Lake County reported syphilis at about 56% lower than the US average. If you’re in Madison, Ohio for a one-time concern or regular check-ups, public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See your options below.
Available testing centers
9 testing options are listed for Madison, OH. The nearest, Quest Diagnostics, is about 2.2 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.
Signature Health in Painesville tests for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, and herpes, with same-visit treatment for bacterial infections, on a sliding-scale fee open to everyone, by appointment, with all services provided at no charge.
Sliding-scale fees still leave a balance for plenty of people, a reduced rate is not a zero rate. Signature Health charges nothing for its services, so the sliding scale bottoms out at free rather than somewhere close to it.
Signature Health delivers care in Spanish as a standing clinical capability, not a workaround arranged on request. For someone managing PrEP dosing, a hepatitis C treatment plan, or an ongoing HIV regimen, working through complex medical details in Spanish with the same provider at every visit changes what sticks.
Signature Health carries Ryan White funding, which means HIV care here runs from a rapid test through ongoing medical treatment and medication management, and that funding structure directly reduces what patients pay for the long-term care that follows a diagnosis.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Crossroads Health Mentor Avenue, in Mentor, welcomes walk-in patients through its federally qualified health center doors without an appointment. A sliding-scale fee structure adjusts costs to income, and a single visit can cover syphilis, gonorrhea, and chlamydia screening. Standard STI care priced to fit what you actually earn.
Tests offered
Fees & payment
A community safety-net rural health clinic about 15 miles from Madison. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
SHI Ashtabula Family Health Center in Ashtabula welcomes walk-ins for STI screening, no appointment needed. Federal qualification anchors its sliding-scale fee structure, so cost adjusts to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
Signature Health Kirtland, in Willoughby, carries federal qualification that anchors its sliding-scale fee structure: what you pay is tied to income, and no one is turned away for inability to pay. STI screening here covers 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 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 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 Lake 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.
9485 Mentor Avenue, Suite 102, Mentor, OH 44060
CMS-certified lab
9485 Mentor Avenue, Suite 4, Mentor, OH 44060
CMS-certified lab Accredited · College of American Pathologists
36000 Euclid Avenue, Willoughby, OH 44094
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 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, 380 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 177 offer telehealth.
Josephine Mikhail, MD Telehealth
Internal medicine · 701 North Lake Street, Madison
Razieh Mohseni, MD
Internal medicine · 6270 North Ridge Road, Madison
Michael Majetich, DO Telehealth
Family medicine · 2999 Mcmackin Road, Madison
Sangeeta Mahajan, MD Telehealth
OB-GYN · 870 West Main Street, Geneva
Kurt Schneider, MD Telehealth
Urology · 870 West Main Street, Geneva
Pazhaniaandi Tirounilacandin, MD Telehealth
Family medicine · 5201 Spire Circle, Geneva
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, OH 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.
2.1 mi 
2.1 mi Giant Eagle Pharmacy 4097
2.1 mi
2.3 mi Showing the 4 closest pharmacies to Madison, OH.
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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Lake County, the county that includes Madison, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#62 of 88 Ohio counties for chlamydia, a higher rate than 30% of the state
| Infection | Lake County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 204.2 473 cases ▼ 56% | 461.7 | 492.2 |
| Gonorrhea | 55.3 128 cases ▼ 67% | 168 | 179.5 |
| Syphilis (P&S) | 6.9 16 cases ▼ 58% | 16.3 | 15.8 |
| Syphilis (early) | 3.9 9 cases ▼ 58% | 9.2 | 16 |
| Syphilis (late/unknown) | 4.7 11 cases ▼ 71% | 16 | 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 Lake County, chlamydia has fallen from 283.7 to 204.2 per 100,000 (28%), gonorrhea has fallen from 107.5 to 55.3 per 100,000 (49%), and P&S syphilis has risen from 2.6 to 6.9 per 100,000 (165%).
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 Lake County.
Local HIV snapshot
Lake County HIV care continuum (2023)
Lake County recorded 5.5 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Lake County residents living with HIV, 82.1% are in care · 77.7% 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 Lake County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
A trip to the pharmacy or a stop at Dana's Park on a weekend afternoon is part of Madison's rhythm: the kind of town where people tend to stay, raise families, and build lives over decades. That rootedness brings stability, but it also means privacy matters. Young adults here, like those everywhere, benefit from straightforward access to confidential STI testing without the weight of running into someone they know at the clinic door. Testing in and around Madison listed on this page covers the full range of screening needs.
Clinics in the area understand that discretion isn't negotiable for residents who live and work in a tight-knit community. Walk-in appointments and online result portals let people move through testing on their own schedule, without fanfare or explanation required. The working families and long-term homeowners who make up much of Madison's population often juggle competing demands, jobs, school, household routines. A straightforward test, quick turnaround on results, and a provider who treats the visit as routine rather than remarkable can fit into real life without disruption.
Getting there
At 8.36/20 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 44057 snapshot
ZIP-level Census figures for the wider 44057 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Lake County, ZIP 44057. Local context that shapes where residents test:
Local landmarks
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 Lake County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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 Quest Diagnostics (2.2 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Public clinics nearby offer free HIV 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 204 cases per 100,000 residents (2023), below the Ohio average.
Yes, at-home kits ship to 44057; 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 Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
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.