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ZIP code

57374

in Spencer, South DakotaPopulation 272

ZipVitals Score
How is the ZipVitals Score calculated? →

56.32/ 100

Ranked #7,954 of 32,066 US ZIPs (top 25%)

Ranked #93 of 360 South Dakota ZIPs (top 26%)

Ranked #28 of 47 Sioux Falls, SD-MN ZIPs (bottom 40%)

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

3.3 pCi/L

in the top 6.5% nationally

Lower is healthier

ST41st
US94th
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 ›

Outer-floodplain exposure

8.2%

in the top 4.6% nationally

Lower is healthier

ST90th
US95th
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

83.3 mi

in the top 4.8% nationally

Higher is healthier

ST40th
US95th
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 ›

Poverty rate

1.1%

in the bottom 5.4% nationally

Lower is healthier

ST10th
US5th
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Short sleep

28.8%

in the bottom 5.2% nationally

Lower is healthier

ST32nd
US5th
Definition & source ›

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

Full methodology ›

Housing-cost burden

6.5%

in the bottom 6.0% nationally

Lower is healthier

ST12th
US6th
Definition & source ›

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

Full methodology ›

Slow internet speeds

1.3%

in the top 8.9% nationally

Lower is healthier

ST79th
US91st
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Distance to an emergency room

16.1 mi

in the top 9.5% nationally

Lower is healthier

ST79th
US91st
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

PFAS in drinking water

38.9%

in the top 24% nationally

Lower is healthier

ST92nd
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 ›

The read

By the composite measure, Spencer, South Dakota (ZIP 57374) sits in the top 25% healthiest ZIPs nationally (7,954th) and the top 26% of South Dakota (93rd).

continue reading

Reading across the measures, this area's clearest strengths come through: distance to a Superfund site registers in the top 4.8% nationally, poverty lands in the bottom 5.4% nationally, and modeled short sleep resides in the bottom 5.2% nationally. Housing-cost burden lies in the bottom 6.0% nationally. Unemployment settles at the national minimum, shared with about 15% of ZIPs. Modeled transportation noise stands in the bottom 11.4% nationally. By contrast, modeled radon is in the top 6.5% nationally, and outer-floodplain exposure rests in the top 4.6% nationally. Slow internet speeds sits in the top 8.9% nationally, and distance to an emergency room registers in the top 9.5% nationally.

Compared with the ZIPs that surround it, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. In plain language, 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. Outer-floodplain exposure is land with a lower but real 1-in-500 chance of flooding each year, nicknamed the "500-year floodplain". ZIP 57058, 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. 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.

Compare within

Lifting this score

Preventive Care

healthier than 73%

13%

Risk Behavior

healthier than 73%

11%

Mental Health

healthier than 88%

8%

Disability

healthier than 62%

7%

About typical

Chronic Disease Burden

healthier than 58%

21%

Social Need / SDOH

healthier than 55%

16%

Environmental Hazard

healthier than 47%

14%

Climate / Disaster Risk

healthier than 47%

5%

Holding it back

Healthcare Access

healthier than 13%

5%

Lifting this score

Social Need / SDOH

healthier than 69%

16%

Environmental Hazard

healthier than 71%

14%

Preventive Care

healthier than 62%

13%

Risk Behavior

healthier than 73%

11%

Mental Health

healthier than 82%

8%

About typical

Chronic Disease Burden

healthier than 52%

21%

Disability

healthier than 57%

7%

Healthcare Access

healthier than 54%

5%

Holding it back

Climate / Disaster Risk

healthier than 27%

5%

Lifting this score

Environmental Hazard

healthier than 92%

14%

Preventive Care

healthier than 64%

13%

Mental Health

healthier than 92%

8%

About typical

Risk Behavior

healthier than 58%

11%

Holding it back

Chronic Disease Burden

healthier than 22%

21%

Social Need / SDOH

healthier than 33%

16%

Disability

healthier than 22%

7%

Climate / Disaster Risk

healthier than 25%

5%

Healthcare Access

healthier than 25%

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 adults28.4%25.7–31.3
High blood pressure among adults35.4%32.0–38.8
Cancer (non-skin) or melanoma among adults11.2%10.3–12.2
Current asthma among adults9.4%8.4–10.4
Coronary heart disease among adults8.1%7.2–9.0
Chronic obstructive pulmonary disease among adults7.1%6.1–8.2
Depression among adults19.7%17.1–22.5
Diagnosed diabetes among adults12.0%10.5–13.6
High cholesterol among adults who have ever been screened36.0%32.5–39.6
Obesity among adults34.8%28.4–41.4
Stroke among adults3.9%3.5–4.4
All teeth lost among adults aged >=65 years12.7%10.5–15.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.6%6.1–9.3
Taking medicine to control high blood pressure among adults with high blood pressure79.3%76.8–81.5
Visits to doctor for routine checkup within the past year among adults77.4%74.2–80.2
Cholesterol screening among adults86.6%84.8–88.3
Colorectal cancer screening among adults aged 45–75 years69.8%65.1–74.0
Visited dentist or dental clinic in the past year among adults68.9%65.7–71.9
Mammography use among women aged 50-74 years78.0%71.2–83.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.1%15.5–20.8
Current cigarette smoking among adults13.7%11.5–16.3
No leisure-time physical activity among adults23.8%20.1–27.8
Short sleep duration among adults28.8%23.5–34.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.5%14.3–19.2
Frequent mental distress among adults13.9%12.3–15.5
Frequent physical distress among adults12.5%11.1–14.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.5%10.9–14.3
Any disability among adults30.3%26.7–34.3
Hearing disability among adults9.8%8.8–10.9
Independent living disability among adults7.3%6.4–8.3
Mobility disability among adults13.5%11.7–15.6
Self-care disability among adults3.4%3.0–3.9
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 rate1.1%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6419.4%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)2.5%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)31.3%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 vehicle3.7%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription94.4%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)6.5%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate91.7%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 households58.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+18.0%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age39.5 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$79,167$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$215,300$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$440$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 birth78.6 yr ± 0.8078.9 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 0.80 years of 78.6, 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