Reported chlamydia in Lawrence County runs about 38% lower than the US average. In and around Lead, South Dakota, whether it's your first STI test or a routine screening, you have options: clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price.
Available testing centers
7 testing options are listed for Lead, SD. The nearest, Monument Health, is about 10.6 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.
Monument Health in Spearfish runs STI care by appointment, with testing for gonorrhea, chlamydia, syphilis, and HIV, rapid and conventional, plus same-visit treatment for bacterial infections, partner notification support, and a sliding-scale fee that applies to everyone.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Wyoming Department of Health in Sundance offers HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C testing entirely free, with insurance and Medicaid also accepted. Appointments are required, and bacterial STIs are treated same visit.
When a test costs money, treatment gets postponed, and postponed treatment is how bacterial infections spread and hepatitis goes unmanaged for years. At Wyoming Department of Health in Sundance, every service carries no fee, so the moment of diagnosis and the decision to treat are never separated by what's in someone's wallet.
The basic four-infection panel leaves hepatitis C and B off the table entirely, which means a clinic visit can end without answers to two significant viral infections. Wyoming Department of Health in Sundance tests for both hepatitis B and C alongside HIV, syphilis, gonorrhea, and chlamydia. All on the same appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
A safety-net rural health clinic about 30 miles from Lead. 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 about 31 miles from Lead. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Oyate Health Center in Rapid City covers gonorrhea, chlamydia, syphilis, herpes, and conventional HIV testing, treating bacterial infections the same visit and carrying hepatitis A and B vaccines. Every service at no fee, by appointment.
Sliding-scale fees still leave a balance at most clinics, a number patients quietly absorb or avoid. At Oyate Health Center, every service, test, vaccine, and treatment carries no charge at all. That's not a program with eligibility criteria; it's simply how the clinic operates.
When a clinic can't deliver STI care in Spanish, a patient leaves with partial information, a follow-up appointment somewhere else, or nothing acted on. Oyate Health Center delivers testing, treatment, counseling, and prevention education directly in Spanish. No gap between the visit and full understanding of results.
The typical STI clinic panels for gonorrhea, chlamydia, syphilis, and HIV, and herpes falls off the list. Oyate Health Center tests for all four and adds herpes, so a single appointment captures infections that often go undetected simply because no one ordered the test.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · 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 Lead, 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 Lawrence 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.
1420 North 10th Street, Spearfish, SD 57783
CMS-certified lab Accredited · COLA
132 East Grant, Spearfish, SD 57783
CMS-certified lab
1440 North Main, Spearfish, SD 57783
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lead. 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, 42 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lead. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.
Elizabeth Sayler, MD
Internal medicine · 71 Charles Street, Deadwood
Deborah Kullerd, MD Telehealth
Family medicine · 540 Falcon Crest Drive, Spearfish
Heather Brewer, MD
OB-GYN · 1445 North Avenue, Spearfish
Travis Ptacek, MD Telehealth
Family medicine · 1020 North 10th Street, Spearfish
Margaret Becker, MD
Family medicine · 1420 North 10th Street, Spearfish
Josephine Davis, MD
Family medicine · 1440 North Main Street, Spearfish
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 Lead, 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.
Vilas Pharmacy
0.5 miBlack Hills Pharmacy
2.2 mi
8.9 mi Medicap Pharmacy
11 miMonument Health Home Plus Pharmacy
11 miShowing the 5 closest pharmacies to Lead, 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 Lead, 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 Lawrence County, the county that includes Lead, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#29 of 66 South Dakota counties for chlamydia, a higher rate than 56% of the state
| Infection | Lawrence County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 306.6 86 cases ▼ 42% | 531.6 | 492.2 |
| Gonorrhea | 42.8 12 cases ▼ 83% | 253.3 | 179.5 |
| Syphilis (P&S) | 17.8 5 cases ▼ 76% | 73.4 | 15.8 |
| Syphilis (early) | 7.1 2 cases ▼ 91% | 76.8 | 16 |
| Syphilis (late/unknown) | 3.6 1 cases ▼ 95% | 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 Lawrence County, chlamydia has fallen from 333.7 to 306.6 per 100,000 (8%), gonorrhea has fallen from 58.2 to 42.8 per 100,000 (26%), and P&S syphilis has risen from 15.3 to 17.8 per 100,000 (16%).
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 Lawrence County.
Local HIV snapshot
Lawrence County HIV care continuum (2020)
Lawrence County recorded 0 new HIV diagnoses per 100,000 (2020), against 6.8 statewide and 13.7 nationally. Among Lawrence County residents living with HIV, 100% are in care · 86.7% 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 Lawrence County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Getting tested for STDs in Lead means thinking ahead. The town sits in the Black Hills, where clinical services cluster around Deadwood and larger regional centers rather than on Main Street itself. Young adults here, a steady presence in the community, often find that straightforward sexual health screening requires a short drive or a call to arrange care outside town limits. The modest cost of living that draws people to Lead doesn't always translate to in-town medical convenience, but confidential testing is available in and around Lead through the providers listed on this page, and many residents have found the trip worthwhile for peace of mind. Confidentiality in a smaller town isn't automatic simply because you know the pharmacist or run into your neighbor at Manuel Brothers Park.
That said, the clinic staff you'll encounter understand that discretion matters: testing records stay sealed, results go only where you direct them, and no one at work or home gets a notification without your say-so. The Sanford Lab Homestake Visitor Center and Black Hills Mining Museum draw outsiders through regularly, which means the health care spaces here are accustomed to serving people who value their privacy. Routine screening during your twenties and thirties (whether you're partnered, single, or between relationships) catches infections early and keeps you moving forward. Scheduling ahead, especially if you're on US 85 heading south or north, makes the process smooth.
Getting there
At 7.11/20 on the EPA walkability index, day-to-day errands in Lead 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 57754 snapshot
ZIP-level Census figures for the wider 57754 area around Lead: a single ZIP can span several communities, so they describe the area, not Lead alone.
Lead sits in Lawrence County, ZIP 57754. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Lead? 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 Lawrence 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 Lead-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 Lead 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.
There is 1 option within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lawrence County reported ~307 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.
Most results are ready in about 1–2 days.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
Yes, the HPV vaccine prevents the types most linked to cancer and genital warts; it's recommended through age 26 (and some adults to 45).
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.