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STD Testing in Belle Fourche, SD: Free, Same-Day & Confidential

Chlamydia rates in Butte County are about 53% lower than the national average. If you need STI testing in Belle Fourche, South Dakota, whether it's your first time or a routine screening, you can choose between community clinics, often low-cost or free, and private labs, which usually offer faster results and more flexible scheduling. See your options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Belle Fourche, SD

5 testing options are listed for Belle Fourche, SD. The nearest, Monument Health, is about 11.8 miles away. Compare 3 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.

Most reviewed 11.8 miles

Monument Health

Where these reviews come from

Review sources

  • Google965
  • EasySTD5
Rated 4.7 out of 5 from 970 reviews

Monument Health in Spearfish runs STI care by appointment, with testing for gonorrhea, chlamydia, syphilis, and HIV, rapid and conventional, plus same-visit treatment for bacterial infections, partner notification support, and a sliding-scale fee that applies to everyone.

Tests & treats Sliding-scale
Address
930 North 10 Street, Spearfish, SD 57783
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Website
Best for free testing 31.1 miles

Wyoming Department of Health

No ratings yet

Wyoming Department of Health in Sundance offers HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C testing entirely free, with insurance and Medicaid also accepted. Appointments are required, and bacterial STIs are treated same visit.

Read full overview Show less

No Fee Means No Deferred Care

When a test costs money, treatment gets postponed, and postponed treatment is how bacterial infections spread and hepatitis goes unmanaged for years. At Wyoming Department of Health in Sundance, every service carries no fee, so the moment of diagnosis and the decision to treat are never separated by what's in someone's wallet.

Hepatitis C and B Are on the Panel

The basic four-infection panel leaves hepatitis C and B off the table entirely, which means a clinic visit can end without answers to two significant viral infections. Wyoming Department of Health in Sundance tests for both hepatitis B and C alongside HIV, syphilis, gonorrhea, and chlamydia. All on the same appointment.

Tests & treats
Address
420½ East Main Street, Sundance, WY 82729
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 31.2 miles

Crook County Medical Services District

Where these reviews come from

Review sources

  • Google20
  • EasySTD3
Rated 4.3 out of 5 from 23 reviews

A safety-net rural health clinic about 31 miles from Belle Fourche. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
713 Oak Street, Sundance, WY 82729
Website
Premium Partner

Labcorp

Results in 1–2 days
Where these reviews come from

Review sources

  • Google82
  • EasySTD5
Rated 2.3 out of 5 from 87 reviews
Address
713 Omaha Street, Rapid City, SD 57701 50.7 miles away
Opening hours
  • Monday 7:00 AM – 5:00 PM
  • Tuesday 7:00 AM – 5:00 PM
  • Wednesday 7:00 AM – 5:00 PM
  • Thursday 7:00 AM – 5:00 PM
  • Friday 7:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Sanford Health Laboratories

Results in 1–2 days
Where these reviews come from

Review sources

  • Google21
  • EasySTD2
Rated 3.1 out of 5 from 23 reviews
Address
36 East Stumer Road, Rapid City, SD 57701 53.9 miles away
Opening hours
  • Monday 7:00 AM – 6:00 PM
  • Tuesday 7:00 AM – 6:00 PM
  • Wednesday 7:00 AM – 6:00 PM
  • Thursday 7:00 AM – 6:00 PM
  • Friday 7:00 AM – 6:00 PM
  • Saturday 8:00 AM – 12:00 PM
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

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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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Belle Fourche, SD

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.

Test from home

At-home STD testing in Belle Fourche, SD

The nearest testing center is about 12 miles away; if you'd rather skip the trip, an at-home kit ships to Belle Fourche, 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.

Also in the area

Other CLIA-certified labs near Belle Fourche, SD

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

  • Monument Health Belle Fourche Clinic

    2200 13th Avenue, Belle Fourche, SD 57717

    CMS-certified lab Accredited · COLA

    • STD testing
    Call Directions

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Belle Fourche. 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 Belle Fourche, SD who may help arrange STD testing

Beyond dedicated clinics, 33 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Belle Fourche. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.

  • Travis Ptacek, MD Telehealth

    Family medicine · 2200 13th Avenue, Belle Fourche

    Call Directions

  • Bobbi Thuen, MD

    Family medicine · 2200 13th Avenue, Belle Fourche

    Call Directions

  • Margaret Becker, MD

    Family medicine · 1420 North 10th Street, Spearfish

    Call Directions

  • Josephine Davis, MD

    Family medicine · 1440 North Main Street, Spearfish

    Call Directions

  • Heather Brewer, MD

    OB-GYN · 1445 North Avenue, Spearfish

    Call Directions

  • Deborah Kullerd, MD Telehealth

    Family medicine · 540 Falcon Crest Drive, Spearfish

    Call Directions

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 Belle Fourche, SD

No pharmacy near Belle Fourche, SD 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.

  • Lynns Dakotamart Pharmacy - Belle Fourche

    0.2 mi
    Rx pickupCondoms / EC
    Directions

  • Lynn's Dakotamart Pharmacy

    0.3 mi
    Rx pickupCondoms / EC
    Directions

  • Prairie Hills Pharmacy

    0.5 mi
    Rx pickupCondoms / EC
    Directions

  • Shopko Pharmacy 757

    1.2 mi
    Rx pickupCondoms / EC
    Directions
  • Albertsons/Safeway 11 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
    Directions

Showing the 5 closest pharmacies to Belle Fourche, SD.

