In Leslie County, Kentucky, reported syphilis runs about 28% higher than the US average; if you need testing after a possible exposure or as part of routine care in Hyden, Kentucky, you might choose between low-cost community and public clinics or private labs with faster results and flexible scheduling. See the options below.
Available testing centers
7 testing options are listed for Hyden, KY. The nearest, Arh Mary Breckinridge Health Services, is about 0.1 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.
A community safety-net rural health clinic in Hyden. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Kentucky River District Health Department in Hyden tests for HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB on a sliding scale, with Medicaid, Medicare, and private insurance accepted, and all services provided at no fee. Appointments are required; same-visit treatment is available for bacterial STIs.
An untreated infection often comes down to a single moment: the point where a cost becomes a reason to skip follow-up care. At Kentucky River District Health Department, every service (testing, treatment, vaccination) is provided at no fee, so that moment never becomes a deciding factor.
The standard four-infection panel leaves herpes and hepatitis off the table entirely, conditions that often go undetected precisely because they aren't routinely offered. Kentucky River District Health Department tests for herpes, hepatitis B, and hepatitis C alongside HIV, syphilis, gonorrhea, and chlamydia.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
A public safety-net rural health clinic in Hyden. 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Hyden, 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 value: single tests
$49 & up
Best for simplicity & support
$89 & 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 Leslie 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.
21992 Main Street, Suite 2, Hyden, KY 41749
CMS-certified lab
21992 Main Street, Hyden, KY 41749
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hyden. 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, 91 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hyden. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 8 offer telehealth.
Joshua Watts, DO
Family medicine · 130 Kate Ireland Drive, Hyden
Kendall Bowling, DO
Family medicine · 21992 Main Street, Hyden
Thomas Karelis, MD
Internal medicine · 311 Roy Campbell Drive, Hazard
Ramon Thomas
OB-GYN · 200 Medical Ctr Drive, Hazard
Jeffery Prater, MD Telehealth
Internal medicine · 100 Medical Ctr Drive, Hazard
Ashley Tapscott, DO
Urology · 102 Medical Ctr Drive, Hazard
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 Hyden, KY 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.
King Pharmacy, Hyden
0.1 miMedicine Shoppe
0.2 miHyden Pharmacy
0.2 miHometown Pharmacy
0.7 mi
0.7 mi Showing the 5 closest pharmacies to Hyden, KY.
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 Hyden, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Leslie County, the county that includes Hyden, compare with Kentucky 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.
#81 of 120 Kentucky counties for chlamydia, a higher rate than 33% of the state
| Infection | Leslie County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 182.5 18 cases ▼ 52% | 381.9 | 492.2 |
| Gonorrhea | 50.7 5 cases ▼ 62% | 134.4 | 179.5 |
| Syphilis (P&S) | 20.3 2 cases ▲ 44% | 14.1 | 15.8 |
| Syphilis (early) | 30.4 3 cases ▲ 110% | 14.5 | 16 |
| Syphilis (late/unknown) | 60.8 6 cases ▲ 222% | 18.9 | 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 Leslie County, chlamydia has risen from 95.1 to 182.5 per 100,000 (92%), gonorrhea has fallen from 95.1 to 50.7 per 100,000 (47%), and P&S syphilis has risen from 9.5 to 20.3 per 100,000 (114%).
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 Leslie County.
Local HIV snapshot
Federal priority area: Kentucky is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Leslie County HIV care continuum (2023)
Leslie County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.4 statewide and 13.7 nationally. 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 Leslie County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
River Front Park anchors the quieter side of Hyden, where Main Street runs into the South Fork of the Kentucky River and the pace feels genuinely unhurried, but the logistics of getting screened here are a different matter. For the younger adults in their late teens and twenties who live here, and who are statistically in the years when STIs circulate most, that kind of trip has to compete with work schedules, childcare, and everything else a household of two or more people manages on a given week. The labor-force participation rate here reflects how many residents sit outside traditional nine-to-five employment, which can cut both ways: more schedule flexibility for some, but also tighter margins for others.
With four in ten households renting at rates well below most Kentucky cities, cost pressure stays real, and a surprising share of households clears six figures. Meaning this community holds genuine economic range under one roof. For the roughly two-fifths of residents who rent and carry no employer-sponsored insurance, the sliding-scale and low-cost options listed on this page carry the most weight, and the $0-visit tiers some clinics advertise aren't hypothetical, they're the reason a test actually becomes possible.
Getting there
At 2.71/20 on the EPA walkability index, day-to-day errands in Hyden 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 41749 snapshot
ZIP-level Census figures for the wider 41749 area around Hyden: a single ZIP can span several communities, so they describe the area, not Hyden alone.
Hyden sits in Leslie County, ZIP 41749. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Hyden? 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 Leslie County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Kentucky 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 Hyden-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 Hyden 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 Kentucky 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 Kentucky, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Kentucky 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 KentuckySource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Leslie County reported ~183 chlamydia cases per 100,000 in 2023, below the Kentucky average.
Most results are ready in about 1–2 days.
In Kentucky, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 41749: self-collect, send to the lab, results in ~2–5 days.
No real difference for testing, "STI" is just the current term for what used to be called "STD."
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.