Gonorrhea in Miami County runs about 66% lower than the US average. If you're in Casstown, Ohio, and wondering about STI testing, whether you have symptoms or just want peace of mind, you have several options. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Check the list below for more.
Available testing centers
7 testing options are listed for Casstown, OH. The nearest, Miami County Public Health, is about 4.3 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.
Miami County Public Health in Troy runs STI care through a public health department: meaning gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing on a sliding-scale fee, with same-visit treatment for bacterial infections, by appointment, and Title X family planning, including legally confidential services for minors.
Without Title X, a minor seeking STI care or family planning often faces a gap: parental involvement requirements, a referral to a separate provider, or simply no coverage. Miami County Public Health's Title X designation legally protects the confidentiality of those services, keeping care from stalling at the front desk.
Leaving herpes or hepatitis C undetected means carrying an infection that a standard four-pathogen panel would have missed entirely, and potentially a second appointment elsewhere to close that gap. Miami County Public Health tests for herpes and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, so one visit accounts for the wider picture.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Health Partners of Western Ohio in New Carlisle tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee open to anyone; same-visit treatment is available for bacterial STIs, and appointments are required.
Plenty of clinics will run a hepatitis C antibody test and stop there, leaving patients to locate a specialist on their own. Health Partners of Western Ohio carries treatment on-site, a positive result moves into a managed care plan without stepping out the door.
When STI care and substance-use treatment are split across separate providers, one appointment often never gets made, and that gap compounds both conditions. Health Partners of Western Ohio holds substance-use treatment alongside STI services, so both concerns land in the same clinical relationship.
The standard panel at most STI clinics covers gonorrhea, chlamydia, syphilis, and HIV. Hepatitis doesn't make the cut. At Health Partners of Western hepatitis C testing is built into the panel, catching an infection that otherwise goes undetected until it's advanced.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Community Health Centers of Greater Dayton – Chambersburg Health Center, in Dayton, welcomes walk-ins for STI screening without an appointment. Federal FQHC standing anchors its sliding-scale fees to income, keeping syphilis, gonorrhea, and chlamydia testing within reach for a single, straightforward visit.
Tests offered
Fees & payment
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Casstown, 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 for simplicity & support
$89 & 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 Miami 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.
855 West Market Street, Troy, OH 45373
CMS-certified lab Accredited · COLA
600 West Main Street, Troy, OH 45373
CMS-certified lab Accredited · College of American Pathologists
3130 North County Rd 25A, Troy, OH 45373
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 Casstown. 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, 919 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Casstown. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 220 offer telehealth.
Jacob Peacock, DO
Internal medicine · 600 West Main Street, Troy
Samson Alliu, MD
Internal medicine · 600 West Main Street, Troy
Ryan Clark, DO Telehealth
Internal medicine · 600 West Main Street, Troy
Andrew Murray
Internal medicine · 3006 North County Road, Troy
Scott Swabb, MD Telehealth
Internal medicine · 3006 North County Road, Troy
Stephen Noftz, DO
Internal medicine · 3130 North Count Road, Troy
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 Casstown, OH 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.
Clarks Mr Prescription
4.2 mi
4.4 mi 
4.5 mi 
5.1 mi Showing the 4 closest pharmacies to Casstown, OH.
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 Casstown, 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.
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
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
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 Miami County, the county that includes Casstown, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~35% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#43 of 88 Ohio counties for chlamydia, a higher rate than 51% of the state
| Infection | Miami County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 237.2 263 cases ▼ 49% | 461.7 | 492.2 |
| Gonorrhea | 61.3 68 cases ▼ 64% | 168 | 179.5 |
| Syphilis (P&S) | 0.9 1 cases ▼ 94% | 16.3 | 15.8 |
| Syphilis (early) | 3.6 4 cases ▼ 61% | 9.2 | 16 |
| Syphilis (late/unknown) | 7.2 8 cases ▼ 55% | 16 | 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 Miami County, chlamydia has risen from 215.1 to 237.2 per 100,000 (10%), gonorrhea has fallen from 90.1 to 61.3 per 100,000 (32%), and P&S syphilis has fallen from 3.7 to 0.9 per 100,000 (76%).
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 Miami County.
Local HIV snapshot
Miami County HIV care continuum (2023)
Miami County recorded 8.6 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Miami County residents living with HIV, 81.2% are in care · 80% 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 Miami County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Casstown moves at the pace of its farms and small trades: seasons drive the calendar, and work often happens in clusters, families and neighbors pitching in. That rhythm means health appointments slot in where they can, which is why confidentiality around STI screening carries weight here. A young adult testing positive in a town where faces repeat can hesitate to reach out, yet that hesitation is exactly when screening becomes necessary. Clinics and urgent care providers listed on this page understand this dynamic and treat results as sealed records, not town gossip.
The area around Casstown holds several testing venues, each equipped to handle screening without drama or delay. Walk-in appointments and advance scheduling both work; some providers keep evening hours for people whose jobs run late. You'll find straightforward, non-judgmental service. Staff there screen routinely and see it as ordinary health maintenance, nothing more.
Young adults especially benefit from knowing that a test result belongs to you alone. Whether you're between jobs, back home temporarily, or settled in, screening happens quietly and stays confidential. That assurance, that your health information doesn't ripple through the community, often makes the difference between getting tested and staying uncertain.
Getting there
At 4.01/20 on the EPA walkability index, day-to-day errands in Casstown 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 45312 snapshot
ZIP-level Census figures for the wider 45312 area around Casstown: a single ZIP can span several communities, so they describe the area, not Casstown alone.
Casstown sits in Miami County, ZIP 45312. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Casstown? 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 Miami County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Casstown-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 Casstown 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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, Troy, OH is close; compare it by distance against Miami County Public Health.
Public clinics are free; 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 237 cases per 100,000 residents (2023), below the Ohio average.
Yes, at-home kits ship to 45312; you collect a sample, mail it back, and get results in about 2–5 days.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Roughly 3–6 weeks after exposure for a dependable syphilis blood test.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.