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 Belle Fourche, 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.

STD stats & rates

STDs & HIV in Butte County: the local picture

How reported STI rates in Butte County, the county that includes Belle Fourche, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#39 of 66 South Dakota counties for chlamydia, a higher rate than 41% of the state

Reported STD rates per 100,000, Butte County vs South Dakota vs U.S.

Butte County South Dakota U.S. ▲▼ = Butte County vs the state average
Infection Butte County South Dakota United States
Chlamydia
230.1 25 cases ▼ 57%
531.6 492.2
Gonorrhea
82.9 9 cases ▼ 67%
253.3 179.5
Syphilis (P&S) — no data 73.4 15.8
Syphilis (early) — no data 76.8 16
Syphilis (late/unknown) — no data 72.9 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 Butte County over time (per 100,000)

Chlamydia ▼ 8% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Butte County, chlamydia has fallen from 351.5 to 230.1 per 100,000 (35%), gonorrhea has risen from 78.1 to 82.9 per 100,000 (6%), and P&S syphilis has risen from 9.8 to 18.6 per 100,000 (90%).

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 Belle Fourche, SD

Adults uninsured
9.8%
No routine checkup
24%
No transportation
8.1%
Binge drinking
18.1%
Frequent mental distress
16%
Depression
21.7%
Below poverty line
6.7%
Primary-care ratio
3,485 : 1
Butte County
  • Primary-care shortage score 14 / 26
  • Medically Underserved Area · IMU 58.6
  • Social Vulnerability Index · 54th 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 Butte County.

Local HIV snapshot

HIV in Butte County (2023)

People living with HIV
56 / 100k
PrEP users / 100k
67

Butte County HIV care continuum (2022)

Butte County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.8 statewide and 13.7 nationally. Among Butte County residents living with HIV, 88.9% are in care · 77.8% 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 Butte County tests for syphilis.

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

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

18 Sources

Local resources & officials

Data & references

Local context

About Belle Fourche, SD

Belle Fourche took its name from the two forks of the Belle Fourche River that converge near town, a landscape that shaped settlement here and continues to define the region. That same practical orientation to health and self-reliance carries through today, where residents tend to stay, build lives, and keep their affairs private. STI testing in and around Belle Fourche reflects this: straightforward, discreet, and embedded in the community's existing healthcare fabric rather than advertised as separate or stigmatized. Many who live here are in their late teens through thirties, years when routine screening becomes part of responsible sexual health.

The cost of living in Belle Fourche stays modest, and testing listed on this page sits within that same affordability. No surprise charges, no barriers disguised as inconvenience. Clinics understand that people here work steadily and value their time; appointments and results move without unnecessary delay. What matters most in a town where neighbors' paths cross regularly is that testing stays confidential in fact, not just in policy.

Results belong to you alone. Whether you're rooted in Belle Fourche long-term or passing through, the clinics serving the area treat your visit as routine health care, no different from any other screening that keeps you well.

Getting there

How residents reach STD testing in Belle Fourche, SD

Walkability 4.75 / 20 · Least walkable

At 4.75/20 on the EPA walkability index, day-to-day errands in Belle Fourche 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 5 STD & STI testing locations in Belle Fourche, South Dakota, EasySTD

ZIP 57717 snapshot

Residents
8,711
Median age
38.3
Median income
$71,326

ZIP-level Census figures for the wider 57717 area around Belle Fourche: a single ZIP can span several communities, so they describe the area, not Belle Fourche alone.

Belle Fourche sits in Butte County, ZIP 57717. Local context that shapes where residents test:

Local landmarks

  • Paolo Adventures
  • Weyler Park
  • Hermann Park
  • Highland Park
  • Tripp Family Car Collection
  • Vietnam War Memorial

Major routes

  • US 85 (5th Avenue)
  • 8th Avenue
  • SD 34 (SD Highway 34)

Reference

STD testing in Belle Fourche, SD: screening, costs & privacy

Everything to know before you test in Butte County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Dakota 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 a Belle Fourche-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
Browse all STD & STI guides

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 Belle Fourche 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 South Dakota

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on South Dakota 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 South Dakota, 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)

Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.

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 South Dakota

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 Belle Fourche, SD

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Belle Fourche, SD?

The closest is Monument Health (11.8 mi); 1 option is within 30 miles.

Does Medicaid cover STD testing?

Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.

Can I get tested in Belle Fourche, SD without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Belle Fourche, SD?

Local options test for Chlamydia, Gonorrhea, Syphilis, HIV, Hepatitis B, Hepatitis C, Herpes, Trichomoniasis, a full panel covers the common ones.

How common is chlamydia in Butte County?

About 230 cases per 100,000 residents (2023), below the South Dakota average.

Can someone under 18 get tested in South Dakota without a parent?

In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.

Are there LGBTQ-friendly testing options?

Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.

Do STDs spread from toilet seats or towels?

That's a myth; STIs need sexual contact to spread, not surfaces.

Can young people get tested confidentially?

Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.

What HIV tests can I get?

Rapid antibody tests, 4th-generation antigen/antibody lab tests, and NAT, which detects HIV soonest after exposure.

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