In Adair County, reported chlamydia runs about 42% lower than the US average. If you live in Brashear, Missouri, and need STD testing whether after a possible exposure or as part of routine care, consider whether you want clinics that may bill insurance or a private lab with a flat self-pay price. See options below.
Available testing centers
5 testing options are listed for Brashear, MO. The nearest, Hannibal Regional Healthcare System, is about 10.4 miles away. Compare 3 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 public safety-net rural health clinic about 10 miles from Brashear. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 11 miles from Brashear. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Preferred Family Healthcare in Kirksville runs on scheduled appointments, and a single visit covers HIV, syphilis, gonorrhea, chlamydia, hepatitis B and C testing, same-visit treatment for bacterial STIs, and sliding-scale fees. With PrEP and PEP available for ongoing prevention.
Preferred Family Healthcare prescribes both PrEP and PEP directly, which means a prevention plan, whether daily medication or post-exposure dosing, can be established and managed at the same practice handling your testing.
Splitting STI care from substance-use treatment across separate providers means two intake processes, two schedules, and gaps where one condition goes unaddressed. At Preferred Family Healthcare in Kirksville, both are available within the same practice, closing that gap before it opens.
For anyone paying out of pocket without a regular provider ordering separate labs, Preferred Family Healthcare's panel already includes hepatitis B and C. No additional referral needed to get a complete picture of exposure risk in a single appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Brashear, 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 Adair 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.
1510 Crown Drive, Kirksville, MO 63501
CMS-certified lab
1611 South Baltimore, Kirksville, MO 63501
CMS-certified lab Accredited · COLA
315 South Osteopathy, Kirksville, MO 63501
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Brashear. 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, 77 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Brashear. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 7 offer telehealth.
Valena Fiscus, DO
Internal medicine · 1001 South Jamison Street, Kirksville
Justin Puckett, DO Telehealth
Family medicine · 1611 South Baltimore Street, Kirksville
Kade Kinney, DO
Family medicine · 1607 South Baltimore Street, Kirksville
Jordan Palmer, DO
Family medicine · 1605 South Baltimore Street, Kirksville
Ferrel Moots, DO
General practice · 1108 East Patterson Street, Kirksville
John Sylvara, MD
Family medicine · 201 South Gex Street, La Plata
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 Brashear, 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.
Laplata Pharmacy
10 miKB Kirksville Pharmacy
10 miRider Drug
11 mi
11 mi Hy-Vee
11 miShowing the 5 closest pharmacies to Brashear, 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 Brashear, 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 Adair County, the county that includes Brashear, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~13% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#43 of 115 Missouri counties for chlamydia, a higher rate than 63% of the state
| Infection | Adair County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 286.6 72 cases ▼ 43% | 498.6 | 492.2 |
| Gonorrhea | 59.7 15 cases ▼ 70% | 201.9 | 179.5 |
| Syphilis (P&S) | 4 1 cases ▼ 81% | 21.5 | 15.8 |
| Syphilis (early) | — no data | 12.4 | 16 |
| Syphilis (late/unknown) | 8 2 cases ▼ 76% | 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 Adair County, chlamydia has fallen from 312.1 to 286.6 per 100,000 (8%), gonorrhea has fallen from 130.4 to 59.7 per 100,000 (54%), and P&S syphilis has fallen from 11.9 to 4 per 100,000 (66%).
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 Adair 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.
Adair County HIV care continuum (2023)
Adair County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.6 statewide and 13.7 nationally. Among Adair County residents living with HIV, 81.3% are in care · 75% 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 Adair County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Winter fog settles thick over Brashear, and when it does, the town turns inward. A natural moment to attend to health matters that don't announce themselves. Routine STI screening fits quietly into the practical rhythms of life here, especially for young adults who understand that knowing their status is as ordinary as any other health check. Testing in and around Brashear listed on this page offers the privacy that lets people move forward without fanfare. The clinics and providers serving Brashear recognize that confidentiality isn't theater, it's baseline.
A person can walk in, get tested, and walk back out with results kept between themselves and their provider. No assumptions, no sideways glances, no information traveling through town before the person is ready to share it. Young adults in Brashear can treat testing as part of staying well, without the weight of secrecy that once surrounded it. Whether someone is starting a relationship, checking in after a gap in preventive care, or simply being thorough, the testing available in and around town makes that choice straightforward and direct.
Getting there
At 4.08/20 on the EPA walkability index, day-to-day errands in Brashear 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 63533 snapshot
ZIP-level Census figures for the wider 63533 area around Brashear: a single ZIP can span several communities, so they describe the area, not Brashear alone.
Nearby cities & towns
Just outside Brashear? 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 Adair 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 Brashear-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 Brashear 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.
Closest is Hannibal Regional Healthcare System (10.4 mi), or order an at-home kit to 63533.
Medicaid generally covers STD testing.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, HIV, Hepatitis B, Hepatitis C, Herpes, Trichomoniasis, a full panel covers the common ones.
About 287 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.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Lab results typically come back in 1–2 days.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.