Chlamydia in Henderson County has a roughly 49% lower reported rate than the US average. Whether this is your first STI test in Horace, North Carolina, or a routine screening, consider that visiting a local clinic lets a provider answer questions and start treatment, while an at-home kit lets you collect samples on your own schedule and mail them in. See options listed below.
Available testing centers
7 testing options are listed for Horace, NC. The nearest, Blue Ridge Health, is about 6.3 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.
Blue Ridge Health in Lake Lure runs on a sliding-scale fee accepted by Medicaid and most insurers, covering gonorrhea, chlamydia, syphilis, HIV, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial STIs and STI counseling, by appointment, with care available in Spanish.
Stopping a hepatitis A, B, or C infection late, because the initial clinic only ran the basic four, means a second provider, a second bill, and time the infection was going unaddressed. Blue Ridge Health tests all three alongside gonorrhea, chlamydia, syphilis, and HIV in a single appointment, closing that gap entirely.
Blue Ridge Health carries active substance-use treatment as a standing service alongside its STI care: meaning someone managing both doesn't need to coordinate two separate providers, two separate schedules, or two separate bills. That combined capacity is built into what the clinic does, not arranged on request.
Many clinics handle Spanish-speaking patients through workarounds that slow the visit and flatten the conversation. Blue Ridge Health delivers care directly in Spanish, so medical history, test results, and treatment decisions move at full speed without anything filtered through a secondary channel.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
A community safety-net rural health clinic about 9 miles from Horace. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Henderson County Department of Public Health in Hendersonville requires an appointment, and that single visit covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB testing, same-visit treatment for bacterial STIs, HPV, hepatitis A, mpox, and adult hepatitis B vaccines. All at no charge.
HIV, hepatitis C, STI, and TB tests are each individually listed as free, and that zero-cost structure extends across vaccines, treatment, and counseling. The operational result: nothing on the service menu triggers a bill, a copay, or a balance: sliding scale applies to the fee schedule, and the fee schedule bottoms out at nothing.
Spanish-language care is available at Henderson County Department of Public Health, which means a patient can give a full symptom history, ask follow-up questions, and receive counseling in Spanish without pausing for outside help. A direct line into clinical decision-making from the first word.
The clinic runs herpes testing alongside hepatitis B and hepatitis C screening in addition to the core four, each drawn and processed through the department's own lab workflow. Hepatitis B vaccination is also on-site, so a reactive hepatitis B result can immediately inform a vaccination conversation for household contacts within the same visit.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Horace, 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 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 Henderson 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.
100 Hospital Drive, Hendersonville, NC 28792
CMS-certified lab Accredited · College of American Pathologists
1363 7th Avenue East, Hendersonville, NC 28792
CMS-certified lab
600 Beverly Hanks Center, Hendersonville, NC 28792
CMS-certified lab Accredited · COLA
120 South Grove Street, Hendersonville, NC 28792
CMS-certified lab Accredited · COLA
Showing the nearest 4 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horace. 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, 652 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horace. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 186 offer telehealth.
Kelly Garcia, MD
Family medicine · 146 Nesbitt Rdg, Lake Lure
Zachary Fisher, MD
Family medicine · 2579 Chimney Rock Road, Hendersonville
Jonathan Schwartzman, MD
Family medicine · 212 Thompson Street, Hendersonville
Hal Hooper, MD
Urology · 55 Palmer Jervey Drive, Columbus
Diana Curran, MD
Family medicine · 1200 Spartanburg Highway, Hendersonville
David Lamond, DO Telehealth
Family medicine · 317 North King St A, Hendersonville
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 Horace, NC 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.
Ingles Pharmacy
7.7 miBlue Ridge Community Health Pharmacy
7.8 mi
8.2 mi Sams Pharmacy 10
8.3 miPharm-Save-Hendersonville
8.7 miShowing the 5 closest pharmacies to Horace, NC.
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 Horace, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Henderson County, the county that includes Horace, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#77 of 100 North Carolina counties for chlamydia, a higher rate than 23% of the state
| Infection | Henderson County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 252.5 301 cases ▼ 58% | 607.9 | 492.2 |
| Gonorrhea | 59.5 71 cases ▼ 76% | 243.2 | 179.5 |
| Syphilis (P&S) | 11.7 14 cases ▼ 41% | 19.9 | 15.8 |
| Syphilis (early) | 6.7 8 cases ▼ 58% | 15.8 | 16 |
| Syphilis (late/unknown) | 7.5 9 cases ▼ 69% | 24 | 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 Henderson County, chlamydia has fallen from 280.4 to 252.5 per 100,000 (10%), gonorrhea has fallen from 134.2 to 59.5 per 100,000 (56%), and P&S syphilis has risen from 2.6 to 11.7 per 100,000 (350%).
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 Henderson County.
Local HIV snapshot
Henderson County HIV care continuum (2023)
Henderson County recorded 8.6 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Henderson County residents living with HIV, 82.2% are in care · 77% 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 Henderson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Horace skews heavily toward homeowners (a settled, rooted majority) but a substantial share of residents rent, and that group tends to be younger, more transient, and less likely to have an established local doctor they see regularly. That tenure split matters for sexual health access: renters navigating a $1,100-plus monthly payment have less budget slack for unexpected medical costs, and younger adults still sorting out careers and relationships are exactly the people for whom an untreated STI is most likely to go undetected simply because scheduling felt too complicated. Getting tested here requires a car. The mountains ringing the area (Livert, Point Lookout, Lamb, Poplar) make this genuinely rural terrain, not just statistically so.
Drive time and gas factor into whether a screening appointment actually gets booked. The encouraging counterweight is that nearly half of Horace households earn at the higher end of the income range, which means cost-sharing arrangements or sliding-scale fees at local clinics aren't equally prohibitive for everyone, but those resources need to be visible and easy to book. The options listed on this page are a practical starting point for anyone along US 64 who'd rather know than wonder.
Getting there
At 7.18/20 on the EPA walkability index, day-to-day errands in Horace 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 28792 snapshot
ZIP-level Census figures for the wider 28792 area around Horace: a single ZIP can span several communities, so they describe the area, not Horace alone.
Horace sits in Henderson County, ZIP 28792. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Horace? 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 Henderson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Horace-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 Horace 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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.
Hendersonville, NC is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Yes, Medicaid typically covers it, and public clinics are free either way.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Henderson County reported ~253 chlamydia cases per 100,000 in 2023, below the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 28792: self-collect, send to the lab, results in ~2–5 days.
Yes, syphilis is cured with antibiotics (usually penicillin), and earlier treatment prevents long-term damage.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
No; "everything" means a panel of several tests, and some need a repeat later to be conclusive.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.