New HIV diagnoses in Hawaii County run about 71% lower than the US average. If you've had a recent risk or simply test on a regular schedule, Hilo, Hawaii County has different ways to get tested. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience, so weigh your needs and look below.
Available testing centers
11 testing options are listed for Hilo, HI. The nearest, Diagnostic Laboratory Services, is about 1.5 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.
Hawaii Island Community Health Center in Hilo tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB on a sliding-scale fee open to anyone, with same-visit treatment for bacterial infections and appointment-based scheduling, and carries both PrEP and PEP for ongoing prevention.
Hawaii Island Community Health Center holds PrEP and PEP prescribing in-house, which means someone without a regular primary-care provider, or paying out of pocket and wanting one place to handle everything, can get prevention medication managed at the same clinic where they test. No separate prescriber to track down.
Beyond the core bacterial and HIV tests, Hawaii Island Community Health Center screens for herpes, hepatitis B, and hepatitis C. Meaning a single visit can surface infections that a shorter panel would miss entirely, giving you a more complete picture to act on.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Maikai Health Community Clinic in Hilo accepts Medicaid, Medicare, and private insurance, with a fee schedule for others, covering gonorrhea, chlamydia, syphilis, and HIV testing alongside hepatitis A and B vaccines. Appointments required.
Plenty of clinics confirm a hepatitis C infection and hand the management off to someone else, leaving patients to navigate specialists on their own. Maikai Health Community Clinic in Hilo carries the treatment itself, so a diagnosis leads directly to a care plan without a detour through another provider.
Without integrated care, a second appointment for substance-use treatment often goes unscheduled, and the untreated dependency leaves STI care incomplete in ways that show up later. Maikai Health Community Clinic in Hilo addresses both in the same setting, so neither need waits on the other.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Kumukahi Health and Wellness in Hilo is a community health center where STI care spans the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, hepatitis A, B, and C, plus rapid and conventional HIV testing) on a sliding scale, by appointment, with same-visit treatment for bacterial infections, all at no cost.
A bill left unpaid often means a follow-up skipped, and a skipped follow-up means an infection that keeps moving. At Kumukahi Health and Wellness, every test, every STI treatment, and every HIV or hepatitis service carries no charge, so the cost of a second visit is never the reason care stops.
When a provider and patient can't communicate precisely, diagnoses get missed and treatment instructions go unfollowed, and that gap compounds quickly with infections that need exact timing. Kumukahi Health and Wellness offers interpretation services for non-English languages, so the clinical conversation lands clearly the first time.
Kumukahi prescribes daily oral PrEP with the routine HIV and kidney-function monitoring the regimen requires, manages PEP courses, and provides DoxyPEP, the doxycycline-based protocol taken after potential bacterial STI exposure, all within the same practice, so each regimen is tracked against your full care record.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN
Administration Office in Hilo carries federally qualified health center standing, meaning its STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to income, making it a practical option for anyone paying out of pocket or working without coverage between providers.
Tests offered
Fees & payment
Hawaii County District Health Office in Hilo tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C, treating bacterial infections in the same visit. All at no charge, with an appointment required.
Every test, every treatment, every prevention consultation carries no charge, which means the decision to come back for follow-up or add hepatitis screening to a visit isn't weighed against a bill at the end.
The panel at Hawaii County District Health Office covers hepatitis B and hepatitis C in addition to HIV, syphilis, gonorrhea, and chlamydia: six pathogens on a single visit, each with its own clinical pathway for management or same-visit treatment where applicable.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Wailuku Family Health Center in Hilo carries federal qualification as a community health center, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to your income, keeping care reachable regardless of what you earn. No appointment is needed to be seen.
Tests offered
Fees & payment
A safety-net rural health clinic about 3 miles from Hilo. 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 about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Hilo, 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 Hawaii 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.
1190 Waianuenue Avenue, Hilo, HI 96720
CMS-certified lab Accredited · College of American Pathologists
1248 Kinoole Street Suite 102, Hilo, HI 96720
CMS-certified lab
868 Ululani Street, Suite 103, Hilo, HI 96720
CMS-certified lab
1190 Waianuenue Avenue, Hilo, HI 96720
CMS-certified lab
1285 Waianuenue Ave Suite 211, Hilo, HI 96720
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hilo. 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, 105 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hilo. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 11 offer telehealth.
