Reported gonorrhea in Shasta County runs about 44% lower than the US average. Whether it's your first STI test or a routine screening in Big Bend, California, choose between same-day testing at some local clinics or more flexible scheduling with labs and at-home kits.
Available testing centers
6 testing options are listed for Big Bend, CA. The nearest, Hill Country Community Clinic, is about 14.3 miles away. Compare community and public clinics, private labs, and at-home kits below.
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.
A public safety-net federally qualified health center about 14 miles from Big Bend. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Hill Country Health and Wellness Center in Round Mountain schedules appointments for gonorrhea, chlamydia, syphilis, herpes, HIV, and TB testing, with same-visit treatment for bacterial infections, sliding-scale fees, and HPV, hepatitis A, and hepatitis B vaccines. Care delivered in Spanish.
Clinics running a basic four-infection panel routinely omit herpes, leaving patients to seek a separate appointment elsewhere. Hill Country Health and Wellness Center tests for herpes alongside gonorrhea, chlamydia, syphilis, HIV, and TB. One visit covers what typically takes two.
An STI diagnosis often arrives alongside circumstances a standard testing clinic isn't equipped to address, substance use among them, which typically means a separate referral to a separate system. Hill Country Health and Wellness Center carries substance-use treatment on-site, so both needs land in the same clinical relationship.
When a clinic can't deliver care in Spanish, the consequence is concrete: instructions misunderstood, follow-up missed, treatment delayed. At Hill Country Health and Wellness Center, STI counseling, medication adherence education, and treatment are conducted in Spanish. No gap between what's said and what's acted on.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each 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.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
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
The nearest testing center is about 14 miles away; if you'd rather skip the trip, an at-home kit ships to Big Bend, 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.
In-home collection
$79 & up
Best for simplicity & support
$89 & up
Best range: couples & full panels
$79 & up
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
Beyond the public testing sites above, these federally certified (CLIA) labs serve Shasta 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.
2175 Rosaline Avenue, Redding, CA 96001
CMS-certified lab Accredited · College of American Pathologists
351 Hartnell Avenue, Redding, CA 96002
CMS-certified lab Accredited · Joint Commission
2175 Rosaline Avenue, Redding, CA 96001
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Big Bend. 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
Beyond dedicated clinics, 23 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Big Bend. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.
Mirtha Balcazar, MD
Internal medicine · 29632 East Hwy 299, Round Mountain
Aaron Babb, MD
Family medicine · 37491 Enterprise Drive, Burney
Sean Munroe, MD
Internal medicine · 43563 State Hwy 299 East, Fall River Mills
Sarah Gilman-Short, MD
Family medicine · 101 Old Mccloud Road, Mount Shasta
Michael Staszel, DO Telehealth
Family medicine · 822 Pine Street, Mount Shasta
Harvey Sternberg, MD
Family medicine · 824 Pine Street, Mount Shasta
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
No pharmacy near Big Bend, CA 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.
16 mi 
16 mi Fall River Pharmacy
26 miMayers Pharmacy
26 mi
29 mi Showing the 5 closest pharmacies to Big Bend, CA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Big Bend, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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
How reported STI rates in Shasta County, the county that includes Big Bend, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~14% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#40 of 58 California counties for chlamydia, a higher rate than 31% of the state
| Infection | Shasta County | California | United States |
|---|---|---|---|
| Chlamydia | 287.2 518 cases ▼ 42% | 491.1 | 492.2 |
| Gonorrhea | 100.4 181 cases ▼ 47% | 190.2 | 179.5 |
| Syphilis (P&S) | 42.1 76 cases ▲ 158% | 16.3 | 15.8 |
| Syphilis (early) | 9.4 17 cases ▼ 51% | 19.1 | 16 |
| Syphilis (late/unknown) | 29.4 53 cases ▼ 37% | 46.7 | 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.
Between 2020 and 2023 in Shasta County, chlamydia has fallen from 347 to 287.2 per 100,000 (17%), gonorrhea has fallen from 203.7 to 100.4 per 100,000 (51%), and P&S syphilis has fallen from 59.8 to 42.1 per 100,000 (30%).
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
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 Shasta County.
Local HIV snapshot
Shasta County HIV care continuum (2023)
Shasta County recorded 7.2 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Shasta County residents living with HIV, 86% are in care · 75.4% 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.
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 Shasta County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Oil refinery work and timber operations have long anchored Big Bend's economy, trades that bring crews together for extended shifts and seasonal cycles. Those rhythms mean screening for sexually transmitted infections fits best into deliberate planning rather than spontaneous clinic visits. Young adults working these trades, and those in service roles supporting them, benefit from knowing where confidential testing happens in and around Big Bend, without the pressure of a crisis or a partner's ultimatum forcing the decision. Testing sites listed on this page serve people who want results without fanfare. The clinics here understand that in a town where people see each other regularly, discretion matters.
Your test results stay with you; no automatic reporting reaches an employer or spreads through a workplace grapevine. That separation between health screening and daily life is real, not theoretical. Oak Mountain and Bee Knoll sit near Big Bend's working edges, and the testing resources available across the area reflect the town's practical character. Whether you're between jobs, starting something new, or simply keeping routine health habits on track, the providers listed serve straightforward clinical needs without judgment or unnecessary questions.
Getting there
At 9.15/20 on the EPA walkability index, day-to-day errands in Big Bend 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 96011 snapshot
ZIP-level Census figures for the wider 96011 area around Big Bend: a single ZIP can span several communities, so they describe the area, not Big Bend alone.
Big Bend sits in Shasta County, ZIP 96011. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Big Bend? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Shasta County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
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 |
Testing too early can return a false negative, confirm timing with a Big Bend-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| 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 |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Big Bend 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.
Two things that actually depend on California 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).
In California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Closest is Hill Country Community Clinic (14.3 mi), or order an at-home kit to 96011.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 287 cases per 100,000 residents (2023), below the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, partners should test and be treated together to avoid passing it back and forth.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.