Lexington County reports about 456 chlamydia cases per 100,000 residents, near the US average. In Cayce, South Carolina, whether it's your first STI test or a routine screening, you can choose between community clinics, which are often low-cost or free, and private labs, that tend to offer faster results and more flexible scheduling. If you need help weighing your options, see the list below.
Available testing centers
9 testing options are listed for Cayce, SC. The nearest, Joseph H Neal Health Collaborative, is about 2.7 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.
Joseph H Neal Health Collaborative in Cayce covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB on a sliding-scale fee with free HIV, hepatitis C, and STI testing, Medicaid and private insurance accepted, by appointment.
The no-fee structure at Joseph H Neal Health Collaborative extends beyond testing to STI treatment, PrEP, PEP, hepatitis B and C treatment, HIV/AIDS medical management, HPV vaccination, and family planning. That single policy eliminates cost as a variable across every service the clinic offers.
Joseph H Neal Health Collaborative delivers care in Spanish, which means medication adherence counseling, HIV test counseling, and prevention education all happen in the same language. Nothing gets condensed or relayed through a secondary step.
Joseph H Neal Health Collaborative carries both PrEP and PEP as standing clinical services, and uninsured patients can access PrEP at no cost. For anyone without a primary care relationship to route prevention medication through, the clinic functions as the complete source. Prescription and counseling included.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Cooperative Health in West Columbia covers gonorrhea, chlamydia, syphilis, HIV, hepatitis C, and TB testing, treating bacterial infections in the same visit when results warrant it. Fees run on a sliding scale, with Medicaid, Medicare, and private insurance all accepted. An appointment is required.
Cooperative Health maintains on-site interpretation services for non-English-speaking patients: not a scheduling add-on but a staffed capability present during the clinical encounter itself, so the conversation about testing, results, and treatment happens directly, without a relay.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Cooperative Health tests for hepatitis C in the same visit, which means a patient leaves knowing their status across all five rather than scheduling a separate appointment elsewhere to fill that gap.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Brookland Community Pediatrics, in West Columbia, carries federally qualified health center standing. A designation that ties STI screening fees directly to each patient's income on a sliding scale. Walk-in appointments are welcome for syphilis, gonorrhea, and chlamydia testing without needing to commit to a fixed cost upfront.
Tests offered
Fees & payment
South Carolina Department of Public Health in Columbia charges nothing for any service offered here: HIV, gonorrhea, chlamydia, syphilis, and hepatitis C testing all run on a no-cost or sliding-scale basis, with Medicaid and insurance accepted, and an appointment is required.
DoxyPEP, PrEP, the HPV vaccine, the mpox vaccine, hepatitis A and B vaccines. Each is provided at no charge. That zero-dollar structure applies across prevention and treatment alike, so the cost of a prevention drug like DoxyPEP never becomes the reason someone skips it.
Spanish-language services are embedded in care delivery at this Columbia clinic, not routed through an outside channel. Prescriptions, counseling for PrEP or DoxyPEP, and STI treatment conversations happen directly in Spanish, keeping clinical nuance intact at every step.
Without Ryan White-supported infrastructure, a positive HIV test in Columbia can stall into delayed linkage and mounting out-of-pocket costs before ongoing care begins. Here, Ryan White funding keeps testing, HIV counseling, and continuing HIV management inside the same clinical relationship. No secondary handoff required.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN + HRSA
CAN Community Health in Columbia runs appointments for the full STI panel (HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, hepatitis B and C) with same-visit treatment for bacterial infections, on a sliding-scale fee, with HIV and hepatitis C testing available at no charge.
All services at CAN Community Health are provided at no cost, which means PrEP, DoxyPEP, hepatitis B and C treatment, HIV medical care, and STI treatment are each available without a fee attached. That single policy lets the clinical relationship stay focused on care rather than on what a patient can afford at any given visit.
CAN Community Health maintains interpretation services for non-English languages as part of its clinical operation: meaning conversations about medication adherence, PrEP dosing, or treatment follow-up happen with a working interpreter present, not patched together after the fact. The care plan gets communicated the same way it gets made: directly.
CAN Community Health carries standing prescribing capacity for PrEP, PEP, and DoxyPEP: covering daily HIV prevention, post-exposure HIV prevention, and bacterial STI prevention after sex. For anyone without a regular provider managing these medications, this is a single appointment where all three can be evaluated and initiated.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · 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 3 miles away; if you'd rather skip the trip, an at-home kit ships to Cayce, 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 Lexington 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.
