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ZipVitals

ZIP code

57454

in Langford, South DakotaPopulation 732

53.25/ 100

Ranked #11,720 of 32,066 US ZIPs (top 37%)

Ranked #182 of 360 South Dakota ZIPs (bottom 49%)

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.

Outpatient-care access

1.8 per 1,000 residents

in the top 0.5% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of outpatient clinics 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 ›

Lithium in drinking water

120 µg/L

in the top 1.8% nationally

Lower is healthier

ST94th
US98th
Definition & source ›

The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.

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 ›

Radon

3.5 pCi/L

in the top 4.6% nationally

Lower is healthier

ST55th
US95th
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

115.3 mi

in the top 2.9% nationally

Higher is healthier

ST64th
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 ›

Energy-cost burden

5.7%

in the top 3.8% nationally

Lower is healthier

ST88th
US96th
Definition & 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 ›

Poverty rate

0.41%

in the bottom 4.8% nationally

Lower is healthier

ST8th
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 ›

Fine-particle (PM2.5) exceedance

1.8%

in the top 5.1% nationally

Lower is healthier

ST98th
US95th
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 ›

Slow internet speeds

2.1%

in the top 5.5% nationally

Lower is healthier

ST87th
US95th
Definition & source ›

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

Full methodology ›

Distance to a community health center

25.3 mi

in the top 5.6% nationally

Lower is healthier

ST73rd
US94th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.

Full methodology ›

Short sleep

28.9%

in the bottom 5.5% nationally

Lower is healthier

ST35th
US5th
Definition & source ›

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

Full methodology ›

The read

Langford, South Dakota (ZIP 57454), on the composite measure, lands in the top 37% healthiest ZIPs nationally (11,720th) and the bottom 49% of South Dakota (182nd).

continue reading

The readings split fairly evenly between strengths and concerns: outpatient registers in the top 0.5% nationally, distance to a Superfund site lands in the top 2.9% nationally, and poverty resides in the bottom 4.8% nationally. Modeled short sleep lies in the bottom 5.5% nationally. Working the other way, lithium in drinking water settles in the top 1.8% nationally, and modeled radon stands in the top 4.6% nationally. Modeled energy burden is in the top 3.8% nationally, and fine-particle rests in the top 5.1% nationally. Slow internet speeds sits in the top 5.5% nationally, and distance to a community health center registers in the top 5.6% nationally.

Set against the neighboring ZIPs, outpatient runs far higher than the surrounding ZIPs on this measure. In everyday language, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. 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. A healthier neighbor overall sits at ZIP 57430, 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

Preventive Care

healthier than 81%

13%

Risk Behavior

healthier than 74%

11%

Mental Health

healthier than 89%

8%

Climate / Disaster Risk

healthier than 83%

5%

About typical

Chronic Disease Burden

healthier than 45%

21%

Disability

healthier than 54%

7%

Holding it back

Social Need / SDOH

healthier than 11%

16%

Environmental Hazard

healthier than 35%

14%

Healthcare Access

healthier than 5%

5%

Lifting this score

Preventive Care

healthier than 83%

13%

Risk Behavior

healthier than 76%

11%

Mental Health

healthier than 86%

8%

Climate / Disaster Risk

healthier than 85%

5%

About typical

Environmental Hazard

healthier than 41%

14%

Holding it back

Chronic Disease Burden

healthier than 31%

21%

Social Need / SDOH

healthier than 10%

16%

Disability

healthier than 38%

7%

Healthcare Access

healthier than 31%

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 adults31.6%28.2–35.2
High blood pressure among adults37.6%33.6–41.8
Cancer (non-skin) or melanoma among adults11.7%10.7–12.8
Current asthma among adults9.9%8.8–11.1
Coronary heart disease among adults8.5%7.6–9.5
Chronic obstructive pulmonary disease among adults8.0%6.9–9.3
Depression among adults19.3%16.4–22.6
Diagnosed diabetes among adults13.2%11.4–15.1
High cholesterol among adults who have ever been screened38.4%34.2–42.6
Obesity among adults34.9%27.5–42.8
Stroke among adults4.2%3.8–4.6
All teeth lost among adults aged >=65 years9.6%8.0–11.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.9%6.2–9.8
Taking medicine to control high blood pressure among adults with high blood pressure80.6%77.8–83.1
Visits to doctor for routine checkup within the past year among adults78.3%74.7–81.6
Cholesterol screening among adults87.4%85.4–89.1
Colorectal cancer screening among adults aged 45–75 years71.3%66.6–75.7
Visited dentist or dental clinic in the past year among adults70.7%67.4–73.8
Mammography use among women aged 50-74 years77.8%71.4–83.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.8%13.9–20.0
Current cigarette smoking among adults14.8%12.5–17.5
No leisure-time physical activity among adults24.8%20.7–29.7
Short sleep duration among adults28.9%23.5–34.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults17.5%15.0–20.4
Frequent mental distress among adults13.9%12.3–15.8
Frequent physical distress among adults13.4%11.8–15.4
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.7%11.1–14.6
Any disability among adults31.6%27.4–36.1
Hearing disability among adults9.9%8.9–11.2
Independent living disability among adults7.7%6.7–8.8
Mobility disability among adults14.9%12.8–17.3
Self-care disability among adults3.8%3.3–4.3
Vision disability among adults4.6%4.1–5.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate0.4%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)4.3%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)20.5%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)1.1%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle2.1%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription89.0%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)11.4%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate85.2%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 population0.3%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households65.8%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+18.4%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age39.2 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$81,250$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$155,300$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$735$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 unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled.
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