Cass County reports about 541 chlamydia cases per 100,000 residents, near the US average. If you live in Horace, North Dakota, and want STI testing before starting a new relationship or as part of ongoing care, you can weigh the convenience of an at-home kit against the opportunity to consult with a provider in a clinic. Many options are listed below; see which fits your needs.
Available testing centers
9 testing options are listed for Horace, ND. The nearest, Essentia Health, is about 4.4 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.
Walk-in hours at Essentia Health in South Fargo mean same-day testing is available without scheduling ahead: one visit covers HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, plus TB, with bacterial STIs treated on the spot and fees adjusted on a sliding scale.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Canopy Medical Clinic in Fargo provides HIV, hepatitis A, B, and C, gonorrhea, chlamydia, syphilis, and herpes testing at no charge, with free HIV and hepatitis C tests specifically. Walk-ins are welcome, bacterial STIs are treated same visit, and every service carries no fee.
Canopy Medical Clinic covers every service at no cost: testing, treatment, prevention medications, and vaccines alike. For anyone without insurance, between providers, or simply managing cash, that means no bill arrives after a visit and no service gets weighed against what's affordable that week.
Canopy Medical Clinic carries PrEP, PEP, and DoxyPEP under the same roof, which means a patient's prevention plan can shift or expand without changing providers or scheduling appointments at separate locations.
For anyone without a primary care provider or the means to navigate a specialist referral, Canopy Medical Clinic's on-site hepatitis C treatment closes the gap. The same clinic that runs the test also manages the medication, keeping the full course of care in one place.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Family HealthCare, a family practice in Fargo, folds STI testing into the same clinical infrastructure used for ongoing primary care: meaning gonorrhea, chlamydia, syphilis, HIV, and hepatitis C are on a sliding-scale fee schedule, walk-ins are welcome, and bacterial infections can be treated the same visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Sanford Health in Fargo brings hospital-system depth to STI care: gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C tested and treated under the same roof, with bacterial infections handled same-visit, fees billed on a sliding scale, and appointments required. PrEP and PEP are both available.
Chasing PrEP or PEP through a separate prescriber means a gap: days between exposure awareness and an active prescription, or months between a decision to start PrEP and actual coverage. Sanford Health in Fargo closes that gap: both are prescribed on-site, so prevention starts at the same appointment where testing happens.
Direct-acting antivirals for hepatitis C, the curative drug class that clears the virus in eight to twelve weeks for most patients, are managed at Sanford Health in Fargo rather than handed off to a specialist elsewhere. That means the monitoring and prescribing stay with the same clinical team that ordered the test.
Sanford Health in Fargo tests for hepatitis A, B, and C alongside the standard bacterial and viral STI panel, which means a single visit surfaces infections that a narrower screen would miss and routes them directly into treatment without an additional referral appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Fargo Cass Public Health takes walk-ins for the full STI panel (gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, and hepatitis A, B, and C) with same-visit treatment for bacterial infections, sliding-scale fees, and every service provided at no charge.
Every service at Fargo Cass Public Health (testing, treatment, PrEP, vaccines, counseling) is provided at no charge, which means the full scope of care stays available regardless of what a visit might otherwise cost.
Interpretation services are available for non-English languages across all services at Fargo Cass Public Health, so the clinical conversation (symptoms, medications, follow-up) carries the same weight and clarity it would in English.
As a Title X family planning site, Fargo Cass Public Health is federally required to provide legally confidential services to minors. Meaning STI testing and family planning care for younger patients are protected from disclosure without their consent.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 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 about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Horace, 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 value: single tests
$49 & 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 Cass 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.
1111 Harwood Drive South, Fargo, ND 58104
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horace. 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, 212 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horace. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 24 offer telehealth.
Jocelyn Bowker, MD
Family medicine · 7951 Jacks Way, Horace
Anne Harper, MD
Internal medicine · 3800 56th Avenue South, Fargo
Lori Kuehne, MD
Family medicine · 3800 56th Avenue South, Fargo
Michelle Bradley, DO Telehealth
Family medicine · 4110 51st Avenue South, Fargo
Bruce Domm, MD
Family medicine · 4622 40th Avenue South, Fargo
Aaron Robertson, MD
Internal medicine · 4671 38th Street South, Fargo
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 Horace, 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.
Lifescript Pharmacy
4.6 miHornbacher's
4.7 miMedical Pharmacy South
5.1 miProsperity Health Pharmacy
5.1 miThe Medicine Shoppe
5.9 miSeip Prescription Shoppe
6.0 miShowing the 6 closest pharmacies to Horace, 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 Horace, 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 Cass County, the county that includes Horace, compare with North Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#8 of 53 North Dakota counties for chlamydia, a higher rate than 85% of the state
| Infection | Cass County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | 540.8 1,062 cases ▲ 24% | 436.4 | 492.2 |
| Gonorrhea | 165.5 325 cases ▲ 12% | 147.2 | 179.5 |
| Syphilis (P&S) | 6.1 12 cases ▼ 51% | 12.4 | 15.8 |
| Syphilis (early) | 2 4 cases ▼ 29% | 2.8 | 16 |
| Syphilis (late/unknown) | 9.7 19 cases ▼ 19% | 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 Cass County, chlamydia has risen from 486.1 to 540.8 per 100,000 (11%), gonorrhea has fallen from 197.3 to 165.5 per 100,000 (16%), and P&S syphilis has risen from 2.7 to 6.1 per 100,000 (126%).
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 Cass County.
Local HIV snapshot
Cass County HIV care continuum (2023)
Cass County recorded 9.1 new HIV diagnoses per 100,000 (2023), against 3.2 statewide and 13.7 nationally. Among Cass County residents living with HIV, 78.3% are in care · 52.8% 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 Cass County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Independence Park rises just past the county road where a good share of Horace's working-age residents head out before dawn, and many of those same neighbors won't set foot in a clinic on any given weekday, not because they don't need to, but because the rural Cass County schedule simply doesn't bend that way. That reality shapes when testing realistically happens here, and the options listed on this page exist precisely to match the range of schedules people actually keep. The community itself leans settled and rooted: the vast majority of households own their homes in the shadow of Independence Park and Freed Park, and most are married-couple families under the same roof. That stability can make STI screening feel like someone else's concern, yet younger adults, people in their late teens and twenties still building relationships and moving through early adult life, are the ones for whom routine testing matters most, regardless of how stable a household looks from the outside.
Cass County's STI picture makes that point concrete. Getting to a clinic from Horace means driving, there's no walking anywhere from here, so the practical question is whether the destination is worth the trip. With nearly half of households in a strong income tier, cost is less often the barrier than distance and timing. Checking hours before heading out toward the valley roads saves a wasted drive and keeps screening from becoming another errand that loses the day.
Getting there
At 5.72/20 on the EPA walkability index, day-to-day errands in Horace 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 58047 snapshot
ZIP-level Census figures for the wider 58047 area around Horace: a single ZIP can span several communities, so they describe the area, not Horace alone.
Horace sits in Cass County, ZIP 58047. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Horace? 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 Cass 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 Horace-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 Horace 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.
The closest is Essentia Health (4.4 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
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 541 cases per 100,000 residents (2023), above the North Dakota average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
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.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.