Photo: JERRYE AND ROY KLOTZ MD · CC BY-SA 3.0On CDC estimates, Spearfish is healthier than 84% of U.S. towns
Spearfish beats South Dakota on 3 of 26 measures CDC estimates, and trails on none.
Modeled estimates for adults 18+, CDC’s own estimate for Spearfish. How CDC estimates town health
What stands out about health in Spearfish
What’s behind Spearfish’s grade
On seven CDC estimates for adults, Spearfish is healthier than 84% of U.S. towns, #10 of 35 in South Dakota. All seven estimates beat the typical U.S. town. The strongest is diabetes (fewer adults with diabetes than 85% of towns); the weakest is smoking, still better than 70%.
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). Spearfish’s median household income is $65,688; among the 10,049 U.S. towns within 25% of that ($49K–$82K), it’s healthier than 98%, about where its income would put it.
Care in and near Spearfish
1 hospital in Spearfish, plus the nearest just outside it.
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 Spearfish; ≈ 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).
Out of every 100 Spearfish adults…
Spearfish runs below SD on 2 of 12 conditions. Tap one to see it as people.
Everyday habits, side by side with South Dakota
Share of adults, with the South Dakota figure marked.
26 miles of trails across 19 parks and preserves
Keeping up with care
Share of Spearfish adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.
How Spearfish adults are doing
About the same as South Dakota on each measure.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Spearfish and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Spearfish | A− | 30.7% | 9.6% | 12.7% | CDC place |
| North Spearfish | B+ | 33.6% | 11% | 14.5% | CDC place |
| Mountain Plains | — | — | — | — |
Mountain Plains: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Spearfish adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.
Every CDC estimate for Spearfish
Share of adults, 33 measures, with CDC’s likely range.
On the 26 measures below that have a better and a worse direction, Spearfish is better than South Dakota on 3 and worse on 0; on the rest, the South Dakota figure falls inside Spearfish’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Spearfish | SD | U.S. | vs SD |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 15.2%13.1–17.4 | 17.3% | 19.4% | About the same |
| Frequent physical distress (physical health not good 14+ days a month) | 11.7%10.2–13.2 | 12.3% | 13% | About the same |
| Frequent mental distress (mental health not good 14+ days a month) | 15%13.3–16.9 | 15.3% | 15.9% | About the same |
| Conditions | ||||
| Obesity | 30.7%26.5–35.9 | 35.9% | 32.9% | About the same |
| Diabetes | 9.6%8.3–11.1 | 11.7% | 12% | Better |
| High blood pressure | 29.1%26.4–32.4 | 33.3% | 34.4% | Better |
| High cholesterol (adults screened in 5 years) | 32.5%29.6–35.9 | 34% | 37.1% | About the same |
| Arthritis | 25.9%23.5–28.8 | 25.8% | 25.3% | About the same |
| Asthma | 10.2%9.1–11.6 | 10.1% | 9.9% | About the same |
| Cancer, other than skin cancer | 9.9%9–10.9 | 9.2% | 7.9% | About the same |
| Coronary heart disease | 6.6%5.9–7.5 | 6.8% | 6.4% | About the same |
| COPD | 6.3%5.4–7.3 | 6.7% | 6.3% | About the same |
| Stroke | 3.4%3–3.7 | 3.5% | 3.4% | About the same |
| Lost all teeth (ages 65+) | 10.6%8.6–12.8 | 12.7% | 12.3% | About the same |
| Habits | ||||
| Smoke cigarettes | 12.7%10.8–14.9 | 15.2% | 11.8% | Better |
| No exercise outside work | 22.1%18.9–25.6 | 24.1% | 24.7% | About the same |
| Binge drinking | 19.7%16.9–22.9 | 18.8% | 15.4% | About the same |
| Sleep under 7 hours | 28%22.3–34.4 | 29.7% | 36% | About the same |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 8.1%6.8–9.7 | 8.8% | 11% | About the same |
| Checkup in the past year | 73.9%70.6–77.4 | 76.5% | 77.4% | About the same |
| Dentist visit in the past year | 72.2%68.9–75.3 | 69.2% | 63.2% | About the same |
| Cholesterol check in 5 years | 84%81.9–86.1 | 84.8% | 87.1% | About the same |
| Taking blood pressure medicine (adults with high blood pressure) | 76.1%73.6–78.9 | 75.9% | 76.5% | About the same |
| Colorectal cancer screening (ages 45–75) | 70.1%65.1–74.7 | 65.5% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 79.9%73–85.8 | 76.6% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 21.5%18.8–24.7 | 21.2% | 20.6% | About the same |
| Disability | ||||
| Any disability | 29.9%26.4–33.6 | 30.1% | 30.1% | About the same |
| Difficulty walking or climbing stairs | 12.4%10.7–14.3 | 12.9% | 13.6% | About the same |
| Difficulty concentrating or remembering | 13.7%12.1–15.5 | 13.7% | 13.9% | About the same |
| Hearing difficulty | 8.3%7.4–9.4 | 8.2% | 6.7% | About the same |
| Vision difficulty | 4.3%3.8–4.8 | 4.7% | 5.4% | About the same |
| Difficulty doing errands alone | 7.5%6.6–8.6 | 7.8% | 7.9% | About the same |
| Difficulty dressing or bathing | 3.2%2.8–3.6 | 3.5% | 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 Spearfish
Is Spearfish a healthy place to live?
On seven CDC estimates for adults, Spearfish is healthier than 84% of U.S. towns: A− for health, #10 of 35 in South Dakota. Among U.S. towns with similar household incomes it’s healthier than 98%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Spearfish?
CDC estimates 30.7% of adults have obesity, likely between 26.5% and 35.9%, against 35.9% across South Dakota and 32.9% nationally.
What hospital is closest to Spearfish?
Monument Health Lead-Deadwood Hospital in Deadwood, 9.4 miles in a straight line from Spearfish’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.
How many people in Spearfish have no health insurance?
CDC estimates 8.1% of adults ages 18–64 have no health insurance (likely 6.8–9.7%), 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 Spearfish 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 Spearfish.
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.