STD Testing in Lewistown, MT: Free, Same-Day & Confidential
Gonorrhea rates in Fergus County run about 81% lower than the US average. If you've had a recent risk and live in Lewistown, Montana, or simply test on a regular schedule, you can weigh the convenience of an at-home kit against the personalized care of a local clinic.
8 testing options are listed for Lewistown, MT. The nearest, Benefis Health System, is about 0.8 miles away. Compare 5 community and public clinics, private labs, and at-home kits below.
How to read these listings
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Closest to you 0.8 miles
Benefis Health System
No ratings yet
Benefis Health System in Lewistown charges on a sliding scale tied to income, so cost doesn't determine who gets care. Syphilis, gonorrhea, chlamydia, and HIV screening are available by appointment at this federally supported community health clinic.
One Health in Lewistown tests for gonorrhea, chlamydia, syphilis, and HIV, with fees billed to Medicaid, Medicare, or private insurance and a standard fee schedule for others. HPV and hepatitis A and B vaccines are available, and bacterial STIs are treated at the same visit. Appointments are required.
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Community health center 1.6 miles
One Health - Lewistown Annex
3.0(27)?
Review sources
Google24
EasySTD3
Rated 3 out of 5 from 27 reviews
One Health - Lewistown Annex serves cash-paying patients, those between insurance plans, and anyone whose income makes standard clinic fees a stretch, and its federal qualification as a health center means sliding-scale pricing is built into how it operates. STI screening for syphilis, gonorrhea, and chlamydia is available without an appointment.
Sliding-scale
Address
207 West Main Street, Suite 5, Lewistown, MT 59457
One Health - CMHD in Lewistown carries federally qualified health center standing, which means its sliding-scale fees are tied directly to household income: making syphilis, gonorrhea, and chlamydia screening genuinely affordable regardless of what someone earns or whether they carry insurance.
Fergus County Health Department in Lewistown runs STI care by appointment, so scheduling ahead means arriving to a full visit: gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis testing, same-visit bacterial treatment, and a sliding-scale fee that applies to everyone.
Read full overviewShow less
Interpretation Services Close the Language Gap
Many local health offices leave non-English speakers to manage clinical conversations on their own, without meaningful language support built into the visit. Fergus County Health Department has interpretation services available for non-English languages, so the clinical conversation itself (history, results, treatment) carries through clearly.
Herpes and Hepatitis Testing Alongside the Core Panel
Without a regular provider and paying out of pocket, getting herpes or hepatitis testing usually means a separate appointment somewhere else. Fergus County Health Department tests for herpes, hepatitis A, B, and C alongside gonorrhea, chlamydia, syphilis, and HIV. One appointment handles what would otherwise take multiple referrals.
Tests & treatsSliding-scale
Address
300 1st Avenue North, Suite 202 Lewistown, MT 59457
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
The nearest testing center is less than a mile away, if you'd rather skip the trip, an at-home kit ships to Lewistown, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Other CLIA-certified labs near Lewistown, MT
Beyond the public testing sites above, these federally certified (CLIA) labs serve Fergus County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
Showing 2 of the CLIA-certified labs in Fergus County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lewistown. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Clinicians near Lewistown, MT who may help arrange STD testing
Beyond dedicated clinics, 13 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lewistown. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
Pharmacies near Lewistown, MT
Compare the pharmacies closest to Lewistown, MT. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 6 closest pharmacies to Lewistown, MT.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Lewistown, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
PrEP & DoxyPEP
Mistr
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
STDs & HIV in Fergus County: the local picture
How reported STI rates in Fergus County, the county that includes Lewistown, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#38
#38 of 56 Montana counties for chlamydia, a higher rate than 32% of the state
Reported STD rates per 100,000, Fergus County vs Montana vs U.S.
Fergus CountyMontanaU.S.▲▼ = Fergus County vs the state average
Infection
Fergus County
Montana
United States
Chlamydia
110.413 cases▼ 66%
322.6
492.2
Gonorrhea
344 cases▼ 50%
67.7
179.5
Syphilis (P&S)
8.51 cases▼ 69%
27.5
15.8
Syphilis (early)
8.51 cases▼ 31%
12.4
16
Syphilis (late/unknown)
—
27.2
29.5
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Reported STD rates in Fergus County over time (per 100,000)
Chlamydia ▲ 43% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Fergus County, chlamydia has fallen from 192.2 to 110.4 per 100,000 (43%), gonorrhea has fallen from 34.9 to 34 per 100,000 (3%), and P&S syphilis has held roughly steady from 8.5 to 8.5 per 100,000.
