Chlamydia cases in Washington County are about 23% below the US average. If you're considering testing in Highfield-Cascade, Maryland, whether for routine care or possible exposure, you can weigh clinics that may bill insurance against private labs with flat self-pay pricing. See your options below.
Available testing centers
7 testing options are listed for Highfield-Cascade, MD. The nearest, Keystone Medical Associates Waynesboro, is about 2.1 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.
Keystone Medical Associates Waynesboro serves Waynesboro residents who are between providers, paying cash, or working with a tight budget: federal qualification means STI screening, including syphilis, gonorrhea, and chlamydia, runs on a sliding-scale fee that adjusts to household income, and no appointment is required.
Tests offered
Fees & payment
Keystone Foot and Ankle Center Waynesboro, in Waynesboro, meets patients where insurance gaps, rural distance, or cash budgets make STI care feel out of reach. Its federal health center standing ties fees to income, so syphilis, gonorrhea, and chlamydia screening stays within reach for walk-ins across the income spectrum.
Tests offered
Fees & payment
Keystone Internal Medicine Waynesboro serves Waynesboro residents who are uninsured, paying out of pocket, or navigating gaps between providers, and its federally qualified status backs that up with sliding-scale fees tied to income. STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment required.
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 about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Highfield-Cascade, 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 range: couples & full panels
$79 & 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 Washington 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.
1185 Imperial Drive Suite 201, Hagerstown, MD 21740
CMS-certified lab
13620 Crayton Boulevard, Hagerstown, MD 21742
CMS-certified lab
19236 Meadow View Drive, Hagerstown, MD 21742
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Highfield-Cascade. 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, 634 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Highfield-Cascade. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 239 offer telehealth.
Bikash Bhattarai, MD Telehealth
Internal medicine · 601 East Main Street, Waynesboro
Salman Haroon, DO
Family medicine · 501 East Main Street, Waynesboro
Scott Card, MD
Internal medicine · 501 East Main Street, Waynesboro
Jasmine Gulati, DO
Family medicine · 22911 Jefferson Boulevard, Smithsburg
Thomas Stoner, DO Telehealth
Internal medicine · 4910 Fairfield Road, Fairfield
Amreen Aziz, MD Telehealth
Family medicine · 100 South Ctr Street, Thurmont
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 Highfield-Cascade, MD 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.
2.6 mi Keystone Rural Health Center
3.8 mi
4.6 mi Waynesboro Apothecary
4.7 miAntietam Pharmacy
5.0 miShowing the 5 closest pharmacies to Highfield-Cascade, MD.
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 Highfield-Cascade, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Washington County, the county that includes Highfield-Cascade, compare with Maryland and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 24 Maryland counties for chlamydia, a higher rate than 58% of the state
| Infection | Washington County | Maryland | United States |
|---|---|---|---|
| Chlamydia | 380.6 593 cases ▼ 34% | 579.8 | 492.2 |
| Gonorrhea | 140.6 219 cases ▼ 32% | 207.1 | 179.5 |
| Syphilis (P&S) | 16.7 26 cases ▲ 18% | 14.2 | 15.8 |
| Syphilis (early) | 11.6 18 cases ▼ 21% | 14.6 | 16 |
| Syphilis (late/unknown) | 15.4 24 cases ▼ 37% | 24.3 | 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 Washington County, chlamydia has fallen from 458.3 to 380.6 per 100,000 (17%), gonorrhea has fallen from 210.7 to 140.6 per 100,000 (33%), and P&S syphilis has fallen from 23.9 to 16.7 per 100,000 (30%).
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 Washington County.
Local HIV snapshot
Washington County HIV care continuum (2023)
Washington County recorded 9.1 new HIV diagnoses per 100,000 (2023), against 13.9 statewide and 13.7 nationally. Among Washington County residents living with HIV, 73.4% are in care · 64.6% 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 Washington County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The timber and quarrying trades have shaped Highfield-Cascade for generations, drawing workers who stay and build lives here: families who own their homes outright and know their neighbors across Cascade, Rowland Hill, and Manahan Ranch Estates. That same rootedness carries into health routines. Routine STI screening is a practical matter for the young adults threading through the community, from those starting jobs to those settling in; confidentiality during testing isn't a luxury but a straightforward expectation, especially when a person's workplace and social circles overlap. Testing in and around Highfield-Cascade is available through clinics and providers listed on this page, each offering the discretion that comes standard.
Results remain yours alone: no notification to employers, no record shared with neighbors or family unless you choose otherwise. The testing itself is brief and straightforward, designed to fit into a working person's schedule. Whether you're new to screening or making it part of your annual routine, the clinics serving Highfield-Cascade handle these visits with the same matter-of-fact efficiency the community brings to everything else. Peace of mind costs nothing, and the process takes less time than a typical appointment.
Getting there
At 5.13/20 on the EPA walkability index, day-to-day errands in Highfield-Cascade 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 21719 snapshot
ZIP-level Census figures for the wider 21719 area around Highfield-Cascade: a single ZIP can span several communities, so they describe the area, not Highfield-Cascade alone.
Highfield-Cascade sits in Washington County, ZIP 21719. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Highfield-Cascade? 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 Washington County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Maryland 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 Highfield-Cascade-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 Highfield-Cascade 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 Maryland 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 Maryland, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Maryland 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 MarylandSource: 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, Waynesboro, PA is close; compare it by distance against Keystone Medical Associates Waynesboro.
Medicaid generally covers STD testing.
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 381 cases per 100,000 residents (2023), below the Maryland average.
In Maryland, people under 18 can consent to confidential STD testing and treatment on their own.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Syphilis is found with a simple blood test; a reactive screen is confirmed with a second blood test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.