ZIP code
57719
in Box Elder, South DakotaPopulation 12,221
54.42/ 100
Ranked #10,168 of 32,066 US ZIPs (top 32%)
Ranked #139 of 360 South Dakota ZIPs (top 39%)
Ranked #13 of 27 Rapid City, SD ZIPs (top 48%)
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.
Binge drinking
22.6%
in the top 1.4% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.
Full methodology ›Slow internet speeds
17.6%
in the top 1.1% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›High cholesterol
29.4%
in the bottom 2.9% nationally
Lower is healthier
ST3rdUS3rdDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Child-care access
0.71 per 1,000 residents
in the top 5.1% nationally
Higher is healthier
ST82ndUS95thDefinition & source ›
The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Distance to a Superfund site
0.6 mi
in the bottom 6.0% nationally
Higher is healthier
ST1stUS6thDefinition & 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 ›Air-toxics cancer risk
19.9 per million
in the bottom 7.8% nationally
Lower is healthier
ST23rdUS8thDefinition & 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 ›High blood pressure
28%
in the bottom 6.1% nationally
Lower is healthier
ST2ndUS6thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Tree cover
0.00%
in the bottom 9.8% nationally
Higher is healthier
ST2ndUS10thDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Coronary heart disease
4.9%
in the bottom 8.7% nationally
Lower is healthier
ST2ndUS9thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›Stroke
2.6%
in the bottom 8.3% nationally
Lower is healthier
ST3rdUS8thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›The read
Box Elder, South Dakota (ZIP 57719), by its overall standing, sits in the top 32% healthiest ZIPs nationally (10,168th) and the top 39% of South Dakota (139th).
Both sides of the picture show up plainly in this area's numbers: modeled high cholesterol settles in the bottom 2.9% nationally, childcare registers in the top 5.1% nationally, and modeled air-toxics cancer risk stands in the bottom 7.8% nationally. Modeled high blood pressure lands in the bottom 6.1% nationally, coronary heart disease is in the bottom 8.7% nationally, and stroke resides in the bottom 8.3% nationally. By contrast, modeled binge drinking rests in the top 1.4% nationally, and slow internet speeds lies in the top 1.1% nationally. Distance to a Superfund site sits in the bottom 6.0% nationally, and modeled tree cover settles in the bottom 9.8% nationally.
Held up against its neighbors, slow internet speeds runs far higher than the surrounding ZIPs on this measure. Defined in plain terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. The nearest ZIP ranking healthier overall is ZIP 57706, 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. Compare it against the US, this state and the Rapid City, SD metro area.
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 88%
21%
Disability
healthier than 75%
7%
Climate / Disaster Risk
healthier than 73%
5%
About typical
Social Need / SDOH
healthier than 60%
16%
Healthcare Access
healthier than 59%
5%
Holding it back
Environmental Hazard
healthier than 28%
14%
Preventive Care
healthier than 20%
13%
Risk Behavior
healthier than 28%
11%
Mental Health
healthier than 40%
8%
Lifting this score
Chronic Disease Burden
healthier than 96%
21%
Social Need / SDOH
healthier than 75%
16%
Disability
healthier than 79%
7%
Climate / Disaster Risk
healthier than 65%
5%
Healthcare Access
healthier than 90%
5%
Holding it back
Environmental Hazard
healthier than 19%
14%
Preventive Care
healthier than 10%
13%
Risk Behavior
healthier than 13%
11%
Mental Health
healthier than 8%
8%
Lifting this score
Chronic Disease Burden
healthier than 95%
21%
Disability
healthier than 82%
7%
Healthcare Access
healthier than 86%
5%
About typical
Social Need / SDOH
healthier than 45%
16%
Holding it back
Environmental Hazard
healthier than 18%
14%
Preventive Care
healthier than 14%
13%
Risk Behavior
healthier than 18%
11%
Mental Health
healthier than 9%
8%
Climate / Disaster Risk
healthier than 14%
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 ›
Findings that name this ZIP
One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 27.6; chronic-disease standing 87.9 — 60 points apart, heavier on the environment than it is on chronic illness.
Ranked #15,450 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
57701
South Dakotashares a border
Score 48.43
Closest healthier
57706
South Dakotashares a border
Score 61.87
Similar health profile
49335
Michigan98% similar profile
Score 55.26
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 | 21.0% | 19.2–22.8 |
| High blood pressure among adults | 28.0% | 25.6–30.2 |
| Cancer (non-skin) or melanoma among adults | 6.5% | 5.9–7.0 |
| Current asthma among adults | 10.9% | 9.8–11.9 |
| Coronary heart disease among adults | 4.9% | 4.5–5.4 |
| Chronic obstructive pulmonary disease among adults | 5.7% | 5.1–6.4 |
| Depression among adults | 23.6% | 21.1–26.1 |
| Diagnosed diabetes among adults | 9.3% | 8.3–10.4 |
| High cholesterol among adults who have ever been screened | 29.4% | 27.0–31.8 |
| Obesity among adults | 33.4% | 29.7–37.0 |
| Stroke among adults | 2.6% | 2.4–2.8 |
| All teeth lost among adults aged >=65 years | 14.3% | 12.0–17.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.6% | 8.3–11.1 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 69.7% | 66.9–72.2 |
| Visits to doctor for routine checkup within the past year among adults | 72.2% | 69.3–74.8 |
| Cholesterol screening among adults | 81.7% | 79.9–83.5 |
| Colorectal cancer screening among adults aged 45–75 years | 64.6% | 61.2–68.1 |
| Visited dentist or dental clinic in the past year among adults | 66.5% | 63.8–69.2 |
| Mammography use among women aged 50-74 years | 75.4% | 70.2–80.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 22.6% | 20.1–25.2 |
| Current cigarette smoking among adults | 16.1% | 14.2–18.1 |
| No leisure-time physical activity among adults | 22.2% | 19.6–24.9 |
| Short sleep duration among adults | 32.6% | 29.3–36.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 16.3% | 14.6–18.2 |
| Frequent mental distress among adults | 17.6% | 15.9–19.2 |
| Frequent physical distress among adults | 11.8% | 10.6–13.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.1% | 13.5–16.6 |
| Any disability among adults | 29.5% | 26.7–32.4 |
| Hearing disability among adults | 6.2% | 5.6–6.9 |
| Independent living disability among adults | 7.6% | 6.8–8.4 |
| Mobility disability among adults | 10.7% | 9.5–11.9 |
| Self-care disability among adults | 3.1% | 2.9–3.4 |
| Vision disability among adults | 4.2% | 3.9–4.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.6% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 13.0% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 7.8% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 25.9% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 5.0% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 1.1% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 91.9% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 32.1% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 59.9% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 3.8% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 1.1% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 48.7% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 9.5% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 32.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $74,885 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $317,300 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $1,374 | $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 | 79.0 yr ± 1.16 | 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 1.16 years of 79.0, 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