Health · Madison

Madison, SD health

Madison differs from South Dakota on 6 of 33 measures. It has more adults treating high blood pressure (79.8% vs 75.9%) and more adults getting cholesterol checked (87.1% vs 84.8%). Where it trails the state: more adults with heart disease (8.4% vs 6.8%).

CDC PLACES 2025 · adults 18+ · ZIP codes 57252, 57264, 57246, 57269
TownTapestry Health GradeNew

Madison’s Health Grade: A−

On seven CDC health estimates for adults, Madison is healthier than 78% of U.S. towns, and than 95% of towns with similar incomes.

A-Self-rated healthA-Physical distressA-Mental distressA-ObesityA-DiabetesBSmokingB+Exercise
All U.S. towns we grade (19,420)Healthier than 78%
Less healthyHealthier
South Dakota towns we grade (87)Healthier than 77%
Towns with similar incomes, $49K–$82K (9,208)Healthier than 95%

Better than its income would suggest. Madison is healthier than most towns with similar incomes, even though its overall grade is A−.

These are estimates. At the ends of CDC’s likely ranges, Madison could be anywhere from C+ 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 Madison 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. Madison’s figures come from the ZIP codes that cover it, weighted by land area. 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 Madison 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 Madison adults…

37 of every 100 Madison adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 32.6–41.5%

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

Habits

Everyday habits, side by side with the state

Madison, betterMadison, worseToo close to callSouth Dakota
Get no exerciseshare of adults 26.3% Madison
SD 24.1%
Sleep under 7 hoursshare of adults 28% Madison
SD 29.7%
Binge drinkshare of adults 17.4% Madison
SD 18.8%
Smoke cigarettesshare of adults 15.5% Madison
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
SD 77%
70%
Dentist visit
SD 69%
87%
Cholesterol check
SD 85%
69%
Colon screening
SD 66%
77%
Mammogram
SD 77%
80%
Taking BP meds
SD 76%
1 in 11
working-age adults has no health insurance
Madison 8.7% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Madison adults are doing

1 in 5Madison adults have been diagnosed with depression
19.6% · South Dakota 21.2% · too close to call
1 in 7Madison adults are in frequent mental distress
14.1% · South Dakota 15.3% · too close to call
Disability

Living with a disability

31.3%

of Madison adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs14.5%
Thinking or memory13%
Hearing9.8%
Errands alone7.8%
Vision4.7%
Dressing or bathing3.8%

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

Around Madison

Madison 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 Madison.

Grant Center: 37.1% Georgia: 37.6% Stockholm: 38.1% Vernon: 37.3% Milbank: 36.5% Alban: 37.4% Twin Brooks: 37.2% Strandburg: 36.9% Portland: 36.3% Troy: 36.9% Adams: 37.4% Leola: 35.5% Walter: 34.8% Madison: 37.7% Madison Grant Center Georgia Stockholm Vernon Milbank Area Hospital/Avera Health · Milbank · 7.7 miH
34.8%38.1%· darker is worse for health

Obesity

#13 of 14towns on this map, healthiest first
Grant Center37.1%
Vernon37.3%
Georgia37.6%
Madison37.7%
Stockholm38.1%
6 places to get careNearest ER 7.7 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 Madison

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

HNearest ERMilbank Area Hospital/Avera HealthMilbank · 7.7 miDirections →
★Best rated nearbyPrairie Lakes Healthcare System★★★★★ · 24.6 miDirections →
+Low-cost careRural Health CareBrookings · 55.2 mi · sliding-scale feesDirections →
7.7 mi
Milbank Area Hospital/Avera Health
Milbank · not rated
ERRural critical access
22 mi
Sanford Clear Lake Medical Center
Clear Lake · not rated
ERRural critical access
22.8 mi
Ortonville Area Health Services
Ortonville · not rated
ERRural critical access
24.6 mi
Prairie Lakes Healthcare System
Watertown · ★★★★★
ER
55.2 mi
Rural Health Care
2 sites · nearest in Brookings
Sliding-scale fees
Directions to nearest
61.2 mi
Horizon Health Care
5 sites · nearest in Lake Preston
Sliding-scale fees
Directions to nearest
✓ Primary careMadison is not a shortage area
✓ Dental careMadison is not a shortage area
! Mental healthMadison's county is a federal shortage area.Human Services Agency - MHCA 5A · need score 19 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 Madison. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Madison
MeasureMadisonMarginSouth Dakota
Chronic conditions
High blood pressure36.9%32.6–41.5%33.3%about the same
High cholesterol37.1%32.6–41.9%34%about the same
Obesity37.7%29.8–46.2%35.9%about the same
Arthritis29.9%26.3–33.7%25.8%worse
Depression19.6%16.4–23.2%21.2%about the same
Lost all teeth (65+)10.9%8.8–13.2%12.7%about the same
Asthma9.8%8.6–11.1%10.1%about the same
Cancer (not skin)11.2%10.1–12.3%9.2%worse
Diabetes12.8%11–15%11.7%about the same
COPD7.9%6.6–9.4%6.7%about the same
Heart disease8.4%7.3–9.6%6.8%worse
Stroke4.2%3.6–4.7%3.5%worse
Habits
Smoke cigarettes15.5%12.8–18.5%15.2%about the same
Binge drink17.4%14.4–20.9%18.8%about the same
Get no exercise26.3%21.6–31.4%24.1%about the same
Sleep under 7 hours28%22.3–34.6%29.7%about the same
Care & screenings
Yearly checkup78.1%74.5–81.5%76.5%about the same
Dentist visit70.3%66.8–73.6%69.2%about the same
Cholesterol check87.1%85.3–88.9%84.8%better
Colon screening68.7%63.6–73.4%65.5%about the same
Mammogram77.1%69.5–83.5%76.6%about the same
Taking BP meds79.8%76.8–82.6%75.9%better
No health insurance8.7%7–10.8%8.8%about the same
Mind & connection
Frequent mental distress14.1%12.3–16%15.3%about the same
Fair or poor health17.9%15–21.3%17.3%about the same
Frequent physical distress13.5%11.6–15.5%12.3%about the same
Disability
Any disability31.3%26.7–36%30.1%
Walking or climbing stairs14.5%12.1–17.2%12.9%
Thinking or memory13%11.2–15%13.7%
Hearing9.8%8.6–11.2%8.2%
Vision4.7%4.1–5.5%4.7%
Dressing or bathing3.8%3.2–4.5%3.5%
Errands alone7.8%6.6–9.1%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 Madison 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 Madison better or worse.
Why a ZIP codeCDC publishes towns like Madison by ZIP code. We weight the ZIP codes that cover Madison by how much of its land each one covers.

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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