Reported gonorrhea in Christian County runs about 77% lower than the US average. If you have a one-time testing concern, or want regular check-ups in Billings, Missouri, consider whether you prefer the convenience of an at-home kit or the immediate support from a clinic. See our list below.
Available testing centers
7 testing options are listed for Billings, MO. The nearest, Mercy, is about 5.4 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.
Mercy in Republic pairs STI testing with the full breadth of primary care infrastructure, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, and TB on a sliding-scale fee. Bacterial infections are treated the same visit; appointments are required.
Mercy carries DoxyPEP as a standing preventive option, meaning a provider can assess candidacy and write the prescription in the same appointment. Keeping a time-sensitive regimen from stalling between a consult and a pharmacy visit.
Many STI clinics cap their panel at gonorrhea, chlamydia, syphilis, and HIV and leave herpes and hepatitis testing to a separate referral. Mercy tests for herpes simplex and for hepatitis A, B, and C alongside the standard four, resolving questions about all of those infections in one appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Jordan Valley Community Health Center, a federally qualified community health center in Republic, folds STI testing (gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, and all three hepatitis strains) into the same appointment-required primary care infrastructure that handles TB, with sliding-scale fees and PrEP and PEP on-site.
Without a clinic that prescribes both PrEP and PEP directly, the gap between needing prevention and actually starting it often runs through a separate specialist visit and days of delay. Jordan Valley Community Health Center in Republic closes that gap, both medications are prescribed and managed on-site, so prevention doesn't stall at a referral desk.
At Jordan Valley Community Health Center, hepatitis C treatment is prescribed and monitored within the same facility that runs the antibody and confirmatory testing. Meaning direct-acting antiviral regimens are initiated and followed through by the clinic's own providers rather than handed off after a positive result.
Jordan Valley Community Health Center in Republic carries a substance-use treatment program alongside its STI and hepatitis services, which means patients managing both conditions aren't sorted into separate care tracks. The clinical relationship that monitors one can directly inform the monitoring of the other.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
A public safety-net rural health clinic about 10 miles from Billings. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Billings, 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 value: single tests
$49 & 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 Christian 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.
505 North 25th Street, Ozark, MO 65721
CMS-certified lab
3050 East River Bluff Boulevard, Ozark, MO 65721
CMS-certified lab Accredited · College of American Pathologists
1563 Rosewood Road, Nixa, MO 65714
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Billings. 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, 402 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Billings. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 87 offer telehealth.
Bradford Garner, MD Telehealth
Family medicine · 332 South Main Avenue, Republic
Roger Nightengale, MD Telehealth
Family medicine · 550 South Hudson Avenue, Aurora
Joseph Hansen, DO
Family medicine · 500 Porter Avenue, Aurora
Cheryl Williams, DO
Family medicine · 500 Porter Avenue, Aurora
Marc Alumno
Family medicine · 2716 West Republic Road, Springfield
Danielle Lindberg, DO
Family medicine · 2150 West Republic Road, Springfield
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 Billings, 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.
Clever Pharmacy
1.9 miFamily Pharmacy of Missouri
5.0 miSmith Management Services
5.2 miMarionville Pharmacy
5.5 miShowing the 4 closest pharmacies to Billings, 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 Billings, 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
$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 $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 Christian County, the county that includes Billings, 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.
#70 of 115 Missouri counties for chlamydia, a higher rate than 39% of the state
| Infection | Christian County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 199.1 188 cases ▼ 60% | 498.6 | 492.2 |
| Gonorrhea | 41.3 39 cases ▼ 80% | 201.9 | 179.5 |
| Syphilis (P&S) | 11.6 11 cases ▼ 46% | 21.5 | 15.8 |
| Syphilis (early) | 5.3 5 cases ▼ 57% | 12.4 | 16 |
| Syphilis (late/unknown) | 14.8 14 cases ▼ 56% | 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 Christian County, chlamydia has fallen from 252.1 to 199.1 per 100,000 (21%), gonorrhea has fallen from 78.8 to 41.3 per 100,000 (48%), and P&S syphilis has risen from 4.5 to 11.6 per 100,000 (158%).
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 Christian 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.
Christian County HIV care continuum (2023)
Among Christian County residents living with HIV, 86.7% are in care · 86.7% 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 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 Christian County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Southwest Elm Street cuts through a Billings where homes trade hands for well under six figures and monthly rent stays modest by most measures, yet that affordability coexists with a labor-force participation rate that leaves a meaningful share of adults outside the conventional nine-to-five schedule entirely. That reality lands hardest on younger adults: people in their late teens and twenties who are statistically most likely to encounter chlamydia, gonorrhea, or syphilis and least likely to seek care unless the path is genuinely straightforward. Christian County's STI figures give those numbers shape, and this part of Missouri doesn't soften them.
The options listed on this page, twelve in and around Billings, include sliding-scale and low-cost appointments that matter in a community where high earners represent a notably small slice of households. Most residents will reach a clinic by heading out along MO 14 toward Jefferson Avenue; knowing which option fits the day's schedule before leaving the driveway makes that drive considerably easier to commit to.
Getting there
At 5.04/20 on the EPA walkability index, day-to-day errands in Billings 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 65610 snapshot
ZIP-level Census figures for the wider 65610 area around Billings: a single ZIP can span several communities, so they describe the area, not Billings alone.
Billings sits in Christian County, ZIP 65610. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Billings? 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 Christian 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 a Billings-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 Billings 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.
Possibly, Republic, MO is close; compare it by distance against Mercy.
Private labs ~$24–$139, at-home kits $49+.
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 199 cases per 100,000 residents (2023), below the Missouri average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
It's cured with antibiotics; treating partners together prevents reinfection.
There's no cure, but antivirals manage symptoms well and reduce transmission.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.