9 |
| Colorectal cancer screening among adults aged 45–75 years | 67.8% | 64.2–71.3 |
| Visited dentist or dental clinic in the past year among adults | 71.4% | 68.9–74.0 |
| Mammography use among women aged 50-74 years | 78.7% | 73.7–83.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.1% | 15.8–20.5 |
| Current cigarette smoking among adults | 14.6% | 12.5–16.9 |
| No leisure-time physical activity among adults | 23.2% | 20.0–26.6 |
| Short sleep duration among adults | 30.1% | 25.8–34.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 16.4% | 14.3–18.6 |
| Frequent mental distress among adults | 14.5% | 13.0–16.0 |
| Frequent physical distress among adults | 12.4% | 11.1–13.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.9% | 11.4–14.5 |
| Any disability among adults | 29.7% | 26.4–33.1 |
| Hearing disability among adults | 8.7% | 7.8–9.6 |
| Independent living disability among adults | 7.3% | 6.5–8.3 |
| Mobility disability among adults | 13.0% | 11.4–14.7 |
| Self-care disability among adults | 3.4% | 3.1–3.8 |
| Vision disability among adults | 4.3% | 3.8–4.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.2% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 9.8% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 6.7% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 27.2% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 1.2% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 1.4% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 91.0% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 19.5% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 83.5% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 0.4% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 1.4% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 52.7% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 19.4% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 41.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $88,750 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $264,100 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $901 | $1,021 ($677–$1,912) n=25,670 | $763 ($544–$1,089) n=243 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.1 yr ± 0.88 | 78.9 yr (74.7–82.8) n=31,308 | 80.7 yr (77.4–84.2) n=357 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.88 years of 80.1, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured