Confidential, low-cost, and free STD testing across Hawaii — compare clinics, labs, costs, and at-home options, and see how Hawaii's reported STI rates stack up against the West and the nation.
171 public & community clinics serve Hawaii. Below are 12 testing centers from Hawaii's largest cities — open any city for its full local list.
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.
Beyond the public testing sites above, these federally certified (CLIA) labs operate across Hawaii — 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — across Hawaii. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in Hawaii
if you'd rather skip the
trip, an at-home kit ships to Hawaii, 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.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
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.
About Hawaii
Getting tested in Hawaii
Hawaii offers a wide range of STD testing options across its five counties and 409 cities. You can choose from 90 featured labs, 171 free public clinics, 391 pharmacies, at‑home kits, and sliding‑scale community health centers, covering testing for eight common infections. Explore the list below to find a clinic or city page with testing options that fit your needs.
Free & low-cost testing in all 5 counties · at-home kits ship statewide
Largest metros
Where most Hawaii testing demand concentrates — each has its own local guide.
State-level Census (ACS) figures that shape testing demand and access. Median age and income are population-weighted estimates.
Residents
1,435,138
Median age
42
Median income
$101,046
Below poverty
9.9%
College-educated
35%
Statewide data
STDs & HIV in Hawaii: the statewide picture
How reported STI rates across Hawaii compare with the West region and the United States, using the most recent CDC surveillance data. Data for all 5 counties feeds the county and city pages linked below. About 3.6% of Hawaii adults are uninsured — a key reason the free and low-cost testing options below matter.
An estimated ~25% of Hawaii residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why testing access across the state matters.
Hawaii ranks #31 of 51 U.S. states & DC for chlamydia — lower than 59% of states
Reported STD rates per 100,000 — Hawaii vs West vs U.S.
HawaiiWestU.S.
Infection
Hawaii
West
United States
Chlamydia
435.66,251 cases▼ 11%
458.2
492.2
Gonorrhea
126.71,818 cases▼ 29%
164.3
179.5
Syphilis (P&S)
12.7182 cases▼ 20%
17.9
15.8
Syphilis (early)
7100 cases▼ 56%
16.3
16
Syphilis (late/unknown)
19.6281 cases▼ 34%
39.6
29.5
Rates per 100,000 population, latest year. Source: CDC NCHHSTP AtlasPlus (all-ages basis). Bars are scaled to the highest rate shown; the badge is each Hawaii rate versus the U.S. average.
Reported STD rates in Hawaii over time (per 100,000)
Chlamydia ▲ 13% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in Hawaii, chlamydia has fallen from 481.4 to 435.6 per 100,000 (10%), gonorrhea has risen from 102 to 126.7 per 100,000 (24%), and P&S syphilis has risen from 12.5 to 12.7 per 100,000 (2%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus.
Community health context
What shapes testing access in Hawaii
Adults uninsured
3.6%
Primary-care shortage counties
4 of 5
Public & community clinics
171
Pharmacies statewide
391
Social Vulnerability Index · Hawaii's counties average the 56th percentile nationally
Lower insurance coverage and a thin clinic-to-population ratio raise the value of free public clinics and confidential at-home testing across Hawaii (pop. 1,435,138). Sources: U.S. Census ACS (uninsured), HRSA & CDC NPIN (clinics), NPPES & OpenStreetMap (pharmacies), CDC/ATSDR SVI.
Statewide HIV snapshot
HIV in Hawaii (2023)
New diagnoses
4.8 / 100k
People living with HIV
2,402
On PrEP (coverage)
30%
Virally suppressed
78.5%
Hawaii HIV care continuum (2023)
Hawaii reports 4.8 new HIV diagnoses per 100,000 — below the U.S. rate of 13.7. The rate has risen12% since 2020.
Among Hawaii residents living with HIV, 89.5% know their status · 81.4% are linked to care · 86.4% are in care · 78.5% are virally suppressed.
On prevention, 30% of those who could benefit from PrEP are taking it (below the 31.3% national average).
Early, routine testing is what moves these numbers — it is the entry point to PrEP, treatment, and viral suppression.
