Madison County reports approximately 15 syphilis cases per 100,000 residents. If you are in Madison County, Alabama, considering STI testing before starting a new relationship or as part of ongoing care, you may want to weigh clinics that may bill insurance, or private labs that may offer a flat self-pay price. Look through your options in the list below.
Available testing centers
11 testing options are listed for Madison, AL. The nearest, Crestwood Medical Group, is about 2.1 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.
Crestwood Medical Group in Triana runs by appointment, so scheduling ahead unlocks a visit that covers rapid and conventional HIV testing, gonorrhea, chlamydia, syphilis, and hepatitis C, treated on-site, alongside bacterial STI treatment, HPV and hepatitis A and B vaccines, and sliding-scale fees accepted through Medicaid, Medicare, or private insurance, with PrEP available for ongoing prevention.
Crestwood Medical Group holds standing capacity to prescribe and manage both PrEP and PEP: meaning someone without a regular provider, or one paying cash who needs the medication handled in a single clinical relationship, finds both prevention options under the same prescribing team that runs their testing.
Crestwood treats hepatitis C directly rather than stopping at a diagnosis, which means a confirmed result moves into a treatment plan within the same practice. No hand-off to a separate specialist to initiate care.
The panel at Crestwood Medical Group tests for six pathogens (gonorrhea, chlamydia, syphilis, rapid HIV, conventional HIV, and hepatitis C) so a single appointment produces results across bacterial, viral, and bloodborne infections without splitting the workup across visits.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2025 · Source: CDC NPIN
Thrive Alabama Health Education Location in Huntsville welcomes walk-in patients without an appointment, making same-day STI screening straightforward to act on. Federally qualified status grounds its sliding-scale fees in household income, and a single visit can cover syphilis, gonorrhea, and chlamydia testing.
Tests offered
Fees & payment
Central North Alabama Health Services runs on a sliding-scale fee structure open to everyone, with Medicaid and Medicare accepted alongside private insurance. The panel covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB. Walk-ins welcome.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Thrive Alabama in Huntsville anchors its STI care in a sliding-scale fee structure tied to income, so cost alone won't keep anyone from getting screened. The federally qualified health center offers syphilis, gonorrhea, and chlamydia testing without requiring an appointment.
Tests offered
Fees & payment
Thrive Behavioral Health - Church Street, in Huntsville, earned federal qualification as a community health center, which means its STI screening (syphilis, gonorrhea, and chlamydia) runs on a sliding-scale fee structure tied directly to each patient's income, no appointment required to get started.
Tests offered
Fees & payment
A community safety-net federally qualified health center about 10 miles from Madison. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Happi Health in Huntsville runs on a sliding-scale fee structure and accepts Medicaid, Medicare, and private insurance, making the cost workable across most situations. Appointments are required, and the panel covers rapid and conventional HIV, syphilis, gonorrhea, chlamydia, and hepatitis C.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Madison, 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 Madison 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.
8375 Highway 72 West, Madison, AL 35758
CMS-certified lab Accredited · College of American Pathologists
460 Lanier Road Suite 202B 2nd Floor, Madison, AL 35758
CMS-certified lab Accredited · College of American Pathologists
101 Red Hill Way, Madison, AL 35758
CMS-certified lab
21 Hughes Road Suite 2, Madison, AL 35758
CMS-certified lab
104 Spenryn Drive, Madison, AL 35758
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madison. 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, 400 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madison. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 73 offer telehealth.
Rachel Jones, DO
Family medicine · 450 Lanier Road, Madison
Musarrat Yousuf, MD Telehealth
Internal medicine · 300 Sun Temple Drive, Madison
Adeel Bodla, MD Telehealth
Family medicine · 400 Sun Temple Drive, Madison
Zaunklay Finnila, MD Telehealth
Family medicine · 540 Hughes Road, Madison
Ramakrishna Vennam, MD
Internal medicine · 540 Hughes Road, Madison
Ha Chu, MD
Family medicine · 300 Hughes Road, Madison
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 Madison, AL 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.
0.7 mi 
1.2 mi 
1.2 mi 
1.3 mi Pharmacy of Madison
1.5 miShowing the 5 closest pharmacies to Madison, AL.
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 Madison, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Madison County, the county that includes Madison, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#30 of 67 Alabama counties for chlamydia, a higher rate than 55% of the state
| Infection | Madison County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 589.7 2,433 cases ▼ 9% | 651.1 | 492.2 |
| Gonorrhea | 236.8 977 cases ▲ 4% | 226.9 | 179.5 |
| Syphilis (P&S) | 15 62 cases ▼ 48% | 28.6 | 15.8 |
| Syphilis (early) | 11.9 49 cases ▼ 42% | 20.4 | 16 |
| Syphilis (late/unknown) | 10.2 42 cases ▼ 58% | 24.5 | 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 Madison County, chlamydia has fallen from 649.2 to 589.7 per 100,000 (9%), gonorrhea has fallen from 381 to 236.8 per 100,000 (38%), and P&S syphilis has risen from 9.5 to 15 per 100,000 (58%).
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 Madison County.
Local HIV snapshot
Federal priority area: Alabama 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.
Madison County HIV care continuum (2023)
Madison County recorded 13.1 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Madison County residents living with HIV, 73.9% are in care · 63.3% 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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Park Meadow Neighborhood Park sits close enough to everyday life in Madison that families pass it on the way to school drop-off, errands along US 72, and the kind of back-to-back weekday routine that leaves little room for appointments. That proximity to daily movement matters when you're thinking about where STI screening fits into a week that's already spoken for.
Madison runs on a workforce that's largely employed and largely at it full-time, which means the young adults here, people in their late teens and twenties who represent the years when STIs are most commonly transmitted and least often caught early, tend to have jobs, structured hours, and not much flexibility mid-morning on a Tuesday. Nearly half of households here have reached comfortable income territory, and the majority of residents own their homes, so cost alone is rarely the only barrier. What compresses access is time and logistics: most of this city's daily life runs through US 72 and the neighborhoods radiating off it like Rambling Oaks, and the options listed on this page are reachable by that same corridor.
With seven in ten residents owning their homes and household sizes running above three people, most Madison adults are balancing shared schedules, not just personal ones. The listed clinics include same-day and extended hours that can be dropped into a lunch break or an after-work errand run along a road most residents drive anyway.
Getting there
At 7.48/20 on the EPA walkability index, day-to-day errands in Madison 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 35758 snapshot
ZIP-level Census figures for the wider 35758 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Madison County, ZIP 35758. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Madison? 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 Madison County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama 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 Madison-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 Madison 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 Alabama 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 Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alabama 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 AlabamaSource: 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 Crestwood Medical Group (2.1 mi); 11 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, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 590 cases per 100,000 residents (2023), below the Alabama average.
Yes, at-home kits ship to 35758; you collect a sample, mail it back, and get results in about 2–5 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.