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A−Health Grade
Health in North Sioux City · CDC PLACES 2025

On CDC estimates, North Sioux City is healthier than 84% of U.S. towns

North Sioux City beats South Dakota on 2 of 26 measures CDC estimates, and trails on none.

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

Health Grade

What’s behind North Sioux City’s grade

On seven CDC estimates for adults, North Sioux City is healthier than 84% of U.S. towns, #11 of 35 in South Dakota. All seven estimates beat the typical U.S. town. The strongest is physical distress (fewer adults with frequent physical distress than 88% of towns); the weakest is smoking, still better than 65%.

A−Self-rated health15% · SD 17.3% · U.S. 19.4%
APhysical distress11.3% · SD 12.3% · U.S. 13%
A−Mental distress14.7% · SD 15.3% · U.S. 15.9%
A−Obesity31.5% · SD 35.9% · U.S. 32.9%
A−Diabetes10.1% · SD 11.7% · U.S. 12%
B+Smoking13.2% smoke · SD 15.2% · U.S. 11.8%
A−Exercise21.1% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 84%
Less healthyHealthier
South Dakota towns we grade (35)Healthier than 72%
U.S. towns with similar incomes, $54K–$90K (10,664)Healthier than 96%

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). North Sioux City’s median household income is $71,908; among the 10,664 U.S. towns within 25% of that ($54K–$90K), it’s healthier than 96%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, North Sioux City could be anywhere from B− to A+.

How TownRatings grades health →

Chronic conditions

Out of every 100 North Sioux City adults…

North Sioux City runs below SD on 2 of 12 conditions. Tap one to see it as people.

3 of every 100 North Sioux City adults have had a stroke
South Dakota: 4 in 100 · better · likely 2.6–3.4%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near North Sioux City

No hospital or community health center in North Sioux City itself. These are the nearest.

HNearest ERSt. Lukes Regional Medical CenterSioux City · 4.7 miDirections →
★Best rated nearbySt. Lukes Regional Medical Center★★★★★ · 4.7 miDirections →
+Low-cost careSiouxland Community Health CenterSioux City · 5.1 mi · sliding-scale feesDirections →
2.1 mi
Dunes Surgical Hospital
Dakota Dunes · not rated
4.7 mi
St. Lukes Regional Medical Center
Sioux City · ★★★★★
ER
5.1 mi
Siouxland Community Health Center
3 sites · nearest in Sioux City
Sliding-scale fees
Directions to nearest
5.6 mi
Mercyone Siouxland Medical Center
Sioux City · ★★★★★
ER
14.1 mi
Horizon Health Care
3 sites · nearest in Elk Point
Sliding-scale fees
Directions to nearest
20.7 mi
Twelve Clans Unity Hospital
Winnebago · not rated
ER
✓ Primary careNorth Sioux City is not a shortage area
✓ Dental careNorth Sioux City is not a shortage area
✓ Mental healthNo HRSA shortage area covers North Sioux City 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 North Sioux City; ≈ 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 South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 21.1%SD 24.1%
Sleep under 7 hours 31.9%SD 29.7%
Binge drink 19.1%SD 18.8%
Smoke cigarettes 13.2%SD 15.2%
0%10%20%30%40%
North Sioux City, betterNorth Sioux City, worseAbout the sameSouth Dakota
Where North Sioux City gets moving

0.2 miles of trails across 1 park or preserve

Parks & trails →
Checkups & screenings

Keeping up with care

Share of North Sioux City adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

75%Yearly checkupSD 77%
71%Dentist visitSD 69%
86%Cholesterol checkSD 85%
68%Colon screeningSD 66%
81%MammogramSD 77%
75%Taking BP medsSD 76%
1 in 12
working-age adults has no health insurance
North Sioux City 8.1% · South Dakota 1 in 11 (8.8%)
Mind & connection

How North Sioux City adults are doing

About the same as South Dakota on each measure.

1 in 5North Sioux City adults have been diagnosed with depression
20.6% · SD 21.2% · About the same as SD
1 in 7North Sioux City adults are in frequent mental distress
14.7% · SD 15.3% · About the same as SD
The one neighbors can help with

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.

Around town

North Sioux City and the towns around it

North Sioux City’s Health Grade ranks 3rd of 4 graded towns around it.

