STD Testing in Silver Spring, MD: Free, Same-Day & Confidential
In Montgomery County, reported gonorrhea runs about 39% lower than the US average. Whether you have symptoms or just want peace of mind, Silver Spring, Maryland has options. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience.
12 testing options are listed for Silver Spring, MD. The nearest, CCI Health Services, is about 0.5 miles away. Compare 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.
Premium Partner
Labcorp
Most popular Results in 1–2 days
2.7(55)?
Review sources
Google50
EasySTD5
Rated 2.7 out of 5 from 55 reviews
Address
344 University Boulevard West, Silver Spring, MD 20901 1.5 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 0.5 miles
CCI Health Services
4.1(194)?
Review sources
Google189
EasySTD5
Rated 4.1 out of 5 from 194 reviews
CCI Health Services in Silver Spring tests for gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, hepatitis A, B, and C, and TB, treating bacterial STIs the same visit, with every service provided at no fee, on a sliding scale, by appointment.
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Every Service Carries a Zero Balance
Sliding-scale clinics typically still leave some patients with a bill at checkout. CCI Health Services charges nothing for any service it provides (not the tests, not the treatments, not the vaccines) full stop.
ASL, Mandarin, French, Haitian Creole on Staff
STI care often hinges on nuance that generic interpretation services flatten. CCI Health Services delivers care directly in American Sign Language, Chinese, French, and Haitian Creole (alongside Portuguese, Spanish, Tagalog, and Vietnamese) so clinical conversations carry their full weight.
DoxyPEP Joins PrEP and PEP on the Prevention Menu
CCI Health Services maintains all three current bacterial and viral prevention tools simultaneously: PrEP for ongoing HIV prevention, PEP for post-exposure HIV management, and DoxyPEP, doxycycline taken after sexual exposure, to reduce gonorrhea, chlamydia, and syphilis acquisition.
Tests & treatsSliding-scalePrEPDoxyPEP
Address
8630 Fenton Street, Suite 1200 Silver Spring, MD 20910
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Hispanic or Latino persons
LGBTQ
Low Income Persons
Care services
Family Planning
Medication Adherence Education and Counseling
Mpox Vaccine
TB Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
HIV/AIDS Medical Treatment
Hepatitis C Treatment
Hepatitis B Treatment
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
Free Mpox Vaccine
Medicaid Accepted
PrEP for uninsured
Fee
Insurance Accepted
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Community health center 0.6 miles
Community Clinic
No ratings yet
Community Clinic in Silver Spring carries federal health center designation, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to income. As a Title X grantee, it also provides legally confidential family-planning services for minors, no appointment needed.
Mary's Center in Silver Spring runs on scheduled appointments, so a single visit can cover HIV, syphilis, gonorrhea, chlamydia, and hepatitis C testing alongside same-visit bacterial treatment, all on a sliding-scale fee, with Spanish and French spoken on staff.
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Spanish and French Spoken at Every Stage
When a diagnosis lands in a language you're still translating in your head, the details that shape your treatment (timing, side effects, follow-up) can blur or drop entirely. At Mary's Center in Silver Spring, Spanish and French aren't routed through a separate channel; clinical staff conduct the conversation directly, so nothing critical is lost between the question and the answer.
Family Planning Extends to Confidential Minor Services
Most STI clinics that offer family planning do so without any framework protecting a younger patient's privacy from a parent or guardian. Mary's Center operates under Title X, which means minors can access family planning services, including STI testing and contraception, with the confidentiality protections that designation legally requires.
PrEP, PEP, and DoxyPEP Prescribed and Monitored Here
Mary's Center in Silver Spring prescribes and manages all three prevention medications: PrEP (daily oral HIV prophylaxis requiring regular viral-load and kidney monitoring), PEP (the post-exposure HIV regimen), and DoxyPEP (doxycycline taken after condomless sex to reduce bacterial STI risk). Each involves an ongoing clinical relationship (lab work, dosing review, refills) handled within the same practice.
Tests & treatsTitle XSliding-scalePrEPDoxyPEP
Address
344 University Boulevard West, Silver Spring, MD 20901
Montgomery County Department of Health and Human Services
3.9(56)?
Review sources
Google51
EasySTD5
Rated 3.9 out of 5 from 56 reviews
Montgomery County Department of Health and Human Services in Silver Spring takes walk-ins for rapid HIV testing, gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, and TB: with same-visit treatment for bacterial infections, vaccines, and PrEP on a sliding scale, all at no cost.
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Every Service Here Carries Zero Cost
HIV tests, STI treatment, PrEP, mpox and HPV vaccines, TB screening and treatment. Every line item at Montgomery County DHHS in Silver Spring runs without a fee. That holds regardless of insurance status: sliding-scale fees bottom out at zero, and free STI and HIV testing is built into the core program.
French and Spanish, Straight Into Your Visit
Montgomery County DHHS conducts care directly in French and Spanish, which means clinical conversations (risk counseling, PrEP initiation, medication adherence education) happen in full without compression or delay.
