Chlamydia rates in Henderson County run about 49% lower than the US average. Whether it's your first STI test or a routine screening in Horse Shoe, North Carolina, clinics and private labs each offer different payment structures: clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. A few options await below.
Available testing centers
7 testing options are listed for Horse Shoe, NC. The nearest, Pardee BlueMD 6503 Brevard Road, is about 2.6 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.
Pardee BlueMD 6503 Brevard Road in Etowah extends federal health center benefits to patients paying cash, between providers, or working without coverage: making sliding-scale syphilis, gonorrhea, and chlamydia screening available to anyone whose costs adjust to income, no appointment required.
Tests offered
Fees & payment
Pardee BlueMD 156 Cross Road Drive, in Mills River, charges fees on a sliding scale tied to income. No patient is turned away for inability to pay. Federally qualified, the clinic screens for syphilis, gonorrhea, and chlamydia, with no appointment needed to be seen.
Tests offered
Fees & payment
Pardee BlueMD 1824 Pisgah Drive, in Hendersonville, earns its federal qualification by anchoring sliding-scale care to income: making syphilis, gonorrhea, and chlamydia screening reachable whether someone is uninsured, between providers, or simply paying out of pocket without a prior appointment.
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 3 miles away; if you'd rather skip the trip, an at-home kit ships to Horse Shoe, 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 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.
800 North Justice Street, Hendersonville, NC 28739
CMS-certified lab Accredited · College of American Pathologists
805 6th Avenue West, Suite 100, Hendersonville, NC 28739
CMS-certified lab
800 North Justice Street, Hendersonville, NC 28791
CMS-certified lab
902 Fleming Street, Suite C, Hendersonville, NC 28791
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horse Shoe. 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, 614 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horse Shoe. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 178 offer telehealth.
Sven Jonsson, MD Telehealth
Family medicine · 271 Old Barn Road, Hendersonville
Amy Johnson, MD
Family medicine · 156 Cross Rd Drive, Mills River
Jeffrey Garris, MD Telehealth
OB-GYN · 1881 Pisgah Drive, Hendersonville
Daniel Drechsler, MD
Family medicine · 3334 Boylston Highway, Mills River
Christina Martin, MD Telehealth
Family medicine · 125 Vance Hill Drive, Mills River
Robert Smith, MD
Family medicine · 127 Vance Hill Drive, Mills River
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 Horse Shoe, 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.
Etowah Pharmacy
2.7 mi
3.1 mi Ingles Pharmacy
4.0 mi
4.0 mi 
4.0 mi Showing the 5 closest pharmacies to Horse Shoe, 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 Horse Shoe, 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 Henderson County, the county that includes Horse Shoe, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% 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
People move to Horse Shoe for the land itself: a plot where you can build, a house with acreage, proximity to Davenport Mountain and the ridgelines that define the valley. Once settled, the practical questions arise: where to get routine health screening without fanfare, and how quickly you can be in and out. Testing for STIs in and around Horse Shoe is available through the clinics and providers listed on this page, several of which operate with the kind of discretion that matters when you're establishing yourself in a place where neighbors tend to stay put for decades. Young adults in their twenties and thirties who've recently arrived, or who grew up here and are now managing their own care, often find that the testing sites serving Horse Shoe keep details confidential as standard practice, not as an exception.
Whether you're accessing care near Yale or further afield, the screening process itself takes an hour or less, and results typically come back within days. The fact that many households in Horse Shoe are multigenerational and rooted makes routine preventive care a quieter matter than it might feel elsewhere. Getting tested is straightforward; the results stay with you and your healthcare provider, and that separation between your private health and the wider community is built into how these services operate.
Getting there
At 6.89/20 on the EPA walkability index, day-to-day errands in Horse Shoe 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 28739 snapshot
ZIP-level Census figures for the wider 28739 area around Horse Shoe: a single ZIP can span several communities, so they describe the area, not Horse Shoe alone.
Horse Shoe sits in Henderson County, ZIP 28739. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Horse Shoe? 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 Horse Shoe-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 Horse Shoe 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.
The closest is Pardee BlueMD 6503 Brevard Road (2.6 mi); 5 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 253 cases per 100,000 residents (2023), below the North Carolina average.
Yes, at-home kits ship to 28739; you collect a sample, mail it back, and get results in about 2–5 days.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
There's no cure, but antivirals manage symptoms well and reduce transmission.
It's cured with antibiotics; treating partners together prevents reinfection.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.