Health · Black Butte

Black Butte, ND health

Black Butte differs from North Dakota on 12 of 40 measures. It has more adults screened for colon cancer (70.8% vs 64.9%) and more adults treating high blood pressure (82% vs 76.3%). Where it trails the state: more adults with heart disease (8.8% vs 6.1%).

CDC PLACES 2025 · adults 18+ · ZIP codes 58650, 58647
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 5 people are less certain, so we show Black Butte's figures without a grade.

Report card

How Black Butte compares with North Dakota

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Black Butte adults…

40 of every 100 Black Butte adults have high blood pressure
North Dakota: 32 in 100 · worse · margin 36–44.5%

Bars show Black Butte; the black tick is North Dakota. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Black Butte, betterBlack Butte, worseToo close to callNorth Dakota
Get no exerciseshare of adults 25.9% Black Butte
ND 21.8%
Sleep under 7 hoursshare of adults 32.8% Black Butte
ND 32.7%
Binge drinkshare of adults 18.2% Black Butte
ND 21.3%
Smoke cigarettesshare of adults 15.5% Black Butte
ND 13.1%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
ND 74%
63%
Dentist visit
ND 65%
87%
Cholesterol check
ND 83%
71%
Colon screening
ND 65%
76%
Mammogram
ND 78%
82%
Taking BP meds
ND 76%
1 in 14
working-age adults has no health insurance
Black Butte 7.1% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Black Butte adults are doing

1 in 4Black Butte adults feel lonely
28.1% · North Dakota 29.6% · too close to call
1 in 5Black Butte adults have been diagnosed with depression
20% · North Dakota 21.3% · too close to call
1 in 5Black Butte adults lack social or emotional support
20.8% · North Dakota 20.6% · too close to call
1 in 7Black Butte adults are in frequent mental distress
13.6% · North Dakota 14.2% · too close to call
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 10
Black Butte adults worry about having enough food
10.4% · ND 10.7% · about the same
1 in 12
Black Butte adults worry about keeping their housing
8.2% · ND 8.9% · about the same
1 in 18
Black Butte adults were threatened with a utility shut-off
5.5% · ND 5.8% · about the same
1 in 17
Black Butte adults lack reliable transportation
5.9% · ND 6.5% · about the same

6.7% of Black Butte adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

31.4%

of Black Butte adults live with a disability (North Dakota 27.6%). Walking or climbing stairs is the most common.

Walking or climbing stairs15%
Thinking or memory12.3%
Hearing10.4%
Errands alone7.7%
Vision4.8%
Dressing or bathing4%

Black tick: North Dakota. Shown without a better/worse judgment.

Around Black Butte

Black Butte and the towns around it

Pick a measure to shade the map. Darker is worse for health.

Rifle: 39.2% Havelock: 38.6% St. Croix: 39.4% Clark: 38.6% Madison: 38.9% Tepee Butte: 38.9% New England: 38.6% Acme: 37% Farina: 39.4% Black Butte: 39.2% Black Butte Rifle Havelock St. Croix
37%39.4%· darker is worse for health

Obesity

#7 of 10towns on this map, healthiest first
Havelock38.6%
Black Butte39.2%
Rifle39.2%
St. Croix39.4%
6 places to get careNearest ER 28.5 mi

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

Getting care

Care in and near Black Butte

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

HNearest ERChi St. Alexius Health DickinsonDickinson · 28.5 miDirections →
★Best rated nearbyWest River Regional Medical Center★★★★★ · 34.5 miDirections →
+Low-cost careCoal Country Community Health CenterKilldeer · 60.2 mi · sliding-scale feesDirections →
28.5 mi
Chi St. Alexius Health Dickinson
Dickinson · ★★★★★
ERRural critical access
34.5 mi
West River Regional Medical Center
Hettinger · ★★★★★
ERRural critical access
37.3 mi
Jacobson Memorial Hospital Care Center
Elgin · not rated
ERRural critical access
43.7 mi
Southwest Healthcare Services
Bowman · not rated
ERRural critical access
60.2 mi
Coal Country Community Health Center
4 sites · nearest in Killdeer
Sliding-scale fees
Directions to nearest
67.9 mi
Horizon Health Care
2 sites · nearest in Bison
Sliding-scale fees
Directions to nearest
! Primary careBlack Butte's county is a federal shortage area.Hettinger County · need score 16 of 25
✓ Dental careBlack Butte is not a shortage area
! Mental healthBlack Butte's county is a federal shortage area.Region VIII Badlands Human Service Center MHCA · need score 17 of 25

