In Placer County, new HIV diagnoses run about 84% lower than the US average. If you live in Hughes Mill, California, and need STI testing, consider whether you want a one-time concern addressed or regular check-ups. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. See your options below.
Available testing centers
5 testing options are listed for Hughes Mill, CA. The nearest, Marshall Medical Center, is about 13.2 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.
A community safety-net rural health clinic about 13 miles from Hughes Mill. 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 13 miles away; if you'd rather skip the trip, an at-home kit ships to Hughes Mill, 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 Placer 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.
3736 Atherton Rd Suite 150, Rocklin, CA 95765
CMS-certified lab Accredited · COLA
1600 Eureka Road, Roseville, CA 95661
CMS-certified lab Accredited · College of American Pathologists
One Medical Plaza, Roseville, CA 95661
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hughes Mill. 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, 94 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hughes Mill. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 58 offer telehealth.
Kurtis Fox, MD
Family medicine · 101 West Grass Valley Street, Colfax
Jessica Hamilton, MD
Family medicine · 844 Old Tunnel Road, Grass Valley
Winifred Loesch Telehealth
Family medicine · 123 Margaret Lane, Grass Valley
Erin Macdonald, MD
OB-GYN · 155 Glasson Way, Grass Valley
Marlowe Dieckmann, MD
Family medicine · 155 Glasson Way Building, Grass Valley
Michael Andya, MD Telehealth
Internal medicine · 101 Margaret Lane A, Grass Valley
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 Hughes Mill, CA 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.
Colfax Pharmacy
9.4 miMeadow Vista Pharmacy
15 miWestern Sierra Pharmacy
17 mi
17 mi 
17 mi 
17 mi Showing the 6 closest pharmacies to Hughes Mill, CA.
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 Hughes Mill, 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 Placer County, the county that includes Hughes Mill, compare with California 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.
#48 of 58 California counties for chlamydia, a higher rate than 17% of the state
| Infection | Placer County | California | United States |
|---|---|---|---|
| Chlamydia | 197.6 837 cases ▼ 60% | 491.1 | 492.2 |
| Gonorrhea | 48.4 205 cases ▼ 75% | 190.2 | 179.5 |
| Syphilis (P&S) | 4 17 cases ▼ 75% | 16.3 | 15.8 |
| Syphilis (early) | 4 17 cases ▼ 79% | 19.1 | 16 |
| Syphilis (late/unknown) | 9.4 40 cases ▼ 80% | 46.7 | 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 Placer County, chlamydia has fallen from 233 to 197.6 per 100,000 (15%), gonorrhea has fallen from 64.2 to 48.4 per 100,000 (25%), and P&S syphilis has fallen from 11.4 to 4 per 100,000 (65%).
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 Placer County.
Local HIV snapshot
Placer County HIV care continuum (2023)
Placer County recorded 2.2 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Placer County residents living with HIV, 81.7% are in care · 73.6% 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 Placer County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Cottage Home Hill overlooks a town where finding your first apartment arrives later and costs more than nearly anywhere else in California. The community skews heavily toward long-term homeowners, meaning renters here are a distinct minority navigating rents that push past $1,700 a month. For someone in their late teens or twenties sorting out new relationships alongside that kind of housing cost, health coverage and routine screening can easily land at the bottom of a crowded list of financial priorities. That pressure is compounded by how spread out life here actually is.
A labor-force participation rate that leaves a meaningful share of adults outside traditional employment schedules also means the usual assumption, that a weekday clinic slot is accessible, doesn't hold for everyone. The testing options listed on this page include locations with varied hours and fee structures, making it worth scanning for one that realistically fits a drive from Cottage Home Hill or Roach Hill rather than the nearest option on paper. Placer County's STI data gives younger residents here good reason to treat testing as a straightforward part of navigating early adulthood, and with this many options nearby, finding one that works is a reasonable starting point, not a research project.
Getting there
At 5.07/20 on the EPA walkability index, day-to-day errands in Hughes Mill 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 95631 snapshot
ZIP-level Census figures for the wider 95631 area around Hughes Mill: a single ZIP can span several communities, so they describe the area, not Hughes Mill alone.
Hughes Mill sits in Placer County, ZIP 95631. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Hughes Mill? 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 Placer County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California 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 Hughes Mill-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 Hughes Mill 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 California 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 California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: 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, Auburn, CA is close; compare it by distance against Marshall Medical Center.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 198 cases per 100,000 residents (2023), below the California average.
Yes, at-home kits ship to 95631; you collect a sample, mail it back, and get results in about 2–5 days.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
It's cured with antibiotics; treating partners together prevents reinfection.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.