ZIP code
59457
in Lewistown, MontanaPopulation 9,135
50.50/ 100
Ranked #15,551 of 32,066 US ZIPs (top 48%)
Ranked #151 of 341 Montana ZIPs (top 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.
Humid extreme heat
3 days/year
in the bottom 1.8% nationally
Lower is healthier
ST9thUS2ndDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Air-toxics cancer risk
10 per million
in the bottom 2.8% nationally
Lower is healthier
ST1stUS3rdDefinition & 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 ›Fine-particle (PM2.5) exceedance
2.5%
in the top 3.3% nationally
Lower is healthier
ST65thUS97thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Walkability
1.2 intersections/sq mi
in the bottom 3.5% nationally
Higher is healthier
ST47thUS3rdDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Expected annual disaster loss
$0
in the top 3.7% nationally
Lower is healthier
ST96thUS96thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Radon
3.3 pCi/L
in the top 6.5% nationally
Lower is healthier
ST99thUS94thDefinition & 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 ›Natural-disaster risk
in the top 5.9% nationally
Lower is healthier
ST94thUS94thDefinition & 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 ›Dental provider access
0.9 per 1,000 residents
in the top 8.5% nationally
Higher is healthier
ST94thUS92ndDefinition & source ›
The number of dental offices 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 ›Short sleep
29.7%
in the bottom 8.3% nationally
Lower is healthier
ST23rdUS8thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Floodplain exposure
0.40%
in the bottom 9.2% nationally
Lower is healthier
ST27thUS9thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›The read
Lewistown, Montana (ZIP 59457), by its composite score, sits in the top 48% healthiest ZIPs nationally (15,551st) and the top 44% of Montana (151st).
The measures land in both directions, and neither dominates: modeled humid heat lands in the bottom 1.8% nationally, and air-toxics cancer risk stands in the bottom 2.8% nationally. Distance to an emergency room registers at the national minimum, shared with about 11% of ZIPs. Dental providers settles in the top 8.5% nationally, and modeled short sleep sits in the bottom 8.3% nationally. Pulling the other way, modeled fine-particle lies in the top 3.3% nationally, walkability rests in the bottom 3.5% nationally, and modeled expected annual loss resides in the top 3.7% nationally. Modeled radon is in the top 6.5% nationally, and disaster risk lands in the top 5.9% nationally.
Next to the surrounding area, expected annual loss runs far higher than the surrounding ZIPs on this measure. For anyone unfamiliar, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. For a healthier comparison close by, see ZIP 59032, 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
Risk Behavior
healthier than 65%
11%
Climate / Disaster Risk
in the top 0.8%
5%
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 41%
21%
Social Need / SDOH
healthier than 56%
16%
Mental Health
healthier than 51%
8%
Holding it back
Environmental Hazard
healthier than 31%
14%
Preventive Care
healthier than 32%
13%
Disability
healthier than 35%
7%
Lifting this score
Climate / Disaster Risk
healthier than 84%
5%
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 44%
21%
Social Need / SDOH
healthier than 56%
16%
Environmental Hazard
healthier than 51%
14%
Preventive Care
healthier than 41%
13%
Risk Behavior
healthier than 41%
11%
Mental Health
healthier than 48%
8%
Holding it back
Disability
healthier than 27%
7%
“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
2 of our published findings list 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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 76.4 ± 1.3 years. A median household income of $64,762 predicts 78.4 years — 2.0 years below.
Ranked #2,624 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Below its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 76.4 ± 1.3 years. The 50 nearest ZIP codes with estimates average 80.8 years — 4.5 years below them.