6439 Garners Ferry Road, Columbia, SC 29209
CMS-certified lab Accredited · College of American Pathologists
1709 Barnwell Street, Columbia, SC 29201
CMS-certified lab
1520 Taylor Street, Suite 200, Columbia, SC 29201
CMS-certified lab
2751 Bull Street, Columbia, SC 29201
CMS-certified lab Accredited · AABB
3799 12th Street Ext, Suite 105, Cayce, SC 29033
CMS-certified lab Accredited · COLA
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cayce. 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, 470 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cayce. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 114 offer telehealth.
Peter Bailey, MD
Family medicine · 3799 12th St Ext, Cayce
William Strickland, MD Telehealth
Family medicine · 3799 12th St Ext, Cayce
Aamir Mohiuddin, DO Telehealth
Internal medicine · 3085 Taylor Road, Cayce
Robert Smith, MD
Family medicine · 1612 Airport Boulevard, West Columbia
Vijay Koli, MD Telehealth
Internal medicine · 1111 Knox Abbott Drive, Cayce
Ezra Ash-Malachi, MD
Family medicine · 905 State Street, Cayce
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 Cayce, SC 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.
2.0 mi 
2.6 mi 
2.6 mi Showing the 3 closest pharmacies to Cayce, SC.
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 Cayce, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Lexington County, the county that includes Cayce, compare with South Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#36 of 46 South Carolina counties for chlamydia, a higher rate than 22% of the state
| Infection | Lexington County | South Carolina | United States |
|---|---|---|---|
| Chlamydia | 455.5 1,410 cases ▼ 26% | 612.1 | 492.2 |
| Gonorrhea | 169 523 cases ▼ 24% | 222.4 | 179.5 |
| Syphilis (P&S) | 10 31 cases ▼ 42% | 17.3 | 15.8 |
| Syphilis (early) | 14.2 44 cases ▼ 24% | 18.8 | 16 |
| Syphilis (late/unknown) | 16.8 52 cases ▲ 44% | 11.7 | 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 Lexington County, chlamydia has fallen from 466.7 to 455.5 per 100,000 (2%), gonorrhea has fallen from 209.2 to 169 per 100,000 (19%), and P&S syphilis has risen from 7.5 to 10 per 100,000 (33%).
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 Lexington County.
Local HIV snapshot
Federal priority area: South Carolina 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.
Lexington County HIV care continuum (2023)
Lexington County recorded 15 new HIV diagnoses per 100,000 (2023), against 18.3 statewide and 13.7 nationally. Among Lexington County residents living with HIV, 83.3% are in care · 69.2% 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 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 Lexington County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Olympia carries the kind of lived-in weight that older Cayce neighborhoods do well: modest front porches, neighbors who've been there a decade or more, and a rental market that keeps turnover real. Nearly half of Cayce residents rent rather than own, and with typical rents around a thousand dollars a month against home values that remain genuinely modest, household budgets leave little room for unplanned medical visits. That cost reality matters for sexual health access, because the younger adults moving through Cayce, people in their late teens and twenties forming new relationships and changing living situations, are exactly the group where chlamydia and gonorrhea rates run highest and where a complicated, expensive screening process is the most reliable reason to put it off. The workforce profile adds another layer.
With most working-age residents employed and unemployment sitting at a meaningful slice of the labor force, schedules are full and often inflexible. Only about one in six households clears six figures, which makes free or sliding-scale options not a bonus but a practical necessity for a lot of people. If you spend time near the New Brookland Historic District, it's worth pulling up the listed options and confirming hours before you go, since a same-week appointment is easier to keep than one rescheduled around a commute.
Getting there
Cayce scores 14.83/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 29209 snapshot
ZIP-level Census figures for the wider 29209 area around Cayce: a single ZIP can span several communities, so they describe the area, not Cayce alone.
Cayce sits in Lexington County, ZIP 29209. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Cayce? 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 Lexington County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Carolina 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 Cayce-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 Cayce 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 South Carolina 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 South Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
South Carolina 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 South CarolinaSource: 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.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lexington County reported ~456 chlamydia cases per 100,000 in 2023, below the South Carolina average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In South Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
A positive means treatment is the next step; many STIs are cured with antibiotics, and all are treatable.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.