Cheshire County sees about 75% fewer chlamydia reports than the USA average. If you need testing after a possible exposure or as part of routine care in Alstead, New Hampshire, clinics on the list may bill insurance or provide sliding-scale fees, while many private labs charge a flat self-pay price.
Available testing centers
7 testing options are listed for Alstead, NH. The nearest, Planned Parenthood of Northern New England, is about 12.5 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.
Planned Parenthood of Northern New England in Keene pairs full-spectrum family planning with STI care (gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, and rapid or conventional HIV testing) on a sliding-scale fee, with same-visit treatment for bacterial infections. Appointments are required.
Interpretation services are available for non-English languages at this Keene clinic, which means the clinical conversation (symptom history, treatment instructions, follow-up needs) can happen in a language the patient commands rather than one they're approximating.
As a Title X–funded site, Planned Parenthood of Northern New England in Keene is bound by federal law to keep minors' family planning and STI services confidential: a named legal protection, not a policy preference, that determines what can and cannot appear on a billing statement or explanation of benefits.
Many STI testing sites hand off prevention prescribing entirely: PrEP and PEP require a provider relationship, ongoing labs, and follow-through that most testing-only operations aren't built for. Planned Parenthood of Northern New England in Keene prescribes and manages both, keeping HIV prevention in the same clinical home as testing.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Convenient MD Urgent Care in Keene tests for gonorrhea, syphilis, and chlamydia, and treats confirmed bacterial infections the same visit, with all services provided at no fee and no appointment required.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Brattleboro Memorial Hospital in Putney accepts Medicaid, Medicare, and most insurance, with sliding-scale fees and donations accepted for those paying out of pocket. The panel covers gonorrhea, chlamydia, syphilis, conventional HIV, hepatitis B, hepatitis C, and TB. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 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 about 13 miles away; if you'd rather skip the trip, an at-home kit ships to Alstead, 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 range: couples & full panels
$79 & 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 Cheshire 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.
630 Marlboro Street, Keene, NH 03431
CMS-certified lab
580 Court Street, Keene, NH 03431
CMS-certified lab Accredited · College of American Pathologists
51 Railroad Street, Keene, NH 03431
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Alstead. 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, 123 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Alstead. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 39 offer telehealth.
Rachel Bruce, MD
Internal medicine · 1 Hospital Court, Bellows Falls
Daniel Caloras, MD
Family medicine · 250 Ceda Road, Charlestown
Todd Dombrowski, MD Telehealth
Internal medicine · 590 Court Street, Keene
Evgeny Buharin, MD
Internal medicine · 590 Court Street, Keene
Siva Naga Yarrarapu, MD
Internal medicine · 580 Court Street, Keene
Suzanne Coble, MD Telehealth
Family medicine · 93 Roxbury Street, Keene
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 Alstead, NH 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.
6.0 mi 1918 Winter Street Operating
11 miShowing the 2 closest pharmacies to Alstead, NH.
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 Alstead, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Cheshire County, the county that includes Alstead, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#9 of 10 New Hampshire counties for chlamydia, among the lowest in the state
| Infection | Cheshire County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 123.5 96 cases ▼ 37% | 196.6 | 492.2 |
| Gonorrhea | 29.6 23 cases ▼ 29% | 41.9 | 179.5 |
| Syphilis (P&S) | 3.9 3 cases ≈ the state average | 3.9 | 15.8 |
| Syphilis (early) | 2.6 2 cases ▲ 37% | 1.9 | 16 |
| Syphilis (late/unknown) | 3.9 3 cases ▼ 3% | 4 | 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 Cheshire County, chlamydia has fallen from 179.2 to 123.5 per 100,000 (31%), gonorrhea has risen from 26.2 to 29.6 per 100,000 (13%), and P&S syphilis has held roughly steady from 3.9 to 3.9 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 Cheshire County.
Local HIV snapshot
Cheshire County HIV care continuum (2023)
Among Cheshire County residents living with HIV, 80.8% are in care · 71.2% 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 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 Cheshire County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Prentice Hill sits at the quieter end of Alstead's rhythms: driveways, woodsmoke, households where most people own their homes and have for years. That rootedness shapes how health decisions get made here: with a labor-force participation rate that leaves a meaningful share of adults outside the traditional nine-to-five, and with very low unemployment suggesting those who do work are likely keeping full schedules, carving out time for a clinic visit takes real planning rather than a quick lunch-hour errand. For younger adults in their late teens and twenties, who statistically see the highest rates of new STI diagnoses and who may be navigating relationships, new partners, or shared housing on a modest rent, that logistical bar is worth naming plainly.
Routine screening doesn't happen by accident when you live somewhere rural; it happens because someone checked the hours, confirmed the cost, and built the trip into their week. Nearly seven in ten households here are owner-occupied, which speaks to the stability of the community, and stability is exactly the environment where a quiet annual habit like STI screening can take hold. The nearest option listed on this page is worth bookmarking now, from wherever you sit on Prentice Hill.
Getting there
At 6.85/20 on the EPA walkability index, day-to-day errands in Alstead 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.
Alstead sits in Cheshire County, ZIP 3602. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Alstead? 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 Cheshire County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Alstead-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 Alstead 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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 5 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Convenient MD Urgent Care, about 13.2 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Cheshire County reported ~124 chlamydia cases per 100,000 in 2023, below the New Hampshire average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.