Gonorrhea cases in St. Tammany Parish are 35% lower than the national average. Whether you're considering new partnerships or planning ongoing care in Madisonville, Louisiana, weigh the costs and coverage: clinics may bill insurance or offer sliding-scale fees, while many private labs have a flat self-pay price.
Available testing centers
7 testing options are listed for Madisonville, LA. The nearest, Ochsner Health Center, is about 3.7 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.
Ochsner Health Center in Covington tests for HIV, gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, and TB, with fees billed to Medicaid, Medicare, or private insurance: appointments required, and clinical staff can conduct visits in Spanish.
Ochsner tests for herpes and both hepatitis B and C alongside the core bacterial infections, which means a single appointment can surface viral exposures that a narrower panel would miss entirely.
Care at Ochsner Health Center is delivered in Spanish by clinical staff, so symptom history and treatment instructions exchange at full clinical precision rather than condensed through a secondary channel.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Baptist Community Health Services in Mandeville tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis C, HIV, and TB (with same-visit treatment for bacterial infections on a sliding-scale fee accepted alongside Medicaid, Medicare, and insurance, no appointment required) and delivers that care in Spanish.
Spanish-language care at Baptist Community Health Services operates through staff capacity: clinical counseling, HIV test counseling, medication adherence education, and treatment conversations are conducted directly in Spanish, so the clinical relationship, the instructions, and the follow-up plan all land in the same language.
When prevention requires a prescription, PrEP for ongoing HIV risk reduction or PEP after an exposure, leaving Baptist Community Health Services without one means finding a separate provider willing to prescribe, which adds time the medication's effectiveness doesn't accommodate. Both are initiated and managed on-site in Mandeville.
Baptist Community Health Services carries hepatitis C care through the entire clinical arc: after a positive antibody result, prescribing and monitoring direct-acting antivirals happens within the same practice, rather than requiring a separate gastroenterology or infectious disease referral to access the drugs themselves.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
St. Tammany Mandeville CHC in Mandeville meets patients where they are (uninsured, underinsured, or paying out of pocket) through federally qualified status that ties fees directly to income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with no fixed price standing between anyone and a result.
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Madisonville, 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 St. Tammany Parish, 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.
222 Hwy 21, Madisonville, LA 70447
CMS-certified lab
67252 Industry Lane, Covington, LA 70433
CMS-certified lab Accredited · COLA
64301 Hwy 434, Lacombe, LA 70445
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madisonville. 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, 495 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madisonville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 113 offer telehealth.
James Robinson, MD
Internal medicine · 377 Hwy 21, Madisonville
Gary Agena, MD
OB-GYN · 393 Hwy 21, Madisonville
Karroll Payne, MD
OB-GYN · 804 Heavens Drive, Mandeville
Darryl Gaudet, DO
Family medicine · 1520 Hwy 22 West, Madisonville
Carlos Hartmann, MD Telehealth
Infectious disease · 1000 Ochsner Boulevard, Covington
Rachael Murphy, MD Telehealth
Internal medicine · 1411 Ochsner Boulevard, Covington
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 Madisonville, LA 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.
Madisonville Drugs
0.8 miSchaff's Family Pharmacy
0.8 miThe Medicine Cabinet
0.8 miBaham Pharmacy & Wellness
1.9 miSav A Center Pharmacy
1.9 miWillow Pharmacy
3.2 miShowing the 6 closest pharmacies to Madisonville, LA.
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 Madisonville, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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
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. Tammany Parish, the parish that includes Madisonville, compare with Louisiana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~20% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#61 of 64 Louisiana counties for chlamydia, a higher rate than 5% of the state
| Infection | St. Tammany Parish | Louisiana | United States |
|---|---|---|---|
| Chlamydia | 417.7 1,151 cases ▼ 47% | 792.4 | 492.2 |
| Gonorrhea | 116.1 320 cases ▼ 60% | 288.4 | 179.5 |
| Syphilis (P&S) | 8.3 23 cases ▼ 68% | 26.1 | 15.8 |
| Syphilis (early) | 6.9 19 cases ▼ 65% | 19.6 | 16 |
| Syphilis (late/unknown) | 16.3 45 cases ▼ 69% | 52.6 | 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. Tammany Parish, chlamydia has risen from 367.4 to 417.7 per 100,000 (14%), gonorrhea has fallen from 130 to 116.1 per 100,000 (11%), and P&S syphilis has risen from 4.9 to 8.3 per 100,000 (69%).
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. Tammany Parish.
Local HIV snapshot
St. Tammany Parish HIV care continuum (2023)
St. Tammany Parish recorded 7.8 new HIV diagnoses per 100,000 (2023), against 22.5 statewide and 13.7 nationally. Among St. Tammany Parish residents living with HIV, 84.8% are in care · 78.3% 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 St. Tammany Parish tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Highway 22 cuts through the heart of Madisonville, connecting a town where most residents have put down genuine roots. Over seven in ten own their homes, many of them raising households larger than the national average. That stability shapes daily life here, but it also means the roughly one-in-four who rent are navigating tighter monthly budgets around that $1,000-plus rent, leaving less room for healthcare appointments that feel optional until they suddenly aren't. Young adults in their late teens and twenties make up a meaningful slice of this community, the years when relationship networks shift most and routine screening matters most, and with nearly two-thirds of residents in the workforce, carving out time for a clinic visit competes directly with job schedules and family obligations in a town built around homeownership and three-person households.
That a strong share of Madisonville families clear six figures doesn't erase the scheduling math for everyone else. St. Tammany Parish's STI picture underscores why keeping that math workable matters.
Getting there
At 7.38/20 on the EPA walkability index, day-to-day errands in Madisonville 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 70447 snapshot
ZIP-level Census figures for the wider 70447 area around Madisonville: a single ZIP can span several communities, so they describe the area, not Madisonville alone.
Madisonville sits in St. Tammany Parish, ZIP 70447. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Madisonville? 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. Tammany Parish: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Louisiana 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 Madisonville-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 Madisonville 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 Louisiana 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 Louisiana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Louisiana 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 LouisianaSource: 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 Ochsner Health Center (3.7 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 418 cases per 100,000 residents (2023), below the Louisiana average.
In Louisiana, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.