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ZipVitals

ZIP code

57783

in Spearfish, South DakotaPopulation 17,248

56.80/ 100

Ranked #7,457 of 32,066 US ZIPs (top 23%)

Ranked #80 of 360 South Dakota ZIPs (top 22%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Radon

4.1 pCi/L

in the top 1.5% nationally

Lower is healthier

ST91st
US99th
Definition & 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 a community health center

33.7 mi

in the top 3.3% nationally

Lower is healthier

ST83rd
US97th
Definition & 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 ›

Park land

37.5%

in the top 3.6% nationally

Higher is healthier

ST98th
US96th
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Short sleep

28.3%

in the bottom 3.8% nationally

Lower is healthier

ST18th
US4th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Outpatient-care access

0.56 per 1,000 residents

in the top 6.3% nationally

Higher is healthier

ST91st
US94th
Definition & source ›

The number of outpatient clinics located 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 ›

Industrial-pollution burden

in the bottom 6.4% nationally

Lower is healthier

ST8th
US6th
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Air-toxics cancer risk

20 per million

in the bottom 8.2% nationally

Lower is healthier

ST25th
US8th
Definition & 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 ›

Recreation access

0.99 per 1,000 residents

in the top 9.1% nationally

Higher is healthier

ST88th
US91st
Definition & source ›

The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›

Natural-disaster risk

in the top 10.5% nationally

Lower is healthier

ST94th
US90th
Definition & source ›

This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.

Full methodology ›

Mammography

80%

in the top 11.1% nationally

Higher is healthier

ST91st
US89th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

The read

On the composite measure, ZIP 57783, one of several in Spearfish, South Dakota stands in the top 23% healthiest ZIPs nationally (7,457th) and the top 22% of South Dakota (80th).

continue reading

A profile of give and take, with clear readings each way: park land is in the top 3.6% nationally, and modeled short sleep registers in the bottom 3.8% nationally. Distance to an emergency room lies at the national minimum, shared with about 11% of ZIPs. Outpatient is in the top 6.3% nationally, modeled industrial-pollution burden registers in the bottom 6.4% nationally, and modeled air-toxics cancer risk lies in the bottom 8.2% nationally. Recreation is in the top 9.1% nationally. On the other side, modeled radon registers in the top 1.5% nationally, distance to a community health center lies in the top 3.3% nationally, and modeled disaster risk is in the top 10.5% nationally.

Set beside the wider area around it, park land runs far higher than the surrounding ZIPs on this measure. For clarity, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. ZIP 57779, just across the boundary, ranks better overall among the ZIPs nearby.

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.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 69%

21%

Social Need / SDOH

healthier than 77%

16%

Preventive Care

healthier than 70%

13%

Risk Behavior

healthier than 74%

11%

Mental Health

healthier than 83%

8%

Disability

healthier than 64%

7%

Climate / Disaster Risk

healthier than 87%

5%

Holding it back

Environmental Hazard

healthier than 15%

14%

Healthcare Access

healthier than 4%

5%

Lifting this score

Chronic Disease Burden

healthier than 72%

21%

Social Need / SDOH

healthier than 93%

16%

Risk Behavior

healthier than 73%

11%

Disability

healthier than 61%

7%

Climate / Disaster Risk

healthier than 93%

5%

About typical

Preventive Care

healthier than 57%

13%

Mental Health

healthier than 57%

8%

Holding it back

Environmental Hazard

healthier than 2%

14%

Healthcare Access

healthier than 26%

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 14.8; chronic-disease standing 68.5 — 54 points apart, heavier on the environment than it is on chronic illness.

    Ranked #14,775 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.

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
MeasureCrude prevalence95% CI
Arthritis among adults28.3%25.8–31.3
High blood pressure among adults31.7%28.8–35.1
Cancer (non-skin) or melanoma among adults10.8%9.8–11.8
Current asthma among adults10.1%9.0–11.4
Coronary heart disease among adults7.3%6.5–8.1
Chronic obstructive pulmonary disease among adults6.8%6.0–7.7
Depression among adults20.9%18.2–24.1
Diagnosed diabetes among adults10.6%9.3–12.2
High cholesterol among adults who have ever been screened34.7%31.6–38.4
Obesity among adults32.1%27.7–37.3
Stroke among adults3.6%3.3–4.0
All teeth lost among adults aged >=65 years10.5%8.5–12.7
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.0%6.8–9.4
Taking medicine to control high blood pressure among adults with high blood pressure77.6%74.9–80.3
Visits to doctor for routine checkup within the past year among adults75.2%72.0–78.5
Cholesterol screening among adults86.0%84.4–87.9
Colorectal cancer screening among adults aged 45–75 years70.1%65.2–74.7
Visited dentist or dental clinic in the past year among adults71.8%68.5–74.9
Mammography use among women aged 50-74 years80.0%73.1–85.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.9%16.2–22.0
Current cigarette smoking among adults13.5%11.7–15.6
No leisure-time physical activity among adults22.8%19.7–26.2
Short sleep duration among adults28.3%22.6–34.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults15.8%13.8–17.9
Frequent mental distress among adults14.2%12.6–16.0
Frequent physical distress among adults12.3%10.9–13.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.0%11.6–14.7
Any disability among adults30.1%26.9–33.6
Hearing disability among adults8.9%7.9–9.9
Independent living disability among adults7.4%6.6–8.3
Mobility disability among adults13.3%11.7–15.1
Self-care disability among adults3.4%3.1–3.8
Vision disability among adults4.4%4.0–4.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate14.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6412.6%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)4.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)38.1%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)1.9%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle5.6%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription92.4%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)27.0%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate58.6%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)1.6%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population2.6%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households59.9%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+22.0%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age41.0 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$74,844$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$373,300$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$965$1,021 ($677–$1,912) n=25,670$763 ($544–$1,089) n=243
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth79.2 yr ± 0.6978.9 yr (74.7–82.8) n=31,30880.7 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 0.69 years of 79.2, and it’s very unlikely to be off by more than twice that.

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