STD Testing in Butte, MT: Free, Same-Day & Confidential
Butte, Montana, has chlamydia rates that run about 35% lower than the US average. Whether it's your first STI test or a routine screening in Butte, Montana, you can weigh convenience against timeliness with options like walk-ins for same-day testing or more scheduled lab and at-home options.
9 testing options are listed for Butte, MT. The nearest, Southwest Montana Community Health Center, is about 8.7 miles away. Compare 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.
Location unavailable — enter a ZIP code or city instead.
Community health center 8.7 miles
Southwest Montana Community Health Center
3.8(129)?Where these reviews come from
Review sources
Google124
EasySTD5
Rated 3.8 out of 5 from 129 reviews
Southwest Montana Community Health Center in Butte schedules appointments for STI testing (gonorrhea, chlamydia, syphilis, and HIV) alongside family planning and TB screening, with fees sliding to income and Medicaid, Medicare, and private insurance all accepted.
Listing verified May 2026 · Source: CDC NPIN + HRSA
Community health center 8.9 miles
Butte-Silver Bow Health Department
4.1(10)?Where these reviews come from
Review sources
Google9
EasySTD1
Rated 4.1 out of 5 from 10 reviews
Butte-Silver Bow Health Department tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee with free options available, no appointment needed, and treats bacterial STIs the same visit, all at no cost.
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Every Service Runs on a Zero-Dollar Balance
When cost sits between a person and treatment, an STI goes unmanaged and a prevention tool goes unfilled. Butte-Silver Bow Health Department charges nothing for any service it provides (tests, vaccines, PrEP, PEP, DoxyPEP, and treatment included) so cost never becomes the reason care stops.
Interpretation Services Built Into Every Appointment
Butte-Silver Bow Health Department offers interpretation services for non-English languages across all its care, meaning someone navigating PrEP counseling or a treatment plan doesn't lose critical detail in the exchange. The clinical conversation stays complete regardless of the language it happens in.
PrEP, PEP, and DoxyPEP Prescribed on Site
Butte-Silver Bow Health Department prescribes PrEP, PEP, and DoxyPEP directly, which means a patient can leave with an active prevention strategy, not just a recommendation, after a single visit.
English, Interpretation Services Available for Non-English Languages
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
Gonorrhea
Syphilis
Herpes
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Health Professionals
Hispanic or Latino persons
LGBTQ
Care services
Family Planning
Medication Adherence Education and Counseling
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
STI Prevention/Education
Needle Cleaning, Needle Exchange or Needle Distribution
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
PrEP for uninsured
Fee
Insurance Accepted
Free STI Test
Free HIV Test
Free Hepatitis C Test
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
20.9 miles
Anaconda-Deer Lodge County Public Health
No ratings yet
Anaconda-Deer Lodge County Public Health runs on a sliding-scale fee structure with Medicaid and insurance accepted, and HIV testing at no charge. The standard panel covers HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, hepatitis C, and TB, with same-visit treatment for bacterial infections and HPV, hepatitis A, and hepatitis B vaccines available by appointment.
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Free Services Funded by Specific Federal Streams
Title X and public health department funding together underwrite the full scope of care at Anaconda-Deer Lodge County Public Health, not selected services, but the whole slate. That funding structure is what allows the sliding-scale to reach zero rather than stopping at a reduced copay.
Interpretation Access Built Into Appointment Scheduling
Interpretation services for non-English languages are available at Anaconda-Deer Lodge County Public Health, which means clinicians can gather an accurate exposure and symptom history in a first language rather than a second. A difference that shapes what gets tested and what gets treated.
Title X Covers Minors With Legal Confidentiality
As a Title X clinic, Anaconda-Deer Lodge County Public Health provides legally confidential family planning services to minors: meaning those records are protected by federal statute, not just internal policy, and cannot be disclosed without the minor's consent.
English, Interpretation Services Available for Non-English Languages
Tests offered
Hepatitis C
TB
Gonorrhea
Syphilis
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Health Professionals
Hispanic or Latino persons
LGBTQ
Care services
Family Planning
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
Free HIV Test
Listing verified Jan 2026 · Source: CDC NPIN
Community health center 34.5 miles
SCL Health Medical Group-Butte
No ratings yet
A safety-net rural health clinic about 35 miles from Butte. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
A safety-net rural health clinic about 38 miles from Butte. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Ag Worker Health & Services, in Dillon, carries federally qualified health center standing: meaning its STI screening fees slide with income, making syphilis, gonorrhea, and chlamydia testing financially reachable for patients across a wide range of economic circumstances.
