Syphilis in Adams County runs about 82% lower than the US average. Whether you need testing in Decatur, Indiana because you have symptoms or just want peace of mind: weigh the trade-offs below between clinics and private labs.
Available testing centers
9 testing options are listed for Decatur, IN. The nearest, Adams County Memorial Hospital, is about 0.8 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.
A public safety-net rural health clinic in Decatur. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Meridian Health Services in Ossian runs on sliding-scale fees with Medicaid, Medicare, and private insurance all accepted, making pricing straightforward regardless of coverage. Testing covers gonorrhea, syphilis, chlamydia, herpes, and HIV, with HPV and hepatitis A and B vaccines available and an appointment required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Neighborhood Health in Fort Wayne delivers STI testing (HIV, syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and TB) as part of a community health practice that folds prevention, treatment, and ongoing care into a single relationship, with sliding-scale fees and walk-in access, extending through PrEP and DoxyPEP.
Neighborhood Health prescribes all three current HIV and bacterial STI prevention medications: tenofovir-based PrEP for ongoing HIV prevention, PEP for post-exposure HIV prevention, and DoxyPEP for reducing bacterial STI risk after exposure. Having a single prescriber manage all three means prevention strategy can be adjusted as circumstances change, without bouncing between providers.
Clinics focused narrowly on gonorrhea, chlamydia, syphilis, and HIV leave hepatitis B and hepatitis C unaddressed at the same visit. Neighborhood Health runs both hepatitis B and hepatitis C tests as part of its panel, so bloodborne infections that share transmission routes with HIV get screened at the same time, not scheduled separately.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Alliance Health Centers- Charis House in Fort Wayne welcomes walk-in patients for STI screening without requiring an appointment. A single visit can cover testing for syphilis, gonorrhea, and chlamydia, with fees set on a sliding scale tied to income through its federally qualified health center standing.
Tests offered
Fees & payment
Family Health Care of Northwest Inc. in Van Wert meets people who are paying cash, between providers, or working with limited income. Exactly the gaps a federally qualified health center is built to fill. Sliding-scale fees apply to STI screening for syphilis, gonorrhea, and chlamydia, with costs tied to what patients actually earn.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Decatur, 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 Adams 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.
1100 Mercer Avenue, Decatur, IN 46733
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Decatur. 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, 442 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Decatur. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 87 offer telehealth.
Jessamine Hippensteel, DO
Family medicine · 1300 Mercer Avenue, Decatur
Alec Arturi, DO
Family medicine · 955 High Street, Decatur
Michael Ainsworth, MD
Family medicine · 955 High Street, Decatur
Thomandram Sekar, MD
Internal medicine · 1100 Mercer Avenue, Decatur
Nicholas Nussbaum, MD
Family medicine · 1350 West Main Street, Berne
Kent Lehman, MD
Family medicine · 1521 West Main Street, Berne
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 Decatur, IN 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.
0.4 mi 
0.8 mi Adams Community Pharmacy
1.2 mi
1.4 mi Hook-Superx
11 miShowing the 5 closest pharmacies to Decatur, IN.
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 Decatur, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Adams County, the county that includes Decatur, compare with Indiana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#85 of 92 Indiana counties for chlamydia, a higher rate than 8% of the state
| Infection | Adams County | Indiana | United States |
|---|---|---|---|
| Chlamydia | 118.5 43 cases ▼ 76% | 491 | 492.2 |
| Gonorrhea | 13.8 5 cases ▼ 90% | 144 | 179.5 |
| Syphilis (P&S) | 2.8 1 cases ▼ 68% | 8.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | 11 4 cases ▼ 28% | 15.2 | 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 Adams County, chlamydia has fallen from 248.5 to 118.5 per 100,000 (52%), gonorrhea has fallen from 39.1 to 13.8 per 100,000 (65%), and P&S syphilis has held roughly steady from 2.8 to 2.8 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 Adams County.
Local HIV snapshot
Adams County HIV care continuum (2021)
Adams County recorded 0 new HIV diagnoses per 100,000 (2021), against 11.7 statewide and 13.7 nationally. Among Adams County residents living with HIV, 100% are in care · 100% 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 Adams County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Storybook Park sits at one end of a Decatur where most households own their homes outright (modest values, modest rents) and daily life runs on a tight, practical rhythm. That affordability anchors people here, but it also means budgets leave little slack, and for the roughly one-in-three households that do rent, $619 a month demands careful accounting. When money is close-counted, a clinic visit without clear pricing or a predictable time commitment is easy to defer. That deferral matters most for younger adults in their late teens and twenties, a group navigating new relationships at exactly the years when STI rates run highest.
Decatur isn't a place you walk to appointments (US 224 and North 13th Street are car corridors, not sidewalk ones) so access depends almost entirely on whether a testing option fits a working person's schedule. With nearly two-thirds of residents in the labor force and unemployment low, most people are clocking hours; the clinics on this page that offer extended or weekend slots carry real weight here. The listed options span a range of fees and formats, which matters in a community where high earners are relatively few and out-of-pocket costs land differently depending on the household. Knowing which locations accept sliding-scale fees or offer no-cost testing is the practical detail worth checking before you head down Monroe Street.
Getting there
At 5.52/20 on the EPA walkability index, day-to-day errands in Decatur 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 46733 snapshot
ZIP-level Census figures for the wider 46733 area around Decatur: a single ZIP can span several communities, so they describe the area, not Decatur alone.
Decatur sits in Adams County, ZIP 46733. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Decatur? 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 Adams County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Indiana 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 Decatur-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 Decatur 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 Indiana 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 Indiana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Indiana 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 IndianaSource: 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, Berne, IN is close; compare it by distance against Adams County Memorial Hospital.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 119 cases per 100,000 residents (2023), below the Indiana average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Indiana, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, from a reputable lab, confirm any positive with a clinician for treatment.
Yes, partners should test and be treated together to avoid passing it back and forth.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.