Syphilis reports in St. Francois County run about 42% higher than the US average. In Iron Mountain Lake, Missouri, you need a testing option for a one-time concern or regular check-ups. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience.
Available testing centers
7 testing options are listed for Iron Mountain Lake, MO. The nearest, Missouri Highlands Health Care, is about 4.9 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.
Missouri Highlands Health Care in Pilot Knob runs on a sliding-scale fee structure and accepts Medicaid and private insurance, with PrEP coverage available for the uninsured. Appointments are required for testing across a full panel: HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial infections.
Missouri Highlands prescribes and monitors PrEP on an ongoing basis: meaning the baseline HIV and kidney-function labs, the follow-up visits, and the prescription itself are all handled by the same clinical staff. PEP is also available. Uninsured patients have a dedicated coverage pathway for PrEP costs.
When hepatitis C goes untreated, the gap between a positive antibody result and actual antiviral therapy is where liver damage quietly compounds. Often because care requires a separate specialist, a separate system, a separate wait. Missouri Highlands closes that gap by providing hepatitis C treatment on-site, so a confirmed diagnosis moves into a treatment plan without the patient leaving the practice.
When substance use and STI risk are intertwined (and clinically, they often are) splitting care across two separate providers means doubled scheduling, doubled barriers, and a good chance one need goes unaddressed. Missouri Highlands offers substance-abuse treatment alongside STI services, so both can be addressed in the same clinical relationship, at the same appointment cadence.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Iron County Health Department in Ironton handles gonorrhea, chlamydia, syphilis, and HIV testing alongside TB screening. All walk-in, no appointment needed. Bacterial STIs are treated the same visit, and HPV, hepatitis A, and hepatitis B vaccines are available on a sliding-scale basis with no-fee options.
For anyone paying out of pocket or without an established primary care relationship, Iron County Health Department charges nothing across its full range of services: testing, treatment, and vaccination alike. That standing no-fee structure means walk-in access to gonorrhea, chlamydia, syphilis, and HIV testing without financial calculation before or after the visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
A public safety-net rural health clinic about 12 miles from Iron Mountain Lake. 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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Iron Mountain Lake, 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 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 St. Francois 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.
1580 West Columbia, Farmington, MO 63640
CMS-certified lab
1101 West Liberty Street, Farmington, MO 63640
CMS-certified lab Accredited · College of American Pathologists
7245 Raider Road, Bonne Terre, MO 63628
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 Iron Mountain Lake. 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, 48 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Iron Mountain Lake. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Ian Pelletier, DO
Internal medicine · 315 West Mulberry A, Pilot Knob
Naeem Aslam, MD Telehealth
Internal medicine · 301 North Hwy 21, Pilot Knob
Amalakumar Augustine, MD
Internal medicine · 1010 West Columbia Street, Farmington
Jennifer Crouch, MD
Internal medicine · 1106 Hazel Lane, Farmington
Amresh Kumar, MD
Internal medicine · 1103 West Liberty Street, Farmington
John Griffin, MD Telehealth
Internal medicine · 1103 West Liberty Street, Farmington
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 Iron Mountain Lake, MO 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.
Parkland Pharmacy
5.0 mi
5.6 mi Healthy Life Pharmacy
5.8 miIron County Drug Company
6.1 mi
6.1 mi State of Missouri
12 miShowing the 6 closest pharmacies to Iron Mountain Lake, MO.
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 Iron Mountain Lake, 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 $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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 St. Francois County, the county that includes Iron Mountain Lake, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#51 of 115 Missouri counties for chlamydia, a higher rate than 56% of the state
| Infection | St. Francois County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 253.5 170 cases ▼ 49% | 498.6 | 492.2 |
| Gonorrhea | 80.5 54 cases ▼ 60% | 201.9 | 179.5 |
| Syphilis (P&S) | 22.4 15 cases ▲ 4% | 21.5 | 15.8 |
| Syphilis (early) | 8.9 6 cases ▼ 28% | 12.4 | 16 |
| Syphilis (late/unknown) | 122.3 82 cases ▲ 262% | 33.8 | 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 St. Francois County, chlamydia has risen from 237.6 to 253.5 per 100,000 (7%), gonorrhea has fallen from 153.9 to 80.5 per 100,000 (48%), and P&S syphilis has risen from 10.5 to 22.4 per 100,000 (113%).
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 St. Francois County.
Local HIV snapshot
Federal priority area: Missouri 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.
St. Francois County HIV care continuum (2022)
St. Francois County recorded 14 new HIV diagnoses per 100,000 (2022), against 10.6 statewide and 13.7 nationally. Among St. Francois County residents living with HIV, 82.9% are in care · 76.4% 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 St. Francois County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Route 32 cuts through the hills past Anderson Mountain and Little Iron Mountain, and the nearest testing option listed on this page is a real drive down that road. Not a quick errand, but a committed half-day. That distance lands differently here because of what this community looks like on the ground: nearly three-quarters of residents own their homes, many of them modest places valued well below regional norms, and the roughly one-in-four households renting do so at rates that leave little slack in the monthly budget for anything that feels optional. That budget pressure matters alongside a labor picture where a meaningful share of working-age adults are outside the workforce entirely, and unemployment runs well above typical state figures. For people in their late teens and twenties, the years when STI rates peak nationally, that combination of limited hours and limited cash can quietly stretch the time between "I should get tested" and actually going.
St. Francois County's STI burden reflects the same pattern seen in rural Missouri broadly: spread thin, sometimes underdetected, and shaped by how much effort a screening visit genuinely requires. The options listed here include lower-cost and sliding-scale appointments worth comparing before you drive out. For a household of two or three people, the average here, one person's routine test is a shared errand, and the schedule around Iron Mountain and Reservoir Hill is usually quiet enough to make that trip on a weekday morning.
Getting there
At 5.05/20 on the EPA walkability index, day-to-day errands in Iron Mountain Lake 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 63624 snapshot
ZIP-level Census figures for the wider 63624 area around Iron Mountain Lake: a single ZIP can span several communities, so they describe the area, not Iron Mountain Lake alone.
Iron Mountain Lake sits in St. Francois County, ZIP 63624. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Iron Mountain Lake? 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 St. Francois County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 an Iron Mountain Lake-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 Iron Mountain Lake 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
There are 4 options within a 30-mile drive.
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.
St. Francois County reported ~254 chlamydia cases per 100,000 in 2023, below the Missouri average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
It can; oral HSV-1 transmits to the genitals during oral sex.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.