ZIP code
57049
in North Sioux City, South DakotaPopulation 7,962
63.54/ 100
Ranked #2,691 of 32,066 US ZIPs (top 8.4%)
Ranked #5 of 360 South Dakota ZIPs (top 1.4%)
Ranked #1 of 30 Sioux City, IA-NE-SD ZIPs (top 3.4%)
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.
Outer-floodplain exposure
30.4%
in the top 1.4% nationally
Lower is healthier
ST99thUS99thDefinition & 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 ›Dental provider access
1.7 per 1,000 residents
in the top 1.9% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The number of dental offices located 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 ›Physician access
3.6 per 1,000 residents
in the top 2.4% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The number of physicians’ offices located 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 ›Civic-institution access
1.2 per 1,000 residents
in the top 3.1% nationally
Higher is healthier
ST95thUS97thDefinition & source ›
The number of civic and social organizations 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 ›Recreation access
1.6 per 1,000 residents
in the top 3.1% nationally
Higher is healthier
ST96thUS97thDefinition & source ›
The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›Energy-cost burden
1.5%
in the bottom 4.7% nationally
Lower is healthier
ST1stUS5thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Fair or poor health
13.5%
in the bottom 7.6% nationally
Lower is healthier
ST2ndUS8thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Mobility disability
10.0%
in the bottom 9.1% nationally
Lower is healthier
ST4thUS9thDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Independent-living disability
5.9%
in the bottom 8.3% nationally
Lower is healthier
ST1stUS8thDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Cognitive disability
11.0%
in the bottom 10.2% nationally
Lower is healthier
ST3rdUS10thDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›The read
In overall standing, North Sioux City, South Dakota (ZIP 57049) comes out in the top 8.4% healthiest ZIPs nationally (2,691st) and the top 1.4% of South Dakota (5th).
The profile opens balanced, with readings on either hand: dental providers resides in the top 1.9% nationally, physicians rests in the top 2.4% nationally, and civic lies in the top 3.1% nationally. Recreation sits in the top 3.1% nationally, modeled energy burden settles in the bottom 4.7% nationally, and modeled fair or poor health registers in the bottom 7.6% nationally. Modeled mobility disability stands in the bottom 9.1% nationally, and independent living disability lands in the bottom 8.3% nationally. By contrast, outer-floodplain exposure is in the top 1.4% nationally, and modeled fine-particle resides in the top 11.7% nationally.
Relative to the ZIPs around it, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. In plain terms, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Outer-floodplain exposure is land with a lower but real 1-in-500 chance of flooding each year, nicknamed the "500-year floodplain". Energy burden is the share of household income that goes to home energy bills. Locally, no neighbor ranks healthier overall than this ZIP.
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 City, IA-NE-SD 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 84%
21%
Social Need / SDOH
healthier than 94%
16%
Preventive Care
healthier than 75%
13%
Risk Behavior
healthier than 79%
11%
Mental Health
healthier than 90%
8%
Disability
healthier than 89%
7%
Healthcare Access
healthier than 63%
5%
Holding it back
Environmental Hazard
healthier than 27%
14%
Climate / Disaster Risk
healthier than 37%
5%
Lifting this score
Chronic Disease Burden
healthier than 94%
21%
Social Need / SDOH
in the top 0.00%
16%
Preventive Care
healthier than 69%
13%
Risk Behavior
healthier than 90%
11%
Mental Health
healthier than 90%
8%
Disability
healthier than 97%
7%
Healthcare Access
healthier than 92%
5%
Holding it back
Environmental Hazard
healthier than 17%
14%
Climate / Disaster Risk
healthier than 10%
5%
Lifting this score
Chronic Disease Burden
healthier than 97%
21%
Social Need / SDOH
in the top 0.00%
16%
Environmental Hazard
healthier than 97%
14%
Preventive Care
healthier than 76%
13%
Risk Behavior
in the top 0.00%
11%
Mental Health
healthier than 93%
8%
Disability
healthier than 97%
7%
Healthcare Access
healthier than 66%
5%
Holding it back
Climate / Disaster Risk
healthier than 38%
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 ›
Findings that name this ZIP
2 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Above what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 82.4 ± 2.5 years. A median household income of $93,134 predicts 79.8 years — 2.6 years above.
Ranked #590 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 26.9; chronic-disease standing 84.1 — 57 points apart, heavier on the environment than it is on chronic illness.
Ranked #15,126 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
51109
Iowashares a border
Score 46.63
Similar health profile
68130
Nebraska100% similar profile
Score 70.02
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 | 23.9% | 20.9–27.1 |
| High blood pressure among adults | 30.5% | 26.7–34.7 |
| Cancer (non-skin) or melanoma among adults | 9.6% | 8.7–10.5 |
| Current asthma among adults | 9.5% | 8.4–10.9 |
| Coronary heart disease among adults | 5.8% | 5.1–6.4 |
| Chronic obstructive pulmonary disease among adults | 5.3% | 4.5–6.1 |
| Depression among adults | 19.6% | 16.6–23.2 |
| Diagnosed diabetes among adults | 9.9% | 8.5–11.4 |
| High cholesterol among adults who have ever been screened | 34.1% | 29.9–38.5 |
| Obesity among adults | 30.3% | 23.5–38.2 |
| Stroke among adults | 2.9% | 2.6–3.2 |
| All teeth lost among adults aged >=65 years | 9.7% | 7.7–11.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.7% | 5.4–8.1 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.2% | 72.8–79.3 |
| Visits to doctor for routine checkup within the past year among adults | 76.3% | 72.4–80.0 |
| Cholesterol screening among adults | 87.3% | 85.4–89.0 |
| Colorectal cancer screening among adults aged 45–75 years | 68.3% | 63.2–73.0 |
| Visited dentist or dental clinic in the past year among adults | 73.2% | 69.9–76.3 |
| Mammography use among women aged 50-74 years | 80.1% | 72.7–85.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.7% | 15.5–22.3 |
| Current cigarette smoking among adults | 11.6% | 9.5–13.9 |
| No leisure-time physical activity among adults | 19.3% | 15.8–23.2 |
| Short sleep duration among adults | 30.7% | 24.3–37.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 13.5% | 11.5–15.7 |
| Frequent mental distress among adults | 13.3% | 11.6–15.2 |
| Frequent physical distress among adults | 10.5% | 9.1–11.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 11.0% | 9.5–12.6 |
| Any disability among adults | 24.8% | 21.2–28.7 |
| Hearing disability among adults | 6.9% | 6.1–7.8 |
| Independent living disability among adults | 5.9% | 5.1–6.7 |
| Mobility disability among adults | 10.0% | 8.5–11.6 |
| Self-care disability among adults | 2.7% | 2.3–3.0 |
| Vision disability among adults | 3.4% | 3.0–3.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 6.2% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 4.5% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 3.3% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 44.1% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 3.7% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 2.4% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 89.2% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 25.9% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 62.7% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 0.7% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 2.9% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 57.5% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 20.2% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 39.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $93,134 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $432,100 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $1,147 | $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 | 82.4 yr ± 1.28 | 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 1.28 years of 82.4, 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