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

In Lawrence County, reported syphilis cases are about 13% higher than the US average. If you're considering STD/STI testing in Spearfish, South Dakota before starting a new relationship or as part of ongoing care, you might choose between community clinics that are often low-cost or free, and private labs that sometimes offer faster results and more flexible scheduling.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Spearfish, SD

5 testing options are listed for Spearfish, SD. The nearest, Monument Health, is about 1.8 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.

Most reviewed 1.8 miles

Monument Health

Where these reviews come from

Review sources

  • Google965
  • EasySTD5
Rated 4.7 out of 5 from 970 reviews

Monument Health in Spearfish runs STI care by appointment, with testing for gonorrhea, chlamydia, syphilis, and HIV, rapid and conventional, plus same-visit treatment for bacterial infections, partner notification support, and a sliding-scale fee that applies to everyone.

Tests & treats Sliding-scale
Address
930 North 10 Street, Spearfish, SD 57783
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 Closed
  • Saturday Closed
  • Sunday Closed
Website
Best for free testing 28.1 miles

Wyoming Department of Health

No ratings yet

Wyoming Department of Health in Sundance offers HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C testing entirely free, with insurance and Medicaid also accepted. Appointments are required, and bacterial STIs are treated same visit.

Read full overview Show less

No Fee Means No Deferred Care

When a test costs money, treatment gets postponed, and postponed treatment is how bacterial infections spread and hepatitis goes unmanaged for years. At Wyoming Department of Health in Sundance, every service carries no fee, so the moment of diagnosis and the decision to treat are never separated by what's in someone's wallet.

Hepatitis C and B Are on the Panel

The basic four-infection panel leaves hepatitis C and B off the table entirely, which means a clinic visit can end without answers to two significant viral infections. Wyoming Department of Health in Sundance tests for both hepatitis B and C alongside HIV, syphilis, gonorrhea, and chlamydia. All on the same appointment.

Tests & treats
Address
420½ East Main Street, Sundance, WY 82729
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
Community health center 28.3 miles

Crook County Medical Services District

Where these reviews come from

Review sources

  • Google20
  • EasySTD3
Rated 4.3 out of 5 from 23 reviews

A safety-net rural health clinic about 28 miles from Spearfish. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
713 Oak Street, Sundance, WY 82729
Website
Premium Partner

Labcorp

Results in 1–2 days
Where these reviews come from

Review sources

  • Google82
  • EasySTD5
Rated 2.3 out of 5 from 87 reviews
Address
713 Omaha Street, Rapid City, SD 57701 40.5 miles away
Opening hours
  • Monday 7:00 AM – 5:00 PM
  • Tuesday 7:00 AM – 5:00 PM
  • Wednesday 7:00 AM – 5:00 PM
  • Thursday 7:00 AM – 5:00 PM
  • Friday 7:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Sanford Health Laboratories

Results in 1–2 days
Where these reviews come from

Review sources

  • Google21
  • EasySTD2
Rated 3.1 out of 5 from 23 reviews
Address
36 East Stumer Road, Rapid City, SD 57701 43.4 miles away
Opening hours
  • Monday 7:00 AM – 6:00 PM
  • Tuesday 7:00 AM – 6:00 PM
  • Wednesday 7:00 AM – 6:00 PM
  • Thursday 7:00 AM – 6:00 PM
  • Friday 7:00 AM – 6:00 PM
  • Saturday 8:00 AM – 12:00 PM
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

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.

Find your match in 10 seconds

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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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Spearfish, 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.

Test from home

At-home STD testing in Spearfish, SD

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

Also in the area

Other CLIA-certified labs near Spearfish, SD

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

  • Monument Health Dermatology

    550 East Colorado Boulevard, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Black Hills Dermatology

    132 East Grant, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Monument Health Spearfish Hospital

    1440 North Main, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Monument Health Spearfish Clinic

    1420 North 10th Street, Spearfish, SD 57783

    CMS-certified lab Accredited · COLA

    • STD testing
    Call Directions

Showing the nearest 4 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Spearfish. 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 Spearfish, SD who may help arrange STD testing

Beyond dedicated clinics, 42 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Spearfish. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.

  • Heather Brewer, MD

    OB-GYN · 1445 North Avenue, Spearfish

    Call Directions

  • Deborah Kullerd, MD Telehealth

    Family medicine · 540 Falcon Crest Drive, Spearfish

    Call Directions

  • Travis Ptacek, MD Telehealth

    Family medicine · 1020 North 10th Street, Spearfish

    Call Directions

  • Margaret Becker, MD

    Family medicine · 1420 North 10th Street, Spearfish

    Call Directions

  • Josephine Davis, MD

    Family medicine · 1440 North Main Street, Spearfish

    Call Directions

  • Elizabeth Sayler, MD

    Internal medicine · 71 Charles Street, Deadwood

    Call Directions

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 Spearfish, SD

No pharmacy near Spearfish, 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.

  • Walmart Pharmacy 0.8 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Monument Health Home Plus Pharmacy

    2.0 mi
    Rx pickupCondoms / EC
    Directions

  • Regional Pharmacy

    2.0 mi
    Rx pickupCondoms / EC
    Directions
  • Albertsons/Safeway 2.1 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
    Directions
  • Walgreens 2.2 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
    Directions

Showing the 5 closest pharmacies to Spearfish, SD.

