ZIP code
57621
in Bullhead, South DakotaPopulation 294
26.24/ 100
Ranked #31,323 of 32,066 US ZIPs (bottom 2.4%)
Ranked #339 of 360 South Dakota ZIPs (bottom 5.9%)
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.
Vision disability
13.0%
in the top 1.3% nationally
Lower is healthier
ST95thUS99thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Colon-cancer screening
48.2%
in the bottom 1.5% nationally
Higher is healthier
ST5thUS1stDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Independent-living disability
16.1%
in the top 1.6% nationally
Lower is healthier
ST95thUS98thDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Unemployment rate
47.1%
in the top 0.3% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Distance to a nursing home
49.9 mi
in the top 0.7% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Poverty rate
67%
in the top 0.8% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Crowded housing
22.8%
in the top 0.9% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Self-care disability
7.9%
in the top 3.0% nationally
Lower is healthier
ST94thUS97thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Fair or poor health
35%
in the top 2.7% nationally
Lower is healthier
ST96thUS97thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Cognitive disability
23.4%
in the top 2.0% nationally
Lower is healthier
ST94thUS98thDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›Cross-source signals
Health need and barriers to care documented here
On our reading, this ZIP code carries the overlap at its acute level: acute means at least three of the six health-need readings and at least three of the six access barriers apply to the same place.
These are two separate readings of public data that both apply to this place — never a claim that one causes the other, never a severity score, and never a statement about any person who lives here.
Health need documented here
- People living in poverty
- Adults reporting fair or poor health
- Chronic conditions
Barriers to reaching care
- Distance to the nearest emergency room
- Distance to the nearest community health center
- Households with no vehicle
A reading appears below only where this ZIP code is among the most-affected 10% of US ZIP codes on it — one national bar, the same for every ZIP in the country.
See the full care-deserts analysis →The read
Bullhead, South Dakota (ZIP 57621) ranks in the bottom 2.4% nationally (31,323rd) and the bottom 5.9% of South Dakota (339th).
Plainly, the numbers point to a handful of defining readings: modeled vision disability sits in the top 1.3% nationally, and colon screening resides in the bottom 1.5% nationally. Modeled independent living disability stands in the top 1.6% nationally, and unemployment sits in the top 0.3% nationally. Distance to a nursing home resides in the top 0.7% nationally, poverty stands in the top 0.8% nationally, and crowded housing sits in the top 0.9% nationally. Modeled self-care disability resides in the top 3.0% nationally, fair or poor health stands in the top 2.7% nationally, and cognitive disability sits in the top 2.0% nationally.
Against its neighbors, unemployment runs far higher than the surrounding ZIPs on this measure. The closest ZIP that ranks healthier overall is ZIP 57641, just across the boundary. The area also shows documented health need overlapping with barriers to reaching care, sitting in the most-affected 10% of US ZIP codes on several need measures and several access barriers.
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
Environmental Hazard
in the top 0.04%
14%
About typical
Climate / Disaster Risk
healthier than 46%
5%
Holding it back
Chronic Disease Burden
healthier than 15%
21%
Social Need / SDOH
healthier than 2%
16%
Preventive Care
healthier than 3%
13%
Risk Behavior
in the bottom 0.9%
11%
Mental Health
healthier than 9%
8%
Disability
healthier than 1%
7%
Healthcare Access
in the bottom 0.2%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Holding it back
Chronic Disease Burden
healthier than 7%
21%
Social Need / SDOH
healthier than 1%
16%
Preventive Care
healthier than 2%
13%
Risk Behavior
in the bottom 0.9%
11%
Mental Health
healthier than 1%
8%
Disability
in the bottom 0.9%
7%
Climate / Disaster Risk
healthier than 25%
5%
Healthcare Access
in the bottom 0.00%
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
57641
South Dakotashares a border
Score 31.82
Closest healthier
57656
South Dakotaabout 1.0 mi away
Score 38.31
Similar health profile
99578
Alaska98% similar profile
Score 16.00
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 | 27.6% | 24.1–31.4 |
| High blood pressure among adults | 38.6% | 33.9–43.5 |
| Cancer (non-skin) or melanoma among adults | 5.2% | 4.6–5.9 |
| Current asthma among adults | 14.6% | 12.7–16.7 |
| Coronary heart disease among adults | 8.3% | 7.1–9.6 |
| Chronic obstructive pulmonary disease among adults | 10.8% | 8.8–13.0 |
| Depression among adults | 23.6% | 19.8–27.7 |
| Diagnosed diabetes among adults | 20.9% | 17.9–23.9 |
| High cholesterol among adults who have ever been screened | 31.3% | 27.0–35.8 |
| Obesity among adults | 48.1% | 40.0–56.2 |
| Stroke among adults | 5.5% | 4.7–6.4 |
| All teeth lost among adults aged >=65 years | 23.7% | 19.5–28.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 14.3% | 10.4–18.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 71.4% | 67.1–75.5 |
| Visits to doctor for routine checkup within the past year among adults | 73.6% | 69.1–78.0 |
| Cholesterol screening among adults | 78.0% | 74.3–81.7 |
| Colorectal cancer screening among adults aged 45–75 years | 48.2% | 42.4–53.8 |
| Visited dentist or dental clinic in the past year among adults | 47.1% | 43.2–51.3 |
| Mammography use among women aged 50-74 years | 65.9% | 56.5–74.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.7% | 13.4–20.3 |
| Current cigarette smoking among adults | 36.8% | 29.8–43.2 |
| No leisure-time physical activity among adults | 38.2% | 31.2–45.4 |
| Short sleep duration among adults | 39.6% | 33.4–46.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 35.0% | 29.3–40.7 |
| Frequent mental distress among adults | 23.0% | 19.6–26.3 |
| Frequent physical distress among adults | 21.1% | 17.8–24.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 23.4% | 19.5–27.5 |
| Any disability among adults | 45.6% | 39.2–52.1 |
| Hearing disability among adults | 11.4% | 9.8–13.1 |
| Independent living disability among adults | 16.1% | 13.4–19.2 |
| Mobility disability among adults | 23.2% | 19.4–27.2 |
| Self-care disability among adults | 7.9% | 6.5–9.6 |
| Vision disability among adults | 13.0% | 10.8–15.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 67.0% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 30.4% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 18.7% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 8.9% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 47.1% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 14.0% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 91.2% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 31.6% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 22.8% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 22.8% | 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 | 27.1% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 4.8% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 19.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $32,589 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | — | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $592 | $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 | 82.6 yr ± 3.12 | 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 3.12 years of 82.6, 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