Big Sioux Township: 30.3%Sioux City: 39.7%Dakota Dunes: 29.3%Jefferson Township: 32.7%Sergeant Bluff: 35.5%South Sioux City: 44.8%Dakota City: 43%North Sioux City: 31.5%North Sioux CityBig Sioux TownshipSioux CityDakota DunesDunes Surgical Hospital · Dakota Dunes · 2.1 miHSt. Lukes Regional Medical Center · Sioux City · 4.7 mi · 2★ MedicareHMercyone Siouxland Medical Center · Sioux City · 5.6 mi · 2★ MedicareHSiouxland Community Health Women's Clinic · Sioux City · 5.1 mi+
Healthier than SDNear SDLess healthyHHospital+Health center
Obesity
#3 of 8 towns on this map, healthiest first
Dakota Dunes29.3%
Big Sioux Township30.3%
North Sioux City31.5%
Sioux City39.7%
SD35.9%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
North Sioux CityA−31.5%10.1%13.2%CDC place
Big Sioux TownshipA30.3%9.9%11.6%ZIP 57049
Dakota DunesA29.3%9.7%10.2%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

27%

of North Sioux City adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs10.9%
Thinking or memory12.5%
Hearing7.1%
Errands alone6.7%
Vision3.9%
Dressing or bathing3%
South Dakota

Every CDC estimate for North Sioux City

Share of adults, 33 measures, with CDC’s likely range.

On the 26 measures below that have a better and a worse direction, North Sioux City is better than South Dakota on 2 and worse on 0; on the rest, the South Dakota figure falls inside North Sioux City’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…North Sioux CitySDU.S.vs SD
Overall health
Fair or poor health15%12.4–17.817.3%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)11.3%9.6–1312.3%13%About the same
Frequent mental distress (mental health not good 14+ days a month)14.7%12.7–16.815.3%15.9%About the same
Conditions
Obesity31.5%24.4–39.335.9%32.9%About the same
Diabetes10.1%8.6–11.811.7%12%About the same
High blood pressure30.4%26.5–34.533.3%34.4%About the same
High cholesterol (adults screened in 5 years)33.4%29.4–37.734%37.1%About the same
Arthritis23.8%20.8–2725.8%25.3%About the same
Asthma10%8.8–11.310.1%9.9%About the same
Cancer, other than skin cancer9%8.1–109.2%7.9%About the same
Coronary heart disease5.9%5.1–6.76.8%6.4%Better
COPD5.8%4.7–76.7%6.3%About the same
Stroke3%2.6–3.43.5%3.4%Better
Lost all teeth (ages 65+)12.3%9.8–14.912.7%12.3%About the same
Habits
Smoke cigarettes13.2%10.5–1615.2%11.8%About the same
No exercise outside work21.1%16.9–25.724.1%24.7%About the same
Binge drinking19.1%15.9–22.818.8%15.4%About the same
Sleep under 7 hours31.9%25.4–38.429.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)8.1%6.4–10.18.8%11%About the same
Checkup in the past year75.1%71.1–78.976.5%77.4%About the same
Dentist visit in the past year71%67.6–74.369.2%63.2%About the same
Cholesterol check in 5 years85.5%83–87.584.8%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)75.2%71.9–78.275.9%76.5%About the same
Colorectal cancer screening (ages 45–75)68.3%63–7365.5%65.5%About the same
Mammogram in 2 years (women 50–74)80.7%73.4–86.376.6%76.4%About the same
Mind and connection
Ever told they have depression20.6%17.4–2421.2%20.6%About the same
Disability
Any disability27%22.7–31.630.1%30.1%About the same
Difficulty walking or climbing stairs10.9%8.9–1312.9%13.6%About the same
Difficulty concentrating or remembering12.5%10.6–14.613.7%13.9%About the same
Hearing difficulty7.1%6.2–88.2%6.7%Lower
Vision difficulty3.9%3.3–4.54.7%5.4%Lower
Difficulty doing errands alone6.7%5.7–7.87.8%7.9%About the same
Difficulty dressing or bathing3%2.5–3.53.5%3.8%About the same

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 South Dakota figure falls inside that range.

Questions about health in North Sioux City

Is North Sioux City a healthy place to live?

On seven CDC estimates for adults, North Sioux City is healthier than 84% of U.S. towns: A− for health, #11 of 35 in South Dakota. Among U.S. towns with similar household incomes it’s healthier than 96%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in North Sioux City?

CDC estimates 31.5% of adults have obesity, likely between 24.4% and 39.3%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to North Sioux City?

St. Lukes Regional Medical Center in Sioux City, 4.7 miles in a straight line from North Sioux City’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in North Sioux City have no health insurance?

CDC estimates 8.1% of adults ages 18–64 have no health insurance (likely 6.4–10.1%), against 8.8% across South Dakota.

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 North Sioux City more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B− to A+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in North Sioux City.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The South Dakota 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.