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 2026-07-20

11K
Population
Top 92%
By size
$65,688
Median income
$346,200
Median home
15.2%
Poverty rate

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.

Top 70%
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

$0–$20,000: 0 places Areazine profiles (0%). Below this entry. $20,000–$40,000: 71 places Areazine profiles (2%). Below this entry. $40,000–$60,000: 788 places Areazine profiles (20%). Below this entry. $60,000–$80,000: 1,055 places Areazine profiles (27%). This entry sits in this band. $80,000–$100,000: 768 places Areazine profiles (20%). Above this entry. $100,000–$120,000: 515 places Areazine profiles (13%). Above this entry. $120,000–$140,000: 308 places Areazine profiles (8%). Above this entry. $140,000–$160,000: 171 places Areazine profiles (4%). Above this entry. $160,000–$180,000: 92 places Areazine profiles (2%). Above this entry. $180,000–$200,000: 47 places Areazine profiles (1%). Above this entry. $200,000–$220,000: 28 places Areazine profiles (1%). Above this entry. $220,000–$240,000: 18 places Areazine profiles (0%). Above this entry. $240,000–$260,000: 28 places Areazine profiles (1%). Above this entry. SD $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

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.

CDC PLACES: Spearfish's highest-prevalence health measure is obesity at 30.7%, then high blood pressure at 29.1%. 1 hospital in/around Spearfish, 4/5 avg rating, 1 with an ER.

Sources: U.S. Census ACS, CDC PLACES, CMS Hospital Compare, plus live alerts for Spearfish from FEMA, NOAA, FDA, and CPSC. Comparison bars benchmark each metric against the national reference.

Population
11,283
Spearfish
Median Income
$65,688
-3% vs avg
Median Home Value
$346,200
+52% vs avg
Median Age
40
years

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% +7% 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
★★★★☆

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.

Safety Context

Spearfish, SD is located in Lawrence County, South Dakota. With a population of 11K and a $65,688 median household income, the community faces health challenges including obesity and high blood pressure. Residents have access to 1 hospital with an average rating of 4/5 stars. Safety alerts for the Spearfish area are monitored from federal and state agencies including FEMA, NOAA, FDA, and CPSC.

Safety Guides

Primary source data

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.

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, CDC, and CMS releases, updated quarterly within 30 days of upstream release. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026.