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 about 9 miles away; if you'd rather skip the trip, an at-home kit ships to Butte, 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
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 Butte, MT
Beyond the public testing sites above, these federally certified (CLIA) labs serve Silver Bow 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Butte. 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 Butte, MT who may help arrange STD testing
Beyond dedicated clinics, 37 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Butte. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.
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 Butte, MT
No pharmacy near Butte, 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.
8.3 mi
Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
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 Butte, 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.
Online treatment
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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
STDs & HIV in Silver Bow County: the local picture
How reported STI rates in Silver Bow County, the county that includes Butte, 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.
#12
#12 of 56 Montana counties for chlamydia, a higher rate than 79% of the state
Reported STD rates per 100,000, Silver Bow County vs Montana vs U.S.
Silver Bow CountyMontanaU.S.▲▼ = Silver Bow County vs the state average
Infection
Silver Bow County
Montana
United States
Chlamydia
319116 cases▼ 1%
322.6
492.2
Gonorrhea
52.319 cases▼ 23%
67.7
179.5
Syphilis (P&S)
19.37 cases▼ 30%
27.5
15.8
Syphilis (early)
— no data
12.4
16
Syphilis (late/unknown)
13.85 cases▼ 49%
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 Silver Bow County over time (per 100,000)
Chlamydia ▼ 16% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Silver Bow County, chlamydia has fallen from 341.6 to 319 per 100,000 (7%), gonorrhea has fallen from 150.9 to 52.3 per 100,000 (65%), and P&S syphilis has risen from 5.7 to 19.3 per 100,000 (239%).
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 Butte, MT
Adults uninsured
7.3%
No routine checkup
23.1%
No transportation
5.6%
Binge drinking
17.1%
Frequent mental distress
14.4%
Depression
21.6%
Below poverty line
16.4%
Primary-care ratio
1,265 : 1
Silver Bow County
Primary-care shortage score 20 / 26
Medically Underserved Area · IMU 60
Social Vulnerability Index · 45th 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 Silver Bow County.
Local HIV snapshot
HIV in Silver Bow County (2023)
People living with HIV
74 / 100k
PrEP users / 100k
125
Silver Bow County HIV care continuum (2022)
Silver Bow County recorded 0 new HIV diagnoses per 100,000 (2022), against 3 statewide and 13.7 nationally. Among Silver Bow County residents living with HIV, 90.9% are in care · 90.9% 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 Silver Bow 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 → (opens in a new tab)
Uptown Butte, where rows of Victorian-era homes reflect a community with deep roots and high homeownership rates, is also home to a workforce whose schedules don't always line up neatly with standard clinic hours. With more than four in ten adults married and households averaging just over three people, life here runs on shared routines, work shifts, and family commitments that leave little room for appointments that require planning days in advance. That scheduling reality matters most for younger adults, people in their late teens and twenties who are statistically most likely to encounter a new STI and least likely to have a regular provider nudging them toward routine screening. Silver Bow County's STI figures reflect the same patterns seen nationally for this age group, and a relatively modest share of households reaching six-figure incomes means that cost transparency at the clinic level genuinely shapes whether someone follows through.
At $634 a month for rent, a surprise copay or lab bill carries real weight. The options listed on this page offer meaningful range: some with sliding-scale fees, some with extended hours, spread across distances that vary from a short drive to a longer trip out. For residents near the Beef Trail corridor or coming down from the Uptown grid, that spread means there's a realistic path to screening that fits what Tuesday actually looks like, not what you wish it did, starting with whichever option sits closest to where you already are.
Getting there
How residents reach STD testing in Butte, MT
Walkability5.19 / 20 · Least walkable
At 5.19/20 on the EPA walkability index, day-to-day errands in Butte 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.
Butte sits in Silver Bow County. Local context that shapes where residents test:
Local landmarks
Feeley Hill
Beef Trail Ski Area
Original Columbia Gardens Arch
Nearby cities & towns
Nearby cities and towns near Butte, MT
Just outside Butte? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Butte, MT: screening, costs & privacy
Everything to know before you test in Silver Bow 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.
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 Butte-area provider.
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 Butte 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 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.