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
What shapes testing access in and around Lewistown, MT
Adults uninsured
9.6%
No routine checkup
25.8%
No transportation
7.5%
Binge drinking
18%
Frequent mental distress
16.5%
Depression
23.3%
Below poverty line
15.1%
Primary-care ratio
1,162 : 1
Fergus County
Primary-care shortage score 12 / 26
Medically Underserved Area · IMU 52.5
Social Vulnerability Index · 38th percentile nationally
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Fergus County.
Local HIV snapshot
HIV in Fergus County (2023)
People living with HIV
50 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
60
Fergus County HIV care continuum (2023)
Fergus County recorded 0 new HIV diagnoses per 100,000 (2023), against 3 statewide and 13.7 nationally. Among Fergus County residents living with HIV, 100% are in care · 100% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Pregnant or planning to be?Congenital syphilis is the fastest-rising STI: what to test, and when
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Fergus County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Lewistown households tend to run on partnership: nearly half of adults here are married, and in homes averaging close to three people, health decisions rarely happen in isolation. When one person puts off a screening, the ripple touches a whole family. That dynamic makes accessible testing less a personal convenience and more a practical necessity for households where schedules, childcare, and shared finances all weigh in. Those finances are real. With most residents owning rather than renting and typical home values well under the Montana average, budgets here aren't loose.
$783 a month in rent for the third who don't own still leaves limited room for unexpected medical costs. Younger adults in Lewistown, people in their late teens and twenties navigating early relationships and often working outside the labor force or in lower-wage jobs, benefit most from the low- and no-cost options listed on this page, precisely because cost is the variable most likely to make a test wait another month. Getting around also takes planning. The options listed here reflect a real spread of hours and fee structures, giving Lewistown residents something concrete to match against whatever Tuesday actually looks like.
Getting there
How residents reach STD testing in Lewistown, MT
Walkability5.55 / 20 · Least walkable
At 5.55/20 on the EPA walkability index, day-to-day errands in Lewistown generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 59457 snapshot
Residents
9,215
Median age
46.3
Median income
$59,682
ZIP-level Census figures for the wider 59457 area around Lewistown: a single ZIP can span several communities, so they describe the area, not Lewistown alone.
Lewistown sits in Fergus County, ZIP 59457. Local context that shapes where residents test:
Local landmarks
Fred Robinson Park
Kiwanis Park
Jaycees Park
Lewistown Art Center
Frank Day Park
Mill Ditch Park
Major routes
US Highway 87
West Main Street
US 191 (Truck Bypass)
1st Avenue North
East Main Street
Nearby cities & towns
STD testing near Lewistown, MT
Just outside Lewistown? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Lewistown, MT: screening, costs & privacy
Everything to know before you test in Fergus County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Montana law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
Based on current CDC screening recommendations.
Group
Tests
How often
Everyone aged 13–64
HIV
At least once
Sexually active women under 25
Chlamydia, gonorrhea
Every year
Women 25+ with new or multiple partners
Chlamydia, gonorrhea
Every year
Pregnant people
HIV, syphilis, hepatitis B & C, chlamydia
Early in pregnancy
Gay & bisexual men (MSM)
Chlamydia, gonorrhea, syphilis, HIV
Every 3–6 months
Anyone who shares injection equipment
HIV, hepatitis B & C
At least yearly
All adults at least once
Hepatitis C
At least once
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Lewistown-area provider.
What each STD test costsMedicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Lewistown often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
Test
Reference price
CPT / HCPCS
Chlamydia (NAAT)
$47.80
87491
Gonorrhea (NAAT)
$47.80
87591
Trichomoniasis (NAAT)
$47.76
87661
HIV-1/2 antigen/antibody
$26.87
87389
HIV-1/2 antibody
$22.44
86703
Syphilis (RPR/VDRL)
$5.61
86592
Syphilis (treponemal antibody)
$17.49
86780
Herpes (HSV NAAT)
$47.76
87529
Hepatitis B surface antigen
$15.33
87340
Hepatitis C antibody
$29.16
86803
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Confidentiality & consent in MontanaMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Montana law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
Can a minor consent on their own?
In Montana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Montana permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
STD testing FAQs for Lewistown, MT
Answers to the questions people ask most before getting tested.
How many places can I test near Lewistown, MT?
There are 5 options within a 30-mile drive.
Does insurance cover STD testing near Lewistown, MT?
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Where can I get tested for free near Lewistown, MT?
Public health clinics nearby provide free testing.
What's included in a full panel near Lewistown, MT?
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
How common is chlamydia in Fergus County?
Fergus County reported ~110 chlamydia cases per 100,000 in 2023, below the Montana average.
Can someone under 18 get tested in Montana without a parent?
In Montana, people under 18 can consent to confidential STD testing and treatment on their own.
How do I tell a partner I tested positive?
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
How do I prepare for an STD test near Lewistown, MT?
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Clinic or at-home test, which is better near Lewistown, MT?
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Is STD testing part of prenatal care?
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
