Gonorrhea reports in Carroll County run about 95% lower than the US average. If you live in Madison, New Hampshire and you are wondering whether you have symptoms or just want peace of mind, you have a choice between community and public clinics, which are often low-cost or free, and private labs that typically offer faster results and more flexible scheduling. Below you'll find some testing options.
Available testing centers
9 testing options are listed for Madison, NH. The nearest, White Mountain Community Health Center, is about 6.4 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.
White Mountain Community Health Center in Conway tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB: all on a sliding-scale fee with Medicaid and private insurance accepted, and every service available at no cost to those who qualify. Appointments are required, and bacterial STIs are treated same visit.
White Mountain Community Health Center charges nothing to patients who qualify, and that zero-dollar floor applies across the full scope of care: testing, treatment, and vaccines alike. The practical effect: a herpes test and an HPV vaccine on the same visit carry the same cost as the visit itself.
Spanish-language services at White Mountain Community Health Center are delivered directly by staff: meaning clinical conversations about symptoms, treatment plans, and follow-up happen in Spanish within the appointment itself, not brokered through a separate channel after the fact.
White Mountain Community Health Center carries substance-use treatment as a standing clinical service alongside STI care, so a patient managing both conditions has their treatment monitored and adjusted within a single integrated record. No separate enrollment, no divided care team.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
A safety-net rural health clinic about 11 miles from Madison. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Sacopee Valley Health Center in Porter meets people who are uninsured, paying cash, or without a regular provider through federally qualified health center status. Meaning fees adjust to income on a sliding scale. STI screening here covers syphilis, gonorrhea, and chlamydia, no appointment required.
Tests offered
Fees & payment
Mid-State Health Center in Lincoln tests and treats on the same visit, bacterial STIs resolved without a separate appointment, hepatitis C managed entirely in-house. The full panel runs on a sliding scale accepted by Medicaid and most insurers, with appointments required.
For anyone without a primary care provider or paying out of pocket, the gap between a hepatitis C diagnosis and actually starting treatment can stretch into months of referrals. Mid-State Health Center carries both the testing and the curative medication, so the path from antibody screen to treatment prescription stays inside Lincoln's own clinic.
Sexual health clinics almost universally treat the infection and leave the surrounding circumstances for someone else to handle. Mid-State Health Center runs substance-use treatment alongside STI care, so two needs that frequently intersect don't require two separate systems to navigate.
For someone without a regular provider who wants a genuinely complete picture (not just the gonorrhea, chlamydia, syphilis, and HIV baseline) Mid-State Health Center's panel extends to herpes and all three hepatitis strains, with vaccines for A and B available when a test comes back negative.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Mid-State Health Center - Main Street, in Plymouth, adjusts fees to each patient's income under its federally qualified health center mandate. Turning no one away for inability to pay. Walk-ins are welcome for sliding-scale STI screening covering syphilis, gonorrhea, and chlamydia.
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 6 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 range: couples & full panels
$79 & up
Best value: single tests
$49 & 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 Carroll 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.
71 Hobbs Street, Conway, NH 03818
CMS-certified lab
240 South Main Street, Wolfeboro, NH 03894
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 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, 81 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 10 offer telehealth.
David Marr, MD
Family medicine · 2936 White Mountain Highway, North Conway
Lauren Frye, DO
OB-GYN · 3073 White Mountain Highway, North Conway
Curtis Smith, MD
Family medicine · 3073 White Mountain Highway, North Conway
Kingson Woo, MD
Family medicine · 3 Water Village Road, Ossipee
Susan Paul, MD
Internal medicine · 70 Fairview Drive, Fryeburg
Sanjay Krishnan, MD
Internal medicine · 93 Water Village Road, Ossipee
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, NH 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.
8.2 mi 
8.3 mi 
8.3 mi 
8.5 mi Hannaford Bros
8.6 miShowing the 5 closest pharmacies to Madison, NH.
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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Carroll County, the county that includes Madison, compare with New Hampshire 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.
#10 of 10 New Hampshire counties for chlamydia, among the lowest in the state
| Infection | Carroll County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 76.3 40 cases ▼ 61% | 196.6 | 492.2 |
| Gonorrhea | 9.5 5 cases ▼ 77% | 41.9 | 179.5 |
| Syphilis (P&S) | 1.9 1 cases ▼ 51% | 3.9 | 15.8 |
| Syphilis (early) | — no data | 1.9 | 16 |
| Syphilis (late/unknown) | — no data | 4 | 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 Carroll County, chlamydia has fallen from 137.7 to 76.3 per 100,000 (45%), gonorrhea has fallen from 12 to 9.5 per 100,000 (21%), and P&S syphilis has fallen from 3.9 to 1.9 per 100,000 (51%).
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 Carroll County.
Local HIV snapshot
Carroll County HIV care continuum (2022)
Carroll County recorded 0 new HIV diagnoses per 100,000 (2022), against 2.8 statewide and 13.7 nationally. Among Carroll County residents living with HIV, 69.2% are in care · 64.1% 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 Carroll County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
That drive lands differently depending on where you sit in Madison's housing picture. Most residents own their homes here, many of them families: the average household runs just over three people, and nearly two-thirds of adults are married. That kind of settled, rooted profile can make STI screening feel beside the point, but relationship transitions, new partners, and the years before a long-term commitment are exactly when routine testing matters most.
Young adults in their late teens and twenties, the years when STI rates run highest, are a smaller share of this town, but they're present, and a single clinic option a drive away means the window to act has to be chosen deliberately. A busy work week at the labor-force participation levels Madison sees leaves little room for an appointment that isn't already planned. For a household carrying a typical rent burden alongside a mortgage, or managing childcare across a three-person home, the cost and scheduling realities of the listed option deserve a close look before the need becomes urgent.
Getting there
At 6.95/20 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 03849 snapshot
ZIP-level Census figures for the wider 03849 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Carroll County, ZIP 03849. Local context that shapes where residents test:
Local landmarks
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 Carroll County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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 6 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
White Mountain Community Health Center, about 6.4 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Carroll County reported ~76 chlamydia cases per 100,000 in 2023, below the New Hampshire average.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.