Chrissy Capati, DO
Family medicine · 944 West Kawailani Street, Hilo
Francis Cavanaugh, MD Telehealth
Internal medicine · 70 Olona Street, Hilo
Alan Desilva, MD
Internal medicine · 1248 Kinoole Street, Hilo
Matthew Dykema, DO Telehealth
Family medicine · 1248 Kinoole Street, Hilo
Gaku Yamaguchi, MD
Family medicine · 1438 Kilauea Avenue, Hilo
Laurie Hopman, MD
Family medicine · 45 Mohouli Street, Hilo
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 Hilo, HI 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.
University of Hawaii at Hilo Student Medical Service
0.9 miSack ‘n Save
1.3 miLongs Drugs #09227
1.3 miWindward Pharmacy
1.4 miFoodland Pharmacy
1.4 miKta Puainako Pharmacy
1.4 miShowing the 6 closest pharmacies to Hilo, HI.
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 Hilo, 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
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
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 Hawaii County, the county that includes Hilo, compare with Hawaii 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.
#2 of 5 Hawaii counties for chlamydia, among the very highest in the state
| Infection | Hawaii County | Hawaii | United States |
|---|---|---|---|
| Chlamydia | 333.8 693 cases ▼ 23% | 435.6 | 492.2 |
| Gonorrhea | 77.1 160 cases ▼ 39% | 126.7 | 179.5 |
| Syphilis (P&S) | 9.6 20 cases ▼ 24% | 12.7 | 15.8 |
| Syphilis (early) | 3.4 7 cases ▼ 51% | 7 | 16 |
| Syphilis (late/unknown) | 10.1 21 cases ▼ 48% | 19.6 | 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 Hawaii County, chlamydia has fallen from 341.4 to 333.8 per 100,000 (2%), gonorrhea has risen from 60.8 to 77.1 per 100,000 (27%), and P&S syphilis has risen from 4 to 9.6 per 100,000 (140%).
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 Hawaii County.
Local HIV snapshot
Hawaii County HIV care continuum (2023)
Hawaii County recorded 4 new HIV diagnoses per 100,000 (2023), against 4.8 statewide and 13.7 nationally. Among Hawaii County residents living with HIV, 87.9% are in care · 81% 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 Hawaii County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Kanoelehua Avenue cuts through the commercial spine of Hilo, past the turn-offs toward Waiākea and the quieter side streets of Downtown Hilo, and it is along corridors like this that most of daily life gets handled, including health decisions. More than three in five households here own their homes, and with an average of more than three people under one roof, health choices in Hilo tend to be made within a family context rather than in isolation. That household density matters: when one person's schedule is tangled with school runs, shared vehicles, or a partner's shift, a screening appointment can sit unchosen for months despite genuine intention. Just over a quarter of households reach the six-figure income threshold, which means a real majority of Hilo families are managing on modest earnings.
Rent hovering around a thousand dollars a month absorbs a meaningful share of those budgets, and the labor-force participation rate here trails national norms, so out-of-pocket testing costs carry real weight. Younger adults, people in their late teens and twenties, are the years when STI transmission peaks, and Hawaii County's reported rates reflect that pattern. For someone who has lived long enough in Hilo to know how quietly a routine test can fall off the calendar, the county figures are a reasonable reminder that staying current is simply what ongoing health maintenance looks like here.
Getting there
At 6.29/20 on the EPA walkability index, day-to-day errands in Hilo 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 96720 snapshot
ZIP-level Census figures for the wider 96720 area around Hilo: a single ZIP can span several communities, so they describe the area, not Hilo alone.
Hilo sits in Hawaii County, ZIP 96720. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Hilo? 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 Hawaii County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Hawaii 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 Hilo-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 Hilo 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 Hawaii 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 Hawaii, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Hawaii 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 HawaiiSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it, and public clinics are free either way.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Hawaii County reported ~334 chlamydia cases per 100,000 in 2023, below the Hawaii average.
At-home kits mail to 96720: self-collect, send to the lab, results in ~2–5 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Hawaii, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.