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ZipVitals

ZIP code

57234

in Estelline, South DakotaPopulation 1,339

55.97/ 100

Ranked #8,306 of 32,066 US ZIPs (top 26%)

Ranked #99 of 360 South Dakota ZIPs (top 28%)

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

4.1 pCi/L

in the top 1.7% nationally

Lower is healthier

ST88th
US98th
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 ›

Distance to a Superfund site

114.6 mi

in the top 2.9% nationally

Higher is healthier

ST63rd
US97th
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 ›

Fiber broadband

99.6%

in the top 3.2% nationally

Higher is healthier

ST82nd
US97th
Definition & source ›

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

Full methodology ›

Fine-particle (PM2.5) exceedance

1.4%

in the top 6.9% nationally

Lower is healthier

ST89th
US93rd
Definition & source ›

The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.

Full methodology ›

Short sleep

29.5%

in the bottom 7.5% nationally

Lower is healthier

ST49th
US7th
Definition & source ›

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

Full methodology ›

Outer-floodplain exposure

3.6%

in the top 9.6% nationally

Lower is healthier

ST71st
US90th
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 ›

Lead in tap water

5 ppb

in the top 10.0% nationally

Lower is healthier

US90th
Definition & source ›

The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.

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 ›

Floodplain exposure

18.5%

in the top 20% nationally

Lower is healthier

ST90th
US80th
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.

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 ›

PFAS in drinking water

39%

in the top 24% nationally

Lower is healthier

ST93rd
US76th
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 ›

Dry extreme heat

12.8 days/year

in the top 31% nationally

Lower is healthier

ST7th
US69th
Definition & source ›

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

Full methodology ›

The read

Estelline, South Dakota (ZIP 57234) ranks in the top 26% healthiest ZIPs nationally (8,306th) and the top 28% of South Dakota (99th).

continue reading

A profile of give and take, with clear readings each way: distance to a Superfund site resides in the top 2.9% nationally, and fiber broadband stands in the top 3.2% nationally. Modeled short sleep sits in the bottom 7.5% nationally. Distance to a nursing home resides at the national minimum, shared with about 27% of ZIPs. On the other side, modeled radon stands in the top 1.7% nationally, modeled fine-particle sits in the top 6.9% nationally, and outer-floodplain exposure resides in the top 9.6% nationally. Lead in tap water stands in the top 10.0% nationally, distance to an emergency room sits in the top 10.2% nationally, and distance to a community health center resides in the top 11.7% nationally.

Against its neighbors, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. For context, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. The closest ZIP that ranks healthier overall is ZIP 57212, 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.

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 74%

13%

Risk Behavior

healthier than 75%

11%

Mental Health

healthier than 91%

8%

Disability

healthier than 68%

7%

About typical

Climate / Disaster Risk

healthier than 44%

5%

Holding it back

Social Need / SDOH

healthier than 27%

16%

Environmental Hazard

healthier than 24%

14%

Healthcare Access

healthier than 13%

5%

Lifting this score

Chronic Disease Burden

healthier than 60%

21%

Preventive Care

healthier than 68%

13%

Risk Behavior

healthier than 81%

11%

Mental Health

healthier than 92%

8%

Disability

healthier than 68%

7%

About typical

Healthcare Access

healthier than 55%

5%

Holding it back

Social Need / SDOH

healthier than 33%

16%

Environmental Hazard

healthier than 13%

14%

Climate / Disaster Risk

healthier than 24%

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 adults28.3%25.4–31.5
High blood pressure among adults34.6%31.1–38.6
Cancer (non-skin) or melanoma among adults11.0%10.0–12.0
Current asthma among adults9.7%8.7–10.9
Coronary heart disease among adults7.4%6.6–8.3
Chronic obstructive pulmonary disease among adults6.7%5.8–7.8
Depression among adults18.9%16.3–21.9
Diagnosed diabetes among adults11.7%10.3–13.4
High cholesterol among adults who have ever been screened36.5%32.7–40.7
Obesity among adults34.6%28.3–42.2
Stroke among adults3.7%3.3–4.2
All teeth lost among adults aged >=65 years10.6%8.6–12.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.4%7.0–10.1
Taking medicine to control high blood pressure among adults with high blood pressure79.3%76.7–81.9
Visits to doctor for routine checkup within the past year among adults77.8%74.6–80.9
Cholesterol screening among adults87.5%85.8–89.1
Colorectal cancer screening among adults aged 45–75 years67.4%63.2–71.6
Visited dentist or dental clinic in the past year among adults72.0%69.0–74.9
Mammography use among women aged 50-74 years78.6%71.8–84.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.3%14.8–20.3
Current cigarette smoking among adults13.5%11.5–15.7
No leisure-time physical activity among adults23.9%20.3–28.3
Short sleep duration among adults29.5%24.7–35.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.1%13.9–18.6
Frequent mental distress among adults13.6%12.1–15.3
Frequent physical distress among adults12.4%11.0–14.0
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.0%10.5–13.7
Any disability among adults29.5%25.9–33.6
Hearing disability among adults9.0%8.0–10.2
Independent living disability among adults7.1%6.2–8.1
Mobility disability among adults13.2%11.4–15.3
Self-care disability among adults3.3%2.9–3.8
Vision disability among adults4.3%3.8–4.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate6.5%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6410.3%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)9.6%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)29.7%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.7%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle1.4%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription90.5%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)18.3%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate88.9%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.4%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population4.4%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households58.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+17.3%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age37.5 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$82,358$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$173,000$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$763$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 birth86.1 yr ± 1.7178.9 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 1.71 years of 86.1, 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