New HIV diagnoses in Ramsey County run about 14% lower than the US average. If you're in St. Paul, Minnesota for a one-time concern or regular check-ups, you can choose between same-day walk-in clinics or planning around your own time with a lab or at-home testing kit. See the options below.
Available testing centers
12 testing options are listed for St. Paul, MN. The nearest, Minnesota Community Care, is about 0.1 miles away. Compare community and public clinics, private labs, and at-home kits below.
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.
Minnesota Community Care in Saint Paul is a community health center where STI testing (gonorrhea, chlamydia, syphilis, and HIV) runs alongside full primary care on a sliding-scale fee, with bacterial infections treated the same visit. Appointments required; Spanish spoken on staff.
Minnesota Community Care staffs clinicians who conduct STI visits in Spanish: history, diagnosis, and treatment conversation included. That's a function of how the care team is built, not a service patched onto an English-language workflow after the fact.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Minnesota Community Care adds hepatitis C antibody testing and a TB test to the panel. Infections that share transmission routes but routinely fall outside what a dedicated STI clinic screens for. Hepatitis A and B vaccines are also available on-site.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
MN Community Care - St. Paul Wellness Center in Saint Paul meets patients who are paying out of pocket, between insurance plans, or working with limited income right where they are. Federally qualified status grounds its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening financially within reach without an appointment.
Tests offered
Fees & payment
Allina Health in Saint Paul bases fees on income, so cost is never a barrier to care. The clinic screens for syphilis, gonorrhea, and chlamydia, and also provides HIV testing. Appointments required to access these services.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Saint Paul Ramsey County Public Health brings the full resources of a county health department to STI care: rapid and conventional HIV testing, herpes, hepatitis B and C, syphilis, gonorrhea, and chlamydia, with same-visit treatment for bacterial infections, walk-ins welcome, all at no fee.
Whether someone is paying cash, managing care without a regular provider, or navigating coverage gaps, Saint Paul Ramsey County Public Health covers the full visit (testing, treatment, vaccines, and prevention medications) without a fee attached to any of it. That standing commitment applies to every service, every time.
When STI care isn't available in Spanish, the cost is real: a second visit, a delayed diagnosis, a prescription left unfilled. Saint Paul Ramsey County Public Health delivers services directly in Spanish, so nothing in the care process gets deferred or lost between languages.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, sits alongside PrEP and PEP as a prescribable option at Saint Paul Ramsey County Public Health. Having all three prevention medications available through a single no-fee clinic means the choice of regimen isn't constrained by where someone can afford to go.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Riverland Community Health in Saint Paul pairs the full bacterial STI panel (gonorrhea, chlamydia, syphilis, herpes, HIV, and all three hepatitides) with same-visit treatment for bacterial infections, on a sliding-scale fee open to everyone, by appointment, with interpretation services available.
Riverland Community Health carries hepatitis C treatment on-site, meaning a confirmed diagnosis moves into a managed care plan without leaving the building. That continuity keeps treatment timelines intact and avoids the scheduling gaps that open up when diagnosis and treatment live at separate addresses.
Without on-site PrEP and PEP prescribing, a patient leaves one appointment to chase another. A separate provider, a separate wait, a gap where prevention lapses. Riverland Community Health writes and manages both PrEP and PEP directly, so the window between deciding to start and actually starting stays as short as the clinic can make it.
Riverland Community Health has interpretation services available for non-English languages across its appointments, which means clinical conversations (medication adherence counseling, HIV care instructions, TB treatment follow-up) carry the same specificity in any language as they do in English.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Open Cities Health Center Ywca Clinic in Saint Paul carries federal qualification that anchors its sliding-scale fees to income, making syphilis, gonorrhea, and chlamydia screening reachable for people paying out of pocket, between insurance plans, or simply stretching a tight budget. No appointment needed to get started.
Tests offered
Fees & payment
MN Community Care @union Gospel Mission, Saint Paul, earned federally qualified health center standing, which means STI screening (syphilis, gonorrhea, and chlamydia) is billed on a sliding scale tied to what a patient actually earns, keeping costs proportional to income for anyone who walks in.
Tests offered
Fees & payment
Open Cities Health Center, a community health center in Saint Paul, brings STI care into a broader primary-care context: testing for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee, with same-visit treatment for bacterial infections, and appointments required. Interpretation services are available for non-English languages.
Open Cities Health Center provides interpretation services for non-English languages across its care, not limited to intake or discharge, but through the clinical visit itself. That continuity means sexual-health history, test results, and treatment instructions are communicated in the same session without a separate scheduling step.
