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ZIP code

58420

in Buchanan, North DakotaPopulation 449

ZipVitals Score
How is the ZipVitals Score calculated? →

60.42/ 100

Ranked #4,541 of 32,066 US ZIPs (top 14.2%)

Ranked #28 of 371 North Dakota ZIPs (top 7.6%)

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.

Binge drinking

22.1%

in the top 1.8% nationally

Lower is healthier

ST88th
US98th
Definition & 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 ›

Distance to an emergency room

30.4 mi

in the top 1.9% nationally

Lower is healthier

ST95th
US98th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Distance to a Superfund site

147.5 mi

in the top 1.9% nationally

Higher is healthier

ST35th
US98th
Definition & 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 ›

Loneliness

26.8%

in the bottom 2.5% nationally

Lower is healthier

ST23rd
US2nd
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

Lithium in drinking water

95 µg/L

in the top 2.7% nationally

Lower is healthier

ST94th
US97th
Definition & source ›

The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.

Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.

Full methodology ›

Radon

3.3 pCi/L

in the top 6.3% nationally

Lower is healthier

ST63rd
US94th
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

30.1 mi

in the top 4.0% nationally

Lower is healthier

ST72nd
US96th
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 ›

Slow internet speeds

2.3%

in the top 5.0% nationally

Lower is healthier

ST73rd
US95th
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Food insecurity

7.6%

in the bottom 5.8% nationally

Lower is healthier

ST10th
US6th
Definition & source ›

The estimated share of adults who experienced food insecurity in the past 12 months.

Full methodology ›

Housing-cost burden

6.3%

in the bottom 5.8% nationally

Lower is healthier

ST16th
US6th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

The read

In its overall standing, Buchanan, North Dakota (ZIP 58420) lands in the top 14.2% healthiest ZIPs nationally (4,541st) and the top 7.6% of North Dakota (28th).

continue reading

Reading the data plainly, a few things define this area first: modeled binge drinking sits in the top 1.8% nationally, distance to an emergency room lands in the top 1.9% nationally, and lithium in drinking water lies in the top 2.7% nationally. Modeled radon stands in the top 6.3% nationally, distance to a community health center rests in the top 4.0% nationally, and slow internet speeds registers in the top 5.0% nationally. More encouragingly, distance to a Superfund site resides in the top 1.9% nationally, and modeled loneliness settles in the bottom 2.5% nationally. Modeled food insecurity is in the bottom 5.8% nationally, and housing-cost burden sits in the bottom 5.8% nationally.

Put simply, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. On the overall standing, ZIP 58426, just across the boundary, ranks healthier.

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 76%

21%

Social Need / SDOH

healthier than 84%

16%

Preventive Care

healthier than 75%

13%

Risk Behavior

healthier than 64%

11%

Mental Health

healthier than 90%

8%

Disability

healthier than 88%

7%

Climate / Disaster Risk

healthier than 86%

5%

About typical

Environmental Hazard

healthier than 44%

14%

Holding it back

Healthcare Access

healthier than 3%

5%

Lifting this score

Chronic Disease Burden

healthier than 82%

21%

Social Need / SDOH

healthier than 83%

16%

Environmental Hazard

healthier than 73%

14%

Preventive Care

healthier than 64%

13%

Risk Behavior

healthier than 70%

11%

Mental Health

healthier than 60%

8%

Disability

healthier than 87%

7%

Climate / Disaster Risk

healthier than 63%

5%

Holding it back

Healthcare Access

healthier than 27%

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.

