Elkhorn City is a city in Pike County, Kentucky, home to about 846 people across 7.7 square miles. It has no ZIP code of its own: it’s part of 41513, 41522 and 41540.
Homes sold for a median of $89 per square foot across 3 ZIP codes in the three months ending August 2026, and 2 of 3 were seller’s markets.
Part is in Elkhorn City
Part is in Elkhorn City
Part is in Elkhorn City
Each card is that ZIP code’s whole market, including any part outside Elkhorn City. Seller’s market: under 4 months of supply; buyer’s market: over 6. Methodology
We’re writing up Elkhorn City’s story and what everyday life there is like, for people thinking about moving in.
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| Nearest major airport | McGhee Tyson Airport (TYS)136 miles away |
|---|---|
| Closer regional airport | Tri-Cities Regional TN/VA Airport (TRI)58 miles away |
| Nearest city of 250,000+ | Lexington-Fayette, KY123 miles away |
| Nearest city of 1 million+ | Chicago, IL420 miles away |
Straight-line distances from the center of Elkhorn City; driving is longer.
Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.
Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.
Elkhorn City had 1,035 residents in the 2020 census, down 2% since 2000.
It’s the 267th largest of 553 towns in Kentucky by population.
Pike County grew from 22,686 residents in 1900 to 58,669 in 2020.
Pike County, 1900–2020
Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).
Average highs peak around 82°F in summer, and winter lows average 22°F. About 49.2 inches of rain and melted snow fall in a typical year, with about 38 inches of snow.
Source: NOAA 1991–2020 climate normals, Clintwood 1w, VA weather station (12 miles away).
16,918 jobs at 1,109 businesses in Pike County. The biggest industries by employees:
Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).
20 doctors and other health care providers list an office in Elkhorn City’s ZIP codes.
Nearest hospitals
Providers with an office here
| Primary care doctors | 3 |
|---|---|
| Dentists | 4 |
| Nurse practitioners and physician assistants | 7 |
| Mental health providers | 2 |
| Physical and occupational therapists | 3 |
| Optometrists | 1 |
| Pharmacies | 5 |
Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances; providers from the CMS National Plan and Provider Enumeration System (NPPES), by practice address and primary specialty.
Pharmacies
Libraries
Museums
Counts are within about 2 miles of the center of town.
Source: Map data © OpenStreetMap contributors (openstreetmap.org/copyright), as mapped by volunteers; it can miss places or include closed ones.
Public schools here are run by Pike County. Check each district’s attendance zones for a specific address.
| School | Grades | Students | Type | Distance |
|---|---|---|---|---|
| Elkhorn City Elementary SchoolElkhorn City | Pre-K–8 | 409 | Public | 2.8 mi |
| East Ridge High SchoolLick Creek | 9–12 | 360 | Public | 6.4 mi |
Source: U.S. Department of Education, NCES: Common Core of Data (2024-2025) for public schools. Listed by address; we don’t rate schools.
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Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.