Open Cities carries a formal substance-abuse treatment program within the same health center as its STI services. For patients whose substance use and sexual-health concerns intersect, both can be addressed under a single provider relationship rather than coordinated across separate agencies.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Open Cities tests for herpes and all three hepatitis types: A, B, and C. That wider scope means a single appointment can surface infections that a shorter panel would leave undetected and unaddressed.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each 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.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
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
The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to St. Paul, 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
Best value: single tests
$49 & up
Best for simplicity & support
$89 & up
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
Beyond the public testing sites above, these federally certified (CLIA) labs serve Ramsey 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.
345 Smith Avenue North, Saint Paul, MN 55102
CMS-certified lab Accredited · College of American Pathologists
200 University Ave East, Saint Paul, MN 55101
CMS-certified lab Accredited · College of American Pathologists
2500 Como Avenue, Saint Paul, MN 55108
CMS-certified lab Accredited · College of American Pathologists
2635 University Avenue West Suite 160, Saint Paul, MN 55114
CMS-certified lab Accredited · College of American Pathologists
451 North Dunlap Avenue, Saint Paul, MN 55104
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near St. Paul. 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
Beyond dedicated clinics, 2,831 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of St. Paul. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,155 offer telehealth.
Olga Karachenets, MD Telehealth
Family medicine · 225 University Avenue West, Saint Paul
Stephanie Stanton, MD
Family medicine · 2500 Como Avenue, Saint Paul
Rebecca Mcdougle, MD Telehealth
Family medicine · 2500 Como Avenue, Saint Paul
Leah Henke, MD
OB-GYN · 1700 University Avenue West, Saint Paul
Yasuko Yamamura, MD
OB-GYN · 1700 University Avenue West, Saint Paul
Michael Marcotte, MD
OB-GYN · 1700 University Avenue West, Saint Paul
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
No pharmacy near St. Paul, MN 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.
Allina Health United Pharmacy
0.4 mi
0.4 mi St Paul Pharmacy
0.7 miPolar Pharmacy & Medical Supplies
0.8 miGenoa Healthcare
0.9 miShowing the 5 closest pharmacies to St. Paul, MN.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of St. Paul, 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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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
How reported STI rates in Ramsey County, the county that includes St. Paul, compare with Minnesota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 87 Minnesota counties for chlamydia, among the very highest in the state
| Infection | Ramsey County | Minnesota | United States |
|---|---|---|---|
| Chlamydia | 590 3,163 cases ▲ 55% | 379.5 | 492.2 |
| Gonorrhea | 293.6 1,574 cases ▲ 118% | 134.5 | 179.5 |
| Syphilis (P&S) | 15.5 83 cases ▲ 78% | 8.7 | 15.8 |
| Syphilis (early) | 9.7 52 cases ▲ 45% | 6.7 | 16 |
| Syphilis (late/unknown) | 30.2 162 cases ▲ 105% | 14.7 | 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.
Between 2020 and 2023 in Ramsey County, chlamydia has risen from 558.9 to 590 per 100,000 (6%), gonorrhea has fallen from 325.9 to 293.6 per 100,000 (10%), and P&S syphilis has risen from 8.7 to 15.5 per 100,000 (78%).
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
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 Ramsey County.
Local HIV snapshot
Ramsey County HIV care continuum (2023)
Ramsey County recorded 11.8 new HIV diagnoses per 100,000 (2023), against 6.7 statewide and 13.7 nationally. Among Ramsey County residents living with HIV, 75.5% are in care · 59.7% 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.
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 Ramsey County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Rondo and the blocks stretching toward Summit-University carry a housing split that tells you something real about daily budgets here: ownership and renting run almost exactly even, and for those paying rent each month, the cost is modest by metro standards but still a real line item in a household that averages more than three people. With roughly three-quarters of residents in the workforce and one in twenty actively looking, schedules are full and disposable income is not abundant for most, since only about one in four households clears six figures. That combination, pressed-for-time and watching expenses, is exactly the environment where a clinic visit can get quietly postponed. That matters because St.
Paul's young adults, people moving through their late teens and twenties and into their early thirties, make up a substantial slice of the population, and those are the years when STI exposure and transmission are most concentrated. Ramsey County's STI numbers reflect that reality directly. Knowing the hours and fees in advance, both visible on the clinic cards here, cuts the planning down enough that the appointment doesn't keep sliding. For a city where household budgets are doing real work, the low-cost and sliding-scale options listed here will matter most.
Getting there
St. Paul scores 15.18/20 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.
St. Paul sits in Ramsey County. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside St. Paul? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Ramsey County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Minnesota law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
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 |
Testing too early can return a false negative, confirm timing with a St. Paul-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| 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 |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving St. Paul 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.
Two things that actually depend on Minnesota 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).
In Minnesota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Minnesota 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.
Learn more about confidential STD testing in MinnesotaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Ramsey County reported ~590 chlamydia cases per 100,000 in 2023, above the Minnesota average.
In Minnesota, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
At-home kits mail to 55106: self-collect, send to the lab, results in ~2–5 days.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
A positive means treatment is the next step; many STIs are cured with antibiotics, and all are treatable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.