Burleigh residents reported 21% more gonorrhea cases than the US average last year. If you're in Bismarck, North Dakota for a one-time concern or regular check-ups, your choices for testing are community clinics offering low-cost or free services, or private labs with faster results and more scheduling options. See your options listed below.
Available testing centers
11 testing options are listed for Bismarck, ND. The nearest, Essentia Health, is about 0.6 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.
Essentia Health in Bismarck brings STI testing within a full health system, pairing gonorrhea, chlamydia, syphilis, conventional HIV, and herpes screening with TB testing and treatment, HPV and hepatitis A and B vaccines, and STI treatment on a fee-based schedule with Medicaid, Medicare, and insurance accepted. Appointment required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
CHI St Alexius Health in Bismarck covers the full standard panel (HIV, syphilis, gonorrhea, chlamydia, and hepatitis) with same-visit treatment for bacterial infections; fees slide with income, and all services are provided at no fee.
The sliding-scale structure at CHI St Alexius Health bottoms out at zero, every service on the menu, from testing through treatment, carries no attached charge. That applies equally to PrEP initiation, mpox vaccination, and HIV medical management, with no service carved out.
CHI St Alexius Health holds a standing capacity to prescribe and manage PrEP for anyone seeking ongoing HIV prevention: useful for someone without a primary care provider, or who wants prevention and testing handled by the same clinical team. PEP is also available for post-exposure management.
Beyond the bacterial STI panel, CHI St Alexius Health tests for hepatitis A, hepatitis B, and hepatitis C as discrete lab orders. Meaning chronic or acute hepatitis exposure surfaces through the same appointment rather than requiring a separate clinical encounter. Hepatitis A and B vaccines are also on-site.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
UND Center for Family Medicine in Bismarck tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C on a sliding-scale fee with insurance and Medicaid accepted; bacterial infections are treated the same visit, and an appointment is required.
PrEP here is a clinical relationship: the prescribing physician monitors kidney function and STI status on the regular lab schedule the medication requires, and PEP is dispensed and overseen at the same site. Uninsured patients have a dedicated cost pathway for PrEP specifically, keeping the prescription from stalling at the pharmacy.
The usual four-infection screen (HIV, syphilis, gonorrhea, chlamydia) is where many testing sites stop, but UND Center for Family Medicine adds herpes and hepatitis C testing to the panel, infections whose absence from a standard workup can leave gaps a patient wouldn't know to ask about.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Sanford Health in Bismarck covers gonorrhea, chlamydia, syphilis, and HIV testing at no fee, with Medicaid and Medicare accepted and a fee structure for other payers. Same-visit treatment is available for bacterial STIs, HPV and mpox vaccines are on-site, and appointments are required.
The no-cost model here is operational, not cosmetic: Sanford Health's own clinical staff administer, prescribe, and monitor every service (testing, treatment, and vaccines) without billing the patient. Nothing is contracted out to a lower tier of care to hit the price point.
Sanford Health in Bismarck carries both PrEP and PEP as standing clinical offerings: meaning the prescribing, follow-up labs, and ongoing management happen here. Someone without a regular provider, or paying out of pocket, can begin and maintain a prevention regimen in one place.
Sanford Health treats hepatitis C on-site, which means a confirmed diagnosis moves directly into a treatment plan managed by the same clinic. Cutting the lag time between knowing and starting antivirals.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A public STD-testing site about 1 mile from Bismarck.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Bismarck Clinic, in Bismarck, welcomes walk-ins for STI screening without an appointment. Federal qualification anchors its sliding-scale fee structure, tying costs to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making same-day screening straightforward for anyone who walks through the door.
Tests offered
Fees & payment
Bismarck-Burleigh Public Health Department in Bismarck schedules appointments for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB testing, with same-visit treatment for bacterial infections, HPV and hepatitis A/B vaccines, and sliding-scale fees. Every service provided at no charge.
The no-fee structure at Bismarck-Burleigh Public Health isn't a discount program with eligibility gates, it's the operating baseline. Testing, treatment, vaccines, and counseling are all delivered without a charge attached, funded through the department's public health mandate rather than billed against a patient's visit.
When a non-English-speaking patient schedules at Bismarck-Burleigh Public Health, interpretation services are coordinated as part of that appointment. Not improvised at the desk. Clinical conversations about diagnosis, treatment instructions, and prevention happen through a structured language support process built into the scheduling workflow.