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 Black Butte. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Black Butte
MeasureBlack ButteMarginNorth Dakota
Chronic conditions
High blood pressure40.3%36–44.5%31.8%worse
High cholesterol40.2%35.8–44.6%33.8%worse
Obesity39.2%31.4–47.5%36.5%about the same
Arthritis32.6%29–36.1%25.3%worse
Depression20%17–23.2%21.3%about the same
Lost all teeth (65+)9.8%7.8–12%10.8%about the same
Asthma10.1%8.9–11.4%10.1%about the same
Cancer (not skin)11%10–12.1%8.2%worse
Diabetes13.2%11.4–15.2%9.8%worse
COPD8.4%7.2–9.7%5.9%worse
Heart disease8.8%7.9–9.9%6.1%worse
Stroke4.2%3.8–4.7%3.1%worse
Habits
Smoke cigarettes15.5%12.9–18.2%13.1%about the same
Binge drink18.2%15.3–21.7%21.3%about the same
Get no exercise25.9%21.3–30.7%21.8%about the same
Sleep under 7 hours32.8%26.3–39.8%32.7%about the same
Care & screenings
Yearly checkup77.8%74.2–81.1%74.4%about the same
Dentist visit63%59–66.8%64.5%about the same
Cholesterol check86.7%84.9–88.5%82.7%better
Colon screening70.8%65.5–75.6%64.9%better
Mammogram76%67.9–82.8%78%about the same
Taking BP meds82%79.3–84.4%76.3%better
No health insurance7.1%5.6–8.9%7.3%about the same
Mind & connection
Feel lonely28.1%23.7–32.9%29.6%about the same
Lack emotional support20.8%17.7–24.3%20.6%about the same
Frequent mental distress13.6%11.9–15.4%14.2%about the same
Fair or poor health18.9%16–21.9%16.1%about the same
Frequent physical distress13.8%12–15.7%11.4%worse
Everyday needs
Food insecurity10.4%8.6–12.5%10.7%about the same
Housing insecurity8.2%6.8–9.7%8.9%about the same
Utility shut-off threat5.5%4.6–6.4%5.8%about the same
No reliable transportation5.9%5.1–6.9%6.5%about the same
Receive SNAP6.7%5.4–8.3%6.7%
Disability
Any disability31.4%26.9–36%27.6%
Walking or climbing stairs15%12.7–17.3%11.2%
Thinking or memory12.3%10.6–14%12.6%
Hearing10.4%9.2–11.6%7.8%
Vision4.8%4.2–5.4%4.1%
Dressing or bathing4%3.5–4.5%3.1%
Errands alone7.7%6.7–8.7%7.1%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Black Butte door to door.
Close calls stay grayEvery figure has a margin of error. When the North Dakota figure falls inside it, we don't call Black Butte better or worse.
Why a ZIP codeCDC publishes towns like Black Butte by ZIP code. We weight the ZIP codes that cover Black Butte by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The North Dakota figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

The door’s open

Where to, neighbor?

You’re in Black Butte, NDHettinger CountyView boundary

Nearby

All towns & citiesExplore the map
Loading boundary…

Black Butte is your selected town. The feed includes posts assigned to this town, not a distance radius or ZIP code.

Neighborhoods narrow the feed further, while townwide announcements, events, and issues remain visible.

Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/15 · 2025-01-01