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STD Testing in North Eagle Butte, SD: Free, Same-Day & Confidential

Syphilis cases in Dewey County are about 768 per 100,000 residents. Those in North Eagle Butte, South Dakota with a one-time concern or needing regular check-ups can weigh two options: visiting a clinic for immediate support and treatment, or using an at-home kit for convenience and flexibility. See the options we list below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near North Eagle Butte, SD

6 testing options are listed for North Eagle Butte, SD. The nearest, Horizon Health Care, is about 0.6 miles away. Compare 3 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.

Most reviewed 0.6 miles

Horizon Health Care

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 3.5 out of 5 from 5 reviews

Horizon Health Care in Eagle Butte runs on a sliding scale and accepts Medicaid, Medicare, and private insurance, with fees for services beyond that. Testing covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C, and TB. Appointment required, bacterial STIs treated same visit.

Read full overview Show less

Herpes and Hepatitis Are on the Panel

Horizon tests for herpes simplex and all three hepatitis strains (A, B, and C) alongside the standard bacterial and HIV workup. That breadth means a single appointment can surface infections that a narrower panel would leave undetected and unaddressed.

Interpretation Services Built Into the Visit

Interpretation services are available for non-English languages at Horizon, which means clinical conversations (symptom history, diagnosis, treatment instructions) can happen with full comprehension rather than approximation.

Tests & treats Sliding-scale
Address
24337 US-212, Eagle Butte, SD 57625
Booking
Appointment required
Opening hours
  • Monday 7:00 AM – 5:30 PM
  • Tuesday 7:00 AM – 5:30 PM
  • Wednesday 7:00 AM – 5:30 PM
  • Thursday 7:00 AM – 5:30 PM
  • Friday 7:00 AM – 5:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 0.6 miles

Horizon Health - Eagle Butte

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 3.5 out of 5 from 5 reviews

Horizon Health - Eagle Butte welcomes walk-ins for STI screening, no appointment needed. Federally qualified status anchors its sliding-scale fee structure, adjusting costs to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing for anyone who walks through the door.

Sliding-scale
Address
24337 US Highway 212, Eagle Butte, SD 57625
Website
1.7 miles

Indian Health Service

No ratings yet

Indian Health Service in Eagle Butte tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB on a sliding-scale fee with walk-ins welcome. Same-visit treatment is available for bacterial STIs, and vaccines for HPV and hepatitis A and B are on-site.

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PrEP Prescribed and Monitored at This Clinic

Indian Health Service carries PrEP as an active clinical service: providers prescribe, follow labs, and adjust dosing over time, rather than issuing a one-time script and stepping back. PEP is similarly staffed and managed on-site in Eagle Butte, keeping both prevention regimens inside a single, continuous care relationship.

Substance-Use Treatment Doesn't Require a Second Clinic

When substance use goes unaddressed at the time of an STI diagnosis, the gap between those two needs becomes a quiet driver of reinfection and delayed recovery. At Indian Health Service in Eagle Butte, substance-use treatment is part of the same clinical home, so the conversation, and the care, don't stop at the STI.

Hepatitis C Testing Runs Alongside the Standard Panel

Missing a hepatitis C test means leaving an infection undetected until symptoms push someone to a different provider, often much later. Indian Health Service in Eagle Butte runs hepatitis C testing as part of its regular panel, and manages hepatitis C on-site, so a positive result doesn't open a gap between diagnosis and next steps.

Tests & treats PrEP
Address
24276 166th Street, Airport Rd Eagle Butte, SD 57625
Opening hours
  • Monday 8:00 AM – 8:00 PM
  • Tuesday 8:00 AM – 8:00 PM
  • Wednesday 8:00 AM – 8:00 PM
  • Thursday 8:00 AM – 8:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday 11:00 AM – 5:00 PM
Website
Premium Partner

Sanford Health Laboratories

Results in 1–2 days
No ratings yet
Address
521 East Sioux Avenue, Pierre, SD 62.8 miles away
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Labcorp

Results in 1–2 days
No ratings yet
Address
713 Omaha Street, Rapid City, SD 117.4 miles away
Opening hours
  • Monday 7:00 AM – 4:00 PM
  • Tuesday 7:00 AM – 4:00 PM
  • Wednesday 7:00 AM – 4:00 PM
  • Thursday 7:00 AM – 4:00 PM
  • Friday 7:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Sanford Health Laboratories

Results in 1–2 days
No ratings yet
Address
36 East Stumer Road, Rapid City, SD 118.8 miles away
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

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Staff & comfort
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Every other option

More ways to get tested in North Eagle Butte, SD

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

At-home STD testing in North Eagle Butte, SD

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to North Eagle Butte, 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.

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

Other CLIA-certified labs near North Eagle Butte, SD

Beyond the public testing sites above, these federally certified (CLIA) labs serve Dewey 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.

  • Cheyenne River Health Center

    24276 166th Street, Airport Road, Eagle Butte, SD 57625

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
    Call Directions

  • Native Biodata Consortium

    220 East Prairie Road, Eagle Butte, SD 57625

    CMS-certified lab

    • STD testing
    Call Directions

Showing the nearest 2 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near North Eagle Butte. 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.