Ryan White Closes the Gap Between Diagnosis and Treatment
Without Ryan White funding, a positive HIV result often means weeks navigating separate providers and coverage gaps before treatment starts. At Montgomery County DHHS in Silver Spring, Ryan White support sustains HIV medical treatment and medication adherence counseling within the same program where testing happens. No second system to enter.
Tests & treatsRyan White HIV careSliding-scalePrEP
Address
2000 Dennis Avenue, Suite 24 Silver Spring, MD 20902
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Highest rated 2.6 miles
Special Care
4.9(95)?
Review sources
Google90
EasySTD5
Rated 4.9 out of 5 from 95 reviews
Special Care in Silver Spring charges a fee on a sliding scale and accepts Medicaid and most insurance, covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial STIs and no appointment required. Staff speak French, Haitian Creole, and Spanish.
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Three Languages, Spoken by Staff Directly
French, Haitian Creole, and Spanish are spoken by Special Care's own clinical staff. Three distinct languages covering a wide swath of Silver Spring's population. That direct fluency shapes every part of care, from counseling on medication adherence to PrEP education, without routing through a separate service.
PEP Is Dispensed Here, Not Deferred
Many prevention-focused clinics offer PrEP but stop short of prescribing PEP, sending patients elsewhere for that medication. Special Care manages both, meaning ongoing PrEP initiation and PEP prescribing happen within the same practice in Silver Spring.
Herpes and Three Hepatitis Strains on the Panel
Special Care tests for herpes and all three hepatitis strains (A, B, and C) alongside the standard bacterial and viral panel. That breadth matters because hepatitis C in particular often goes undetected without an explicit order, and herpes testing requires a separate, specific assay that not every clinic runs.
Tests & treatsPrEP
Address
10230 New Hampshire Avenue, Suite 103 Silver Spring, MD 20903
Metro Area Advanced Practice Healthcare in Kensington tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, HIV, and TB, accepting insurance for coverage; appointments are required, and bacterial infections are treated the same visit.
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PrEP and PEP Prescribed Directly Here
Metro Area Advanced Practice Healthcare prescribes both PrEP and PEP on-site, meaning prevention doesn't depend on a separate provider visit. A patient who tests negative and wants to stay that way can leave with a prescription in hand the same appointment.
Herpes and Hepatitis Caught at the Same Visit
Leaving herpes or hepatitis untested means a second appointment elsewhere, possibly weeks later, possibly uncovered. Metro Area Advanced Practice Healthcare runs herpes simplex and hepatitis A, B, and C testing alongside the bacterial and HIV panel, so those gaps close here rather than surfacing later.
Tests & treatsPrEP
Address
3720 Farragut Avenue, Suite 202 Kensington, MD 20895
McGinty Integrative Medical Center in Washington requires an appointment, so scheduling ahead is the move, but that visit covers gonorrhea, syphilis, chlamydia, and HIV testing alongside same-visit bacterial treatment, HPV and hepatitis A and B vaccines, all on a sliding-scale fee.
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PrEP and PEP Managed Without a Second Stop
Without a clinic that handles both PrEP and PEP directly, a gap in prevention coverage can stretch into weeks of referrals and rescheduled appointments. McGinty Integrative Medical Center prescribes and manages both, meaning a lapse in HIV prevention doesn't depend on how fast another provider picks up the phone.
Tests & treatsPrEP
Address
1208 Crittenden Street Northwest, Washington, DC 20011
La Clinica del Pueblo in Hyattsville tests for HIV, gonorrhea, chlamydia, and syphilis, with same-visit treatment for bacterial infections when results call for it, on a sliding scale, with all services available at no fee and an appointment required.
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Every Service Runs on Zero Cost
For anyone managing STI care without insurance, without a regular provider, or simply paying out of pocket, La Clinica del Pueblo's standing policy covers every service (testing, treatment, counseling) without a balance owed at any point in care.
Spanish Is the Working Language of Care
For a patient whose primary language is Spanish, La Clinica del Pueblo conducts the full visit (clinical intake, test counseling, treatment discussion) in Spanish natively, not as an accommodation layered onto an English-first system.
Ryan White Funding Covers HIV Care End to End
La Clinica del Pueblo's HIV/AIDS medical treatment is structured under Ryan White Program funding, which means the continuum from a rapid HIV test through ongoing HIV medical management operates within a single, federally supported program rather than fragmenting across separate funding streams.
Tests & treatsRyan White HIV careSliding-scale
Address
2970 Belcrest Ctr Drive, Suite 301 Hyattsville, MD 20782
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 less than a mile away, if you'd rather skip the trip, an at-home kit ships to Silver Spring, 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 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
Quest Diagnostics
$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 Silver Spring, MD
Beyond the public testing sites above, these federally certified (CLIA) labs serve Montgomery 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.
Anatomic & Clinical Path/Holy Cross
1500 Forest Glen Road, Silver Spring, MD 20910
CMS-certified labAccredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Silver Spring. 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 Silver Spring, MD who may help arrange STD testing
Beyond dedicated clinics, 5,712 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Silver Spring. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2,452 offer telehealth.
