Chlamydia rates in Delta County run about 75% lower than the US average. Whether for a one-time concern or regular check-ups in Escanaba, Michigan, you may consider community and public clinics for low-cost or free options, or private labs for faster results and more flexible scheduling. A list of choices follows.
Available testing centers
6 testing options are listed for Escanaba, MI. The nearest, St Francis Hospital, is about 0.6 miles away. Compare 5 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 community safety-net rural health clinic in Escanaba. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic in Escanaba. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Public Health Delta and Menominee Counties in Escanaba runs on a sliding-scale fee structure with free HIV testing and free Mpox vaccination: Medicaid, Medicare, and private insurance all accepted. The panel covers gonorrhea, chlamydia, syphilis, herpes, hepatitis B, rapid and conventional HIV, and TB; appointments are required.
Beyond the core bacterial and HIV tests, clinicians here draw for herpes and hepatitis B at the same visit. Both read and managed in-house rather than sent to a separate lab workflow that would require a second appointment. That expanded order set is built into the standard intake, not requested as an add-on.
The no-fee structure applies across the entire visit (testing, vaccines, STI treatment, TB care) not selectively to one or two line items. Staff apply Medicaid, Medicare, or private insurance where coverage exists, and the sliding scale absorbs the remainder so that every service on the schedule carries the same final cost to the patient: nothing.
As a Title X-funded site, Public Health Delta and Menominee Counties is legally required to provide confidential family planning services to minors: meaning records are handled under federal confidentiality protections, not disclosed to a parent or guardian. Staff are trained to the Title X compliance standard, and that framework governs how every minor's visit is documented and stored.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Door County Medical Center in Washington runs rapid HIV, syphilis, gonorrhea, chlamydia, and hepatitis C testing on a sliding scale, with no-fee options available, all by appointment, with same-visit treatment for bacterial infections and hepatitis C managed on-site.
All services at Door County Medical Center are provided at no charge, which means the hepatitis C treatment, vaccines, and full STI panel are financially within reach regardless of what someone walks in with. The cost floor is the same for every service on the menu.
Door County Medical Center carries hepatitis C treatment as a standing clinical service, meaning a reactive antibody result doesn't end the conversation, it continues it. Antiviral management and monitoring proceed within the same facility where the initial test was run.
Beyond gonorrhea, chlamydia, syphilis, and rapid HIV, the clinic tests for hepatitis C, and staffs the follow-on treatment to match. That single addition changes what a routine visit can resolve, since a reactive hepatitis C result moves directly into a treatment conversation rather than a separate clinical track.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
A safety-net rural health clinic about 32 miles from Escanaba. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Escanaba, 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 Delta 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.
710 South Lincoln Street Suite 300, Escanaba, MI 49829
CMS-certified lab Accredited · Joint Commission
3401 Ludington Street, Escanaba, MI 49829
CMS-certified lab Accredited · Joint Commission
610 South Lincoln Road, Escanaba, MI 49829
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Escanaba. 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, 62 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Escanaba. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.
Michaela Nelson
Nurse practitioner · 2500 7th South Avenue, Escanaba
Carole Spickerman, NP
Nurse practitioner · 2525 5th Avenue South, Escanaba
Hayley Dunlap-Zacek, NP
Nurse practitioner · 319 North Lincoln Road, Escanaba
Amanda Shefchik, NP
Nurse practitioner · 3409 Ludington Street, Escanaba
Sierra King
Nurse practitioner · 3409 Ludington Street, Escanaba
Christine Borgstrom
Nurse practitioner · 3409 Ludington Street, Escanaba
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 Escanaba, MI 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.
Shopko Pharmacy 2016
0.3 mi
0.5 mi Elmer's Pharmacy
0.5 mi
0.7 mi Peninsula Pharmacy Escanaba
0.8 miPeoples Drug Store
1.2 miShowing the 6 closest pharmacies to Escanaba, MI.
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 Escanaba, 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 Delta County, the county that includes Escanaba, compare with Michigan 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.
#66 of 83 Michigan counties for chlamydia, a higher rate than 20% of the state
| Infection | Delta County | Michigan | United States |
|---|---|---|---|
| Chlamydia | 125 46 cases ▼ 71% | 429.5 | 492.2 |
| Gonorrhea | 24.5 9 cases ▼ 84% | 152.2 | 179.5 |
| Syphilis (P&S) | 2.7 1 cases ▼ 68% | 8.4 | 15.8 |
| Syphilis (early) | 2.7 1 cases ▼ 69% | 8.7 | 16 |
| Syphilis (late/unknown) | — no data | 13 | 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 Delta County, chlamydia has fallen from 132.8 to 125 per 100,000 (6%), gonorrhea has risen from 5.4 to 24.5 per 100,000 (354%), and P&S syphilis has held roughly steady from 2.7 to 2.7 per 100,000.
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 Delta County.
Local HIV snapshot
Delta County HIV care continuum (2023)
Delta County recorded 0 new HIV diagnoses per 100,000 (2023), against 8.1 statewide and 13.7 nationally. Among Delta County residents living with HIV, 77.8% 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.
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 Delta County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Royce Park sits on the quiet side of Escanaba, the kind of place that makes the city feel settled and unhurried. That planning falls hardest on people in their late teens and twenties, who represent a meaningful slice of Escanaba's population and face the highest rates of chlamydia, gonorrhea, and syphilis nationally. With just over half of residents participating in the labor force and an unemployment rate that keeps household budgets tight, carving out a weekday slot for an appointment is not a given. The majority of Escanaba households own their homes, which signals some residential stability, but a typical rent well under six hundred dollars also reflects a local economy where disposable income is limited for a large share of renters.
Fewer than one in ten households clears six figures, so cost is a live concern when evaluating testing options, not a secondary one. For the roughly four in ten residents who rent, sliding-scale or low-cost clinic fees matter more than convenience alone. Several options listed here offer reduced-cost or free testing, which for a renter on a modest fixed income can be the detail that moves screening from a thought to an appointment on the calendar.
Getting there
At 8.28/20 on the EPA walkability index, day-to-day errands in Escanaba 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 49829 snapshot
ZIP-level Census figures for the wider 49829 area around Escanaba: a single ZIP can span several communities, so they describe the area, not Escanaba alone.
Escanaba sits in Delta County, ZIP 49829. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Escanaba? 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 Delta County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Michigan 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 Escanaba-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 Escanaba 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 Michigan 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 Michigan, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Michigan 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 MichiganSource: 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, Gladstone, MI is close; compare it by distance against St Francis Hospital.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, Public Health Delta and Menominee Counties (2 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, HIV, Hepatitis B, Hepatitis C, Herpes, Trichomoniasis, a full panel covers the common ones.
About 125 cases per 100,000 residents (2023), below the Michigan average.
In Michigan, people under 18 can consent to confidential STD testing and treatment on their own.
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.
It's curable with antibiotics; catching it early avoids serious complications.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.