Nearby pharmacies

Pharmacies near North Eagle Butte, SD

No pharmacy near North Eagle Butte, 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.

Showing the 2 closest pharmacies to North Eagle Butte, SD.

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 Eagle Butte, 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.

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 Dewey County: the local picture

How reported STI rates in Dewey County, the county that includes North Eagle Butte, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#2 of 66 South Dakota counties for chlamydia, among the very highest in the state

Reported STD rates per 100,000, Dewey County vs South Dakota vs U.S.

Dewey County South Dakota U.S. ▲▼ = Dewey County vs the state average
Infection Dewey County South Dakota United States
Chlamydia
2803.4 146 cases ▲ 427%
531.6 492.2
Gonorrhea
1862.5 97 cases ▲ 635%
253.3 179.5
Syphilis (P&S)
768 40 cases ▲ 946%
73.4 15.8
Syphilis (early)
1478.5 77 cases ▲ 1825%
76.8 16
Syphilis (late/unknown)
537.6 28 cases ▲ 637%
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.

Reported STD rates in Dewey County over time (per 100,000)

Chlamydia ▼ 17% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 1700 3400 2020202120222023

Between 2020 and 2023 in Dewey County, chlamydia has risen from 1584.3 to 2803.4 per 100,000 (77%), gonorrhea has risen from 1221.6 to 1862.5 per 100,000 (52%), and P&S syphilis has risen from 266.9 to 768 per 100,000 (188%).

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 Eagle Butte, SD

Adults uninsured
14.5%
No routine checkup
27.4%
Binge drinking
17.4%
Frequent mental distress
22.2%
Depression
22.3%
Below poverty line
36.1%
Primary-care ratio
5,246 : 1
Dewey County
  • Primary-care shortage score 19 / 26
  • Medically Underserved Area · IMU 44
  • Social Vulnerability Index · 83rd 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 Dewey County.

Local HIV snapshot

HIV in Dewey County (2023)

People living with HIV
595 / 100k

Dewey County HIV care continuum (2022)

Dewey County recorded 297.8 new HIV diagnoses per 100,000 (2022), against 6.8 statewide and 13.7 nationally. Among Dewey County residents living with HIV, 90% 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 Dewey County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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)

16 Sources

Local resources & officials

Data & references

Local context

About North Eagle Butte, SD

Eagle Butte's households run large (averaging five people under one roof, with most residents renting rather than owning) and that density of shared living makes routine sexual health screening a practical matter, not just a personal one. When a positive result goes undetected, it moves through a household quickly. Meanwhile, unemployment here sits well above national norms, and with fewer than one in twelve households reaching six-figure income, an out-of-pocket lab bill can genuinely derail follow-through in a way it wouldn't somewhere with different economic footing. Young adults in their late teens and twenties make up a meaningful slice of North Eagle Butte, and this is the life stage when STI exposure is statistically most common: relationships forming, testing habits not yet established, and often no primary-care relationship to prompt a conversation.

That reality puts a premium on options with flexible hours and clear fee structures, both of which vary across providers listed on this page. Veterans Memorial Park sits at the quiet center of Eagle Butte life. If you're nearby on any given day, checking the closest listed option's next available appointment before you leave the parking lot is genuinely the lowest-effort first step.

Getting there

How residents reach STD testing in North Eagle Butte, SD

Walkability 5.97 / 20 · Below average

At 5.97/20 on the EPA walkability index, day-to-day errands in North Eagle Butte 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.

Map of 6 STD & STI testing locations in North Eagle Butte, South Dakota, EasySTD

ZIP 57625 snapshot

Residents
3,857
Median age
27.6
Median income
$49,643

ZIP-level Census figures for the wider 57625 area around North Eagle Butte: a single ZIP can span several communities, so they describe the area, not North Eagle Butte alone.

North Eagle Butte sits in Dewey County, ZIP 57625. Local context that shapes where residents test:

Local landmarks

  • Veterans Memorial Park
  • Eagle Butte

Neighborhoods & communities

  • Eagle Butte

Major routes

  • US 212 (US Highway 212)

Reference

STD testing in North Eagle Butte, SD: screening, costs & privacy

Everything to know before you test in Dewey 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.

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.

GroupTestsHow 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 Eagle Butte-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

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 Eagle Butte 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.

TestReference priceCPT / 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 South Dakota

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

In South Dakota, 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)

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 Dakota

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for North Eagle Butte, SD

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near North Eagle Butte, SD?

Yes, several local labs offer same-day walk-in testing; best to call first.

How much does STD testing cost near North Eagle Butte, SD?

Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Is there free HIV testing near North Eagle Butte, SD?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near North Eagle Butte, SD?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Dewey County?

Dewey County reported ~2,803 chlamydia cases per 100,000 in 2023, above the South Dakota average.

Is there an at-home STD test for North Eagle Butte, SD?

At-home kits mail to 57625: self-collect, send to the lab, results in ~2–5 days.

Can someone under 18 get tested in South Dakota without a parent?

In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.

Can I get PrEP near North Eagle Butte, SD?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

How long do results take near North Eagle Butte, SD?

Most results are ready in about 1–2 days.

What samples are used for STD testing near North Eagle Butte, SD?

Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.