Chlamydia rates in Carter County are about 77% lower than the US average. Whether it's your first STI screening or routine for you in Grayson, Kentucky, you can choose between clinics that may take insurance and private labs that charge a flat fee. Both options are available.
Available testing centers
9 testing options are listed for Grayson, KY. The nearest, Kentucky Cabinet for Health and Family Services, is about 0.4 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.
Kentucky Cabinet for Health and Family Services in Grayson runs on appointments and covers the full standard panel (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB) with same-visit treatment for bacterial infections, sliding-scale fees, and HPV, hepatitis A, hepatitis B, and Mpox vaccines, all at no cost.
Without a regular provider or insurance, covering both testing and treatment at one visit typically means absorbing real costs. At Kentucky Cabinet for Health and Family Services in Grayson, every service (testing, vaccines, bacterial STI treatment) is provided at no fee, regardless of coverage or income.
For anyone wanting a complete picture beyond the standard four, this clinic tests for herpes and hepatitis C as part of its panel. Conditions that often require a separate appointment elsewhere. On-site hepatitis C management means answers and a care path come from the same visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Fresh Start Health in Grayson runs STI care alongside TB, hepatitis, and family planning services, covering the full bacterial and viral panel with rapid and conventional HIV testing, walk-ins welcome, same-visit treatment for bacterial infections, and every service provided at no fee.
When cost is the variable that determines whether someone treats or waits, an untreated infection compounds. Partner transmission, downstream complications, a second visit that's now more urgent than the first. Fresh Start Health charges nothing for any service it provides, removing that variable entirely.
Miscommunication during an STI visit isn't a minor inconvenience, it's a missed exposure history, a misunderstood treatment regimen, an infection that continues. Fresh Start Health's interpretation services mean that a non-English speaker's clinical encounter carries the same accuracy and completeness as any other.
Fresh Start Health prescribes and manages both PrEP, including Truvada and Descovy, and PEP directly, with the HIV testing and monitoring required to sustain either regimen handled in the same building, at no fee.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
HomePlace Clinic - Grayson welcomes walk-ins for STI screening, no appointment needed. Federally qualified standing ties fees to a sliding income scale, so a single visit can cover syphilis, gonorrhea, and chlamydia testing at a cost calibrated to what each patient actually earns.
Tests offered
Fees & payment
PrimaryPlus in Grayson requires an appointment, and that structure lets a single visit cover rapid or conventional HIV testing, the full bacterial panel, herpes and hepatitis screening, same-visit treatment for gonorrhea, chlamydia, and syphilis, and hepatitis A and HPV vaccines. All on a sliding-scale fee.
When a hepatitis C antibody test confirms active infection, PrimaryPlus prescribes and monitors direct-acting antivirals in-house: a clinician manages the treatment course, tracks viral load response, and confirms clearance without sending the patient to a specialist.
PrimaryPlus tests for herpes and all three hepatitis strains (A, B, and C) in addition to gonorrhea, chlamydia, syphilis, and HIV; that means infections that often go undetected on a narrower panel get caught and documented in the same appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
A public safety-net rural health clinic about 9 miles from Grayson. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Grayson, 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 for simplicity & support
$89 & 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, 312 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Grayson. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 58 offer telehealth.
Patrick Villafuerte, MD
Infectious disease · 100 Bellefonte Drive, Grayson
Katie Salyers, MD
Family medicine · 100 Bellefonte Drive, Grayson
Justin Dixon, MD
Urology · 609 North Carol Malone Boulevard, Grayson
Kimberly Baldock, MD Telehealth
Internal medicine · 710 North Carol Malone Boulevard, Grayson
Olivia Keaton, DO Telehealth
Family medicine · 12100 Princeland Drive, Ashland
Elizabeth Matera, MD
Family medicine · 155 Bricklayer Street, Olive Hill
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 Grayson, 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.
0.4 mi Grayson Family Drug
0.5 miHorton Brothers and Brown Pharmacy
0.5 miMed-Save Pharmacy
0.6 miShowing the 4 closest pharmacies to Grayson, 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 Grayson, 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 $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
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 Carter County, the county that includes Grayson, compare with Kentucky 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.
#110 of 120 Kentucky counties for chlamydia, a higher rate than 8% of the state
| Infection | Carter County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 113.8 30 cases ▼ 70% | 381.9 | 492.2 |
| Gonorrhea | 26.5 7 cases ▼ 80% | 134.4 | 179.5 |
| Syphilis (P&S) | 3.8 1 cases ▼ 73% | 14.1 | 15.8 |
| Syphilis (early) | 3.8 1 cases ▼ 74% | 14.5 | 16 |
| Syphilis (late/unknown) | 30.3 8 cases ▲ 60% | 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 Carter County, chlamydia has fallen from 176.5 to 113.8 per 100,000 (36%), gonorrhea has fallen from 33.8 to 26.5 per 100,000 (22%), and P&S syphilis has fallen from 18.8 to 3.8 per 100,000 (80%).
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 Carter 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.
Carter County HIV care continuum (2022)
Carter County recorded 0 new HIV diagnoses per 100,000 (2022), against 10.4 statewide and 13.7 nationally. Among Carter County residents living with HIV, 92.9% 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 Carter County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Carol Malone Boulevard cuts through the part of Grayson where renters and owners split almost evenly, and for a lot of younger adults here, that rental side means shared households, larger family units under one roof, and the kind of financial margin that makes a $50 co-pay feel like a real decision. With roughly half the adult population outside the labor force and unemployment running notably higher than national averages, scheduling around work is less of a universal constraint here than in most Kentucky cities, but the trade-off is that cost and transportation loom larger.
That matters most for people in their late teens and twenties, who account for a substantial slice of Grayson's population and are at the life stage (new relationships, shifting living arrangements, first-time access to their own healthcare decisions) when routine STI screening is genuinely protective rather than reactive. That single logistical reality shapes which of the options listed here people actually use, and makes checking distance and hours before committing to one genuinely worth the two minutes it takes.
Getting there
At 5.55/20 on the EPA walkability index, day-to-day errands in Grayson 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 41143 snapshot
ZIP-level Census figures for the wider 41143 area around Grayson: a single ZIP can span several communities, so they describe the area, not Grayson alone.
Grayson sits in Carter County, ZIP 41143. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Grayson? 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 Carter 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 a Grayson-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 Grayson 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 Kentucky Cabinet for Health and Family Services (0.4 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 114 cases per 100,000 residents (2023), below the Kentucky average.
Lab results typically come back in 1–2 days.
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.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.