In Boone County, reported cases of gonorrhea run about 81% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Madison, West Virginia, you can weigh your options between cost-effective public clinics, fast private labs, and convenient at-home kits; see the directory below.
Available testing centers
9 testing options are listed for Madison, WV. The nearest, Southern West Virginia Health System-Madison, is about 1.0 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.
Southern West Virginia Health System-Madison, serving Madison, adjusts fees to each patient's income. No one is turned away for inability to pay. As a federally qualified health center, it provides sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without requiring an appointment.
Tests offered
Fees & payment
Boone Memorial Health in Madison requires an appointment, so call ahead: then a single visit covers HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, plus TB, with fees billed to Medicaid, Medicare, or insurance on a sliding scale.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Boone County Health Department in Danville covers HIV, syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and TB testing: free for HIV and STI tests, with sliding scale and Medicaid, Medicare, and private insurance accepted across services. Appointments are required; bacterial STIs are treated same visit.
A cost that compounds (the test deferred, the follow-up skipped, the treatment delayed) is the real gap a fee creates. At Boone County Health Department, all services are provided at no fee, so the visit that starts with a test ends with treatment, counseling, or vaccination without a dollar changing hands.
Boone County Health Department holds standing capacity to test for hepatitis B and hepatitis C in addition to HIV, syphilis, gonorrhea, and chlamydia. Practical for anyone without a regular provider who needs a complete picture from a single appointment rather than piecing together separate screenings elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Coalfield Health Center - Main Street, in Logan, carries federal qualification that anchors its sliding-scale fee structure. Charges tied to income, with no one turned away for inability to pay. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Southern West Virginia Health System - Chapmanville meets patients wherever they land financially (uninsured, cash-paying, or somewhere between coverage gaps) through federally qualified sliding-scale fees tied to income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, no appointment needed.
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 1 mile 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 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 Boone 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.
701 Madison Avenue, Madison, WV 25130
CMS-certified lab Accredited · College of American Pathologists
701 Madison Avenue, Madison, WV 25130
CMS-certified lab
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, 339 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 98 offer telehealth.
Lisa Skinner, MD
OB-GYN · 716 Madison Avenue, Madison
Shahid Bashir, MD
Internal medicine · 697 Madison Avenue, Madison
Amy Sayre, MD
Family medicine · 467 Main Street, Madison
Trenton Hayes, MD
Family medicine · 471 Main Street, Madison
Barry Dicicco, MD
Internal medicine · 701 Madison Avenue, Madison
Farzin Rahmanou, DO Telehealth
Internal medicine · 462 Kenmore Drive, Danville
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, WV 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.
Bp5
13 mi
13 mi Aracoma Drug of Chapmanville
13 miDignity Hospice of Southern West Virginia
13 miChapmanville Pharmacy
13 miShowing the 5 closest pharmacies to Madison, WV.
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
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 Boone County, the county that includes Madison, compare with West Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#17 of 55 West Virginia counties for chlamydia, a higher rate than 69% of the state
| Infection | Boone County | West Virginia | United States |
|---|---|---|---|
| Chlamydia | 228.4 47 cases ▼ 8% | 249 | 492.2 |
| Gonorrhea | 34 7 cases ▼ 38% | 54.7 | 179.5 |
| Syphilis (P&S) | 9.7 2 cases ▼ 11% | 10.9 | 15.8 |
| Syphilis (early) | 4.9 1 cases ▼ 20% | 6.1 | 16 |
| Syphilis (late/unknown) | 14.6 3 cases ▼ 10% | 16.3 | 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 Boone County, chlamydia has fallen from 265.9 to 228.4 per 100,000 (14%), gonorrhea has fallen from 119.2 to 34 per 100,000 (71%), and P&S syphilis has risen from 4.7 to 9.7 per 100,000 (106%).
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 Boone County.
Local HIV snapshot
Boone County HIV care continuum (2023)
Boone County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.5 statewide and 13.7 nationally. Among Boone County residents living with HIV, 82.4% are in care · 64.7% 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 Boone County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Madison City Park anchors the daily rhythm of this small Boone County seat: a place where most residents own their homes, often the same modest houses that have housed the same families for generations, and where a majority of households are married couples sharing space with children or extended kin. That settled, rooted quality is real, but it sits alongside an unemployment rate that keeps a substantial share of working-age adults stretched thin, juggling irregular schedules or part-time work that leaves little room for appointments that feel optional. For young adults in their late teens and twenties, who statistically bear the sharpest STI risk and often have the least scheduling flexibility, that drive is the real threshold. When rent still runs under $800 a month and household budgets are carefully managed, a sliding-scale or low-cost option isn't a minor perk.
It's what decides whether someone actually goes. The options listed on this page include low-cost, confidential testing within a reasonable drive of Workman Knob. Check hours before heading out; an early Saturday slot or an extended weekday often fits a stretched schedule better than a midweek afternoon ever would.
Getting there
At 8.44/20 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 25130 snapshot
ZIP-level Census figures for the wider 25130 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Boone County, ZIP 25130. 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 Boone County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under West Virginia 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 West Virginia 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 West Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
West Virginia 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 West VirginiaSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Boone County reported ~228 chlamydia cases per 100,000 in 2023, below the West Virginia average.
In West Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Herpes isn't in standard panels unless you have symptoms, a sore can be swabbed, or a blood test discussed with a provider.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.