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D−Health Grade
Health in Bismarck · CDC PLACES 2025

Bismarck’s CDC health estimates rank near the bottom of U.S. towns

Bismarck trails Missouri on 24 of 32 measures CDC estimates, and leads on none.

Modeled estimates for adults 18+, CDC’s own estimate for Bismarck. How CDC estimates town health

What stands out · In brief

What stands out about health in Bismarck

COPD, stroke and heart disease run high in Bismarck

1 in 7 adults have COPD (15%), about twice the Missouri rate. 1 in 19 adults have had a stroke (5.4%), vs 3.6% across Missouri. Heart disease is also above the state: 9.9%, vs 6.8% across Missouri. In all, Bismarck runs above Missouri on nine of 11 chronic conditions. Conditions ↓

Bismarck is in the bottom 1% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Bismarck is healthier than only 1% of U.S. towns. It earns a D on all of them. Health Grade ↓

Dental care lags in Bismarck

46.6% of adults saw a dentist this year, vs 60.4% across Missouri. Among those 65 and older, 28.9% have lost all their teeth (Missouri 15.8%). Checkups ↓

More Bismarck adults live with a disability

1 in 2 adults live with a disability (48.3%, vs 36.2% across Missouri). The biggest difference is vision loss: 8.9% vs 5.1%. Disability ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Missouri figure falls outside Bismarck’s likely range.

Health Grade

What’s behind Bismarck’s grade

On seven CDC estimates for adults, Bismarck is near the bottom of U.S. towns. All seven of Bismarck’s estimates fall in the lowest 10% of U.S. towns. The furthest from typical is smoking: 27.8% of adults, against 16% across Missouri and 11.8% nationally.

D−Self-rated health32.8% · MO 20.5% · U.S. 19.4%
D−Physical distress21.2% · MO 14.2% · U.S. 13%
D−Mental distress22.1% · MO 17.5% · U.S. 15.9%
D−Obesity44.1% · MO 36.6% · U.S. 32.9%
DDiabetes16.2% · MO 12.1% · U.S. 12%
D−Smoking27.8% smoke · MO 16% · U.S. 11.8%
D−Exercise42.3% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Near the bottom
Less healthyHealthier
U.S. towns with similar incomes, $30K–$50K (2,463)Healthier than 6%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Bismarck’s median household income is $40,250; among the 2,463 U.S. towns within 25% of that ($30K–$50K), it’s healthier than 6%, so it sits below most towns with similar incomes, too.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Bismarck could be anywhere from D− to D.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Bismarck adults…

Bismarck runs above MO on 10 of 12 conditions. Tap one to see it as people.

15 of every 100 Bismarck adults have COPD
Missouri: 8 in 100 · worse · likely 12.7–17.5%
Better than MOWorseAbout the sameMissouri
Checkups & screenings

Keeping up with care

Share of Bismarck adults getting routine care. The full ring is 100%; the dark tick marks Missouri.

77%Yearly checkupMO 78%
47%Dentist visitMO 60%
80%Cholesterol checkMO 85%
56%Colon screeningMO 64%
64%MammogramMO 75%
77%Taking BP medsMO 77%
1 in 8
working-age adults has no health insurance
Bismarck 13.1% · Missouri 1 in 11 (8.7%)
Disability

Living with a disability

Shown without a better/worse judgment.

48.3%

of Bismarck adults live with a disability (Missouri 36.2%). Thinking or memory is the most common.

Walking or climbing stairs24.7%
Thinking or memory24.9%
Hearing11.6%
Errands alone15.3%
Vision8.9%
Dressing or bathing7.2%
Missouri
Getting care

Care in and near Bismarck

No hospital or community health center in Bismarck itself. These are the nearest.

HNearest ERIron County Medical CenterPilot Knob · 10.1 miDirections →
★Best rated nearbyParkland Health Center★★★★★ · 10.1 miDirections →
+Low-cost careGreat Mines Health CenterLeadwood · 7 mi · sliding-scale feesDirections →
7 mi
Great Mines Health Center
3 sites · nearest in Leadwood
Sliding-scale fees
Directions to nearest
10 mi
Big Springs Medical Association
4 sites · nearest in Pilot Knob
Sliding-scale fees
Directions to nearest
10.1 mi
Iron County Medical Center
Pilot Knob · not rated
ERRural critical access
10.1 mi
Parkland Health Center
Farmington · ★★★★★
ER
13.4 mi
Parkland Health Center - Bonne Terre
Bonne Terre · not rated
ER
13.8 mi
Washington County Memorial Hospital
Potosi · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Bismarck itself
✓ Dental careNo HRSA shortage area covers Bismarck itself
✓ Mental healthNo HRSA shortage area covers Bismarck itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Bismarck; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 42.3%MO 28.8%
Sleep under 7 hours 41.3%MO 36.5%
Binge drink 15%MO 16.3%
Smoke cigarettes 27.8%MO 16%
0%10%20%30%40%50%
Bismarck, betterBismarck, worseAbout the sameMissouri
Where Bismarck gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Bismarck adults are doing

On 2 of 4 measures, Bismarck runs above Missouri.

