Syphilis in Madison County runs about 48% higher than the US average. You need to get tested in Alexandria, Indiana for a one-time concern or regular check-ups. Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. We list your options below.
Available testing centers
9 testing options are listed for Alexandria, IN. The nearest, Jane Pauley Community Health Center, is about 0.3 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.
Jane Pauley Community Health Center in Alexandria sees patients without an appointment, covering gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, and HIV on a sliding-scale fee. Bacterial infections treated the same visit.
The panel at Jane Pauley extends to herpes simplex and hepatitis A, B, and C alongside the bacterial and HIV tests. infections in total. That breadth means conditions that often go undetected elsewhere are caught and addressed in the same visit.
Prevention-focused HIV care rarely lives in a general community health setting, PrEP prescribing is more often left to infectious disease specialists or dedicated clinics. Jane Pauley Community Health Center carries that capability directly, making ongoing PrEP management part of routine care in Alexandria.
Interpretation services for non-English languages are available at Jane Pauley, meaning clinical conversations (risk assessment, treatment instructions, medication counseling) carry the same precision in a patient's primary 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 Jan 2026 · Source: CDC NPIN + HRSA
Meridian Health Services in Alexandria welcomes walk-ins for STI screening, no appointment needed. Federally qualified status anchors its sliding-scale fee structure, tying costs to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making same-day STI care straightforward for anyone who walks through the door.
Tests offered
Fees & payment
A public safety-net federally qualified health center about 9 miles from Alexandria. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Community Health Network brings the infrastructure of a community health center to STI care in Anderson, covering gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and HIV by rapid or conventional test: with same-visit antibiotic treatment for bacterial infections, fees billed by ability to pay, and appointments required. Care is available in Spanish.
Many clinics handle Spanish with a phone line patched into the exam room, the conversation happens at a distance, filtered through a third voice. At Community Health Network in Anderson, STI care is delivered directly in Spanish, keeping the clinical conversation between patient and provider without an intermediary layer.
Community Health Network prescribes and manages PrEP, the daily oral regimen that prevents HIV acquisition, as a standing clinical service. That means the HIV testing required before initiation, the follow-up labs, and the prescription itself are handled within the same practice, not distributed across separate providers.
A standard STI panel at many clinics ends at four: HIV, syphilis, gonorrhea, and chlamydia. Community Health Network in Anderson tests beyond that baseline, herpes and hepatitis C are both included, with on-site hepatitis C treatment available rather than an outside referral.
Languages
English, Spanish
Tests offered
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Madison County Health Department, Anderson's public health department, brings the institutional depth of county infrastructure to STI care: same-visit treatment for bacterial infections, no appointment required, and the full standard panel with hepatitis screening, all at no fee.
A bill that arrives after testing, or the fear of one, is what keeps people from following up on treatment. At Madison County Health Department, every test, every counseling session, and every treatment visit costs nothing, so the care doesn't stop at the diagnosis.
Many clinics handle Spanish-language needs as an afterthought, a third-party line patched in at intake. Madison County Health Department provides care directly in Spanish, so the conversation about symptoms, history, and treatment happens in full, not in fragments.
For anyone without a regular provider who needs a comprehensive picture of their sexual health in a single visit, Madison County Health Department tests for chlamydia, gonorrhea, syphilis, HIV, hepatitis B, and hepatitis C together. No separate specialist, no split appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · 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 Alexandria, 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 range: couples & full panels
$79 & 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 Madison 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.
2020 Meridian Street, Anderson, IN 46016
CMS-certified lab Accredited · College of American Pathologists
1331 South A Street, Elwood, IN 46036
CMS-certified lab Accredited · College of American Pathologists
1331 South A Street, Elwood, IN 46036
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 Alexandria. 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, 428 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Alexandria. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 125 offer telehealth.
Todd Duerfeldt, DO
Family medicine · 121 West Washington Street, Alexandria
Hubert Dolubizno Telehealth
Family medicine · 2116 South Park Avenue, Alexandria
Paresh Shah, MD
Internal medicine · 1008 Harrison Street, Frankton
Sara Cox, MD
Family medicine · 1515 South 19th Street, Elwood
Mina Youssef, MD Telehealth
Internal medicine · 1118 West Cross Street, Anderson
Laura Cline
Family medicine · 2300 Parkview Lane, Elwood
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 Alexandria, IN 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.
Hook-Superx
0.5 mi
0.6 mi J Chester Long Ii
1.2 mi
8.7 mi Showing the 4 closest pharmacies to Alexandria, IN.
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 Alexandria, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
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 Madison County, the county that includes Alexandria, compare with Indiana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#9 of 92 Indiana counties for chlamydia, a higher rate than 90% of the state
| Infection | Madison County | Indiana | United States |
|---|---|---|---|
| Chlamydia | 520.7 690 cases ▲ 6% | 491 | 492.2 |
| Gonorrhea | 169.1 224 cases ▲ 17% | 144 | 179.5 |
| Syphilis (P&S) | 23.4 31 cases ▲ 169% | 8.7 | 15.8 |
| Syphilis (early) | 18.1 24 cases ▲ 91% | 9.5 | 16 |
| Syphilis (late/unknown) | 21.1 28 cases ▲ 39% | 15.2 | 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 Madison County, chlamydia has fallen from 542.5 to 520.7 per 100,000 (4%), gonorrhea has fallen from 252.8 to 169.1 per 100,000 (33%), and P&S syphilis has risen from 8.5 to 23.4 per 100,000 (175%).
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 Madison County.
Local HIV snapshot
Madison County HIV care continuum (2023)
Madison County recorded 8 new HIV diagnoses per 100,000 (2023), against 11.7 statewide and 13.7 nationally. Among Madison County residents living with HIV, 82.7% are in care · 71.9% 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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Park Avenue runs through the quieter end of Alexandria, past homes that trade hands well below six figures. A market that rewards ownership but leaves renters absorbing monthly costs that, on tighter budgets, crowd out discretionary spending. With nearly two-thirds of households owning their homes and average household sizes running above three people, a lot of Alexandria's adults share space with partners, children, or extended family, and that togetherness shapes the rhythms of daily life, including when and how people fit health appointments into packed schedules.
Fewer than six in ten residents are in the labor force, and those who are often keep irregular or demanding hours, which is exactly why the options listed on this page are worth looking at before a need becomes urgent. Young adults, people in their late teens and twenties moving through new relationships and living arrangements, are the group for whom routine STI screening makes the clearest practical difference, because left untreated, common infections cause no symptoms while doing quiet damage. The options listed here serve the area around Madison County, and knowing which ones accept walk-ins on a weekday can be the deciding factor for someone whose week doesn't bend easily.
Getting there
At 5.79/20 on the EPA walkability index, day-to-day errands in Alexandria 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 46001 snapshot
ZIP-level Census figures for the wider 46001 area around Alexandria: a single ZIP can span several communities, so they describe the area, not Alexandria alone.
Alexandria sits in Madison County, ZIP 46001. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Alexandria? 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 Madison County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Indiana 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 Alexandria-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 Alexandria 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 Indiana 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 Indiana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Indiana 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 IndianaSource: 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.
There are 9 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Madison County reported ~521 chlamydia cases per 100,000 in 2023, above the Indiana average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Indiana, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Sexually active people, especially under 25 or with new/multiple partners; everyone 13–64 should test for HIV at least once.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.