ZIP code
58445
in Grace City, North DakotaPopulation 145
53.86/ 100
Ranked #10,881 of 32,066 US ZIPs (top 34%)
Ranked #208 of 371 North Dakota ZIPs (bottom 44%)
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.
Distance to a community health center
51.9 mi
in the top 1.0% nationally
Lower is healthier
ST97thUS99thDefinition & 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 ›Distance to a Superfund site
160.4 mi
in the top 1.6% nationally
Higher is healthier
ST42ndUS98thDefinition & 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 ›Home broadband subscription
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Radon
3.4 pCi/L
in the top 5.3% nationally
Lower is healthier
ST76thUS95thDefinition & 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 ›Slow internet speeds
4.0%
in the top 3.0% nationally
Lower is healthier
ST86thUS97thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Lithium in drinking water
90 µg/L
in the top 3.1% nationally
Lower is healthier
ST85thUS97thDefinition & 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 ›Distance to an emergency room
24.3 mi
in the top 3.3% nationally
Lower is healthier
ST89thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Industrial-pollution burden
in the bottom 3.8% nationally
Lower is healthier
ST19thUS4thDefinition & 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 ›Binge drinking
20.4%
in the top 4.8% nationally
Lower is healthier
ST67thUS95thDefinition & 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 ›Homeownership rate
98.2%
in the top 5.6% nationally
Higher is healthier
ST89thUS94thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›The read
Overall, Grace City, North Dakota (ZIP 58445) places in the top 34% healthiest ZIPs nationally (10,881st) and the bottom 44% of North Dakota (208th).
A few measures stand out on the ground and lead the picture: distance to a community health center registers in the top 1.0% nationally, and modeled radon settles in the top 5.3% nationally. Slow internet speeds sits in the top 3.0% nationally, and lithium in drinking water lies in the top 3.1% nationally. Distance to an emergency room rests in the top 3.3% nationally, and modeled binge drinking resides in the top 4.8% nationally. On the stronger side, distance to a Superfund site is in the top 1.6% nationally, home broadband subscription lands at the national maximum, and modeled industrial-pollution burden stands in the bottom 3.8% nationally. Homeownership registers in the top 5.6% nationally.
Beside the areas that surround it, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. For readers new to these terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Among nearby ZIPs, the nearest healthier one overall is ZIP 58421, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Social Need / SDOH
healthier than 70%
16%
Mental Health
healthier than 84%
8%
Disability
healthier than 68%
7%
Climate / Disaster Risk
healthier than 69%
5%
About typical
Chronic Disease Burden
healthier than 59%
21%
Preventive Care
healthier than 59%
13%
Risk Behavior
healthier than 48%
11%
Holding it back
Environmental Hazard
healthier than 34%
14%
Healthcare Access
in the bottom 0.5%
5%
Lifting this score
Social Need / SDOH
healthier than 60%
16%
About typical
Chronic Disease Burden
healthier than 59%
21%
Environmental Hazard
healthier than 55%
14%
Disability
healthier than 57%
7%
Holding it back
Preventive Care
healthier than 38%
13%
Risk Behavior
healthier than 33%
11%
Mental Health
healthier than 30%
8%
Climate / Disaster Risk
healthier than 25%
5%
Healthcare Access
healthier than 5%
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
58356
North Dakotashares a border
Score 49.82
Closest healthier
58421
North Dakotashares a border
Score 54.19
Similar health profile
58043
North Dakota99% similar profile
Score 53.02
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 | 29.2% | 25.8–32.2 |
| High blood pressure among adults | 35.8% | 31.8–39.6 |
| Cancer (non-skin) or melanoma among adults | 9.8% | 8.9–10.7 |
| Current asthma among adults | 10.1% | 8.9–11.3 |