1 in 3Bismarck adults feel lonely
34.7% · MO 31.7% · About the same as MO
1 in 4Bismarck adults lack social or emotional support
22.5% · MO 20.1% · About the same as MO
3 in 10Bismarck adults have been diagnosed with depression
28.9% · MO 24.3% · Worse than MO
1 in 5Bismarck adults are in frequent mental distress
22.1% · MO 17.5% · Worse than MO
The one neighbors can help with

1 in 3 Bismarck adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 4
Bismarck adults worry about having enough food
24.8% · MO 13.7%
Worse than MO
1 in 6
Bismarck adults worry about keeping their housing
17.9% · MO 12.1%
Worse than MO
1 in 7
Bismarck adults were threatened with a utility shut-off
14.4% · MO 9%
Worse than MO
1 in 7
Bismarck adults lack reliable transportation
13.5% · MO 8.4%
Worse than MO

24% of Bismarck adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Bismarck and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
BismarckD−44.1%16.2%27.8%CDC place

Same-state neighbors only, ordered by length of shared border.

Every CDC estimate for Bismarck

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Bismarck is better than Missouri on 0 and worse on 24; on the rest, the Missouri figure falls inside Bismarck’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…BismarckMOU.S.vs MO
Overall health
Fair or poor health32.8%28.3–37.420.5%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)21.2%18.5–24.114.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)22.1%19.5–24.817.5%15.9%Worse
Conditions
Obesity44.1%37–51.636.6%32.9%Worse
Diabetes16.2%13.9–18.612.1%12%Worse
High blood pressure43.5%39.2–47.836.5%34.4%Worse
High cholesterol (adults screened in 5 years)40.5%36.1–4537.5%37.1%About the same
Arthritis35.3%31.8–3928.8%25.3%Worse
Asthma12.2%10.7–13.810.6%9.9%Worse
Cancer, other than skin cancer8.8%7.9–9.98.6%7.9%About the same
Coronary heart disease9.9%8.6–11.36.8%6.4%Worse
COPD15%12.7–17.58%6.3%Worse
Stroke5.4%4.7–6.13.6%3.4%Worse
Lost all teeth (ages 65+)28.9%24.2–3415.8%12.3%Worse
Habits
Smoke cigarettes27.8%23.4–32.416%11.8%Worse
No exercise outside work42.3%36.4–48.228.8%24.7%Worse
Binge drinking15%12.4–18.116.3%15.4%About the same
Sleep under 7 hours41.3%34.8–47.836.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)13.1%9.7–16.78.7%11%Worse
Checkup in the past year77.2%73.4–80.878.4%77.4%About the same
Dentist visit in the past year46.6%42.9–50.560.4%63.2%Worse
Cholesterol check in 5 years79.5%76.6–82.484.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)77.4%74.5–80.277.2%76.5%About the same
Colorectal cancer screening (ages 45–75)56.1%50.4–61.564%65.5%Worse
Mammogram in 2 years (women 50–74)63.9%54.5–72.274.7%76.4%Worse
Mind and connection
Ever told they have depression28.9%25.1–33.224.3%20.6%Worse
Feel lonely34.7%29.4–39.631.7%32.5%About the same
Lack social and emotional support22.5%18.6–26.220.1%23.6%About the same
Everyday needs
Worried about having enough food24.8%19.8–29.613.7%15%Worse
Worried about keeping housing17.9%14.5–2112.1%12%Worse
Threatened with a utility shut-off14.4%12–16.69%7.6%Worse
Lack reliable transportation13.5%11.3–15.78.4%7.9%Worse
Received SNAP (food stamps)24%19.1–28.510.8%11.6%Higher
Disability
Any disability48.3%42.8–53.936.2%30.1%Higher
Difficulty walking or climbing stairs24.7%21.3–28.415.8%13.6%Higher
Difficulty concentrating or remembering24.9%21.6–28.417.2%13.9%Higher
Hearing difficulty11.6%10.2–13.18.3%6.7%Higher
Vision difficulty8.9%7.6–10.35.1%5.4%Higher
Difficulty doing errands alone15.3%13.1–17.69.2%7.9%Higher
Difficulty dressing or bathing7.2%6–8.53.9%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Missouri figure falls inside that range.

Questions about health in Bismarck

Is Bismarck a healthy place to live?

On seven CDC estimates for adults, Bismarck is near the bottom of U.S. towns: D− for health. Among U.S. towns with similar household incomes it’s healthier than 6%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Bismarck?

CDC estimates 44.1% of adults have obesity, likely between 37% and 51.6%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Bismarck?

Iron County Medical Center in Pilot Knob, 10.1 miles in a straight line from Bismarck’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Bismarck have no health insurance?

CDC estimates 13.1% of adults ages 18–64 have no health insurance (likely 9.7–16.7%), against 8.7% across Missouri.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Bismarck more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to D.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Bismarck.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Missouri figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.