ZIP code
57359
in Letcher, South DakotaPopulation 652
53.38/ 100
Ranked #11,518 of 32,066 US ZIPs (top 36%)
Ranked #174 of 360 South Dakota ZIPs (top 48%)
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
3.9 pCi/L
in the top 2.3% nationally
Lower is healthier
ST79thUS98thDefinition & 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 ›Civic-institution access
1.7 per 1,000 residents
in the top 1.6% nationally
Higher is healthier
ST98thUS98thDefinition & 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 ›Fiber broadband
99.7%
in the top 2.8% nationally
Higher is healthier
ST84thUS97thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Distance to a Superfund site
109.6 mi
in the top 3.1% nationally
Higher is healthier
ST60thUS97thDefinition & 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 ›Outer-floodplain exposure
5.6%
in the top 6.6% nationally
Lower is healthier
ST82ndUS93rdDefinition & 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 ›Short sleep
29.7%
in the bottom 8.3% nationally
Lower is healthier
ST55thUS8thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Housing-cost burden
10.3%
in the bottom 9.7% nationally
Lower is healthier
ST23rdUS10thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Dry extreme heat
30.7 days/year
in the top 14.9% nationally
Lower is healthier
ST95thUS85thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Median household income
$106,818
in the top 15.0% nationally
Higher is healthier
ST93rdUS85thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›The read
By the composite health measure, Letcher, South Dakota (ZIP 57359) ranks in the top 36% healthiest ZIPs nationally (11,518th) and the top 48% of South Dakota (174th).
A number of measures pull each way for this area: civic is in the top 1.6% nationally, and fiber broadband settles in the top 2.8% nationally. Distance to a Superfund site resides in the top 3.1% nationally, and modeled short sleep registers in the bottom 8.3% nationally. Housing-cost burden rests in the bottom 9.7% nationally. Set against that, modeled radon stands in the top 2.3% nationally, outer-floodplain exposure lies in the top 6.6% nationally, and lithium in drinking water lands in the top 11.5% nationally. Modeled binge drinking sits in the top 11.2% nationally, and fine-particle is in the top 12.9% nationally.
Read against the ZIPs closest to it, civic runs far higher than the surrounding ZIPs on this measure. To spell things out, 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. Lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Close by, ZIP 57301, just across the boundary, ranks healthier overall.
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.
Lifting this score
Chronic Disease Burden
healthier than 65%
21%
Mental Health
healthier than 76%
8%
Disability
healthier than 62%
7%
About typical
Preventive Care
healthier than 43%
13%
Risk Behavior
healthier than 54%
11%
Climate / Disaster Risk
healthier than 52%
5%
Holding it back
Social Need / SDOH
healthier than 38%
16%
Environmental Hazard
healthier than 37%
14%
Healthcare Access
healthier than 22%
5%
Lifting this score
Chronic Disease Burden
healthier than 64%
21%
Healthcare Access
healthier than 66%
5%
About typical
Social Need / SDOH
healthier than 50%
16%
Environmental Hazard
healthier than 50%
14%
Disability
healthier than 55%
7%
Holding it back
Preventive Care
healthier than 21%
13%
Risk Behavior
healthier than 24%
11%
Mental Health
healthier than 37%
8%
Climate / Disaster Risk
healthier than 36%
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.
Nearby
57301
South Dakotashares a border
Score 53.83
Closest healthier
57368
South Dakotashares a border
Score 54.62
Similar health profile
12582
New York98% similar profile
Score 61.11
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 | 26.7% | 23.8–29.7 |
| High blood pressure among adults | 34.0% | 30.4–37.8 |
| Cancer (non-skin) or melanoma among adults | 9.3% | 8.5–10.1 |
| Current asthma among adults | 10.0% | 8.9–11.3 |
| Coronary heart disease among adults | 7.2% | 6.4–8.0 |
| Chronic obstructive pulmonary disease among adults | 7.3% | 6.2–8.4 |
| Depression among adults | 20.8% | 17.8–23.9 |
| Diagnosed diabetes among adults | 11.7% | 10.2–13.4 |
| High cholesterol among adults who have ever been screened | 35.2% | 31.4–39.0 |
| Obesity among adults | 36.9% | 29.7–44.6 |
| Stroke among adults | 3.6% | 3.2–3.9 |
| All teeth lost among adults aged >=65 years | 11.9% | 9.8–14.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.0% | 7.3–10.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.3% | 73.5–79.0 |
| Visits to doctor for routine checkup within the past year among adults | 75.4% | 71.8–78.8 |
| Cholesterol screening among adults | 84.8% | 82.7–86.8 |
| Colorectal cancer screening among adults aged 45–75 years | 64.8% | 60.3–68.8 |
| Visited dentist or dental clinic in the past year among adults | 67.4% | 64.2–70.3 |
| Mammography use among women aged 50-74 years | 76.9% | 70.2–82.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 19.0% | 16.1–22.2 |
| Current cigarette smoking among adults | 16.7% | 14.1–19.4 |
| No leisure-time physical activity among adults | 24.4% | 20.4–28.7 |
| Short sleep duration among adults | 29.7% | 24.4–35.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.6% | 15.1–20.3 |
| Frequent mental distress among adults | 15.4% | 13.7–17.3 |
| Frequent physical distress among adults | 13.0% | 11.4–14.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.9% | 12.2–15.8 |
| Any disability among adults | 30.2% | 26.1–34.5 |
| Hearing disability among adults | 8.5% | 7.6–9.5 |
| Independent living disability among adults | 7.7% | 6.7–8.7 |
| Mobility disability among adults | 13.0% | 11.1–14.9 |
| Self-care disability among adults | 3.6% | 3.2–4.1 |
| Vision disability among adults | 4.5% | 4.0–5.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 8.3% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 7.3% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 3.8% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 29.8% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 0.6% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 4.3% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 89.7% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 10.3% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 87.6% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 3.0% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 0.9% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 44.1% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 14.6% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 38.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $106,818 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $166,800 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $764 | $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 | 80.7 yr ± 1.10 | 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 1.10 years of 80.7, 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