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STD Testing in Ashland, MT: Free, Same-Day & Confidential

Rosebud County reports about 490 gonorrhea cases annually per 100,000 residents, well above the US average. Whether you're ideally considering STI testing in Ashland, Montana before starting a new relationship or for ongoing care, there are several options. Clinics provide a place for same-day answers and treatment, while at-home kits can offer more convenience and flexibility. Use the list below to find out more.

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STD testing near Ashland, MT

4 testing options are listed for Ashland, MT. The nearest, One Health, is about 1.5 miles away. Compare 1 community and public clinic, 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.

Community health center 1.5 miles

One Health

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One Health in Ashland screens for gonorrhea, chlamydia, syphilis, and HIV, with fees adjusted through Medicaid, Medicare, and accepted insurance. Appointments are required, and STI treatment, family planning, and HPV and hepatitis B vaccination are available at the same clinic.

Tests & treats Sliding-scale
Address
501 Main Street, Ashland, MT 59003
Booking
Appointment required
Opening hours
  • Monday Closed
  • Tuesday 9:00 AM – 4:00 PM
  • Wednesday 9:00 AM – 4:00 PM
  • Thursday 9:00 AM – 4:00 PM
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every STI
Infection Earliest reliable test Conclusive after
Chlamydia 7 days after exposure 14 days after exposure
Gonorrhea 7 days after exposure 14 days after exposure
Trichomoniasis 7 days after exposure 28 days after exposure
HIV (NAT / RNA) 10 days after exposure 33 days after exposure
HIV (4th-gen Ag/Ab) 18 days after exposure 45 days after exposure
HIV (antibody) 21 days after exposure 84 days after exposure
Syphilis 21 days after exposure 42 days after exposure
Hepatitis B 21 days after exposure 42 days after exposure
Hepatitis C 56 days after exposure 77 days after exposure
Herpes (HSV) 28 days after exposure 112 days after exposure

Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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More ways to get tested in Ashland, MT

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.

At-home STD testing in Ashland, MT

The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Ashland, 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 (opens in a new tab) 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.

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.

Other CLIA-certified labs near Ashland, MT

Beyond the public testing sites above, these federally certified (CLIA) labs serve Rosebud 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.

  • Colstrip Medical Center

    6230 Main Street, Colstrip, MT 59323

    CMS-certified lab

    • STD testing
  • Northern Cheyenne Service Unit

    420 North Cheyenne Avenue, Lame Deer, MT 59043

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Rosebud Healthcare Center

    383 North 17th Avenue, Forsyth, MT 59327

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ashland. 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.

Pharmacies near Ashland, MT

No pharmacy near Ashland, MT publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.

  • Colstrip Family Pharmacy

    26 mi
    Rx pickupCondoms / EC

Showing the 1 closest pharmacy to Ashland, MT.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Ashland, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Rosebud County: the local picture

How reported STI rates in Rosebud County, the county that includes Ashland, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#3 of 56 Montana counties for chlamydia, among the very highest in the state

Reported STD rates per 100,000, Rosebud County vs Montana vs U.S.

Rosebud County Montana U.S. ▲▼ = Rosebud County vs the state average
Infection Rosebud County Montana United States
Chlamydia
1360.3 111 cases ▲ 322%
322.6 492.2
Gonorrhea
490.2 40 cases ▲ 624%
67.7 179.5
Syphilis (P&S)
612.7 50 cases ▲ 2128%
27.5 15.8
Syphilis (early)
208.3 17 cases ▲ 1580%
12.4 16
Syphilis (late/unknown)
330.9 27 cases ▲ 1117%
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 Rosebud County over time (per 100,000)

Chlamydia ▲ 29% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 700 1400 2020202120222023

Between 2020 and 2023 in Rosebud County, chlamydia has risen from 876.5 to 1360.3 per 100,000 (55%), gonorrhea has fallen from 660.3 to 490.2 per 100,000 (26%), and P&S syphilis has risen from 12.3 to 612.7 per 100,000 (4881%).