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 adults27.5%24.1–30.8
High blood pressure among adults30.9%27.0–34.7
Cancer (non-skin) or melanoma among adults9.2%8.3–10.2
Current asthma among adults10.1%8.8–11.5
Coronary heart disease among adults5.6%4.8–6.5
Chronic obstructive pulmonary disease among adults5.5%4.5–6.6
Depression among adults20.0%16.9–23.3
Diagnosed diabetes among adults9.2%7.7–10.9
High cholesterol among adults who have ever been screened34.6%30.5–38.6
Obesity among adults38.7%32.3–45.2
Stroke among adults2.8%2.5–3.2
All teeth lost among adults aged >=65 years12.9%10.4–15.7
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years5.2%4.0–6.7
Taking medicine to control high blood pressure among adults with high blood pressure77.8%74.0–81.0
Visits to doctor for routine checkup within the past year among adults74.8%70.8–78.5
Cholesterol screening among adults87.3%85.1–89.1
Colorectal cancer screening among adults aged 45–75 years71.8%67.0–76.2
Visited dentist or dental clinic in the past year among adults69.7%66.3–73.0
Mammography use among women aged 50-74 years78.1%70.8–84.3
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults22.1%18.6–25.9
Current cigarette smoking among adults12.8%9.9–16.0
No leisure-time physical activity among adults19.7%15.7–23.9
Short sleep duration among adults28.9%23.6–34.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults14.3%11.7–17.1
Frequent mental distress among adults13.1%11.2–15.1
Frequent physical distress among adults11.4%9.7–13.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults10.6%8.9–12.5
Any disability among adults24.8%20.9–29.1
Hearing disability among adults6.9%6.0–7.9
Independent living disability among adults5.9%5.0–7.1
Mobility disability among adults10.8%8.9–13.0
Self-care disability among adults2.9%2.4–3.5
Vision disability among adults3.4%2.9–4.0
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults18.5%15.4–22.0
Food insecurity in the past 12 months among adults7.6%5.8–9.5
Received food stamps in the past 12 months among adults4.5%3.3–5.9
Housing insecurity in the past 12 months among adults6.9%5.4–8.5
Lack of reliable transportation in the past 12 months among adults4.8%3.9–5.7
Loneliness among adults26.8%22.6–31.6
Utility services shut-off threat in the past 12 months among adults4.5%3.7–5.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)ND median (p10–p90)
Poverty rate2.2%10.6% (3.1–25.8%) n=32,3648.0% (1.0–21.4%) n=380
Uninsured 18–6415.7%9.0% (1.5–24.3%) n=32,2866.5% (0.0–19.2%) n=380
No HS diploma (25+)1.3%7.9% (1.8–20.7%) n=32,5056.3% (0.6–13.4%) n=382
Bachelor's or higher (25+)31.8%23.3% (9.2–53.6%) n=32,50524.6% (12.5–41.0%) n=382
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–6.5%) n=382
Households without a vehicle2.3%3.9% (0.0–12.5%) n=32,3221.5% (0.0–7.4%) n=379
Broadband subscription94.5%89.3% (75.1–97.1%) n=32,32288.7% (75.3–98.1%) n=379
Housing cost burden (≥30% income)6.3%23.7% (10.6–40.0%) n=32,32215.2% (4.0–28.2%) n=379
Homeownership rate93.8%78.7% (51.7–94.0%) n=32,32283.5% (59.2–98.7%) n=379
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.0% (0.0–4.6%) n=379
Foreign-born population1.1%2.6% (0.0–18.6%) n=32,5530.9% (0.0–5.7%) n=383
Single-parent households43.1%53.6% (37.3–74.1%) n=32,08759.3% (40.0–83.3%) n=377
Population 65+5.1%19.4% (10.8–33.6%) n=32,55321.6% (9.1–38.9%) n=383
Median age24.3 yr42.2 yr (33.0–56.3) n=32,29242.9 yr (31.1–60.2) n=381
Median household income$114,583$72,070 ($46,039–$118,707) n=30,318$79,666 ($56,729–$115,391) n=354
Median home value$230,000$222,200 ($100,300–$579,820) n=30,049$159,750 ($88,870–$297,180) n=328
Median gross rent—$1,021 ($677–$1,912) n=25,670$767 ($513–$1,222) n=212
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)ND median (p10–p90)
Life expectancy at birth81.2 yr ± 1.8178.9 yr (74.7–82.8) n=31,30880.0 yr (77.6–84.0) n=379

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 1.81 years of 81.2, 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