Reported syphilis in Ramsey County runs about 45% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Starkweather, North Dakota, you can choose among public clinics, private labs, and at-home kits, each with their own cost, speed, and convenience trade-offs. Our list below gives your options.
Available testing centers
1 testing option is listed for Starkweather, ND. The nearest, Sanford Health Laboratories, is about 23.4 miles away. Compare private labs and at-home kits below.
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 about 23 miles away; if you'd rather skip the trip, an at-home kit ships to Starkweather, 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 for simplicity & support
$89 & up
Best value: single tests
$49 & 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.
1001 7th Street Northeast, Devils Lake, ND 58301
CMS-certified lab Accredited · Joint Commission
1031 7th Street, Devils Lake, ND 58301
CMS-certified lab Accredited · Joint Commission
620 14th Avenue Northeast, Devils Lake, ND 58301
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Starkweather. 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, 21 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Starkweather. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.
Mark Peterson, MD
Family medicine · 228 1st Avenue, Cando
Somasundar Bharath, MD
Internal medicine · 1001 7th Street Northeast, Devils Lake
George Trimble, MD
Internal medicine · 1031 7th Street Northeast, Devils Lake
Kirsten Peterson, MD
Internal medicine · 618 14th Avenue Northeast, Devils Lake
Rita Nalubega, MD
Family medicine · 503 3rd Street Northeast, Devils Lake
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 Starkweather, ND 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.
Neumann Drug
15 miClinic Pharmacy
23 miBell Drug
23 miRamsey Drug
24 miLangdon Community Drug
32 miShowing the 5 closest pharmacies to Starkweather, ND.
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 Starkweather, 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 Starkweather, compare with North Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~11% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#5 of 53 North Dakota counties for chlamydia, a higher rate than 91% of the state
| Infection | Ramsey County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | 663 76 cases ▲ 52% | 436.4 | 492.2 |
| Gonorrhea | 122.1 14 cases ▼ 17% | 147.2 | 179.5 |
| Syphilis (P&S) | 8.7 1 cases ▼ 30% | 12.4 | 15.8 |
| Syphilis (early) | — no data | 2.8 | 16 |
| Syphilis (late/unknown) | — no data | 12 | 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 499.8 to 663 per 100,000 (33%), gonorrhea has fallen from 310.2 to 122.1 per 100,000 (61%), and P&S syphilis has held roughly steady from 8.7 to 8.7 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
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 0 new HIV diagnoses per 100,000 (2023), against 3.2 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.
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
Starkweather's rural spread means that for those living and working outside the city center, a visit to a clinic can be a detour from the daily routine. With many residents owning their homes, there's a sense of stability, but for the sizable share who rent, the typical monthly rent is a significant expense. The area's workforce is largely engaged, with a strong labor-force participation rate, and a notable proportion of households have incomes that allow for some financial flexibility.
The household landscape in Starkweather is characterized by a high rate of married adults and relatively small family sizes. While a significant share of households earn higher incomes, the local economy appears to support a stable, if not particularly large, workforce. For younger adults still forming relationships, who make up a smaller but significant part of the population, accessing health services can be a challenge, especially when work and family commitments are considered.
Given the area's layout and geography, getting to a testing site can require some planning, especially for those without easy access to transportation. This can be a particular concern for those with busy schedules or limited mobility, who may find it harder to take time off or travel to a distant location. In Starkweather, the reality of getting around can make a big difference in whether someone is able to get tested, and when.
Getting there
At 4.78/20 on the EPA walkability index, day-to-day errands in Starkweather 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 58377 snapshot
ZIP-level Census figures for the wider 58377 area around Starkweather: a single ZIP can span several communities, so they describe the area, not Starkweather alone.
Nearby cities & towns
Just outside Starkweather? 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 North Dakota 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 Starkweather-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 Starkweather 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 North 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).
In North Dakota, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Dakota 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 North DakotaSource: 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.
Cando, ND is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Ramsey County reported ~663 chlamydia cases per 100,000 in 2023, above the North Dakota average.
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.