| Coronary heart disease among adults | 7.4% | 6.5–8.3 |
| Chronic obstructive pulmonary disease among adults | 7.2% | 6.0–8.4 |
| Depression among adults | 20.9% | 17.8–24.0 |
| Diagnosed diabetes among adults | 11.2% | 9.5–12.8 |
| High cholesterol among adults who have ever been screened | 37.2% | 33.3–41.0 |
| Obesity among adults | 36.5% | 29.6–43.9 |
| Stroke among adults | 3.5% | 3.1–4.0 |
| All teeth lost among adults aged >=65 years | 12.1% | 10.1–14.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.0% | 5.4–8.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.1% | 76.3–81.5 |
| Visits to doctor for routine checkup within the past year among adults | 75.3% | 71.8–78.7 |
| Cholesterol screening among adults | 84.4% | 82.3–86.4 |
| Colorectal cancer screening among adults aged 45–75 years | 69.7% | 65.4–73.8 |
| Visited dentist or dental clinic in the past year among adults | 64.4% | 61.2–67.6 |
| Mammography use among women aged 50-74 years | 78.5% | 71.6–84.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 20.4% | 17.3–23.7 |
| Current cigarette smoking among adults | 14.4% | 11.8–17.2 |
| No leisure-time physical activity among adults | 23.7% | 19.4–28.1 |
| Short sleep duration among adults | 31.6% | 26.4–37.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.2% | 14.5–19.9 |
| Frequent mental distress among adults | 13.9% | 12.2–15.7 |
| Frequent physical distress among adults | 12.5% | 10.7–14.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.4% | 10.6–14.2 |
| Any disability among adults | 28.4% | 24.0–32.5 |
| Hearing disability among adults | 8.9% | 7.8–10.0 |
| Independent living disability among adults | 7.2% | 6.2–8.3 |
| Mobility disability among adults | 12.5% | 10.5–14.5 |
| Self-care disability among adults | 3.5% | 3.0–4.0 |
| Vision disability among adults | 4.2% | 3.7–4.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.9% | 16.9–23.2 |
| Food insecurity in the past 12 months among adults | 9.9% | 7.9–12.2 |
| Received food stamps in the past 12 months among adults | 6.8% | 5.2–8.5 |
| Housing insecurity in the past 12 months among adults | 8.1% | 6.6–9.8 |
| Lack of reliable transportation in the past 12 months among adults | 6.0% | 5.1–6.9 |
| Loneliness among adults | 28.5% | 24.2–32.8 |
| Utility services shut-off threat in the past 12 months among adults | 5.5% | 4.6–6.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Poverty rate | 2.1% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (1.0–21.4%) n=380 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 6.5% (0.0–19.2%) n=380 |
| No HS diploma (25+) | 7.5% | 7.9% (1.8–20.7%) n=32,505 | 6.3% (0.6–13.4%) n=382 |
| Bachelor's or higher (25+) | 25.2% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (12.5–41.0%) n=382 |
| Unemployment rate (16+) | 1.5% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–6.5%) n=382 |
| Households without a vehicle | 3.5% | 3.9% (0.0–12.5%) n=32,322 | 1.5% (0.0–7.4%) n=379 |
| Broadband subscription | 100.0% | 89.3% (75.1–97.1%) n=32,322 | 88.7% (75.3–98.1%) n=379 |
| Housing cost burden (≥30% income) | 14.0% | 23.7% (10.6–40.0%) n=32,322 | 15.2% (4.0–28.2%) n=379 |
| Homeownership rate | 98.2% | 78.7% (51.7–94.0%) n=32,322 | 83.5% (59.2–98.7%) n=379 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.0% (0.0–4.6%) n=379 |
| Foreign-born population | 3.4% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–5.7%) n=383 |
| Single-parent households | 76.0% | 53.6% (37.3–74.1%) n=32,087 | 59.3% (40.0–83.3%) n=377 |
| Population 65+ | 24.1% | 19.4% (10.8–33.6%) n=32,553 | 21.6% (9.1–38.9%) n=383 |
| Median age | 50.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.9 yr (31.1–60.2) n=381 |
| Median household income | $72,250 | $72,070 ($46,039–$118,707) n=30,318 | $79,666 ($56,729–$115,391) n=354 |
| Median home value | $109,400 | $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
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.2 yr ± 0.96 | 78.9 yr (74.7–82.8) n=31,308 | 80.0 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 0.96 years of 78.2, 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