ZIP code
57553
in Milesville, South DakotaPopulation 162
52.24/ 100
Ranked #13,125 of 32,066 US ZIPs (top 41%)
Ranked #225 of 360 South Dakota ZIPs (bottom 38%)
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.
Walkability
0.32 intersections/sq mi
in the bottom 0.7% nationally
Higher is healthier
ST5thUS1stDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Housing-cost burden
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Distance to a hazardous-chemical facility
29.3 mi
in the top 2.1% nationally
Higher is healthier
ST96thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Air-toxics cancer risk
10 per million
in the bottom 2.8% nationally
Lower is healthier
ST1stUS3rdDefinition & 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 ›Distance to a nursing home
22 mi
in the top 2.8% nationally
Lower is healthier
ST94thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Distance to a community health center
29.5 mi
in the top 4.2% nationally
Lower is healthier
ST80thUS96thDefinition & 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 ›Distance to an emergency room
22 mi
in the top 4.3% nationally
Lower is healthier
ST89thUS96thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Poverty rate
2.5%
in the bottom 8.0% nationally
Lower is healthier
ST15thUS8thDefinition & 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
29.5%
in the bottom 7.5% nationally
Lower is healthier
ST49thUS7thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›The read
In overall standing, Milesville, South Dakota (ZIP 57553) comes out in the top 41% healthiest ZIPs nationally (13,125th) and the bottom 38% of South Dakota (225th), based on limited data; treat as directional.
Both sides of the picture show up plainly in this area's numbers: fiber broadband sits at the national maximum, housing-cost burden settles at the national minimum, and distance to a hazardous-chemical facility registers in the top 2.1% nationally. Modeled air-toxics cancer risk stands in the bottom 2.8% nationally. Unemployment lands at the national minimum, shared with about 15% of ZIPs. Poverty is in the bottom 8.0% nationally. By contrast, walkability resides in the bottom 0.7% nationally, and distance to a nursing home rests in the top 2.8% nationally. Distance to a community health center lies in the top 4.2% nationally, and distance to an emergency room sits in the top 4.3% nationally.
In plain terms, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. The nearest healthier ZIP overall is ZIP 57552, 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.
Lifting this score
Chronic Disease Burden
healthier than 67%
21%
Environmental Hazard
healthier than 98%
14%
Mental Health
healthier than 61%
8%
About typical
Risk Behavior
healthier than 53%
11%
Disability
healthier than 60%
7%
Climate / Disaster RiskPartial
healthier than 46%
5%
Holding it back
Social Need / SDOH
healthier than 31%
16%
Preventive Care
healthier than 35%
13%
Healthcare Access
in the bottom 1.0%
5%
Lifting this score
Chronic Disease Burden
healthier than 69%
21%
Environmental Hazard
healthier than 98%
14%
About typical
Disability
healthier than 51%
7%
Holding it back
Social Need / SDOH
healthier than 38%
16%
Preventive Care
healthier than 16%
13%
Risk Behavior
healthier than 23%
11%
Mental Health
healthier than 16%
8%
Climate / Disaster RiskPartial
healthier than 26%
5%
Healthcare Access
healthier than 7%
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
57552
South Dakotashares a border
Score 53.37
Closest healthier
57790
South Dakotaabout 3.5 mi away
Score 53.44
Similar health profile
69219
Nebraska97% similar profile
Score 52.82
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 | 27.0% | 23.5–30.7 |
| High blood pressure among adults | 32.8% | 28.4–37.4 |
| Cancer (non-skin) or melanoma among adults | 9.0% | 7.9–10.0 |
| Current asthma among adults | 10.9% | 9.6–12.4 |
| Coronary heart disease among adults | 6.3% | 5.4–7.2 |
| Chronic obstructive pulmonary disease among adults | 7.3% | 5.9–8.8 |
| Depression among adults | 22.2% | 18.7–26.0 |
| Diagnosed diabetes among adults | 11.6% | 9.8–13.6 |
| High cholesterol among adults who have ever been screened | 34.3% | 29.8–39.0 |
| Obesity among adults | 35.9% | 27.8–44.8 |
| Stroke among adults | 3.5% | 3.0–4.0 |
| All teeth lost among adults aged >=65 years | 11.2% | 8.9–13.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.2% | 6.2–10.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.3% | 72.6–79.6 |
| Visits to doctor for routine checkup within the past year among adults | 75.6% | 71.2–79.4 |
| Cholesterol screening among adults | 85.6% | 83.1–87.8 |
| Colorectal cancer screening among adults aged 45–75 years | 58.5% | 53.1–63.5 |
| Visited dentist or dental clinic in the past year among adults | 65.3% | 61.4–68.9 |
| Mammography use among women aged 50-74 years | 76.8% | 68.6–83.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.2% | 14.8–21.9 |
| Current cigarette smoking among adults | 17.5% | 13.9–21.2 |
| No leisure-time physical activity among adults | 25.9% | 20.6–31.4 |
| Short sleep duration among adults | 29.5% | 23.3–36.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.7% | 14.4–21.1 |
| Frequent mental distress among adults | 16.2% | 14.0–18.6 |
| Frequent physical distress among adults | 13.3% | 11.2–15.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.2% | 11.8–16.7 |
| Any disability among adults | 29.5% | 24.5–34.7 |
| Hearing disability among adults | 7.5% | 6.5–8.6 |
| Independent living disability among adults | 8.3% | 6.8–9.7 |
| Mobility disability among adults | 13.5% | 11.0–16.1 |
| Self-care disability among adults | 3.8% | 3.2–4.5 |
| Vision disability among adults | 4.8% | 4.0–5.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 2.5% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 33.0% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 9.0% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 35.4% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 7.1% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 95.2% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 0.0% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 75.0% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 73.7% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 19.8% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 29.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | — | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $158,700 | $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
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 81.9 yr ± 1.26 | 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 1.26 years of 81.9, 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