STD Testing in Shelby, MT: Free, Same-Day & Confidential
In Toole County, the reported chlamydia rate runs about 80% lower than the US average. If you need testing after a possible exposure or as part of routine care in Shelby, Montana, community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. We list options below.
8 testing options are listed for Shelby, MT. The nearest, Marias Healthcare Service Inc - Shelby, is about 1.3 miles away. Compare 5 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 1.3 miles
Marias Healthcare Service Inc - Shelby
4.4(29)?Where these reviews come from
Review sources
Google25
EasySTD4
Rated 4.4 out of 5 from 29 reviews
Marias Healthcare Service Inc in Shelby carries federal qualification that anchors a sliding-scale fee structure, making syphilis, gonorrhea, and chlamydia screening financially adjustable based on income, no single price applies to everyone, and walk-ins are welcome without a scheduled appointment.
Marias Healthcare Services - Valier, in Valier, anchors its STI care in federal FQHC standing, meaning fees slide with your income and no one is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia without an appointment needed.
Logan Health in Cut Bank tests for gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis C, and TB. A panel that runs wider than most local options. Fees follow a sliding scale accepted alongside Medicaid, Medicare, and private insurance; an appointment is required.
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Community health center 23.2 miles
Logan Health - Conrad
3.8(38)?Where these reviews come from
Review sources
Google35
EasySTD3
Rated 3.8 out of 5 from 38 reviews
A safety-net rural health clinic about 23 miles from Shelby. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Shelby, 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.
Also in the area
Other CLIA-certified labs near Shelby, MT
Beyond the public testing sites above, these federally certified (CLIA) labs serve Toole 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Shelby. 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
Clinicians near Shelby, MT who may help arrange STD testing
Beyond dedicated clinics, 8 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Shelby. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
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 Shelby, MT
No pharmacy near Shelby, 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.
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 Shelby, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Toole County: the local picture
How reported STI rates in Toole County, the county that includes Shelby, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#42
#42 of 56 Montana counties for chlamydia, a higher rate than 25% of the state
Reported STD rates per 100,000, Toole County vs Montana vs U.S.
Toole CountyMontanaU.S.▲▼ = Toole County vs the state average
Infection
Toole County
Montana
United States
Chlamydia
97.45 cases▼ 70%
322.6
492.2
Gonorrhea
— no data
67.7
179.5
Syphilis (P&S)
19.51 cases▼ 29%
27.5
15.8
Syphilis (early)
— no data
12.4
16
Syphilis (late/unknown)
— no data
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.
Reported STD rates in Toole County over time (per 100,000)
Chlamydia ▲ 394% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Toole County, chlamydia has risen from 40.2 to 97.4 per 100,000 (142%), gonorrhea has fallen from 20.1 to 19.7 per 100,000 (2%), and P&S syphilis has fallen from 19.7 to 19.5 per 100,000 (1%).
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 Shelby, MT
Adults uninsured
13.4%
No routine checkup
32.4%
No transportation
10%
Binge drinking
21.6%
Frequent mental distress
18.6%
Depression
22.8%
Below poverty line
10.8%
Primary-care ratio
1,670 : 1
Toole County
Primary-care shortage score 22 / 26
Medically Underserved Area
Social Vulnerability Index · 60th 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 Toole County.
Local HIV snapshot
HIV in Toole County (2023)
New diagnoses (2023)
0cases countywide
PrEP users / 100k
69
Toole County HIV care continuum (2023)
Toole County recorded 0 new HIV diagnoses per 100,000 (2023), against 3 statewide and 13.7 nationally. 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 Toole 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)
The winters here turn the high plains white and still, and the pace of life in Shelby reflects that steadiness, which is precisely why routine STI screening fits so naturally into the rhythm of staying well. Young adults moving through their late teens and thirties make up a vital part of the community, and for them, confidential testing isn't something that requires a special trip or an explanation. The clinics and health providers in and around Shelby listed on this page understand that screening is as ordinary as any other health checkup, handled with the same straightforward care and without fanfare. What sets Shelby apart is affordability.
A modest cost of living means that health maintenance, including preventive STI testing, doesn't become a financial strain that pushes decisions into the background. Whether someone is establishing themselves in a new job, managing school, or simply looking after their own health, the expense doesn't become a barrier. Testing results remain confidential by default; there is no automatic reporting to employers, schools, or family members. Finding a testing site near Johnson Memorial Park, along Main Street, or elsewhere in town takes minutes of inquiry.
The providers here work within the rhythms of ordinary life, offering appointments that fit around work schedules and personal routines. Shelby's character (grounded, direct, and built on trust) extends to how health care happens here.
Getting there
How residents reach STD testing in Shelby, MT
Walkability6.09 / 20 · Below average
At 6.09/20 on the EPA walkability index, day-to-day errands in Shelby 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 59474 snapshot
Residents
3,391
Median age
44.1
Median income
$54,004
ZIP-level Census figures for the wider 59474 area around Shelby: a single ZIP can span several communities, so they describe the area, not Shelby alone.
Shelby sits in Toole County, ZIP 59474. Local context that shapes where residents test:
Local landmarks
Johnson Memorial Park
Aronow Park
Mary Allison Blue Sky Park
Lincoln Park
Marias Museum of History and Art
Shelby - Veterans memorial flag park
Major routes
US 2 (Main Street)
I 15 Bus (Coyote Pass)
5th Avenue North
West Roosevelt Highway
Nearby cities & towns
Nearby cities and towns near Shelby, MT
Just outside Shelby? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Shelby, MT: screening, costs & privacy
Everything to know before you test in Toole 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.
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 Shelby-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 Shelby 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 Montana
Minor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Montana, 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)
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.
