Health · Box Elder

Box Elder, SD health

Box Elder differs from South Dakota on 18 of 33 measures. It has fewer adults who have had cancer (5.5% vs 9.2%) and fewer adults with heart disease (4.3% vs 6.8%). Where it trails the state: more binge drinkers (23.6% vs 18.8%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Box Elder
TownTapestry Health GradeNew

Box Elder’s Health Grade: B+

On seven CDC health estimates for adults, Box Elder is healthier than 74% of U.S. towns, and than 89% of towns with similar incomes.

A-Self-rated healthAPhysical distressCMental distressB+ObesityA+DiabetesC+SmokingA-Exercise
All U.S. towns we grade (19,420)Healthier than 74%
Less healthyHealthier
South Dakota towns we grade (87)Healthier than 62%
Towns with similar incomes, $55K–$91K (9,792)Healthier than 89%

Better than its income would suggest. Box Elder is healthier than most towns with similar incomes, even though its overall grade is B+.

These are estimates. At the ends of CDC’s likely ranges, Box Elder could be anywhere from B to A.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in South Dakota ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Box Elder with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Box Elder uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Box Elder compares with South 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 Box Elder adults…

25 of every 100 Box Elder adults have high blood pressure
South Dakota: 33 in 100 · better · margin 23.1–27.3%

Bars show Box Elder; the black tick is South Dakota. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Box Elder, betterBox Elder, worseToo close to callSouth Dakota
Get no exerciseshare of adults 21.3% Box Elder
SD 24.1%
Sleep under 7 hoursshare of adults 32.3% Box Elder
SD 29.7%
Binge drinkshare of adults 23.6% Box Elder
SD 18.8%
Smoke cigarettesshare of adults 15.2% Box Elder
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

71%
Yearly checkup
SD 77%
67%
Dentist visit
SD 69%
80%
Cholesterol check
SD 85%
64%
Colon screening
SD 66%
75%
Mammogram
SD 77%
66%
Taking BP meds
SD 76%
1 in 10
working-age adults has no health insurance
Box Elder 10% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Box Elder adults are doing

1 in 4Box Elder adults have been diagnosed with depression
23.7% · South Dakota 21.2% · worse
1 in 6Box Elder adults are in frequent mental distress
18.1% · South Dakota 15.3% · worse
Disability

Living with a disability

28.8%

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

Walking or climbing stairs9.4%
Thinking or memory15.5%
Hearing5.6%
Errands alone7.4%
Vision4%
Dressing or bathing2.8%

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

Around Box Elder

Box Elder and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Box Elder.

Ashland Heights: 37.4% Rapid City: 34% Rapid Valley: 33.9% Colonial Pine Hills: 30.4% Green Valley: 33.7% Box Elder: 32.2% Box Elder Ashland Heights Rapid City Rapid Valley Monument Health Rapid City Hospital · Rapid City · 7.5 mi · 3★ MedicareH Same Day Surgery Center · Rapid City · 8.2 miH Black Hills Surgical Hospital · Rapid City · 8.3 miH Main Clinic · Rapid City · 6.1 mi+
30.4%37.4%· darker is worse for health

Obesity

#2 of 6towns on this map, healthiest first
Box Elder32.2%
Rapid Valley33.9%
Rapid City34%
Ashland Heights37.4%
6 places to get careNearest ER 7.5 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 Box Elder

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

HNearest ERMonument Health Rapid City HospitalRapid City · 7.5 miDirections →
★Best rated nearbyVA Black Hills Healthcare System★★★★★ · 28.2 miDirections →
+Low-cost careCommunity Health Center of the Black HillsRapid City · 6.1 mi · sliding-scale feesDirections →
6.1 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
7.5 mi
Monument Health Rapid City Hospital
Rapid City · ★★★★★
ER
8.2 mi
Same Day Surgery Center
Rapid City · not rated
8.3 mi
Black Hills Surgical Hospital
Rapid City · not rated
28.2 mi
VA Black Hills Healthcare System
Fort Meade · ★★★★★
ERVA
81.2 mi
Horizon Health Care
5 sites · nearest in Faith
Sliding-scale fees
Directions to nearest
! Primary careBox Elder's county is a federal shortage area.Meade County · need score 13 of 25
✓ Dental careBox Elder is not a shortage area
! Mental healthBox Elder's county is a federal shortage area.Behavior Management Systems MHCA · need score 18 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 Box Elder. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Box Elder
MeasureBox ElderMarginSouth Dakota
Chronic conditions
High blood pressure25.2%23.1–27.3%33.3%better
High cholesterol27%24.8–29.3%34%better
Obesity32.2%28.7–35.8%35.9%better
Arthritis18.3%16.7–19.9%25.8%better
Depression23.7%21.3–26.2%21.2%worse
Lost all teeth (65+)14.6%12.2–17.4%12.7%about the same
Asthma10.8%9.7–11.8%10.1%about the same
Cancer (not skin)5.5%5.1–5.9%9.2%better
Diabetes8.2%7.2–9.1%11.7%better
COPD5.1%4.5–5.6%6.7%better
Heart disease4.3%3.8–4.7%6.8%better
Stroke2.3%2.1–2.5%3.5%better
Habits
Smoke cigarettes15.2%13.4–17.1%15.2%about the same
Binge drink23.6%21–26.1%18.8%worse
Get no exercise21.3%18.8–23.9%24.1%better
Sleep under 7 hours32.3%28.9–36.2%29.7%about the same
Care & screenings
Yearly checkup70.7%67.7–73.5%76.5%worse
Dentist visit67%64.4–69.7%69.2%about the same
Cholesterol check79.7%77.6–81.5%84.8%worse
Colon screening64.3%60.9–67.8%65.5%about the same
Mammogram75.2%69.8–80.4%76.6%about the same
Taking BP meds66.2%63.3–68.8%75.9%worse
No health insurance10%8.7–11.3%8.8%about the same
Mind & connection
Frequent mental distress18.1%16.5–19.8%15.3%worse
Fair or poor health15.5%13.8–17.2%17.3%better
Frequent physical distress11%9.9–12.1%12.3%better
Disability
Any disability28.8%26–31.5%30.1%
Walking or climbing stairs9.4%8.3–10.5%12.9%
Thinking or memory15.5%14–17%13.7%
Hearing5.6%5–6.2%8.2%
Vision4%3.7–4.4%4.7%
Dressing or bathing2.8%2.5–3%3.5%
Errands alone7.4%6.7–8.2%7.8%
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 Box Elder door to door.
Close calls stay grayEvery figure has a margin of error. When the South Dakota figure falls inside it, we don't call Box Elder better or worse.
CDC's own town estimateCDC publishes Box Elder directly, so these are its own figures.

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

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/18 · 2025-01-01