Bismarck-Burleigh Public Health runs hepatitis C antibody testing as part of its standard panel alongside HIV, syphilis, gonorrhea, and chlamydia. Plus TB testing on top. On-site hepatitis A and B vaccines complete the hepatitis picture, meaning a single appointment addresses infection risk across the full hepatitis spectrum.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Bismarck, 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 value: single tests
$49 & 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 Burleigh 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.
2700 State Street Suite F, Bismarck, ND 58503
CMS-certified lab Accredited · Joint Commission
727 Kirkwood Mall, Bismarck, ND 58504
CMS-certified lab Accredited · Joint Commission
2700 State Street, Bismarck, ND 58503
CMS-certified lab Accredited · Joint Commission
3502 Franklin Avenue, Bismarck, ND 58503
CMS-certified lab Accredited · College of American Pathologists
900 East Broadway, Bismarck, ND 58501
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Bismarck. 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, 126 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Bismarck. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 19 offer telehealth.
Julia Schwartz, MD
Internal medicine · 401 North 9th Street, Bismarck
Robert Tanous, DO
Internal medicine · 401 North 9th Street, Bismarck
Hamood Ur Rahman, MD
Family medicine · 900 East Broadway Avenue, Bismarck
Wannapak Richter, MD
Family medicine · 900 East Broadway Avenue, Bismarck
Jessica Sedevie, MD
OB-GYN · 414 North 7th Street, Bismarck
Kurt Datz, DO
Internal medicine · 701 East Rosser Avenue, Bismarck
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 Bismarck, ND 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.
Sanford Retail Pharmacy
0.8 mi
1.3 mi Thrifty White Pharmacy
1.3 miWhite Drug
1.4 miShowing the 4 closest pharmacies to Bismarck, ND.
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 Bismarck, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Burleigh County, the county that includes Bismarck, compare with North Dakota 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.
#9 of 53 North Dakota counties for chlamydia, a higher rate than 83% of the state
| Infection | Burleigh County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | 450.9 451 cases ▲ 3% | 436.4 | 492.2 |
| Gonorrhea | 217 217 cases ▲ 47% | 147.2 | 179.5 |
| Syphilis (P&S) | 26 26 cases ▲ 110% | 12.4 | 15.8 |
| Syphilis (early) | 7 7 cases ▲ 150% | 2.8 | 16 |
| Syphilis (late/unknown) | 22 22 cases ▲ 83% | 12 | 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 Burleigh County, chlamydia has risen from 410.3 to 450.9 per 100,000 (10%), gonorrhea has fallen from 226.5 to 217 per 100,000 (4%), and P&S syphilis has risen from 4.1 to 26 per 100,000 (534%).
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 Burleigh County.
Local HIV snapshot
Burleigh County HIV care continuum (2021)
Burleigh County recorded 6.1 new HIV diagnoses per 100,000 (2021), against 3.2 statewide and 13.7 nationally. Among Burleigh County residents living with HIV, 82.4% are in care · 48.5% 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 Burleigh County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Bismarck runs on a workforce that keeps unusually low unemployment and high participation rates, most adults here are clocking full schedules, which means a Tuesday-afternoon clinic visit can feel genuinely hard to carve out. With the testing options listed on this page, the practical question isn't whether screening is available but when it fits around a job that actually keeps you busy. The city's ownership culture shapes daily life in ways that ripple into healthcare choices. Nearly two-thirds of residents own their homes, and for the roughly one-in-three who rent, typically paying around $867 a month, budgeting pressure is real, even if Bismarck is far from the country's most expensive rental market. Younger adults still building their financial footing, the group most likely to encounter a new STI diagnosis, are often weighing cost alongside distance in a city where walking to a clinic isn't usually an option and State Street or East Boulevard Avenue means a car trip, not a short stroll.
Almost half of Bismarck households are headed by married couples, and average household size runs close to three people. Meaning a test isn't always a solo errand kept private by default. The clinics in and around neighborhoods like Memorial and Pebble Creek vary on hours and fees, and those details matter more here than in denser cities. Finding one that opens before your shift or accepts a sliding-scale payment can be the concrete difference between going this week and meaning to go next month.
Getting there
Bismarck scores 11.04/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 58503 snapshot
ZIP-level Census figures for the wider 58503 area around Bismarck: a single ZIP can span several communities, so they describe the area, not Bismarck alone.
Bismarck sits in Burleigh County, ZIP 58503. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Bismarck? 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 Burleigh County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Dakota 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 Bismarck-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 Bismarck 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 North 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).
In North Dakota, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Dakota 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 North DakotaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Burleigh County reported ~451 chlamydia cases per 100,000 in 2023, above the North Dakota average.
At-home kits mail to 58503: self-collect, send to the lab, results in ~2–5 days.
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.