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St. Charles Hotel, Pierre, South DakotaPhoto: WeaponizingArchitecture · CC BY-SA 4.0
A−Health Grade
Health in Pierre · CDC PLACES 2025

On CDC estimates, Pierre is healthier than 78% of U.S. towns

On every measure CDC estimates, Pierre looks like South Dakota as a whole.

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

Health Grade

What’s behind Pierre’s grade

On seven CDC estimates for adults, Pierre is healthier than 78% of U.S. towns, #16 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 84% of towns); the weakest is smoking, still better than 57%.

A−Self-rated health15.2% · SD 17.3% · U.S. 19.4%
A−Physical distress11.7% · SD 12.3% · U.S. 13%
A−Mental distress14.9% · SD 15.3% · U.S. 15.9%
BObesity34.2% · SD 35.9% · U.S. 32.9%
B+Diabetes10.5% · SD 11.7% · U.S. 12%
BSmoking14.1% smoke · SD 15.2% · U.S. 11.8%
B+Exercise22.1% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 78%
Less healthyHealthier
South Dakota towns we grade (35)Healthier than 54%
U.S. towns with similar incomes, $58K–$97K (10,817)Healthier than 89%

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). Pierre’s median household income is $77,672; among the 10,817 U.S. towns within 25% of that ($58K–$97K), it’s healthier than 89%, about where its income would put it.

Most South Dakota towns score higher on these estimates than towns elsewhere, so within the state Pierre is healthier than 54% of graded towns, against 78% nationally.

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

How TownRatings grades health →

Chronic conditions

Out of every 100 Pierre adults…

On every condition, Pierre is about the same as South Dakota. Tap one to see it as people.

31 of every 100 Pierre adults have high blood pressure
South Dakota: 33 in 100 · about the same · likely 27.3–35.3%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near Pierre

1 hospital in Pierre, plus the nearest just outside it.

HNearest ERAvera St. Mary's HospitalPierre · 1.5 miDirections →
★Best rated nearbyAvera St. Mary's Hospital★★★★★ · 1.5 miDirections →
+Low-cost careRural Health CareFort Pierre · 2.7 mi · sliding-scale feesDirections →
1.5 mi
Avera St. Mary's Hospital
Pierre · ★★★★★
ERIn Pierre
2.7 mi
Rural Health Care
6 sites · nearest in Fort Pierre
Sliding-scale fees
Directions to nearest
48.8 mi
Horizon Health Care
2 sites · nearest in Fort Thompson
Sliding-scale fees
Directions to nearest
54.2 mi
Eagle Butte Indian Health Service Hospital
Eagle Butte · not rated
ERRural critical access
54.3 mi
Avera Missouri River Health Center
Gettysburg · not rated
ERRural critical access
64 mi
Sanford Chamberlain Medical Center
Chamberlain · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Pierre itself
✓ Dental careNo HRSA shortage area covers Pierre itself
✓ Mental healthNo HRSA shortage area covers Pierre 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 Pierre; ≈ 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 22.1%SD 24.1%
Sleep under 7 hours 29.6%SD 29.7%
Binge drink 18.7%SD 18.8%
Smoke cigarettes 14.1%SD 15.2%
0%10%20%30%40%
Pierre, betterPierre, worseAbout the sameSouth Dakota
Where Pierre gets moving

13 miles of trails across 4 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

76%Yearly checkupSD 77%
68%Dentist visitSD 69%
86%Cholesterol checkSD 85%
66%Colon screeningSD 66%
78%MammogramSD 77%
76%Taking BP medsSD 76%
1 in 14
working-age adults has no health insurance
Pierre 7.3% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Pierre adults are doing

About the same as South Dakota on each measure.

1 in 5Pierre adults have been diagnosed with depression
20.9% · SD 21.2% · About the same as SD
1 in 7Pierre adults are in frequent mental distress
14.9% · 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

Pierre and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
PierreA−34.2%10.5%14.1%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

27.9%

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

Walking or climbing stairs11.5%
Thinking or memory12.7%
Hearing7.6%
Errands alone7%
Vision4.1%
Dressing or bathing3.1%
South Dakota

Every CDC estimate for Pierre

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

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

Adults who…PierreSDU.S.vs SD
Overall health
Fair or poor health15.2%13–17.417.3%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)11.7%10.2–13.312.3%13%About the same
Frequent mental distress (mental health not good 14+ days a month)14.9%13.1–16.815.3%15.9%About the same
Conditions
Obesity34.2%26.7–42.635.9%32.9%About the same
Diabetes10.5%9–12.211.7%12%About the same
High blood pressure31.1%27.3–35.333.3%34.4%About the same
High cholesterol (adults screened in 5 years)32.7%28.7–37.234%37.1%About the same
Arthritis25%21.9–28.225.8%25.3%About the same
Asthma10.4%9.2–11.810.1%9.9%About the same
Cancer, other than skin cancer9.3%8.4–10.29.2%7.9%About the same
Coronary heart disease6.1%5.4–6.86.8%6.4%About the same
COPD5.9%5.2–6.86.7%6.3%About the same
Stroke3.1%2.9–3.53.5%3.4%About the same
Lost all teeth (ages 65+)11.1%9–13.612.7%12.3%About the same
Habits
Smoke cigarettes14.1%11.9–16.515.2%11.8%About the same
No exercise outside work22.1%18.1–26.324.1%24.7%About the same
Binge drinking18.7%15.5–22.418.8%15.4%About the same
Sleep under 7 hours29.6%23.6–36.329.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.3%6–8.88.8%11%About the same
Checkup in the past year76.2%72.4–79.976.5%77.4%About the same
Dentist visit in the past year68.3%64.8–71.769.2%63.2%About the same
Cholesterol check in 5 years86.4%84.5–88.184.8%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)75.7%72.6–78.775.9%76.5%About the same
Colorectal cancer screening (ages 45–75)65.5%60.3–70.465.5%65.5%About the same
Mammogram in 2 years (women 50–74)77.6%70–84.276.6%76.4%About the same
Mind and connection
Ever told they have depression20.9%17.7–24.521.2%20.6%About the same
Disability
Any disability27.9%23.9–3230.1%30.1%About the same
Difficulty walking or climbing stairs11.5%9.9–13.312.9%13.6%About the same
Difficulty concentrating or remembering12.7%11.1–14.413.7%13.9%About the same
Hearing difficulty7.6%6.7–8.58.2%6.7%About the same
Vision difficulty4.1%3.6–4.54.7%5.4%Lower
Difficulty doing errands alone7%6.2–7.97.8%7.9%About the same
Difficulty dressing or bathing3.1%2.7–3.43.5%3.8%Lower

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 Pierre

Is Pierre a healthy place to live?

On seven CDC estimates for adults, Pierre is healthier than 78% of U.S. towns: A− for health, #16 of 35 in South Dakota. Among U.S. towns with similar household incomes it’s healthier than 89%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Pierre?

CDC estimates 34.2% of adults have obesity, likely between 26.7% and 42.6%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to Pierre?

Avera St. Mary's Hospital in Pierre, 1.5 miles in a straight line from Pierre’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Pierre have no health insurance?

CDC estimates 7.3% of adults ages 18–64 have no health insurance (likely 6–8.8%), 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 Pierre 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 Pierre.

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.