Chlamydia rates in Pike County run about 57% lower than the US average. If you have a one-time concern or want regular check-ups in Elkhorn City, Kentucky, you'll find some clinics offer same-day testing, while labs and at-home kits let you plan around your own time. See the list below for your options.
Available testing centers
7 testing options are listed for Elkhorn City, KY. The nearest, Mountain Comprehensive Health, is about 1.2 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.
Mountain Comprehensive Health in Elkhorn City runs walk-in testing for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB, with same-visit treatment for bacterial STIs. All on a sliding-scale fee structure that covers everyone.
Sliding-scale clinics typically still leave patients with some amount owed after the visit. Mountain Comprehensive Health charges nothing across the full range of services (testing, treatment, PrEP, PEP, hepatitis management) so cost never becomes the reason someone delays care.
Many clinics treat non-English speakers as an afterthought, patching together workarounds that break down mid-appointment. Mountain Comprehensive Health has interpretation services integrated into care delivery, so the clinical conversation (history, results, treatment plan) actually happens in full.
PrEP at Mountain Comprehensive Health means a provider prescribes and monitors the regimen directly, including the required HIV and kidney-function testing at baseline and follow-up intervals. PEP is similarly managed in-house, with the dosing protocol and adherence counseling handled by the same clinical team.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Stone Mountain Health Services in Haysi folds STI testing into full-scope community health care, pairing gonorrhea, chlamydia, syphilis, and HIV testing with treatment, HPV and hepatitis A and B vaccines, and family planning: fees run on a sliding scale, with Medicaid, Medicare, and most insurance accepted. Appointments are required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Big Sandy Health Care in Pikeville runs on a sliding-scale fee structure open to everyone, with Medicaid and private insurance accepted. Appointments are required for testing that spans HIV, syphilis, gonorrhea, chlamydia, herpes, TB, and the full hepatitis panel, with same-visit treatment available for bacterial STIs.
Big Sandy's hepatitis C care moves from antibody test through direct-acting antiviral prescription and follow-up monitoring without leaving the clinic: a physician prescribes, lab values are tracked over the treatment course, and viral clearance is confirmed on-site in Pikeville.
Big Sandy tests for herpes and all three hepatitis strains in addition to the standard bacterial and HIV panel, which means a single appointment can surface infections that a narrower screen would leave undetected and unaddressed.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Apr 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Elkhorn City, 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 Pike 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.
911 Bypass Road, Pikeville, KY 41501
CMS-certified lab Accredited · College of American Pathologists
255 Church St Suite 1A, Pikeville, KY 41501
CMS-certified lab Accredited · COLA
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Elkhorn City. 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, 145 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Elkhorn City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 22 offer telehealth.
James Hager, DO
Family medicine · 17401 Ky Hwy 80 East, Elkhorn City
Jeffrey Garland, MD Telehealth
Internal medicine · 945 West Russell Street, Elkhorn City
Jonathan Hess, MD
Family medicine · 9627 Millard Highway, Pikeville
Dia Owens, MD
Family medicine · 162 Medical Ctr Boulevard, Haysi
James Abrokwah, MD
Family medicine · 163 Number Ten Street, Clinchco
David Martin, MD
Family medicine · 178 Douglas Parkway, Pikeville
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 Elkhorn City, KY 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.
Nichols Apothecary
0.9 miElkhorn Pharmacy
0.9 miElkhorn Drug
1.0 miShowing the 3 closest pharmacies to Elkhorn City, KY.
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 Elkhorn City, 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 Pike County, the county that includes Elkhorn City, compare with Kentucky 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.
#73 of 120 Kentucky counties for chlamydia, a higher rate than 39% of the state
| Infection | Pike County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 210.8 118 cases ▼ 45% | 381.9 | 492.2 |
| Gonorrhea | 42.9 24 cases ▼ 68% | 134.4 | 179.5 |
| Syphilis (P&S) | — no data | 14.1 | 15.8 |
| Syphilis (early) | 3.6 2 cases ▼ 75% | 14.5 | 16 |
| Syphilis (late/unknown) | 7.1 4 cases ▼ 62% | 18.9 | 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 Pike County, chlamydia has risen from 119.3 to 210.8 per 100,000 (77%), gonorrhea has risen from 29 to 42.9 per 100,000 (48%), and P&S syphilis has risen from 1.7 to 1.8 per 100,000 (6%).
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 Pike County.
Local HIV snapshot
Federal priority area: Kentucky 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.
Pike County HIV care continuum (2023)
Among Pike County residents living with HIV, 83.3% are in care · 66.7% 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 Pike County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
STD testing is available in and around Elkhorn City through clinics and providers listed on this page. The town sits where Beaver Creek Road meets the valley floor near Pinnacle Rock, drawing residents from surrounding hollows and the Beaver Bottom area. Elkhorn City's population spans generations, retirees and working families alongside young adults in their late teens through mid-thirties, a cohort for whom confidential screening fits into routine health care. Testing access matters here because privacy, affordability, and straightforward appointment-making shape whether someone follows through.
The town's modest cost of living means many households watch expenses closely, and some face real financial strain. Clinics in and around Elkhorn City recognize this reality and offer sliding-scale fees, Medicaid acceptance, and walk-in hours that don't demand time off work. Results are confidential; no information reaches employers, family, or insurance without consent. Young adults especially benefit from knowing their status and having treatment options if needed.
Routine screening (whether annual, after a new partner, or following a potential exposure) keeps transmission chains from spreading through the community. Providers listed on this page can answer questions about timing, cost, and what to expect during a visit.
Getting there
At 3.89/20 on the EPA walkability index, day-to-day errands in Elkhorn City 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 41522 snapshot
ZIP-level Census figures for the wider 41522 area around Elkhorn City: a single ZIP can span several communities, so they describe the area, not Elkhorn City alone.
Elkhorn City sits in Pike County, ZIP 41522. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Elkhorn City? 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 Pike County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Kentucky 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 an Elkhorn City-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 Elkhorn City 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 Kentucky 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 Kentucky, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Kentucky 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 KentuckySource: 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.
The closest is Mountain Comprehensive Health (1.2 mi); 5 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 211 cases per 100,000 residents (2023), below the Kentucky average.
In Kentucky, 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.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.