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 Spearfish, 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.

STD stats & rates

STDs & HIV in Lawrence County: the local picture

How reported STI rates in Lawrence County, the county that includes Spearfish, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#29 of 66 South Dakota counties for chlamydia, a higher rate than 56% of the state

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

Lawrence County South Dakota U.S. ▲▼ = Lawrence County vs the state average
Infection Lawrence County South Dakota United States
Chlamydia
306.6 86 cases ▼ 42%
531.6 492.2
Gonorrhea
42.8 12 cases ▼ 83%
253.3 179.5
Syphilis (P&S)
17.8 5 cases ▼ 76%
73.4 15.8
Syphilis (early)
7.1 2 cases ▼ 91%
76.8 16
Syphilis (late/unknown)
3.6 1 cases ▼ 95%
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 Lawrence County over time (per 100,000)

Chlamydia ▲ 18% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Lawrence County, chlamydia has fallen from 333.7 to 306.6 per 100,000 (8%), gonorrhea has fallen from 58.2 to 42.8 per 100,000 (26%), and P&S syphilis has risen from 15.3 to 17.8 per 100,000 (16%).

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 Spearfish, SD

Adults uninsured
8%
No routine checkup
24.8%
Binge drinking
18.9%
Frequent mental distress
14.2%
Depression
20.9%
Below poverty line
13.8%
Primary-care ratio
1,047 : 1
Lawrence County
  • Medically Underserved Area · IMU 57
  • Social Vulnerability Index · 34th 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 Lawrence County.

Local HIV snapshot

HIV in Lawrence County (2023)

People living with HIV
64 / 100k
PrEP users / 100k
56

Lawrence County HIV care continuum (2020)

Lawrence County recorded 0 new HIV diagnoses per 100,000 (2020), against 6.8 statewide and 13.7 nationally. Among Lawrence County residents living with HIV, 100% are in care · 86.7% 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 Lawrence County tests for syphilis.

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

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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)

18 Sources

Local resources & officials

Data & references

Local context

About Spearfish, SD

Spearfish Creek cuts right through the heart of town, and for anyone living near its banks or up toward Lookout Mountain, the practical question of where to get screened for STIs is less about awareness than about logistics. With most of the workforce clocked in and unemployment near the floor, free hours are genuinely scarce, and that shapes whether a testing appointment actually happens. The community here skews meaningfully young, and people in their late teens and twenties, those still building relationships and often between regular healthcare providers, are the ones who benefit most from options that don't require a half-day away from work.

Close to half of Spearfish residents rent rather than own, and at the rent levels typical here, out-of-pocket costs for any healthcare visit carry real weight. The modest share of households clearing six figures tells you this isn't a place where people absorb surprise medical expenses easily, which makes knowing what's low-cost or sliding-scale genuinely useful rather than just a nice detail. For someone on a tight shift schedule driving 1st Avenue or cutting over from North 27th Street, the practical move is filtering by hours first, then cost, and booking before the next busy stretch arrives rather than leaving it open-ended.

Getting there

How residents reach STD testing in Spearfish, SD

Walkability 7.99 / 20 · Below average

At 7.99/20 on the EPA walkability index, day-to-day errands in Spearfish 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 Spearfish, South Dakota, EasySTD

ZIP 57783 snapshot

Residents
16,929
Median age
40
Median income
$64,970

ZIP-level Census figures for the wider 57783 area around Spearfish: a single ZIP can span several communities, so they describe the area, not Spearfish alone.

Spearfish sits in Lawrence County, ZIP 57783. Local context that shapes where residents test:

Local landmarks

  • Hamster Hill
  • Lookout Mountain
  • High Plains Western Heritage Center
  • Spearfish Creek
  • Von Bayer Museum of Fish Culture
  • The Booth House

Major routes

  • 1st Avenue
  • East Colorado Boulevard
  • I 90 Business (North 27th Street)
  • US 14A (North 27th Street)

Reference

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

Everything to know before you test in Lawrence 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 Spearfish-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
Browse all STD & STI guides

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 Spearfish 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.

Good to Know

STD testing FAQs for Spearfish, SD

Answers to the questions people ask most before getting tested.

Can I get tested near Belle Fourche, SD instead?

Possibly, Belle Fourche, SD is close; compare it by distance against Monument Health.

What does STD testing cost around Spearfish, SD?

Public clinics are free; private labs ~$24–$139, at-home kits $49+.

Is there free STD testing near Spearfish, SD?

Yes, Wyoming Department of Health (28.1 mi) offers free testing, and public clinics serve the uninsured.

Which tests are offered near Spearfish, SD?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Lawrence County?

About 307 cases per 100,000 residents (2023), below the South Dakota average.

How long do results take near Spearfish, SD?

Lab results typically come back in 1–2 days.

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.

Can I test at home near Spearfish, SD?

Yes, at-home kits ship to 57783; you collect a sample, mail it back, and get results in about 2–5 days.

Is my health information protected when I test?

Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.

Should I test again after being treated?

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.