STD Testing in Sidney, MT: Free, Same-Day & Confidential
Gonorrhea occurs in Richland County about 90% less than the average in the United States. Whether you have symptoms or just want peace of mind in Sidney, Montana, you can choose between several STI testing options. Below are places that either take walk-ins for same-day testing, or let you plan around your own time.
8 testing options are listed for Sidney, MT. The nearest, Ag Worker Health & Services, is about 10.3 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 10.3 miles
Ag Worker Health & Services
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Ag Worker Health & Services in Fairview welcomes walk-ins for STI screening, no appointment needed. Federal FQHC standing anchors its sliding-scale fee structure, so cost adjusts to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
A community safety-net rural health clinic about 11 miles from Sidney. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Richland County Health Department in Sidney tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB on a sliding-scale fee accepted by Medicaid and most insurers; same-visit treatment is available for bacterial STIs, and appointments are required. Interpretation services extend care to non-English speakers.
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Herpes and Hepatitis C Are on the Panel
The clinic runs seven distinct tests (HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, and hepatitis C) meaning infections that often go undetected because they aren't bundled into a standard four-test screen are caught here at the same appointment, under the same sliding-scale fee structure.
Title X Confidentiality Applies Directly to Minors
As a Title X-funded site, Richland County Health Department is legally required to keep family planning services, including contraception counseling and STI care, confidential for minors, independent of parental insurance or billing, a protection written into federal program rules rather than left to clinic discretion.
Interpretation services are available for non-English-speaking patients, which means counseling on test results, treatment instructions, and prevention education, not just intake forms, can be conveyed with the precision those conversations require.
English, Interpretation Services Available for Non-English Languages
Tests offered
Hepatitis C
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
LGBTQ
Low Income Persons
Men Who Have Sex with Men (MSM)
Care services
Family Planning
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
Listing verified Jan 2026 · Source: CDC NPIN
Best for free testing 29.3 miles
Indian Health Service
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Indian Health Service in Trenton offers free HIV and STI testing (including gonorrhea, chlamydia, syphilis, and hepatitis A, B, and C) with TB screening, HPV and hepatitis vaccines, and same-visit bacterial treatment. Medicaid, Medicare, and insurance are accepted. An appointment is required.
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Free Care for People Without a Regular Provider
For anyone managing care without an established primary provider, or carrying costs entirely out of pocket, Indian Health Service in Trenton absorbs the full cost of every service it offers. Testing, treatment, vaccines, and counseling all carry the same price: nothing.
Substance-Use Treatment and STI Care, Same Clinic
For someone navigating both substance-use concerns and sexual health, Indian Health Service in Trenton holds treatment capacity for both. That matters when coordinating care across separate providers isn't realistic, everything lives in one chart, one appointment, one relationship with a provider.
Hepatitis Testing Goes Beyond the Standard Panel
Clinics running the basic four-infection panel leave hepatitis testing as an afterthought, something ordered separately if a patient knows to ask. Indian Health Service in Trenton builds hepatitis A, B, and C screening directly into the available panel. Paired with hepatitis A and B vaccination when indicated.
A safety-net rural health clinic about 34 miles from Sidney. 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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Sidney, 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 Sidney, MT
Beyond the public testing sites above, these federally certified (CLIA) labs serve Richland 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 Sidney. 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 Sidney, MT who may help arrange STD testing
Beyond dedicated clinics, 10 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Sidney. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
AR
Andrew Roberts, DO
Family medicine · 216 14th Avenue Southwest, Sidney
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 Sidney, MT
No pharmacy near Sidney, 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 Sidney, 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.
PrEP & DoxyPEP
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Richland County: the local picture
How reported STI rates in Richland County, the county that includes Sidney, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#13
#13 of 56 Montana counties for chlamydia, a higher rate than 77% of the state
Reported STD rates per 100,000, Richland County vs Montana vs U.S.
Richland CountyMontanaU.S.▲▼ = Richland County vs the state average
Infection
Richland County
Montana
United States
Chlamydia
313.335 cases▼ 3%
322.6
492.2
Gonorrhea
17.92 cases▼ 74%
67.7
179.5
Syphilis (P&S)
— no data
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 Richland County over time (per 100,000)
Chlamydia ▲ 1% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Richland County, chlamydia has risen from 217.6 to 313.3 per 100,000 (44%), gonorrhea has fallen from 26.1 to 17.9 per 100,000 (31%), and P&S syphilis has held roughly steady from 8.9 to 8.9 per 100,000.
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 Sidney, MT
Adults uninsured
9.4%
No routine checkup
30.3%
No transportation
7%
Binge drinking
22%
Frequent mental distress
17.1%
Depression
23.3%
Below poverty line
6.7%
Primary-care ratio
3,761 : 1
Richland County
Primary-care shortage score 7 / 26
Social Vulnerability Index · 26th 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 Richland County.
Local HIV snapshot
HIV in Richland County (2023)
New diagnoses (2023)
0cases countywide
Richland County HIV care continuum (2023)
Richland 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 Richland 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)
MT 16 stretches west out of Sidney past the grain elevators and open sky that define this corner of Montana, and the nearest clinic on this page is almost certainly a drive, not a walk. That's worth knowing upfront, because for people in their late teens and twenties, the years when STI rates run highest, an errand that requires planning around a work shift and a car trip can quietly become an errand that never happens. Sidney's workforce participation is notably high, and unemployment is remarkably low, which sounds like a healthy community story, and it largely is. But it also means a lot of adults are logging full days, often in fields, on rigs, or in trades that don't bend easily to a Tuesday-afternoon appointment.
Close to a quarter of households here are doing well financially, yet a meaningful slice of residents are renters in a town where typical rent already absorbs a real share of a modest paycheck. Cost hesitation around testing is real even when incomes aren't obviously tight. The good news: options are listed on this page, a genuinely wide spread for a community this size. Whether you're coming off a shift and cutting back down South Central Avenue or squeezing in something between errands near Central Park, something on this list is likely closer and cheaper than you'd expect.
Getting there
How residents reach STD testing in Sidney, MT
Walkability6.53 / 20 · Below average
At 6.53/20 on the EPA walkability index, day-to-day errands in Sidney 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 59270 snapshot
Residents
8,844
Median age
38.7
Median income
$68,031
ZIP-level Census figures for the wider 59270 area around Sidney: a single ZIP can span several communities, so they describe the area, not Sidney alone.
Sidney sits in Richland County, ZIP 59270. Local context that shapes where residents test:
Local landmarks
Moose Park
Central Park
Nutter Memorial Park
MonDak Heritage Center
Meadow Park
North Park
Major routes
MT 16 (West Holly Street)
South Central Avenue
MT 200 (North Central Avenue)
Nearby cities & towns
Nearby cities and towns near Sidney, MT
Just outside Sidney? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Sidney, MT: screening, costs & privacy
Everything to know before you test in Richland 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 Sidney-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 Sidney 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.
