Park County has reported syphilis at a rate about 29% lower than the US average. If you are in Livingston, Montana for a one-time concern or regular check-ups, you have options to weigh: public clinics for lower costs, private labs for faster results, and at-home kits for convenience. See the list below.
Available testing centers
6 testing options are listed for Livingston, MT. The nearest, One Health - Community Health Partners, is about 0.5 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.
One Health - Community Health Partners, in Livingston, earns its federally qualified designation partly by tying STI screening fees to income: meaning syphilis, gonorrhea, and chlamydia testing costs scale down based on what patients actually earn. No appointment is required to get started.
Tests offered
Fees & payment
A public safety-net rural health clinic about 2 miles from Livingston. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Gallatin City-County Health Department operates Bozeman's public health infrastructure, which means STI care (HIV, syphilis, gonorrhea, chlamydia, and TB testing alongside HPV, hepatitis A, hepatitis B, and Mpox vaccines) runs through appointment-based public health channels, with all services provided at no fee.
The fee structure at Gallatin City-County Health Department is singular: every service, from the standard STI panel to the Mpox vaccine, is provided at no charge. Medicaid and insurance are accepted, but there is no cost for those without either. The zero-dollar price applies across the board.
Ryan White program funding positions Gallatin City-County Health Department to carry HIV care from initial testing through ongoing treatment, a standing capacity, not a referral chain. For anyone managing an HIV diagnosis without a consistent provider or reliable coverage, that full continuum being housed in one publicly funded program is the practical difference.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
CHP - Housing First Village in Bozeman welcomes walk-in visits, so same-day STI screening is available without an appointment. Federally qualified health center standing ties fees to a sliding income scale, keeping syphilis, gonorrhea, and chlamydia testing within reach for patients across the income spectrum.
Tests offered
Fees & payment
Bridgercare in Bozeman tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C on a sliding-scale fee, with PrEP coverage for the uninsured. All visits are by appointment, and bacterial STIs are treated the same day.
Bridgercare is a federally designated Title X family planning clinic, which means its services for minors are legally confidential. Not disclosed to guardians or insurers without consent. For a young person managing sexual health independently, that federal protection is the standing guarantee, not a clinic-by-clinic policy call.
Bridgercare carries a dedicated funding pathway for PrEP for uninsured patients, meaning the medication itself doesn't dead-end at a cost barrier. PEP is also prescribable on-site, so both the ongoing daily regimen and the short-course intervention live within the same practice.
Missing hepatitis C or herpes from a panel means a separate visit, a separate lab, and a gap where an undiagnosed infection continues. Bridgercare's panel covers herpes alongside hepatitis B and hepatitis C, conditions that a four-infection screen leaves entirely unaddressed.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Livingston, 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 for simplicity & support
$89 & 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.
Local clinicians
Beyond dedicated clinics, 114 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Livingston. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 41 offer telehealth.
Henry Pinango, MD
Internal medicine · 320 Alpenglow Lane, Livingston
Richard Mattis, MD Telehealth
Family medicine · 1532 Ellis Street, Bozeman
Marcia Voigt, MD
OB-GYN · 905 Highland Boulevard, Bozeman
Alice Bremner, MD
Family medicine · 915 Highland Boulevard, Bozeman
Luke Omohundro, MD Telehealth
Family medicine · 925 Highland Boulevard, Bozeman
Jeffrey Lindley, MD Telehealth
Family medicine · 925 Highland Boulevard, Bozeman
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 Livingston, MT 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.
Livingston Community Pharmacy
0.5 miShopko Pharmacy 774
1.2 miWestern Drug
1.3 miWestern Drug of Livingston
1.4 mi
2.0 mi KC Western Drug
15 miShowing the 6 closest pharmacies to Livingston, MT.
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 Livingston, 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 $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
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 Park County, the county that includes Livingston, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#35 of 56 Montana counties for chlamydia, a higher rate than 38% of the state
| Infection | Park County | Montana | United States |
|---|---|---|---|
| Chlamydia | 145.2 26 cases ▼ 55% | 322.6 | 492.2 |
| Gonorrhea | 11.2 2 cases ▼ 83% | 67.7 | 179.5 |
| Syphilis (P&S) | 11.2 2 cases ▼ 59% | 27.5 | 15.8 |
| Syphilis (early) | — no data | 12.4 | 16 |
| Syphilis (late/unknown) | 11.2 2 cases ▼ 59% | 27.2 | 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 Park County, chlamydia has fallen from 197.8 to 145.2 per 100,000 (27%), gonorrhea has risen from 5.8 to 11.2 per 100,000 (93%), and P&S syphilis has risen from 5.8 to 11.2 per 100,000 (93%).
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 Park County.
Local HIV snapshot
Park County HIV care continuum (2023)
Park County recorded 0 new HIV diagnoses per 100,000 (2023), against 3 statewide and 13.7 nationally. Among Park County residents living with HIV, 92.3% are in care · 92.3% 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 Park County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Miles Park anchors a stretch of Livingston where renters and owners share blocks in a ratio that shapes daily rhythms as much as any commute. With about a third of residents renting, at monthly rates well below what comparable housing runs in larger markets, and nearly two-thirds already carrying a mortgage, the town splits between people whose housing costs leave a little room and those watching every line of a tight monthly budget. That split matters for screening because most people here are employed and actively working, which means the practical obstacle isn't awareness. It's calendar space.
Livingston's labor-force participation is strong, and unemployment is low enough that most younger adults in their late teens and twenties are holding jobs with schedules that don't bend easily toward a clinic visit during standard hours. The testing options listed on this page represent real variation in hours, fees, and distance. Enough that someone renting near G Street Park and someone who owns out toward M Street Park will find different combinations of what's close and what's affordable. Running through those options once, picking one that suits your situation, and booking it is the straightforward move this city's logistics actually allow.
Getting there
At 9.34/20 on the EPA walkability index, day-to-day errands in Livingston 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 59047 snapshot
ZIP-level Census figures for the wider 59047 area around Livingston: a single ZIP can span several communities, so they describe the area, not Livingston alone.
Livingston sits in Park County, ZIP 59047. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Livingston? 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 Park County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Montana 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 Livingston-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 Livingston 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 Montana 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 Montana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Montana 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 MontanaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Park County reported ~145 chlamydia cases per 100,000 in 2023, below the Montana average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Montana, people under 18 can consent to confidential STD testing and treatment on their own.
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.