STD Testing in North Bonneville, WA: Free, Same-Day & Confidential
Chlamydia in Skamania County runs about 86% lower than the US average. If you've had a recent risk, or simply test on a regular schedule in North Bonneville, Washington, community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. Your options appear below.
6 testing options are listed for North Bonneville, WA. The nearest, One Community Health - Stevenson, is about 4.9 miles away. Compare community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
Location unavailable — enter a ZIP code or city instead.
Community health center 4.9 miles
One Community Health - Stevenson
4.1(72)?Where these reviews come from
Review sources
Google67
EasySTD5
Rated 4.1 out of 5 from 72 reviews
One Community Health - Stevenson serves patients across income levels (whether uninsured, paying cash, or between providers) through federally qualified health center status that anchors sliding-scale fees to what people actually earn. STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment required.
Sliding-scale
Address
875 Southwest Rock Creek Drive, Stevenson, WA 98648
Skamania County Public Health in Stevenson anchors STI care within the county's own public health infrastructure: appointments cover gonorrhea, chlamydia, syphilis, HIV, herpes, and both hepatitis B and C on a sliding-scale fee, with same-visit treatment for bacterial infections and Spanish-language services on staff.
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Herpes and Hepatitis Expand the Standard Panel
The panel at Skamania County Public Health runs to seven infections: gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, and hepatitis C. Herpes serology and hepatitis C antibody testing, absent from many county panels, are drawn and processed here, meaning one appointment generates a materially fuller picture of sexual health status.
Spanish Services Are Staffed, Not Patched
Spanish-language care at Skamania County Public Health is a staffed clinical capacity: counseling, prevention education, and STI treatment are conducted directly in Spanish rather than routed through ad hoc arrangements. That operational structure means nuance in HIV test counseling and hepatitis prevention discussions isn't compressed by a language gap.
Tests & treatsSliding-scale
Address
710 Southwest Rock Creek Drive, Stevenson, WA 98648
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.
The nearest testing center is about 5 miles away; if you'd rather skip the trip, an at-home kit ships to North Bonneville, 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
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Clinicians near North Bonneville, WA who may help arrange STD testing
Beyond dedicated clinics, 563 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of North Bonneville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 192 offer telehealth.
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
Pharmacies near North Bonneville, WA
No pharmacy near North Bonneville, WA 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.
Showing the 5 closest pharmacies to North Bonneville, WA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of North Bonneville, 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.
Online treatment
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
STDs & HIV in Skamania County: the local picture
How reported STI rates in Skamania County, the county that includes North Bonneville, compare with Washington 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.
#38
#38 of 39 Washington counties for chlamydia, among the lowest in the state
Reported STD rates per 100,000, Skamania County vs Washington vs U.S.
Skamania CountyWashingtonU.S.▲▼ = Skamania County vs the state average
Infection
Skamania County
Washington
United States
Chlamydia
71.29 cases▼ 80%
354.4
492.2
Gonorrhea
— no data
129.6
179.5
Syphilis (P&S)
7.91 cases▼ 63%
21.3
15.8
Syphilis (early)
— no data
12.5
16
Syphilis (late/unknown)
15.82 cases▼ 31%
22.9
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.
Reported STD rates in Skamania County over time (per 100,000)
Chlamydia ▼ 26% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Skamania County, chlamydia has fallen from 99.7 to 71.2 per 100,000 (29%), gonorrhea has risen from 8.3 to 48.2 per 100,000 (481%), and P&S syphilis has fallen from 8.2 to 7.9 per 100,000 (4%).
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
What shapes testing access in and around North Bonneville, WA
Adults uninsured
6.6%
No routine checkup
26.3%
Binge drinking
16.2%
Frequent mental distress
16.2%
Depression
25.7%
Below poverty line
8.2%
Primary-care shortage score 13 / 26
Social Vulnerability Index · 23rd percentile nationally
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 Skamania County.
Local HIV snapshot
HIV in Skamania County (2023)
People living with HIV
89 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
152
Skamania County HIV care continuum (2023)
Skamania County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Skamania County residents living with HIV, 70% are in care · 60% 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.
Pregnant or planning to be?
Congenital syphilis is the fastest-rising STI: what to test, and when
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 Skamania County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)
Thunder Island draws a mix of longtime owners and younger renters navigating relatively affordable monthly costs by Pacific Northwest standards: people in their late teens and twenties who are often newly paired up, sharing households that run larger than the national average, and building lives in a place where nearly two-thirds of adults are working and most are partnered. That life stage (fresh relationships, shared living situations, shifting routines) is exactly when routine STI screening tends to fall through the cracks not from reluctance but from logistics. Those logistics are genuinely specific here. For residents who work full hours and keep households humming, over three people per home on average, carving out time on a weekday means coordination, not convenience.
The options listed on this page do include lower-cost and sliding-scale services, which matters in a community where a meaningful share of households sits comfortably above median income but many renters are stretching a modest monthly budget. The drive on WA 14 is real, and for a town this size that distance is the whole story. Knowing which clinic has Saturday hours or telehealth intake before you get in the car is what turns a reasonable intention into a completed appointment rather than a postponed one.
Getting there
How residents reach STD testing in North Bonneville, WA
Walkability6.4 / 20 · Below average
At 6.4/20 on the EPA walkability index, day-to-day errands in North Bonneville 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 98648 snapshot
Residents
3,353
Median age
48.5
Median income
$93,553
ZIP-level Census figures for the wider 98648 area around North Bonneville: a single ZIP can span several communities, so they describe the area, not North Bonneville alone.
North Bonneville sits in Skamania County, ZIP 98648. Local context that shapes where residents test:
Local landmarks
Table Mountain
Greenleaf Peak
Aldrich Butte
Bonneville Dam Historic District
Sacagawea and Papoose Rocks
Hamilton Island Recreation Area
Neighborhoods & communities
Thunder Island
Major routes
WA 14 (Evergreen Highway)
Columbia River Highway
Historic Columbia River Highway State Trail
Northeast Frontage Road
Nearby cities & towns
Nearby cities and towns near North Bonneville, WA
Just outside North Bonneville? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in North Bonneville, WA: screening, costs & privacy
Everything to know before you test in Skamania County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and when
CDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a North Bonneville-area provider.
Medicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving North Bonneville 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.
Confidentiality & consent in Washington
Minor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Washington 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).
Can a minor consent on their own?
In Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Washington 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.