Source: CDC NCHHSTP AtlasPlus. The CDC recommends everyone aged 13–64 test for HIV at least once — every clinic and lab listed above offers HIV testing.
Also screened
Viral hepatitis in Hawaii
Comprehensive panels also screen for hepatitis B and C, both sexually transmissible. Per 100,000, Hawaii vs U.S.
Hepatitis A (acute)
0.1U.S. 0.5
Congenital syphilis in Hawaii
Pregnant or planning to be?
Congenital syphilis — passed from parent to baby in pregnancy — is the fastest-rising STI in the country.
Hawaii reported 21 cases in 2023, up from 12 in 2020.
Nationally, cases climbed from 2,163 (2020) to 3,882 (2023).
It is almost entirely preventable with a syphilis test at the first prenatal visit.
Source: CDC NCHHSTP AtlasPlus, 2023.
Hawaii's STD rates remain below regional and national averages
In 2023, Hawaii's chlamydia rate (435.6 per 100,000) was 5% lower than the West region (458.2) and 11% lower than the U.S. (492.2). The state rate decreased 10% from 2020 to 2023, contrasting with rising national trends. Gonorrhea rates in Hawaii (126.7 per 100,000) were 23% below the West region (164.3) and 29% below the U.S. (179.5), though cases increased 24% since 2020.
Syphilis (primary & secondary) rates in Hawaii (12.7 per 100,000) were 29% lower than the West region (17.9) and 20% lower than the U.S. (15.8). The state rate rose 2% from 2022 to 2023 after a 2021 spike. HIV new diagnoses (4.8 per 100,000) were 65% lower than the U.S. (13.7), with 78.5% of patients achieving viral suppression in 2023.
Comparisons show Hawaii consistently outperforms both regional and national averages for key STDs. Chlamydia and syphilis rates remain below regional benchmarks, while gonorrhea and HIV show mixed trends. The state's HIV diagnosis rate in 2023 was the lowest since 2020, reflecting stable control efforts despite national increases in other infections.
Access and cost across Hawaii
Testing reaches every corner of Hawaii: 171 public and community health clinics test free or on a sliding scale, private walk-in labs return confidential results in 1–2 days, and at-home kits ship to every ZIP code — with the densest options around Honolulu, East Honolulu, and Pearl City.
About 3.6% of Hawaii adults are uninsured and 9.9% live below the poverty line, so cost is the most common reason testing gets delayed. Free public-clinic testing, sliding-scale community health centers, and self-pay private labs that never bill insurance keep screening within reach — weigh them on price, privacy, and turnaround using the comparison above.
Who's most at risk — and how often to test
About 25% of Hawaii residents are aged 15–34. The CDC estimates people aged 15–24 account for roughly half of all new STIs nationwide despite being a small share of the population, so screening guidance is age-aware.
Sexually active women under 25 — and anyone with new or multiple partners — should test for chlamydia and gonorrhea every year; everyone aged 13–64 should test for HIV at least once; and pregnant residents are screened early in pregnancy. Because most STDs cause no symptoms, testing on the CDC's schedule — not only when something feels wrong — is the reliable way to catch an infection before it spreads.
Hawaii Offers Multiple Prevention Options and Testing Access
Hawaii provides condoms, HPV and hepatitis B vaccination, and HIV prevention medication (PrEP) to reduce STD transmission. These services are available through 90 featured labs, 171 public clinics, and 391 pharmacies statewide. Prevention efforts focus on accessible, community-based care to lower infection rates.
With 391 pharmacies, 171 public clinics, and 90 labs, Hawaii ensures widespread access to STD prevention and testing. These facilities offer confidential services, including vaccinations and PrEP, to at-risk populations. State-level data shows consistent availability of these resources across urban and rural areas.
Residents can access prevention tools and testing through local health departments, pharmacies, or designated clinics. Providers include 90 labs specializing in STD diagnostics and 171 public clinics offering low-cost care. Hawaii’s network prioritizes early intervention to curb transmission and improve public health outcomes.
Reported counts only capture people who got tested — and because most STDs cause no symptoms, real transmission runs higher than any surveillance number suggests, so Hawaii's below-average numbers are no reason to skip screening — consistent testing is what keeps them low.
