New HIV diagnoses in Umatilla County run about 23% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Echo, Oregon, clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. We list your options below.
Available testing centers
7 testing options are listed for Echo, OR. The nearest, Umatilla County Health Department, is about 8.2 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.
Umatilla County Health Department in Hermiston runs on a sliding scale with Medicaid and private insurance accepted, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis B, hepatitis C, and TB: by appointment, with same-visit treatment for bacterial infections, and services available in Spanish.
A language gap at the point of care means a delayed diagnosis, a missed treatment window, or a follow-up appointment that never gets made. Umatilla County Health Department delivers STI care directly in Spanish, not through a scheduled callback, so nothing between the visit and the result depends on bridging a language barrier after the fact.
A hepatitis C diagnosis that requires a separate specialist referral can mean weeks of lag time and treatment that simply never starts. Umatilla County Health Department carries hepatitis C treatment on-site, the same clinic that runs the antibody test can move into active treatment without routing the case elsewhere.
Clinics limited to gonorrhea, chlamydia, syphilis, and HIV leave hepatitis B and C unexamined. Infections that can go years without obvious symptoms. Umatilla County Health Department tests for both hepatitis strains as part of its panel, catching what a narrower screen would miss entirely.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Mirasol Family Health Center in Hermiston anchors its STI care on a sliding-scale fee structure tied to income, so cost is rarely a barrier to getting screened. Federal qualification backs that commitment, covering syphilis, gonorrhea, and chlamydia testing without requiring an appointment.
Tests offered
Fees & payment
Yakima Valley Farm Workers Clinic in Hermiston roots STI care inside a community health model, covering gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee with same-visit bacterial treatment available, appointments required, including Spanish-language care throughout.
Many clinics manage Spanish through workarounds, an interpreter service bolted on, a translated form handed over. At Yakima Valley Farm Workers Clinic, Spanish functions as an operating language: clinical conversations, history-taking, and follow-up happen directly in Spanish, not routed through a third layer.
Clinics running a four-infection panel leave herpes and hepatitis testing to a separate appointment elsewhere. Yakima Valley Farm Workers Clinic tests for herpes, hepatitis A, hepatitis B, and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV. A single appointment covering infections that often go undetected simply because they weren't on the menu.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · 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 about 8 miles away; if you'd rather skip the trip, an at-home kit ships to Echo, 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 Umatilla 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.
256 Hurlburt Ave Suite 117, Hermiston, OR 97838
CMS-certified lab
2801 St Anthony Way, Pendleton, OR 97801
CMS-certified lab Accredited · Joint Commission
2460 Southwest Perkins Avenue, Pendleton, OR 97801
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Echo. 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, 65 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Echo. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 16 offer telehealth.
David Stenstrom, MD
Internal medicine · 600 Northwest 11th Street, Hermiston
Carlos Ramirez Babinski, MD
Internal medicine · 610 Northwest 11th Street, Hermiston
Francis Szumski, DO
Family medicine · 46314 Timine Way, Pendleton
James Ward, DO
OB-GYN · 2801 St Anthony Way, Pendleton
Lindsay Kern, MD
OB-GYN · 3001 St Anthony Way, Pendleton
Kevin Hilborn, MD
Family medicine · 2801 St Anthony Way, Pendleton
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 Echo, OR 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.
7.7 mi 
7.8 mi Hermiston Drug & Gift
8.2 mi
8.8 mi Mirasol Family Health Center Pharmacy
9.1 miGood Shepherd Clinic Pharmacy
9.1 miShowing the 6 closest pharmacies to Echo, OR.
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 Echo, 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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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
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 Umatilla County, the county that includes Echo, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 36 Oregon counties for chlamydia, a higher rate than 83% of the state
| Infection | Umatilla County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 391 313 cases ▲ 8% | 362.5 | 492.2 |
| Gonorrhea | 97.4 78 cases ▼ 17% | 117.2 | 179.5 |
| Syphilis (P&S) | 10 8 cases ▼ 48% | 19.2 | 15.8 |
| Syphilis (early) | 5 4 cases ▼ 48% | 9.6 | 16 |
| Syphilis (late/unknown) | 25 20 cases ▲ 27% | 19.7 | 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 Umatilla County, chlamydia has fallen from 422.1 to 391 per 100,000 (7%), gonorrhea has held roughly steady from 97.4 to 97.4 per 100,000, and P&S syphilis has fallen from 11.2 to 10 per 100,000 (11%).
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 Umatilla County.
Local HIV snapshot
Umatilla County HIV care continuum (2022)
Umatilla County recorded 10.5 new HIV diagnoses per 100,000 (2022), against 6.6 statewide and 13.7 nationally. Among Umatilla County residents living with HIV, 75.7% are in care · 64.3% 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 Umatilla County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
George Park sits at Echo's quiet center, the kind of place that makes the town feel settled and unhurried, but getting from that calm to a clinic requires either miles on Old Oregon Trail Highway or a longer run up US 395, because meaningful testing options don't begin at the city limits. That distance, combined with hours that rarely bend around agricultural or shift schedules, is the concrete barrier that turns a routine health decision into a half-day commitment. The town's workforce and household profile add another layer. With unemployment running notably high and nearly half of residents renting at modest monthly costs, disposable income is tighter than home values suggest, and work schedules are rarely predictable enough to absorb a mid-week drive.
Households here also run large on average, meaning adults, including the younger adults in their late teens and twenties who face the greatest likelihood of a new STI, are often juggling family logistics alongside any personal health errand. Low-cost or sliding-scale options among the 24 listed on this page matter because the calendar and the budget rarely line up at the same time. For a renter in Echo who doesn't earn near the upper income tier, and most don't, a fee-waived or insurance-billed visit at the nearest listed clinic can be the only version of screening that doesn't require choosing between a co-pay and a week of groceries.
Getting there
Echo scores 10.79/20 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 97826 snapshot
ZIP-level Census figures for the wider 97826 area around Echo: a single ZIP can span several communities, so they describe the area, not Echo alone.
Echo sits in Umatilla County, ZIP 97826. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Echo? 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 Umatilla County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon 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 an Echo-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 Echo 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 Oregon 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 Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: 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.
Possibly, Hermiston, OR is close; compare it by distance against Umatilla County Health Department.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 391 cases per 100,000 residents (2023), above the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 97826; you collect a sample, mail it back, and get results in about 2–5 days.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.