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STD Testing in Rosebud, SD: Free, Same-Day & Confidential

Todd County reports 3087 chlamydia cases per 100,000 residents, well above the US average. Whether you have symptoms or just want peace of mind in Rosebud, South Dakota, there are options for testing. To start treatment right away, see a provider; at-home kits allow testing on your schedule.

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STD testing near Rosebud, SD

5 testing options are listed for Rosebud, SD. The nearest, Indian Health Service, is about 1.6 miles away. Compare 2 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.

Closest to you 1.6 miles

Indian Health Service

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Indian Health Service in Rosebud runs STI testing and treatment through a federal tribal health facility, folding gonorrhea, chlamydia, syphilis, and HIV into broader primary care. Appointments are required, and all services are provided at no fee.

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Every Visit Here Carries Zero Cost

All services at Indian Health Service in Rosebud are provided at no fee, which means the same appointment that uncovers a diagnosis can move straight into treatment without cost becoming a factor in what happens next.

Substance-Use Treatment Is Staffed On-Site

Substance-use treatment is woven into the same clinical structure as STI care, staffed by the same facility, so a provider seeing a patient for gonorrhea or syphilis can coordinate addiction medicine through internal channels, not a separate intake process at an outside program.

Hepatitis A, B, and C Are Tested Here

Beyond the standard bacterial and HIV panel, Indian Health Service in Rosebud runs blood work for hepatitis A, B, and C, each requiring its own specific assay, and backs the testing with hepatitis A and B vaccination and hepatitis prevention counseling staffed within the same clinic.

Tests & treats
Address
PO Box 400, Rosebud, SD 57570
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 12:30 PM – 9:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 9.4 miles

Horizon Health Care

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Horizon Health Care in Mission runs STI care by appointment, so scheduling ahead means your visit covers gonorrhea, chlamydia, syphilis, and HIV testing alongside same-visit bacterial treatment, HPV and hepatitis vaccines, and sliding-scale fees that apply to everyone.

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Herpes and Hepatitis Caught at the Same Visit

Skipping herpes or hepatitis testing means a separate appointment, a separate lab, and a gap where an active infection goes unmanaged. Horizon Health Care runs hepatitis A, B, and C testing alongside herpes and TB screening in the same visit where your core panel is drawn. No second stop required.

Interpretation Services Built Into Every Appointment

Without on-site language support, a patient leaves with instructions they couldn't fully follow, and a treatment plan that unravels before the next visit. Horizon Health Care provides interpretation services for non-English languages, so the conversation about diagnosis, treatment, and follow-up stays complete from the start.

Tests & treats Sliding-scale
Address
161 South Main Street, Mission, SD 57555
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website

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.

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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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Every other option

More ways to get tested in Rosebud, 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.

At-home STD testing in Rosebud, SD

The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Rosebud, 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.

Other CLIA-certified labs near Rosebud, SD

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

  • US Public Health Service Hospital

    Hwy 18 Soldier Creek Road, Rosebud, SD 57570

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Horizon Health Mission

    161 South Main, Mission, SD 57555

    CMS-certified lab

    • STD testing

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

Clinicians near Rosebud, SD who may help arrange STD testing

Beyond dedicated clinics, 44 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rosebud. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 10 offer telehealth.

  • Colin O'Leary, MD

    Internal medicine · 400 Soldier Creek Road, Rosebud

  • Anne Brewster, MD Telehealth

    Internal medicine · 400 Soldier Creek Drive, Rosebud

  • Mina Shaker, MD

    Internal medicine · 400 Soldier Creek Drive, Rosebud

  • Anora Henderson, MD

    Family medicine · 161 South Main, Mission

  • Madeleine Wilson, MD

    Family medicine · 510 North Green Street, Valentine

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.

Pharmacies near Rosebud, SD

No pharmacy near Rosebud, 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.

  • Mission Community Pharmacy

    9.5 mi
    Rx pickupCondoms / EC
  • White River Community Pharmacy

    23 mi
    Rx pickupCondoms / EC
  • Cherry County Drug

    29 mi
    Rx pickupCondoms / EC
  • Valentine Clinic Pharmacy

    29 mi
    Rx pickupCondoms / EC
  • One2one Valentine

    29 mi
    Rx pickupCondoms / EC
  • Shopko Stores Operating

    29 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Rosebud, SD.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Rosebud, 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.

