Gonorrhea diagnoses in Hughes County are 74% higher than the national average. If you're considering testing after a potential exposure or as part of regular healthcare in Pierre, South Dakota, you can visit a clinic for immediate care and answers, or use an at-home kit for convenience. See the options below.
Available testing centers
5 testing options are listed for Pierre, SD. The nearest, Sanford Health Laboratories, is about 1.6 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.
South Dakota Urban Indian Health in Pierre runs on a sliding-scale fee accepted by Medicaid and most insurance, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, and hepatitis A, B, and C testing alongside same-visit bacterial treatment. Appointments required.
For someone paying sliding-scale without an established provider, having PrEP prescribed and managed in the same place that handles primary-care-adjacent services removes a real logistical barrier. South Dakota Urban Indian Health carries both PrEP and PEP on-site in Pierre, meaning the prescribing relationship, monitoring labs, and follow-up all live in one clinical home.
South Dakota Urban Indian Health in Pierre prescribes and monitors direct-acting antivirals for hepatitis C internally, clinicians track viral load response and adjust the treatment course rather than handing the diagnosis off. That means the same staff who order the hepatitis C antibody and confirmatory RNA tests are the ones managing the cure regimen through completion.
South Dakota Urban Indian Health tests for herpes and hepatitis A, B, and C in addition to gonorrhea, chlamydia, syphilis, and HIV, which means a single appointment can surface infections that a narrower panel would leave undetected, giving clinicians a fuller picture before any treatment decisions are made.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Access Health - Fort Pierre earned its federally qualified health center designation by anchoring sliding-scale fees to each patient's income, making syphilis, gonorrhea, and chlamydia screening genuinely affordable across the pay spectrum. Walk-ins are welcome, no appointment needed to get tested in Fort Pierre.
Tests offered
Fees & payment
Access Health - Onida earned its federally qualified health center designation by meeting the needs of patients who pay out of pocket, lack insurance, or simply need a reliable local option. Sliding-scale fees adjust to income, keeping syphilis, gonorrhea, and chlamydia screening within reach in Onida.
Tests offered
Fees & payment
Access Health - Presho earns its federal health center designation partly by tying fees to income, so a single walk-in visit can cover sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without scheduling ahead. Straightforward care priced to what patients actually earn.
Tests offered
Fees & payment
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Pierre, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Hughes 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.
801 East Sioux Avenue, Pierre, SD 57501
CMS-certified lab Accredited · College of American Pathologists
801 East Sioux Avenue, Pierre, SD 57501
CMS-certified lab Accredited · College of American Pathologists
615 East Fourth Street, Pierre, SD 57501
CMS-certified lab
Showing the nearest 3 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Pierre. 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, 25 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pierre. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Amy Lueking, MD
OB-GYN · 801 East Sioux Avenue, Pierre
Magdalene Fiddler, MD
Internal medicine · 801 East Sioux Avenue, Pierre
Kevin Whittle, MD
Internal medicine · 800 East Dakota Avenue, Pierre
Charissa Raymond, DO
Family medicine · 521 East Sioux Avenue, Pierre
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 Pierre, 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.
0.5 mi Avera St. Mary's Campus Pharmacy
1.5 miMedicine Shoppe
1.5 mi
1.7 mi Dakotamart
1.7 miVilas Pharmacy
1.8 miShowing the 6 closest pharmacies to Pierre, 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 Pierre, 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.
$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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Hughes County, the county that includes Pierre, 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.
#16 of 66 South Dakota counties for chlamydia, a higher rate than 76% of the state
| Infection | Hughes County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 470.9 83 cases ▼ 11% | 531.6 | 492.2 |
| Gonorrhea | 312.1 55 cases ▲ 23% | 253.3 | 179.5 |
| Syphilis (P&S) | 68.1 12 cases ▼ 7% | 73.4 | 15.8 |
| Syphilis (early) | 62.4 11 cases ▼ 19% | 76.8 | 16 |
| Syphilis (late/unknown) | 102.1 18 cases ▲ 40% | 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 Hughes County, chlamydia has risen from 349 to 470.9 per 100,000 (35%), gonorrhea has risen from 230.8 to 312.1 per 100,000 (35%), and P&S syphilis has risen from 5.6 to 68.1 per 100,000 (1116%).
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 Hughes County.
Local HIV snapshot
Hughes County HIV care continuum (2022)
Hughes County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.8 statewide and 13.7 nationally. Among Hughes County residents living with HIV, 80% 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.
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 Hughes County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
SD 34 cuts east through Hughes County in under ten minutes end to end, yet that short drive still requires a car, a free hour, and the mental energy to schedule it. Conditions that don't always line up for the roughly one-in-three households here paying rent rather than holding a mortgage. At $667 a month, Pierre's rental market sits low enough that cost alone rarely blocks a clinic visit, but renters tend to move more often, piece together irregular hours, and skip ahead to whatever crisis is loudest that week.
That dynamic matters most for younger adults (people still building relationships, often between jobs or juggling school) who account for a meaningful share of Pierre's population and carry the county's heaviest STI exposure. With nearly a quarter of households bringing in over $100,000 and close to half of adults married, Pierre skews toward stability in ways that can make sexual-health screening feel like somebody else's concern. It isn't; STIs travel across income brackets and household types, and Hughes County's rates reflect that.
Getting there
At 7.86/20 on the EPA walkability index, day-to-day errands in Pierre 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 57501 snapshot
ZIP-level Census figures for the wider 57501 area around Pierre: a single ZIP can span several communities, so they describe the area, not Pierre alone.
Pierre sits in Hughes County, ZIP 57501. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Pierre? 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 Hughes 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 Pierre-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 Pierre 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.
Possibly, Fort Pierre, SD is close; compare it by distance against Sanford Health Laboratories.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 471 cases per 100,000 residents (2023), below the South Dakota average.
In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.