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ZipVitals

ZIP code

57040

in Lesterville, South DakotaPopulation 222

55.18/ 100

Ranked #9,245 of 32,066 US ZIPs (top 29%)

Ranked #121 of 360 South Dakota ZIPs (top 34%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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

4.2 pCi/L

in the top 1.4% nationally

Lower is healthier

ST92nd
US99th
Definition & 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 ›

Fiber broadband

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

PFAS in drinking water

7.2%

in the bottom 3.6% nationally

Lower is healthier

ST2nd
US4th
Definition & 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 ›

Short sleep

28.2%

in the bottom 3.6% nationally

Lower is healthier

ST16th
US4th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Housing-cost burden

7.5%

in the bottom 6.8% nationally

Lower is healthier

ST15th
US7th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Outer-floodplain exposure

5.1%

in the top 7.2% nationally

Lower is healthier

ST79th
US93rd
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

Distance to a Superfund site

64.8 mi

in the top 7.6% nationally

Higher is healthier

ST30th
US92nd
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Walkability

2.4 intersections/sq mi

in the bottom 9.8% nationally

Higher is healthier

ST64th
US10th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Tooth loss

7.6%

in the bottom 11.1% nationally

Lower is healthier

ST5th
US11th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Dry extreme heat

30.1 days/year

in the top 15% nationally

Lower is healthier

ST92nd
US85th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

The read

On the composite measure, Lesterville, South Dakota (ZIP 57040) stands in the top 29% healthiest ZIPs nationally (9,245th) and the top 34% of South Dakota (121st).

continue reading

A balanced set of signals defines this area, not any single one: fiber broadband resides at the national maximum, and modeled pfas stands in the bottom 3.6% nationally. Modeled short sleep sits in the bottom 3.6% nationally, and housing-cost burden resides in the bottom 6.8% nationally. Unemployment stands at the national minimum, shared with about 15% of ZIPs. Distance to a Superfund site sits in the top 7.6% nationally, and poverty resides in the bottom 10.3% nationally. By contrast, modeled radon stands in the top 1.4% nationally, outer-floodplain exposure sits in the top 7.2% nationally, and walkability resides in the bottom 9.8% nationally.

For clarity, 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. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. ZIP 57078, less than a tenth of a mile away, ranks better overall among the ZIPs nearby.

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.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 62%

21%

Preventive Care

healthier than 67%

13%

Risk Behavior

healthier than 66%

11%

Mental Health

healthier than 82%

8%

Disability

healthier than 67%

7%

About typical

Climate / Disaster Risk

healthier than 47%

5%

Holding it back

Social Need / SDOH

healthier than 39%

16%

Environmental Hazard

healthier than 35%

14%

Healthcare Access

healthier than 24%

5%

Lifting this score

Disability

healthier than 65%

7%

Healthcare Access

healthier than 69%

5%

About typical

Chronic Disease Burden

healthier than 59%

21%

Social Need / SDOH

healthier than 51%

16%

Environmental Hazard

healthier than 40%

14%

Preventive Care

healthier than 52%

13%

Risk Behavior

healthier than 48%

11%

Mental Health

healthier than 52%

8%

Holding it back

Climate / Disaster Risk

healthier than 27%

5%

“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.

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
MeasureCrude prevalence95% CI
Arthritis among adults28.5%25.0–32.3
High blood pressure among adults35.5%31.2–40.0
Cancer (non-skin) or melanoma among adults10.3%9.3–11.4
Current asthma among adults9.8%8.6–11.2
Coronary heart disease among adults7.1%6.2–8.0
Chronic obstructive pulmonary disease among adults7.2%6.0–8.5
Depression among adults20.6%17.4–24.3
Diagnosed diabetes among adults11.8%10.1–13.9
High cholesterol among adults who have ever been screened36.2%32.0–40.8
Obesity among adults39.0%30.8–48.0
Stroke among adults3.6%3.1–4.0
All teeth lost among adults aged >=65 years7.6%6.1–9.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.1%6.3–10.3
Taking medicine to control high blood pressure among adults with high blood pressure77.3%74.2–80.3
Visits to doctor for routine checkup within the past year among adults76.4%72.7–79.9
Cholesterol screening among adults86.3%84.3–88.2
Colorectal cancer screening among adults aged 45–75 years68.9%63.8–73.6
Visited dentist or dental clinic in the past year among adults70.8%67.6–74.1
Mammography use among women aged 50-74 years78.6%71.2–84.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.6%15.5–22.0
Current cigarette smoking among adults15.4%12.7–18.3
No leisure-time physical activity among adults24.6%20.1–29.7
Short sleep duration among adults28.2%22.5–34.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.6%14.0–19.6
Frequent mental distress among adults14.6%12.8–16.7
Frequent physical distress among adults12.9%11.1–14.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.0%11.2–15.0
Any disability among adults30.3%25.9–35.4
Hearing disability among adults8.5%7.5–9.6
Independent living disability among adults7.2%6.2–8.4
Mobility disability among adults13.2%11.1–15.8
Self-care disability among adults3.5%3.0–4.0
Vision disability among adults4.1%3.6–4.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate3.2%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–647.1%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)2.7%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)19.1%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle4.2%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription87.5%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)7.5%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate75.8%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households88.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+29.7%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age56.4 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$72,250$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$151,400$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$636$1,021 ($677–$1,912) n=25,670$763 ($544–$1,089) n=243
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth83.5 yr ± 1.8178.9 yr (74.7–82.8) n=31,30880.7 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 1.81 years of 83.5, and it’s very unlikely to be off by more than twice that.

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