STDs & HIV in Todd County: the local picture

How reported STI rates in Todd County, the county that includes Rosebud, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~36% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

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

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

Todd County South Dakota U.S. ▲▼ = Todd County vs the state average
Infection Todd County South Dakota United States
Chlamydia
3087.3 284 cases ▲ 481%
531.6 492.2
Gonorrhea
2130.7 196 cases ▲ 741%
253.3 179.5
Syphilis (P&S)
434.8 40 cases ▲ 492%
73.4 15.8
Syphilis (early)
641.4 59 cases ▲ 735%
76.8 16
Syphilis (late/unknown)
1608.9 148 cases ▲ 2107%
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 Todd County over time (per 100,000)

Chlamydia ▼ 16% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 1875 3750 2020202120222023

Between 2020 and 2023 in Todd County, chlamydia has risen from 1792 to 3087.3 per 100,000 (72%), gonorrhea has risen from 1201.8 to 2130.7 per 100,000 (77%), and P&S syphilis has risen from 96.6 to 434.8 per 100,000 (350%).

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 Rosebud, SD

Adults uninsured
19.9%
No routine checkup
27.8%
Binge drinking
15.2%
Frequent mental distress
26.8%
Depression
25.1%
Below poverty line
51.4%
Primary-care ratio
4,643 : 1
Todd County
  • Primary-care shortage score 22 / 26
  • Medically Underserved Area · IMU 23.9
  • Social Vulnerability Index · 95th 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 Todd County.

Local HIV snapshot

HIV in Todd County (2023)

People living with HIV
123 / 100k

Todd County HIV care continuum (2022)

Todd County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.8 statewide and 13.7 nationally. Among Todd County residents living with HIV, 85.7% are in care · 28.6% 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 Todd County tests for syphilis.

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

16 Sources

Local resources & officials

Data & references

About Rosebud, SD

Rosebud Butte rises at the edge of a community where households are large and decisions about health tend to be collective ones. With an average of more than five people sharing a home, and only a small share of adults formally married, the family structures here are extended and interwoven. A care question rarely belongs to just one person. That household character shapes how health decisions get made: screening for one often ripples into awareness for others under the same roof.

More than six in ten residents rent, typically at rates well below national norms, which reflects how tight household budgets stretch across multiple people. When most adults aren't currently in the labor force, the ones who are working often hold hours that don't leave much room for weekday appointments. For younger adults still building their lives and relationships, the years when STI transmission is most common, an extra hour of driving to reach a clinic can be the thing that quietly shelves a reasonable intention. The options listed on this page include resources in and around Rosebud, giving residents something real to work with regardless of schedule or transportation.

Todd County's STI figures carry weight in that context. Staying current with screening isn't an abstract health posture here, it's a practical response to what the county-level data already shows.

Getting there

How residents reach STD testing in Rosebud, SD

Walkability 2.98 / 20 · Least walkable

At 2.98/20 on the EPA walkability index, day-to-day errands in Rosebud 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 5 STD & STI testing locations in Rosebud, South Dakota, EasySTD

ZIP 57570 snapshot

Residents
2,213
Median age
26.1
Median income
$44,457

ZIP-level Census figures for the wider 57570 area around Rosebud: a single ZIP can span several communities, so they describe the area, not Rosebud alone.

Rosebud sits in Todd County, ZIP 57570. Local context that shapes where residents test:

Local landmarks

  • Rosebud Butte
  • Sugar Loaf Butte

STD testing in Rosebud, SD: screening, costs & privacy

Everything to know before you test in Todd 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 Rosebud-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

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 Rosebud 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.

STD testing FAQs for Rosebud, SD

Answers to the questions people ask most before getting tested.

How many places can I test near Rosebud, SD?

There are 2 options within a 30-mile drive.

Does insurance cover STD testing near Rosebud, SD?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Is there free HIV testing near Rosebud, SD?

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

What's included in a full panel near Rosebud, SD?

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

How common is chlamydia in Todd County?

Todd County reported ~3,087 chlamydia cases per 100,000 in 2023, above the South Dakota average.

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.

How long do results take near Rosebud, SD?

Most results are ready in about 1–2 days.

How soon after sex should I get tested?

Chlamydia and gonorrhea show up about 1–2 weeks after exposure, syphilis 3–6 weeks, and HIV 2–6 weeks depending on the test.

What should I do after sexual assault?

Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.

What samples are used for STD testing near Rosebud, 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.