Ranked #3,208 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
59032
Montanashares a border
Score 54.53
Closest healthier
59430
Montanashares a border
Score 53.63
Similar health profile
59422
Montana94% similar profile
Score 50.68
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 | 32.2% | 28.9–35.7 |
| High blood pressure among adults | 38.3% | 34.3–42.4 |
| Cancer (non-skin) or melanoma among adults | 11.0% | 10.0–12.1 |
| Current asthma among adults | 11.3% | 10.0–12.7 |
| Coronary heart disease among adults | 8.4% | 7.5–9.3 |
| Chronic obstructive pulmonary disease among adults | 9.1% | 8.1–10.3 |
| Depression among adults | 23.3% | 20.0–26.9 |
| Diagnosed diabetes among adults | 11.9% | 10.2–13.6 |
| High cholesterol among adults who have ever been screened | 35.1% | 31.2–39.2 |
| Obesity among adults | 31.5% | 25.3–38.0 |
| Stroke among adults | 4.5% | 4.0–4.9 |
| All teeth lost among adults aged >=65 years | 13.6% | 11.1–16.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.6% | 8.0–11.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 77.2% | 74.1–80.1 |
| Visits to doctor for routine checkup within the past year among adults | 74.2% | 70.3–77.8 |
| Cholesterol screening among adults | 84.1% | 82.1–86.0 |
| Colorectal cancer screening among adults aged 45–75 years | 66.0% | 60.8–70.8 |
| Visited dentist or dental clinic in the past year among adults | 62.5% | 58.6–66.1 |
| Mammography use among women aged 50-74 years | 74.5% | 66.5–81.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.0% | 15.1–21.2 |
| Current cigarette smoking among adults | 15.1% | 13.0–17.5 |
| No leisure-time physical activity among adults | 24.7% | 20.7–28.8 |
| Short sleep duration among adults | 29.7% | 24.1–35.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.4% | 17.8–23.1 |
| Frequent mental distress among adults | 16.5% | 14.6–18.6 |
| Frequent physical distress among adults | 15.7% | 13.9–17.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.7% | 12.9–16.4 |
| Any disability among adults | 34.2% | 30.0–38.3 |
| Hearing disability among adults | 10.6% | 9.5–11.8 |
| Independent living disability among adults | 9.2% | 8.2–10.2 |
| Mobility disability among adults | 16.2% | 14.1–18.4 |
| Self-care disability among adults | 4.4% | 3.9–4.9 |
| Vision disability among adults | 5.4% | 4.9–6.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.2% | 18.0–24.7 |
| Food insecurity in the past 12 months among adults | 12.5% | 10.6–14.8 |
| Received food stamps in the past 12 months among adults | 9.6% | 8.1–11.4 |
| Housing insecurity in the past 12 months among adults | 9.4% | 8.0–11.0 |
| Lack of reliable transportation in the past 12 months among adults | 7.5% | 6.6–8.6 |
| Loneliness among adults | 29.6% | 25.1–34.4 |
| Utility services shut-off threat in the past 12 months among adults | 6.9% | 6.0–8.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MT median (p10–p90) |
|---|---|---|---|
| Poverty rate | 15.7% | 10.6% (3.1–25.8%) n=32,364 | 9.7% (1.9–27.5%) n=360 |
| Uninsured 18–64 | 22.8% | 9.0% (1.5–24.3%) n=32,286 | 11.1% (0.0–33.1%) n=357 |
| No HS diploma (25+) | 4.7% | 7.9% (1.8–20.7%) n=32,505 | 4.7% (0.0–14.1%) n=360 |
| Bachelor's or higher (25+) | 23.0% | 23.3% (9.2–53.6%) n=32,505 | 26.6% (12.3–46.1%) n=360 |
| Unemployment rate (16+) | 5.1% | 3.9% (0.0–9.8%) n=32,274 | 1.8% (0.0–10.2%) n=357 |
| Households without a vehicle | 10.5% | 3.9% (0.0–12.5%) n=32,322 | 1.7% (0.0–9.5%) n=360 |
| Broadband subscription | 86.3% | 89.3% (75.1–97.1%) n=32,322 | 87.3% (72.1–100.0%) n=360 |
| Housing cost burden (≥30% income) | 27.1% | 23.7% (10.6–40.0%) n=32,322 | 21.1% (7.3–37.2%) n=360 |
| Homeownership rate | 60.5% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (56.9–95.8%) n=360 |
| Crowded housing (>1 per room) | 1.0% | 1.3% (0.0–6.3%) n=32,322 | 0.9% (0.0–6.6%) n=360 |
| Foreign-born population | 2.6% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–4.9%) n=360 |
| Single-parent households | 54.6% | 53.6% (37.3–74.1%) n=32,087 | 61.3% (39.9–84.5%) n=356 |
| Population 65+ | 24.2% | 19.4% (10.8–33.6%) n=32,553 | 24.0% (12.9–44.0%) n=360 |
| Median age | 43.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 46.0 yr (32.9–62.3) n=358 |
| Median household income | $64,762 | $72,070 ($46,039–$118,707) n=30,318 | $66,875 ($44,980–$95,192) n=321 |
| Median home value | $242,300 | $222,200 ($100,300–$579,820) n=30,049 | $292,450 ($127,430–$548,550) n=312 |
| Median gross rent | $970 | $1,021 ($677–$1,912) n=25,670 | $877 ($544–$1,329) n=213 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MT median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 76.4 yr ± 0.64 | 78.9 yr (74.7–82.8) n=31,308 | 79.7 yr (76.7–83.7) n=358 |
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 0.64 years of 76.4, 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