Local Health Departments (HDs) provide a public health safety net, offering confidential and affordable testing for sexually transmitted diseases (STDs), also known as sexually transmitted infections (STIs). HD services are significantly less expensive than private clinics or physician’s offices. The goal of these public programs is to remove financial barriers to testing, which helps control the spread of infections.
Understanding Health Department Pricing Models
The cost of STD testing at a Health Department is not fixed nationwide, as it depends on local funding and the individual’s financial situation. Most public health clinics use a sliding fee scale based on the patient’s total household income and family size.
For instance, individuals with income below 100% of the Federal Poverty Guidelines may receive testing at zero cost. Those with higher incomes, such as 200% to 250% of the federal guidelines, may be charged a modest, fixed fee, sometimes ranging from $20 to $60 for a full panel. This fee is substantially lower than market rates, and patients will not be denied services due to an inability to pay.
To qualify for reduced fees, clients must provide proof of income and household size. Acceptable documentation includes recent pay stubs, the previous year’s tax return, or an employer letter. If unemployed or lacking traditional documents, patients should speak with an eligibility clerk, as alternative verification or income attestation may be accepted.
If a person chooses not to provide income documentation, they pay the full, low charge for services. The Health Department’s goal is to base the price on the patient’s ability to pay, encouraging regular community testing.
Services Typically Covered by Low-Cost Testing
Low-cost testing focuses on the most common and public health-significant infections. The standard screening panel includes tests for Human Immunodeficiency Virus (HIV), Syphilis, Chlamydia, and Gonorrhea. These four infections are prioritized due to their prevalence and potential for serious long-term health consequences if untreated.
In addition to the laboratory tests, the low fee generally covers necessary medical support services. This includes pre-test and post-test consultation, risk-reduction counseling, and education on preventing future infections.
If a person tests positive for a curable bacterial infection, such as Chlamydia or Gonorrhea, the cost of the initial treatment is often included in the service fee or provided at no additional charge.
While the four main STIs are covered, some Health Departments may also offer screening for other infections, such as Trichomoniasis or Hepatitis C, depending on location and funding. Testing for less common STIs, like Human Papillomavirus (HPV) or Herpes Simplex Virus (HSV), may require a separate fee or a referral. These are often considered outside the scope of the standard public health screening panel.
Accessing Testing: Logistics and Confidentiality
To obtain testing, contact the local clinic to determine their specific procedure. Some clinics operate on a walk-in basis, while others require an appointment. Bring photo identification, such as a driver’s license or state ID, and any necessary income verification documents if applying for the sliding fee scale.
Health Departments adhere to strict privacy standards, ensuring testing and treatment remain confidential. Federal laws like the Health Insurance Portability and Accountability Act (HIPAA) protect test results and personal health information. Results will not be shared with employers, schools, or family members without the patient’s explicit written consent.
Positive diagnoses for certain infections (Chlamydia, Gonorrhea, Syphilis, and HIV) are considered “reportable” diseases. Laboratories or providers must report the diagnosis to the state or local health department for public health surveillance. This reporting maintains patient privacy and is used only to track disease trends and control community spread.