Chlamydia is reported in Howard County at about 30% less than the US average. If you're in Fayette, Missouri and considering testing after a possible exposure or as part of routine care, you have several ways to get tested for STIs: public clinics keep costs down, private labs prioritize turnaround times, and at-home kits avoid a trip to a clinic.
Available testing centers
9 testing options are listed for Fayette, MO. The nearest, John Fitzgibbon Memorial Hospital, is about 0.3 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.
A community safety-net rural health clinic in Fayette. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public STD-testing site in Fayette.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
University of Missouri Health Care in Fayette accepts Medicaid and most insurance, with a standard fee structure, and covers gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis B, hepatitis C, and TB. Plus same-visit treatment for bacterial infections and appointments required.
University of Missouri Health Care in Fayette prescribes all three current bacterial and viral prevention regimens: daily oral PrEP for ongoing HIV prevention, PEP for post-exposure HIV risk reduction, and DoxyPEP, doxycycline taken after sex, to reduce transmission of gonorrhea, chlamydia, and syphilis. Having all three available in a single practice means prevention strategy isn't fragmented across providers.
Bacterial STI panels at many clinics stop at gonorrhea, chlamydia, syphilis, and HIV. Hepatitis screening requires a separate referral elsewhere. University of Missouri Health Care in Fayette tests for both hepatitis B and hepatitis C on-site, alongside TB, keeping viral hepatitis detection within the same appointment rather than an entirely separate care track.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
A community safety-net rural health clinic about 12 miles from Fayette. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Cooper County Public Health Center in Boonville runs walk-in hours with no appointment needed, covering syphilis, gonorrhea, chlamydia, HIV, hepatitis C, and TB testing in a single visit: bacterial infections treated same day, sliding-scale fees accepted, and all STI and HIV testing provided free.
Donations are accepted but never required: STI testing, HIV testing, treatment, vaccines, and prevention services each carry a zero charge. That structure means no service gets deprioritized because of cost; the HPV vaccine and hepatitis A and B vaccines are as financially accessible as the basic swab.
Beyond the bacterial four, Cooper County tests for hepatitis C on-site, which means a result and a clear path to management come from the same visit rather than requiring a separate specialist referral down the line.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Fayette, 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.
Local clinicians
Beyond dedicated clinics, 164 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fayette. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 41 offer telehealth.
Mona Brownfield, MD
Family medicine · 308 South Church Street, Fayette
Kevin Lease, MD
Internal medicine · 101 South Fairview Road, Columbia
Morgan Green, DO
Internal medicine · 101 South Fairview Road, Columbia
Cynthia Hayes, MD
Family medicine · 2012 Cherry Hill Drive, Columbia
Eric Bettis, DO
Family medicine · 1201 International Drive, Columbia
Brooke Adams, DO
Internal medicine · 1001 West Worley Street, Columbia
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 Fayette, 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.
Sams Prescription Shop
0.1 miHenderson Drug Store
10 miSummers Pharmacy - Boonville
13 miMillers Medical Arts
13 mi
20 mi Summers Pharmacy of Slater
21 miShowing the 6 closest pharmacies to Fayette, 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 Fayette, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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 Howard County, the county that includes Fayette, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~46% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#28 of 115 Missouri counties for chlamydia, a higher rate than 76% of the state
| Infection | Howard County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 346.5 35 cases ▼ 31% | 498.6 | 492.2 |
| Gonorrhea | 108.9 11 cases ▼ 46% | 201.9 | 179.5 |
| Syphilis (P&S) | 9.9 1 cases ▼ 54% | 21.5 | 15.8 |
| Syphilis (early) | — no data | 12.4 | 16 |
| Syphilis (late/unknown) | — no data | 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 Howard County, chlamydia has fallen from 443.3 to 346.5 per 100,000 (22%), gonorrhea has risen from 108.4 to 108.9 per 100,000 (0%), and P&S syphilis has held roughly steady from 9.9 to 9.9 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 Howard 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.
Howard County HIV care continuum (2023)
Howard County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.6 statewide and 13.7 nationally. Among Howard County residents living with HIV, 85.7% are in care · 85.7% 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 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 Howard County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Fayette's working people (farmers, tradespeople, small-business owners) tend to build their lives here across decades. That stability means neighbors recognize faces at the grocery, but it also means questions about health care can feel complicated when privacy matters. The young adults who stay or return to Fayette, along with those passing through for work, deserve straightforward access to confidential STI testing without the weight of small-town visibility. Clinics and providers in and around Fayette listed on this page offer that separation: what you discuss with a clinician stays with them, and results don't travel. Testing here isn't rushed or bureaucratic.
Whether you're managing seasonal work schedules, juggling household responsibilities, or simply want screening as part of staying healthy, the available services accommodate appointments without drama or delay. Many people use these visits to ask questions they might hesitate to raise elsewhere, what symptoms mean, how transmission actually works, whether a past exposure warrants concern. Getting tested isn't a referendum on your life or your choices. It's a basic health step that Fayette residents can take on their own terms, with real confidentiality and without assumption.
Getting there
At 6.9/20 on the EPA walkability index, day-to-day errands in Fayette 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 65248 snapshot
ZIP-level Census figures for the wider 65248 area around Fayette: a single ZIP can span several communities, so they describe the area, not Fayette alone.
Fayette sits in Howard County, ZIP 65248. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Fayette? 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 Howard 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 Fayette-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 Fayette 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.
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.
Cooper County Public Health Center, about 14.6 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Howard County reported ~347 chlamydia cases per 100,000 in 2023, below the Missouri average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 65248: self-collect, send to the lab, results in ~2–5 days.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.