Untreated, these infections do lasting damage: chlamydia and gonorrhea scar the reproductive system and cause infertility; syphilis can lead to stillbirth and organ damage; any active STI raises HIV risk. Caught early, almost all are curable or controllable with a single course of treatment.
Make it routine, not reactive: test as part of your annual check-up if you're sexually active, every three months with new or multiple partners, and before unprotected sex with a new partner. Since 2015 the CDC has urged insurers to cover annual screening for women under 25 at no cost.
Testing protects more than you: a silent infection passes to partners unknowingly. When Hawaii residents test on a schedule, the whole state's transmission drops — knowing your status is the single highest-leverage thing you can do.
Reference
STD testing guidelines for Hawaii
Two quick references for getting tested in Hawaii: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection (the earliest a test can reliably detect it). Select any infection to open its in-depth testing guide — every clinic and lab listed above for Hawaii screens for them.
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 Hawaii-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving Hawaii 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
$79.20
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.
Privacy
Confidentiality & consent in Hawaii
The questions Hawaii residents ask most before testing, answered under Hawaii law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In Hawaii, minors aged 14 and older can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many Hawaii health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. Hawaii permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Hawaii, telehealth covers the rest of the picture — 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.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
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.
Browse by city
STD testing in every Hawaii city
Choose your city for the local picture — nearby clinics, lab prices, county STI rates, and at-home kits shipped to your door. We cover all 409 Hawaii cities and towns; the largest are below.
Answers to the questions people ask most before getting tested.
How much does STD testing cost in Hawaii?
In Hawaii, testing is free at public clinics. A single test starts at $24, while a full panel costs about $139. At-home test kits range from $99 to $209, depending on the provider.
Where can I get tested for STDs across Hawaii?
Hawaii has 171 public clinics, 90 featured labs, and 391 pharmacies offering testing. You can also order at-home kits that ship statewide through approved providers.
Are there free or low-cost options for uninsured people in Hawaii?
Yes, 171 public clinics and many community health centers offer free or sliding-scale testing for uninsured residents. These services prioritize those without insurance.
Is my STD test result private in Hawaii?
Results are confidential, meaning providers can share them with others only with your consent. At-home tests offer the most privacy, as they don’t require in-person visits.
Can minors in Hawaii get tested without a parent’s consent?
In Hawaii, people under 18 can consent to confidential STD testing and treatment on their own. This applies to all ages, including teenagers.
Why should I get tested even if I don’t have symptoms?
Many STDs have no symptoms, but early detection prevents long-term health issues. Hawaii’s chlamydia rate is 435.6 per 100,000 people, showing the importance of regular screening.
How soon after potential exposure should I get tested?
The CDC recommends testing 1–2 weeks after exposure for most STDs. Hawaii’s guidelines also suggest annual testing for people under 25 and every 3 months for those with new or multiple partners.
What infections does a standard STD panel check for?
A standard panel tests for chlamydia, gonorrhea, syphilis, HIV, and hepatitis. These are the most common infections tracked in Hawaii’s public health data.
How do at-home STD tests work in Hawaii?
At-home kits ship to your address, and results are typically available in 1–2 days. Some services include telehealth consultations for follow-up care.
How does Hawaii’s chlamydia rate compare nationally?
Hawaii’s chlamydia rate is 435.6 per 100,000 people, lower than the U.S. average of 492.2. The rate has decreased by 10% since 2020.
How often should I get tested for STDs?
The CDC recommends annual testing for people under 25. Hawaii also advises testing every 3 months for those with new or multiple partners, and once for HIV between ages 13–64.
Editorial standards
Reviewed by EasySTD Editorial Team · Updated
How we rank, source & review
Full transparency on how this Hawaii testing guide is built and kept accurate.
How we rank clinics
Vetted partner labs (clearly marked Sponsored) are pinned first; every other center is listed free of charge and ordered by proximity, then verified review score. We never hide or down-rank a free public clinic.
How we source data
Clinic details come from official provider directories; STI rates, demographics, and community-health figures from the CDC, U.S. Census Bureau, and County Health Rankings — each cited in Sources.
Affiliate disclosure
EasySTD may earn a commission when you book through a partner lab. That never changes which free or public options we show, or the order we show them in.