ZIP code
57644
in Meadow, South DakotaPopulation 388
51.16/ 100
Ranked #14,589 of 32,066 US ZIPs (top 45%)
Ranked #246 of 360 South Dakota ZIPs (bottom 32%)
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
0.28 intersections/sq mi
in the bottom 0.7% nationally
Higher is healthier
ST4thUS1stDefinition & 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 an emergency room
31.9 mi
in the top 1.7% nationally
Lower is healthier
ST96thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
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
20.7 mi
in the top 3.1% nationally
Lower is healthier
ST93rdUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Distance to a hazardous-chemical facility
20.8 mi
in the top 4.5% nationally
Higher is healthier
ST92ndUS96thDefinition & 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 ›Slow internet speeds
2.6%
in the top 4.5% nationally
Lower is healthier
ST90thUS96thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Housing-cost burden
3.9%
in the bottom 4.6% nationally
Lower is healthier
ST7thUS5thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Distance to a Superfund site
79.5 mi
in the top 5.2% nationally
Higher is healthier
ST38thUS95thDefinition & 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 ›Short sleep
29.1%
in the bottom 6.2% nationally
Lower is healthier
ST39thUS6thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Fiber broadband
96.6%
in the top 8.7% nationally
Higher is healthier
ST45thUS91stDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›The read
Meadow, South Dakota (ZIP 57644), by its composite score, sits in the top 45% healthiest ZIPs nationally (14,589th) and the bottom 32% of South Dakota (246th), based on limited data; treat as directional.
The data opens plainly on what marks this place: walkability settles in the bottom 0.7% nationally, and distance to an emergency room sits in the top 1.7% nationally. Distance to a nursing home lies in the top 3.1% nationally, and slow internet speeds rests in the top 4.5% nationally. More encouragingly, modeled air-toxics cancer risk resides in the bottom 2.8% nationally, distance to a hazardous-chemical facility is in the top 4.5% nationally, and housing-cost burden lands in the bottom 4.6% nationally. Distance to a Superfund site stands in the top 5.2% nationally, and modeled short sleep registers in the bottom 6.2% nationally. Unemployment settles at the national minimum, shared with about 15% of ZIPs.
For anyone unfamiliar, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. 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. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. For a healthier comparison close by, see ZIP 57620, 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
Environmental Hazard
healthier than 98%
14%
Preventive Care
healthier than 71%
13%
Mental Health
healthier than 82%
8%
Climate / Disaster RiskPartial
healthier than 72%
5%
About typical
Social Need / SDOH
healthier than 43%
16%
Risk Behavior
healthier than 57%
11%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Disability
healthier than 31%
7%
Healthcare Access
healthier than 10%
5%
Lifting this score
Environmental Hazard
healthier than 98%
14%
Climate / Disaster RiskPartial
healthier than 64%
5%
About typical
Social Need / SDOH
healthier than 57%
16%
Preventive Care
healthier than 58%
13%
Mental Health
healthier than 55%
8%
Healthcare Access
healthier than 46%
5%
Holding it back
Chronic Disease Burden
healthier than 13%
21%
Risk Behavior
healthier than 30%
11%
Disability
healthier than 16%
7%
“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
57620
South Dakotashares a border
Score 53.49
Closest healthier
57638
South Dakotashares a border
Score 52.76
Similar health profile
57763
South Dakota97% similar profile
Score 49.55
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 | 32.8% | 29.4–36.3 |
| High blood pressure among adults | 40.4% | 36.5–44.5 |
| Cancer (non-skin) or melanoma among adults | 11.6% | 10.5–12.9 |
| Current asthma among adults | 10.2% | 9.1–11.4 |
| Coronary heart disease among adults | 9.9% | 8.7–11.3 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.1–11.6 |
| Depression among adults | 20.2% | 17.4–23.4 |
| Diagnosed diabetes among adults | 15.5% | 13.4–17.8 |
| High cholesterol among adults who have ever been screened | 39.9% | 36.0–44.1 |
| Obesity among adults | 37.7% | 31.0–45.2 |
| Stroke among adults | 4.8% | 4.2–5.5 |
| All teeth lost among adults aged >=65 years | 14.9% | 12.4–18.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.2% | 7.3–11.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.7% | 78.1–83.1 |
| Visits to doctor for routine checkup within the past year among adults | 78.3% | 75.1–81.3 |
| Cholesterol screening among adults | 86.7% | 84.6–88.5 |
| Colorectal cancer screening among adults aged 45–75 years | 68.3% | 63.5–72.5 |
| Visited dentist or dental clinic in the past year among adults | 67.5% | 64.2–70.6 |
| Mammography use among women aged 50-74 years | 78.1% | 70.8–83.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.6% | 14.1–19.5 |
| Current cigarette smoking among adults | 18.3% | 15.2–21.5 |
| No leisure-time physical activity among adults | 27.5% | 22.8–32.6 |
| Short sleep duration among adults | 29.1% | 23.8–34.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.2% | 18.0–24.9 |
| Frequent mental distress among adults | 14.8% | 12.9–16.6 |
| Frequent physical distress among adults | 15.1% | 13.2–17.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.0% | 12.1–16.2 |
| Any disability among adults | 34.1% | 29.4–38.9 |
| Hearing disability among adults | 11.0% | 9.8–12.4 |
| Independent living disability among adults | 8.9% | 7.6–10.3 |
| Mobility disability among adults | 17.1% | 14.5–20.1 |
| Self-care disability among adults | 4.9% | 4.2–5.6 |
| Vision disability among adults | 5.8% | 5.0–6.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 16.8% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 14.3% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 2.0% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 35.8% | 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 | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 96.6% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 3.9% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 75.4% | 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 | 71.6% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 30.7% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 39.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $68,229 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $229,300 | $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 | 78.4 yr ± 1.13 | 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 1.13 years of 78.4, 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