City safety & data profile

SpearfishSD

Spearfish, SD is a 11K-resident city in Lawrence County with a median household income of $65,688.

Lawrence County, South Dakota. Federal health, economic, and safety indicators for Spearfish, drawn from the U.S. Census Bureau American Community Survey, CDC PLACES, and CMS Hospital Compare. Spearfish has a population larger than 8% of the 4,640 U.S. cities Areazine tracks, a median home value of $346,200, and 1 hospital serving the surrounding area.

Data updated 2026-09-04

11K
Population (place)
Bottom 9%
By size
$65,688
Median income (place)
$346,200
Median home (place)
15.2%
Poverty rate (place)
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The read on Spearfish

Spearfish posts a median household income higher than 30% of U.S. cities Areazine tracks, where 1 hospital serves the Spearfish area.

Bottom 31%
by median income, US cities
1
hospital in & near Spearfish

Where Spearfish income ranks nationally

Median household income vs. every place Areazine profiles (place-level ACS)

$65,688 Bottom 30% higher than 30% of 3,889 places Areazine profiles

Spearfish $0 $260,000 every profiled place, bucketed by value

Each bar is a $20K-wide band; taller bars hold more places Areazine profiles. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source U.S. Census Bureau, American Community Survey (place-level) · 2024 ACS 5-year

Largest cities in SD

Population among 11 SD places with 10,000+ residents and ACS income on Areazine. Tooltip shows the income rank in the same pool.

residents

What this shows Sioux Falls is the largest SD city on this list; Pierre leads median income.

Source U.S. Census Bureau, American Community Survey (place-level) As of 2024 ACS 5-year

Highest median incomes in SD

Median household income among the same 11-city pool. Tooltip shows the population rank.

median

What this shows Pierre posts the highest place-level median income in SD; Sioux Falls is largest by headcount.

Source U.S. Census Bureau, American Community Survey (place-level) As of 2024 ACS 5-year

The quick read

Reading Spearfish, SD beyond the headline numbers

Spearfish sits inside Lawrence County, South Dakota, at roughly 44.49°N, -103.86°W. Population 11,283, $65,688 median household income. Median home value $346,200, median rent $963. Poverty rate 15.2%, read against that income figure since two cities on the same median can differ underneath it.

1 hospital in/around Spearfish, 4/5 avg rating, 1 with an ER.

Poverty in Spearfish, SD stands at 15.2%, above the midpoint of reporting cities. A median income can look comfortable while a share this size sits well beneath it, which is why the two figures belong together.

The median home in Spearfish costs around 5.3 times what a median household earns in a year -- the most expensive quarter of reporting cities, and far enough ahead of local pay that ownership is largely closed to median earners.

Only 6.6% of Spearfish workers report working from home, the lowest quarter of reporting cities -- an economy still built around showing up somewhere.

Among the CDC measures on this page, binge drinking departs furthest from its peer median: 19.7% in Spearfish, the highest-prevalence quarter of the 3,759 cities reporting that measure.

Sources: U.S. Census ACS, CDC PLACES, CMS Hospital Compare, plus live alerts for Spearfish from FEMA, NOAA, FDA, and CPSC. Economic comparison bars use the unweighted average across tracked Census places with a reported value, not a household-weighted national median.

Population (place)
11,283
Spearfish · Census Place
Median Income (place)
$65,688
-27% vs avg
Median Home Value (place)
$346,200
-16% vs avg
Median Age (place)
40
years · ACS place

10-Year Trends 2013–2024

County-level trend (Lawrence County): Spearfish's own historical series isn't separately published by the Census Bureau, so these year-over-year figures track the surrounding county, not the city alone.

20132024
Population
27K+12%
Median Income
$73,384+70%
Median Home Value
$346,500+107%
Poverty Rate
11.6%-19%
Unemployment
1.7%-61%

Economics

Economics indicators for Spearfish, SD
IndicatorValue
Median Rent
$963/mo
Poverty Rate
15.2% +23% vs avg
Unemployment 2.2%
Bachelor's Degree+ 41.8%
Work From Home 6.6%
Public Transit 1.3%

