ZIP code
57649
in Prairie City, South DakotaPopulation 273
55.18/ 100
Ranked #9,247 of 32,066 US ZIPs (top 29%)
Ranked #122 of 360 South Dakota ZIPs (top 34%)
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 ›Slow internet speeds
11.4%
in the top 1.3% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
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
19.7 mi
in the top 3.4% nationally
Lower is healthier
ST92ndUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Housing-cost burden
3.0%
in the bottom 4.3% nationally
Lower is healthier
ST7thUS4thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Radon
3.2 pCi/L
in the top 7.8% nationally
Lower is healthier
ST35thUS92ndDefinition & 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 an emergency room
18.9 mi
in the top 6.3% nationally
Lower is healthier
ST85thUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Short sleep
29.3%
in the bottom 6.8% nationally
Lower is healthier
ST43rdUS7thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Distance to a Superfund site
64.6 mi
in the top 7.6% nationally
Higher is healthier
ST30thUS92ndDefinition & 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 ›Humid extreme heat
12.9 days/year
in the bottom 9.8% nationally
Lower is healthier
ST4thUS10thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›The read
Overall, Prairie City, South Dakota (ZIP 57649) lands in the top 29% healthiest ZIPs nationally (9,247th) and the top 34% of South Dakota (122nd), based on limited data; treat as directional.
What defines this place in the numbers is worth naming first: walkability stands in the bottom 0.7% nationally, and slow internet speeds lies in the top 1.3% nationally. Distance to a nursing home lands in the top 3.4% nationally, and modeled radon sits in the top 7.8% nationally. Distance to an emergency room is in the top 6.3% nationally. More encouragingly, modeled air-toxics cancer risk settles in the bottom 2.8% nationally, and housing-cost burden resides in the bottom 4.3% nationally. Unemployment registers at the national minimum, shared with about 15% of ZIPs. Modeled short sleep rests in the bottom 6.8% nationally, and distance to a Superfund site stands in the top 7.6% nationally.
Set beside the nearby areas, slow internet speeds runs far higher than the surrounding ZIPs on this measure. A note on the terms: air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. 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. For a healthier nearby comparison, ZIP 57651, just across the boundary, ranks better overall.
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 90%
14%
Risk Behavior
healthier than 62%
11%
Mental Health
healthier than 78%
8%
Climate / Disaster RiskPartial
healthier than 79%
5%
About typical
Chronic Disease Burden
healthier than 55%
21%
Social Need / SDOH
healthier than 54%
16%
Preventive Care
healthier than 59%
13%
Disability
healthier than 57%
7%
Holding it back
Healthcare Access
healthier than 11%
5%
Lifting this score
Social Need / SDOH
healthier than 67%
16%
Environmental Hazard
healthier than 93%
14%
Climate / Disaster RiskPartial
healthier than 75%
5%
About typical
Chronic Disease Burden
healthier than 47%
21%
Disability
healthier than 44%
7%
Healthcare Access
healthier than 51%
5%
Holding it back
Preventive Care
healthier than 38%
13%
Risk Behavior
healthier than 39%
11%
Mental Health
healthier than 38%
8%
“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
57651
South Dakotashares a border
Score 59.14
Similar health profile
57745
South Dakota96% similar profile
Score 60.47
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 | 29.0% | 25.7–32.3 |
| High blood pressure among adults | 35.4% | 31.6–39.4 |
| Cancer (non-skin) or melanoma among adults | 10.2% | 9.3–11.3 |
| Current asthma among adults | 10.2% | 9.1–11.4 |
| Coronary heart disease among adults | 7.8% | 6.8–8.8 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 6.5–9.3 |
| Depression among adults | 21.0% | 18.1–24.1 |
| Diagnosed diabetes among adults | 12.8% | 11.0–14.7 |
| High cholesterol among adults who have ever been screened | 36.4% | 32.5–40.5 |
| Obesity among adults | 36.8% | 29.8–44.5 |
| Stroke among adults | 3.9% | 3.4–4.4 |
| All teeth lost among adults aged >=65 years | 8.7% | 6.9–10.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.0% | 6.0–10.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.3% | 75.4–81.1 |
| Visits to doctor for routine checkup within the past year among adults | 77.1% | 73.8–80.4 |
| Cholesterol screening among adults | 87.0% | 85.0–88.7 |
| Colorectal cancer screening among adults aged 45–75 years | 64.7% | 59.5–69.3 |
| Visited dentist or dental clinic in the past year among adults | 68.4% | 64.9–71.7 |
| Mammography use among women aged 50-74 years | 77.0% | 69.9–82.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.9% | 15.2–21.1 |
| Current cigarette smoking among adults | 16.8% | 13.7–20.2 |
| No leisure-time physical activity among adults | 24.6% | 20.1–29.3 |
| Short sleep duration among adults | 29.3% | 23.7–35.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.1% | 15.1–21.3 |
| Frequent mental distress among adults | 15.0% | 13.2–17.0 |
| Frequent physical distress among adults | 13.5% | 11.6–15.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.2% | 11.3–15.3 |
| Any disability among adults | 30.2% | 25.8–34.7 |
| Hearing disability among adults | 8.9% | 7.8–10.0 |
| Independent living disability among adults | 7.8% | 6.6–9.1 |
| Mobility disability among adults | 14.1% | 11.8–16.4 |
| Self-care disability among adults | 3.9% | 3.3–4.5 |
| Vision disability among adults | 4.6% | 4.0–5.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 12.8% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 9.3% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 6.7% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 10.6% | 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 | 96.0% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 3.0% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 93.0% | 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 | 8.1% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 64.0% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 27.5% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 46.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $84,500 | $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 | — | $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 | 78.9 yr ± 1.42 | 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 1.42 years of 78.9, 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