BM
Brian Masterson, MD Telehealth
Internal medicine · 1117 East West Highway, Silver Spring
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 Silver Spring, MD
Compare the pharmacies closest to Silver Spring, MD. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
0.4 mi
Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
Showing the 5 closest pharmacies to Silver Spring, MD.
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 Silver Spring, 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
Wisp
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 Montgomery County: the local picture
How reported STI rates in Montgomery County, the county that includes Silver Spring, compare with Maryland and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#8
#8 of 24 Maryland counties for chlamydia, a higher rate than 67% of the state
Reported STD rates per 100,000, Montgomery County vs Maryland vs U.S.
Montgomery CountyMarylandU.S.▲▼ = Montgomery County vs the state average
Infection
Montgomery County
Maryland
United States
Chlamydia
384.34,068 cases▼ 34%
579.8
492.2
Gonorrhea
110.21,166 cases▼ 47%
207.1
179.5
Syphilis (P&S)
6.165 cases▼ 57%
14.2
15.8
Syphilis (early)
9.6102 cases▼ 34%
14.6
16
Syphilis (late/unknown)
15.5164 cases▼ 36%
24.3
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 Montgomery County over time (per 100,000)
Chlamydia ▲ 14% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Montgomery County, chlamydia has risen from 359.1 to 384.3 per 100,000 (7%), gonorrhea has risen from 88.1 to 110.2 per 100,000 (25%), and P&S syphilis has fallen from 7.2 to 6.1 per 100,000 (15%).
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 Silver Spring, MD
Adults uninsured
6.7%
No routine checkup
24.3%
No transportation
5.9%
Binge drinking
15.7%
Frequent mental distress
12.9%
Depression
18.9%
Below poverty line
6.8%
Primary-care ratio
742 : 1
Montgomery County
Primary-care shortage score 21 / 26
Medically Underserved Area
Social Vulnerability Index · 49th 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 Montgomery County.
Local HIV snapshot
HIV in Montgomery County (2023)
Federal priority area: Montgomery County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
People living with HIV
471 / 100k
New diagnoses (2023)
97cases countywide
On PrEP (coverage)
22.4%
Montgomery County HIV care continuum (2023)
Montgomery County recorded 10.9 new HIV diagnoses per 100,000 (2023), against 13.9 statewide and 13.7 nationally. Among Montgomery County residents living with HIV, 93.9% know their status · 65.1% are in care · 60.3% 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 Montgomery 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 →
Georgia Avenue threads through Silver Spring's core, and the drive to reach a testing option listed on this page can easily run fifteen to twenty minutes depending on where along MD 97 you start. That travel time matters here because roughly two-thirds of residents rent rather than own, paying typical monthly rents that leave little room for unplanned costs, so a visit that stacks a copay on top of gas and lost work time is a visit that gets postponed.
That postponement risk sits heaviest on the community's younger adults, the people in their late teens and twenties forming new relationships across neighborhoods like Seven Oaks and South Woodside Park. Silver Spring's share in those years is substantial, and chlamydia and gonorrhea rates in Montgomery County reflect what that age concentration produces when routine screening isn't easy to reach. Low-cost or sliding-scale options listed on this page directly address what rent pressure and a nearly eighty-percent labor-force participation rate create: full calendars and tight budgets that compete with health appointments every week.
The household picture here adds texture. Average households run larger than the national norm, nearly half of adults are married, and yet a notable share are also unmarried and unpartnered, navigating relationship transitions that make periodic testing a straightforward, practical habit rather than an exceptional response. For a household stretching a rental budget across three-plus people, a free or low-fee appointment along a route someone already drives on Colesville Road is simply the version of screening that makes arithmetic sense.
Getting there
How residents reach STD testing in Silver Spring, MD
Walkability13.65 / 20 · Above average
Silver Spring scores 13.65/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 20910 snapshot
Residents
45,096
Median age
35.2
Median income
$107,994
ZIP-level Census figures for the wider 20910 area around Silver Spring: a single ZIP can span several communities, so they describe the area, not Silver Spring alone.
Silver Spring sits in Montgomery County, ZIP 20910. Local context that shapes where residents test:
Local landmarks
National Museum of Health and Medicine
Rachel Carson House
Brookside Gardens
Saddlebrook Local Park
Glenfield Local Park
Fairview Park
Neighborhoods & communities
South Woodside Park
Seven Oaks
Queen Annes
Woodside Park
Highland View
North Hills Sligo Park
Goodacre Knolls
Indian Spring Terrace
Major routes
US 29 (Colesville Road)
MD 97 (Georgia Avenue)
MD 384 (Colesville Road)
MD 410 (East-West Highway)
Nearby cities & towns
STD testing near Silver Spring, MD
Just outside Silver Spring? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Silver Spring, MD: screening, costs & privacy
Everything to know before you test in Montgomery County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Maryland law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC 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 Silver Spring-area provider.
What each STD test costsMedicare 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 Silver Spring 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 MarylandMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Maryland 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 Maryland, 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)
Maryland 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.