ZIP code
57799
in Spearfish, South DakotaPopulation 568
62.40/ 100
Ranked #3,293 of 32,066 US ZIPs (top 10.3%)
Ranked #7 of 360 South Dakota ZIPs (top 2.0%)
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.
High cholesterol
10.4%
in the bottom 0.02% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›High blood pressure
6.7%
in the bottom 0.02% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Binge drinking
26.8%
in the top 0.3% 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 ›Diabetes
1.0%
in the bottom 0.05% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Coronary heart disease
0.60%
in the bottom 0.07% nationally
Lower is healthier
ST1stUS1stDefinition & 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
0.40%
in the bottom 0.10% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Mobility disability
2.3%
in the bottom 0.2% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Slow internet speeds
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Hearing disability
2.0%
in the bottom 0.2% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Obesity
20%
in the bottom 1.0% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›The read
ZIP 57799, one of several in Spearfish, South Dakota, on the composite measure, lands in the top 10.3% healthiest ZIPs nationally (3,293rd) and the top 2.0% of South Dakota (7th).
The profile cuts both ways, and the readings bear that out: modeled hearing disability lies in the bottom 0.2% nationally, obesity settles in the bottom 1.0% nationally, and short sleep stands in the bottom 0.3% nationally. Modeled self-care disability is in the bottom 0.2% nationally, fair or poor health rests in the bottom 0.3% nationally, and transportation noise sits at the national minimum. Working the other way, modeled binge drinking registers in the top 0.3% nationally, and slow internet speeds lands at the national maximum. Modeled pfas resides in the top 1.2% nationally, and distance to a community health center lies in the top 1.7% nationally.
Set against the neighboring ZIPs, slow internet speeds runs far higher than the surrounding ZIPs on this measure. In everyday language, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. No nearby ZIP ranks healthier overall than this one.
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
Chronic Disease Burden
in the top 0.2%
21%
Risk Behavior
healthier than 92%
11%
Disability
healthier than 97%
7%
Climate / Disaster Risk
healthier than 63%
5%
About typical
Social Need / SDOH
healthier than 58%
16%
Environmental Hazard
healthier than 51%
14%
Holding it back
Preventive Care
healthier than 9%
13%
Mental Health
healthier than 6%
8%
Healthcare Access
healthier than 2%
5%
Lifting this score
Chronic Disease Burden
in the top 0.00%
21%
Social Need / SDOH
healthier than 71%
16%
Environmental Hazard
healthier than 77%
14%
Risk Behavior
healthier than 99%
11%
Disability
in the top 0.9%
7%
About typical
Climate / Disaster Risk
healthier than 53%
5%
Holding it back
Preventive Care
healthier than 5%
13%
Mental Health
in the bottom 0.00%
8%
Healthcare Access
healthier than 18%
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
57783
South Dakotashares a border
Score 56.80
Similar health profile
58405
North Dakota99% similar profile
Score 60.05
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 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 3.8% | 3.0–4.7 |
| High blood pressure among adults | 6.7% | 5.4–8.1 |
| Cancer (non-skin) or melanoma among adults | 0.9% | 0.8–1.1 |
| Current asthma among adults | 11.5% | 9.7–13.7 |
| Coronary heart disease among adults | 0.6% | 0.5–0.8 |
| Chronic obstructive pulmonary disease among adults | 1.3% | 0.8–2.3 |
| Depression among adults | 27.1% | 22.5–31.8 |
| Diagnosed diabetes among adults | 1.0% | 0.8–1.3 |
| High cholesterol among adults who have ever been screened | 10.4% | 8.9–12.2 |
| Obesity among adults | 20.0% | 15.7–24.5 |
| Stroke among adults | 0.4% | 0.3–0.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.5% | 4.1–13.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 17.6% | 14.9–20.9 |
| Visits to doctor for routine checkup within the past year among adults | 63.5% | 57.7–68.9 |
| Cholesterol screening among adults | 66.5% | 56.4–74.5 |
| Colorectal cancer screening among adults aged 45–75 years | 61.0% | 55.1–66.8 |
| Visited dentist or dental clinic in the past year among adults | 79.0% | 76.2–81.7 |
| Mammography use among women aged 50-74 years | 80.4% | 73.4–86.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 26.8% | 22.8–31.4 |
| Current cigarette smoking among adults | 5.7% | 2.7–9.5 |
| No leisure-time physical activity among adults | 13.6% | 8.4–20.6 |
| Short sleep duration among adults | 24.8% | 19.5–30.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 9.0% | 5.5–14.8 |
| Frequent mental distress among adults | 21.9% | 16.1–27.3 |
| Frequent physical distress among adults | 6.4% | 4.3–9.1 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.4% | 12.5–28.3 |
| Any disability among adults | 24.7% | 16.9–34.6 |
| Hearing disability among adults | 2.0% | 1.5–2.6 |
| Independent living disability among adults | 7.5% | 4.6–12.2 |
| Mobility disability among adults | 2.3% | 1.4–3.7 |
| Self-care disability among adults | 0.9% | 0.6–1.4 |
| Vision disability among adults | 2.7% | 1.8–4.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | — | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 15.0% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 57.1% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 1.4% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | — | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | — | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | — | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | — | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | — | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 3.9% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | — | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 0.0% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 19.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | — | $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 | 79.6 yr ± 1.31 | 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 1.31 years of 79.6, 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