RANKING · 2024 ACS · 19 SHOWN OF 19

Highest uninsured rate, South Dakota cities

South Dakota cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 19 cities in South Dakota that qualify, ranked against each other statewide.

South DakotaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Belle Fourche, SDSD5,79114.1%−25%

02Box Elder, SDSD13,93610.0%−5%

03Rapid City, SDSD80,5899.8%−19%

04Vermillion, SDSD11,7209.5%+36%

05Sturgis, SDSD6,9229.0%−52%

06Rapid Valley, SDSD6,9758.8%−21%

07Huron, SDSD14,6078.7%−20%

08Mitchell, SDSD15,7568.5%−6%

09Spearfish, SDSD14,1548.4%+25%

10Sioux Falls, SDSD213,7488.1%+5%

11Pierre, SDSD13,8487.4%+12%

12Watertown, SDSD23,7367.0%−11%

13Yankton, SDSD15,8166.1%−27%

14Aberdeen, SDSD27,9615.5%−29%

15Brookings, SDSD25,3555.5%+0%

16Madison, SDSD6,0654.6%−36%

17Brandon, SDSD11,3064.6%+5%

18Harrisburg, SDSD10,4053.1%−21%

19Tea, SDSD8,0193.0%+7%

SHOWING 1–19 OF 19

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES