In Clay County, there are about 460 chlamydia cases per 100,000 residents, near the US average. Whether you're seeking testing in Hub City, South Dakota, for symptoms or just peace of mind, you can weigh clinics that may bill insurance or offer sliding-scale fees against private labs that typically have flat self-pay prices. See your options below.
Available testing centers
7 testing options are listed for Hub City, SD. The nearest, Sanford Health Laboratories, is about 10.9 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.
A community safety-net rural health clinic about 12 miles from Hub City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net federally qualified health center about 15 miles from Hub City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Horizon Health Care in Alcester functions as a community health center where STI care sits alongside primary and family medicine: appointments required, sliding-scale fees for all, with same-visit treatment for bacterial infections like gonorrhea and chlamydia, plus HPV and hepatitis A and B vaccines.
Horizon Health Care maintains interpretation services as a standing clinical resource, which means a patient navigating STI counseling, herpes diagnosis, or a hepatitis care plan can work through those conversations with full precision. No meaning compressed or lost. That standing access shapes how care lands, especially for the nuanced back-and-forth that testing and treatment require.
Skipping herpes or hepatitis testing means a second appointment somewhere else, a longer gap before treatment, and additional out-of-pocket costs stacking up. Horizon Health Care runs a panel covering herpes, hepatitis A, B, and C alongside the bacterial infections, so the full picture comes back from a single visit, not a fragmented series of referrals.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
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 11 miles away; if you'd rather skip the trip, an at-home kit ships to Hub City, 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 Clay 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.
600 West Cedar, Beresford, SD 57004
CMS-certified lab Accredited · COLA
101 South Plum Street, Vermillion, SD 57069
CMS-certified lab Accredited · COLA
20 South Plum, Vermillion, SD 57069
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hub City. 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, 38 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hub City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 8 offer telehealth.
Jennifer Enman-Bourgon, DO
OB-GYN · 20 South Plum Street, Vermillion
Lindsey Junk
Family medicine · 920 Ave F, Hawarden
Craig Block, MD
Urology · 1111 11th Street, Hawarden
Kesiena Akpoigbe, MD
Internal medicine · 409 Summit Street, Yankton
Daniel Beutler, DO
Family medicine · 2525 Fox Run Parkway, Yankton
Jeffrey Johnson, MD
Family medicine · 2525 Fox Run Parkway, Yankton
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 Hub City, SD 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.
Lewis Drug
11 miLewis Family Drug
11 mi
11 mi David's Pharmacy
12 miDavis Pharmacy
12 miShowing the 5 closest pharmacies to Hub City, SD.
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 Hub City, 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 Clay County, the county that includes Hub City, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#17 of 66 South Dakota counties for chlamydia, a higher rate than 74% of the state
| Infection | Clay County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 460.1 71 cases ▼ 13% | 531.6 | 492.2 |
| Gonorrhea | 90.7 14 cases ▼ 64% | 253.3 | 179.5 |
| Syphilis (P&S) | 25.9 4 cases ▼ 65% | 73.4 | 15.8 |
| Syphilis (early) | 13 2 cases ▼ 83% | 76.8 | 16 |
| Syphilis (late/unknown) | 32.4 5 cases ▼ 56% | 72.9 | 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 Clay County, chlamydia has risen from 394.2 to 460.1 per 100,000 (17%), gonorrhea has fallen from 113.6 to 90.7 per 100,000 (20%), and P&S syphilis has risen from 6.6 to 25.9 per 100,000 (292%).
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 Clay County.
Local HIV snapshot
Clay County HIV care continuum (2023)
Clay County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.8 statewide and 13.7 nationally. Among Clay County residents living with HIV, 100% are in care · 87.5% 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 Clay County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Hub City runs at a working pace: most residents are employed, and the low unemployment here reflects a community where schedules fill fast and discretionary time is scarce. Building that drive into a Tuesday or Thursday is the practical reality, not an occasional inconvenience. What makes the calculus worth running is the household character of Hub City itself.
Homeownership is the dominant tenure here, which tends to anchor people in place and in routines, but even rooted households include younger adults still forming relationships, the under-35 crowd for whom routine STI screening carries the most direct relevance. More than a quarter of households bring in six figures, yet cost and distance still shape what actually gets scheduled: a moderate monthly rent for those who do rent, combined with a clinic that requires a real drive, means timing and transportation quietly become the deciding variables. Clay County's STI landscape, visible in the rate tables elsewhere on this page, gives useful context for anyone weighing whether a screening visit is worth the trip out of Hub City, and for most younger adults here, the answer is straightforwardly yes.
Getting there
At 5.11/20 on the EPA walkability index, day-to-day errands in Hub City 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 57004 snapshot
ZIP-level Census figures for the wider 57004 area around Hub City: a single ZIP can span several communities, so they describe the area, not Hub City alone.
Nearby cities & towns
Just outside Hub City? 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 Clay County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South 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 Hub City-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 Hub City 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 South 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 South Dakota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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 South 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.
Vermillion, SD is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Yes, Medicaid typically covers it.
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.
Clay County reported ~460 chlamydia cases per 100,000 in 2023, below the South Dakota average.
In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 57004: self-collect, send to the lab, results in ~2–5 days.
Negative is good news, just retest later if the test was soon after a possible exposure.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.