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ZipVitals

ZIP code

57520

in Agar, South DakotaPopulation 118

56.79/ 100

Ranked #7,470 of 32,066 US ZIPs (top 23%)

Ranked #81 of 360 South Dakota ZIPs (top 23%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across 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.

Walkability

0.83 intersections/sq mi

in the bottom 2.0% nationally

Higher is healthier

ST18th
US2nd
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Distance to a Superfund site

138.7 mi

in the top 2.1% nationally

Higher is healthier

ST80th
US98th
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 ›

Home broadband subscription

61%

in the bottom 3.1% nationally

Higher is healthier

ST5th
US3rd
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Short sleep

27.5%

in the bottom 2.2% nationally

Lower is healthier

ST7th
US2nd
Definition & source ›

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

Full methodology ›

Radon

3.4 pCi/L

in the top 5.8% nationally

Lower is healthier

ST45th
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 ›

Slow internet speeds

1.8%

in the top 6.4% nationally

Lower is healthier

ST85th
US94th
Definition & source ›

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

Full methodology ›

Fiber broadband

98.2%

in the top 6.4% nationally

Higher is healthier

ST56th
US94th
Definition & source ›

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

Full methodology ›

Air-toxics cancer risk

19.1 per million

in the bottom 7.1% nationally

Lower is healthier

ST21st
US7th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Colon-cancer screening

74%

in the top 4.8% nationally

Higher is healthier

ST97th
US95th
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Mammography

80.7%

in the top 7.8% nationally

Higher is healthier

ST96th
US92nd
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

The read

In overall standing, Agar, South Dakota (ZIP 57520) comes out in the top 23% healthiest ZIPs nationally (7,470th) and the top 23% of South Dakota (81st), based on limited data; treat as directional.

continue reading

The profile opens balanced, with readings on either hand: distance to a Superfund site sits in the top 2.1% nationally, modeled short sleep settles in the bottom 2.2% nationally, and fiber broadband registers in the top 6.4% nationally. Modeled air-toxics cancer risk stands in the bottom 7.1% nationally. Unemployment lands at the national minimum, shared with about 15% of ZIPs. Modeled colon screening is in the top 4.8% nationally. By contrast, walkability resides in the bottom 2.0% nationally, and home broadband subscription rests in the bottom 3.1% nationally. Modeled radon lies in the top 5.8% nationally, and slow internet speeds sits in the top 6.4% nationally.

In plain terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. The nearest healthier ZIP overall is ZIP 57501, 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

Environmental Hazard

healthier than 64%

14%

Preventive Care

healthier than 91%

13%

Risk Behavior

healthier than 82%

11%

Mental Health

healthier than 92%

8%

Disability

healthier than 64%

7%

About typical

Chronic Disease Burden

healthier than 48%

21%

Climate / Disaster RiskPartial

healthier than 54%

5%

Holding it back

Social Need / SDOH

healthier than 13%

16%

Healthcare Access

healthier than 32%

5%

Lifting this score

Environmental Hazard

healthier than 84%

14%

Preventive Care

healthier than 96%

13%

Risk Behavior

healthier than 95%

11%

Mental Health

healthier than 95%

8%

Disability

healthier than 60%

7%

Healthcare Access

healthier than 79%

5%

Holding it back

Chronic Disease Burden

healthier than 36%

21%

Social Need / SDOH

healthier than 14%

16%

Climate / Disaster RiskPartial

healthier than 39%

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 adults29.7%26.0–33.6
High blood pressure among adults38.4%33.9–43.3
Cancer (non-skin) or melanoma among adults11.8%10.6–13.2
Current asthma among adults9.4%8.3–10.8
Coronary heart disease among adults8.6%7.5–9.8
Chronic obstructive pulmonary disease among adults7.3%6.0–8.5
Depression among adults18.7%15.6–22.2
Diagnosed diabetes among adults12.7%10.8–14.8
High cholesterol among adults who have ever been screened37.7%33.2–42.6
Obesity among adults34.3%26.1–43.2
Stroke among adults4.1%3.5–4.6
All teeth lost among adults aged >=65 years13.7%11.0–16.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.1%5.4–9.0
Taking medicine to control high blood pressure among adults with high blood pressure80.4%77.5–83.2
Visits to doctor for routine checkup within the past year among adults78.7%75.0–82.3
Cholesterol screening among adults88.0%86.1–89.9
Colorectal cancer screening among adults aged 45–75 years74.0%69.0–78.6
Visited dentist or dental clinic in the past year among adults73.4%70.1–76.6
Mammography use among women aged 50-74 years80.7%73.9–86.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.9%13.8–20.5
Current cigarette smoking among adults13.9%11.4–16.6
No leisure-time physical activity among adults23.2%18.7–28.3
Short sleep duration among adults27.5%21.8–33.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.2%13.5–19.2
Frequent mental distress among adults13.4%11.6–15.2
Frequent physical distress among adults12.5%10.7–14.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults11.8%10.1–13.7
Any disability among adults30.3%25.7–35.2
Hearing disability among adults10.1%8.8–11.4
Independent living disability among adults7.0%5.9–8.1
Mobility disability among adults13.7%11.4–16.1
Self-care disability among adults3.4%2.9–3.9
Vision disability among adults4.2%3.6–4.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate14.4%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6416.4%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)0.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)34.0%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 vehicle2.6%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription61.0%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)20.8%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate66.2%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 population7.6%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households88.9%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+38.1%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age54.8 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$50,417$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$118,800$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$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 birth79.4 yr ± 0.7878.9 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 0.78 years of 79.4, 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