Population

White 88.5%
African American 0.5%
Asian 0.6%
Two or More Ethnicities 6.5%

Health Profile 15 measures

Health Indicators

Obesity
30.7%
High Blood Pressure
29.1%
Short Sleep Duration
28%
Physical Inactivity
22.1%
Binge Drinking
19.7%
Frequent Mental Distress
15%
Current Smoking
12.7%
Frequent Physical Distress
11.7%
Current Asthma
10.2%
Diabetes
9.6%

Preventive Care

Dental Visit 72.2%
Annual Checkup 73.9%

Other Measures

Lack of Health Insurance
8.1%
Coronary Heart Disease
6.6%
Stroke
3.4%

Hospitals 1 total

Rating Distribution
★★★★★
0
★★★★
1
★★★
0
★★
0
0
Average Rating
4/5
Total Hospitals
1
With ER
1
MONUMENT HEALTH SPEARFISH HOSPITAL
SPEARFISH · Acute Care Hospitals · ER
★★★★☆

What alerts and safety updates affect Spearfish?

No area-tagged alerts are on record for Spearfish right now. New federal and counterpart-agency notices still land in the site feed as agencies publish them.

City alert dispatch desk

Sheet SD-SPEARFISH · Spearfish

Spearfish: no area-tagged alerts on record — state hubs carry the live CAP stream.

  • FEED-QUIET No tagged alerts
  • LEAD-NONE Feed idle
  • DESK-IDLE Awaiting feed

Counts reflect published articles tagged to Spearfish; untagged NOAA county warnings may still appear in the site feed. Browse South Dakota state hubs · Methodology

Read with this city profile

Frequently Asked Questions 6

What is the population of Spearfish, SD?
Spearfish, SD has a population of 11,283 people, located in Lawrence County, South Dakota.
What is the median household income in Spearfish?
The median household income in Spearfish, SD is $65,688 per year, per the U.S. Census ACS. The poverty rate is 15.2%.
What is the median home value in Spearfish?
The median home value in Spearfish, SD is $346,200. Median rent is $963/month.
What are the top health concerns in Spearfish?
The top health indicators in Spearfish include Obesity (30.7%), High Blood Pressure (29.1%), Short Sleep Duration (28%). Data from CDC PLACES.
How many hospitals are in Spearfish?
Spearfish has 1 hospital with an average rating of 4/5 stars. 1 have emergency departments.
What is the median age in Spearfish?
The median age in Spearfish, SD is 40 years. 41.8% of residents have a bachelor's degree or higher.

Nationwide cities with similar poverty or income 8

Two ACS-derived peer sets for Spearfish, both outside South Dakota so the neighborhoods are not the geographic nearby list below.

Similar poverty rate

Nearest place-level ACS poverty rates outside SD (15.2% here).

Similar median income

Nearest place-level ACS median household incomes outside SD ($65,688 here).

Compare Spearfish with another city

Pick a second U.S. city to open a side-by-side profile on population, income, health, and hospitals, the same federal datasets as this page.

Quick picks:

Nearby Cities 8

Using Spearfish's profile

Use this as a starting research checklist, not a verdict on whether to live here.

  • Check live recalls, weather and hazard alerts scoped to the Spearfish area before relying on national headlines. Check your area
  • Read the poverty rate alongside the income figure, two places with the same median can have very different realities.
  • Compare Spearfish against South Dakota peers on any ranking lens. Explore South Dakota

Population and economics (income, home value, poverty, education) are place-level U.S. Census ACS; health is CDC PLACES; hospital counts reflect facilities in and around the city. County-level trends are labeled when shown.

Data Sources

All data on this page comes from official U.S. government sources. Population and economic data from the Census Bureau American Community Survey (2024 5-year estimates, place geography). Health data from the CDC PLACES program (2023). Hospital ratings from CMS Hospital Compare (2024). Climate data from NOAA. Education data from NCES. Cost of living from Bureau of Economic Analysis. Crime statistics, where referenced on Areazine, originate from the FBI Crime Data Explorer. Housing market figures referenced on Areazine come from HUD Fair Market Rents. Census economics and population are at place geography; some health and hospital indicators are reported at the county level (Lawrence County) where that is the smallest published unit.

Every figure on Areazine is published directly from official U.S. government sources, no number is typed in by an editor. City demographic and health figures are compiled directly from U.S. Census (place-level ACS), CDC, and CMS releases, updated quarterly within 30 days of upstream release. County-level trends are labeled when shown. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026.