Syphilis in Bates County, Missouri, runs about 22% lower than the US average. If you are wondering whether you have symptoms or just want peace of mind in Adrian, Missouri, you have several choices. Public clinics keep costs down, while private labs prioritize speed. At-home kits offer convenience at the cost of a clinic visit. For your options in Adrian, see the list below.
Available testing centers
7 testing options are listed for Adrian, MO. The nearest, Bates County Memorial Hospital, is about 0.2 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.
A safety-net rural health clinic in Adrian. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Compass Health Network in Butler runs by appointment, so each visit is structured around your full picture: gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis C, and TB tested on a sliding-scale fee, with same-visit treatment for bacterial STIs and HPV, hepatitis A, and hepatitis B vaccines available.
Walk away without a hepatitis C test and you carry an unknown infection that quietly advances, no symptom flags it until liver damage is already underway. Compass Health Network tests for hepatitis C alongside the standard bacterial and viral panel, so that gap doesn't survive your appointment.
When STI care and substance-use treatment exist at separate addresses, the second appointment often doesn't happen, and the underlying dynamic that shapes risk goes unaddressed. Compass Health Network in Butler carries both services, so a single relationship with one provider holds both pieces of the conversation.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Bates County Health Department in Butler runs on a sliding-scale fee structure with HIV testing offered free, and appointments are required to see the full panel: gonorrhea, chlamydia, syphilis, HIV, and hepatitis C, plus same-visit treatment for bacterial infections.
Plenty of sliding-scale clinics still leave a minimum charge on the table once the math shakes out. At Bates County Health Department, the floor is zero. Every service, not just the HIV test, carries no fee for those who qualify, so cost never becomes the reason someone leaves without care.
Skip the hepatitis C test and a coinfection can go undetected for years while bacterial results get treated and filed. Bates County Health Department builds hepatitis C directly into its panel alongside gonorrhea, chlamydia, syphilis, and HIV. One appointment closes that gap rather than opening a second one.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
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 Adrian, 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 Bates 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.
615 West Nursery Street, Butler, MO 64730
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Adrian. 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, 47 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Adrian. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.
James Wirkkula, DO
Family medicine · 102 East Main Street, Adrian
Tracy Godfrey, MD
Family medicine · 805 North Orange Street, Butler
Farid Namin, MD
Internal medicine · 615 West Nursery Street, Butler
William Fritsch, MD
Internal medicine · 615 West Nursery Street, Butler
Mark Bradshaw, MD Telehealth
Internal medicine · 117 South Lexington Street, Harrisonville
Richard Price, MD
Family medicine · 2800 East Rock Haven Road, Harrisonville
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 Adrian, MO 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.
Adrian Kreisler Drug
0.2 miSummers Pharmacy of Adrian
0.2 miButler Pharmacy
9.6 miCurbie
9.6 miMonarch Pharmacy
9.6 miSummers Pharmacy
9.6 miShowing the 6 closest pharmacies to Adrian, MO.
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 Adrian, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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 Bates County, the county that includes Adrian, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#96 of 115 Missouri counties for chlamydia, a higher rate than 17% of the state
| Infection | Bates County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 129.3 21 cases ▼ 74% | 498.6 | 492.2 |
| Gonorrhea | 49.3 8 cases ▼ 76% | 201.9 | 179.5 |
| Syphilis (P&S) | 12.3 2 cases ▼ 43% | 21.5 | 15.8 |
| Syphilis (early) | 6.2 1 cases ▼ 50% | 12.4 | 16 |
| Syphilis (late/unknown) | 12.3 2 cases ▼ 64% | 33.8 | 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 Bates County, chlamydia has fallen from 211.9 to 129.3 per 100,000 (39%), gonorrhea has fallen from 124.7 to 49.3 per 100,000 (60%), and P&S syphilis has fallen from 18.6 to 12.3 per 100,000 (34%).
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 Bates County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Bates County HIV care continuum (2023)
Bates County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.6 statewide and 13.7 nationally. Among Bates County residents living with HIV, 66.7% are in care · 46.7% 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 Bates County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Adrian's Frontier Village end of town sets the tone for daily life here: close-knit, rooted, and built around driving rather than walking. Getting screened means planning a trip, not stepping out the front door, so knowing which options are listed on this page and how far each sits from Adrian matters before you ever pick up the phone. More than half of Adrian's adults are married, and average households run nearly three people. A community profile where one person's health decision ripples through a family quickly.
At the same time, roughly a third of residents rent, many at rates that leave little room for unexpected medical bills, which makes the lower-cost and sliding-scale options among those listed here worth a close look before booking. Young adults in their late teens and twenties, the years when STI rates run highest, are present in meaningful numbers, and for that crowd especially, cost and distance are the two real obstacles between intention and an actual appointment. With nearly two-thirds of Adrian working and unemployment staying low, schedules here are full. The options listed on this page include evening and weekend hours at locations, which means a resident working a standard shift near the School House or Adrian Optimist Community Park can realistically fit screening around the week that already exists rather than the one that doesn't.
Getting there
At 5.31/20 on the EPA walkability index, day-to-day errands in Adrian 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 64720 snapshot
ZIP-level Census figures for the wider 64720 area around Adrian: a single ZIP can span several communities, so they describe the area, not Adrian alone.
Adrian sits in Bates County, ZIP 64720. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Adrian? 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 Bates County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 an Adrian-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 Adrian 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
The closest is Bates County Memorial Hospital (0.2 mi); 5 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 129 cases per 100,000 residents (2023), below the Missouri average.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
That's a myth; STIs need sexual contact to spread, not surfaces.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Roughly 2–6 weeks by test type; a 3-month retest gives full confidence in a negative.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.