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 Ashland, MT

Adults uninsured
14.3%
No routine checkup
30.2%
No transportation
19.3%
Binge drinking
18.2%
Frequent mental distress
23.1%
Depression
26%
Below poverty line
25.9%
Primary-care ratio
2,031 : 1
Rosebud County
  • Primary-care shortage score 18 / 26
  • Medically Underserved Area · IMU 57
  • Social Vulnerability Index · 94th 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 Rosebud County.

Local HIV snapshot

HIV in Rosebud County (2023)

People living with HIV
77 / 100k
PrEP users / 100k
46

Rosebud County HIV care continuum (2022)

Rosebud County recorded 0 new HIV diagnoses per 100,000 (2022), against 3 statewide and 13.7 nationally. 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 Rosebud County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Ashland, MT

Ashland draws young adults who come for seasonal work, ranch jobs, or a stint living with family while saving: the kind of place where you might stay a year or five, where households often span generations under one roof, and where everyone works. That transient reality means STI testing in and around Ashland needs to fit lives that don't stay put, and the clinics listed on this page understand that urgency. Getting screened before moving on, or before settling in with a partner, matters just as much here as anywhere else, and the confidentiality that comes with testing, results between you and your provider, holds particular weight when your social circle overlaps with your workplace. Ashland's working rhythm leaves little room for the luxury of a long appointment wait. Testing venues in and around town accommodate that pace: some offer same-day results, others can send them securely by phone or email.

The Cheyenne Indian Museum and Main Street anchor the community's identity, but the real center of health access spreads across several locations that serve both long-term residents and those passing through. Young adults in Ashland, whether they've just arrived or have roots here, can access routine, confidential screening without fanfare. A screening is a straightforward step, not a referendum on your life choices or your plans to stay. That clarity, and the ability to get tested without broadcast, makes the difference between putting it off and actually getting it done.

Getting there

How residents reach STD testing in Ashland, MT

Walkability 5.65 / 20 · Least walkable

At 5.65/20 on the EPA walkability index, day-to-day errands in Ashland 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.

Map of 4 STD & STI testing locations in Ashland, Montana, EasySTD

ZIP 59003 snapshot

Residents
1,266
Median age
36.6
Median income
$45,461

ZIP-level Census figures for the wider 59003 area around Ashland: a single ZIP can span several communities, so they describe the area, not Ashland alone.

Ashland sits in Rosebud County, ZIP 59003. Local context that shapes where residents test:

Local landmarks

  • Cheyenne Indian Museum

Major routes

  • US 212 (US Highway 212)

STD testing in Ashland, MT: screening, costs & privacy

Everything to know before you test in Rosebud 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 when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 an Ashland-area provider.

InfectionEarliest reliable testSample
Chlamydia 1–2 weeks Urine or swab
Gonorrhea 1–2 weeks Urine or swab
Trichomoniasis 1–4 weeks Urine or swab
HIV (NAT / RNA) 10–33 days Blood
HIV (4th-gen Ag/Ab) 18–45 days Blood
HIV (antibody) 3–12 weeks Blood / oral
Syphilis 3–6 weeks Blood
Hepatitis B 3–6 weeks Blood
Hepatitis C 8–11 weeks Blood
Herpes (HSV) 4–16 weeks (antibody); swab a sore Blood / swab

What each STD test costs

Medicare 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 Ashland 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.

TestReference priceCPT / 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 Montana

Minor 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.

Learn more about confidential STD testing in Montana

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Ashland, MT

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near Ashland, MT?

Yes, several local labs offer same-day walk-in testing; best to call first.

Does insurance cover STD testing near Ashland, MT?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Can I get tested in Ashland, MT without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Ashland, MT?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Rosebud County?

Rosebud County reported ~1,360 chlamydia cases per 100,000 in 2023, above the Montana average.

Is there an at-home STD test for Ashland, MT?

At-home kits mail to 59003: self-collect, send to the lab, results in ~2–5 days.

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.

What samples are used for STD testing near Ashland, MT?

Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.

What should I do after sexual assault?

Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.

Do I wait for the window if I have symptoms?

No, symptoms mean test now; the window period only applies to symptom-free screening.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.