In Monroe County, the rate of reported chlamydia runs about 57% lower than the US average. Whether you're symptomatic or just seeking peace of mind in Madisonville, Tennessee, your STI testing options include community and public clinics, which are often low-cost or free, and private labs, which may offer faster results and more flexible scheduling.
Available testing centers
9 testing options are listed for Madisonville, TN. The nearest, Chota Community Health Services, is about 1.3 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.
Chota Community Health Services, a community health center in Madisonville, integrates STI testing into primary-care infrastructure: meaning the full panel, sliding-scale fees, same-visit bacterial treatment, and appointments run through a single coordinated system, with language access in American Sign Language, Chinese, French, and Haitian Creole.
Chota provides care directly in American Sign Language, Chinese, French, and Haitian Creole, alongside Portuguese, Spanish, Tagalog, Vietnamese, and broader interpretation services. That means clinical conversations (symptom history, medication instructions, prevention counseling) happen in the language a patient speaks, not relayed through a secondary channel.
Without a prescribing provider in-house, PrEP requires a separate appointment at a different practice. A gap that quietly ends prevention before it starts. Chota carries both PrEP and PEP on-site, including PrEP coverage for uninsured patients, so prevention medications are written and managed within the same care relationship as testing.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Chota's panel runs herpes simplex, hepatitis A, hepatitis B, hepatitis C, and TB. Each requiring its own specimen collection and, for hepatitis C, a follow-up confirmatory pathway managed within the clinic rather than handed off externally.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Tennessee Department of Health in Madisonville operates as Monroe County's public health department, where the full STI panel (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB) is available by appointment on a sliding scale, with same-visit treatment for bacterial infections, all at no fee.
For anyone managing STI care without insurance or paying entirely out of pocket, the Tennessee Department of Health in Madisonville covers the full scope (testing, treatment, vaccines, and hepatitis C care) without a bill at the end. That standing policy applies to every visit, not just select services.
For someone whose primary language is Spanish, clinical conversations about symptoms, treatment, and follow-up happen directly in Spanish at the Tennessee Department of Health in Madisonville. Meaning nothing gets compressed or lost in the exchange when the details most need to land clearly.
Without on-site hepatitis C treatment, a positive antibody result typically means a separate specialist, a separate wait, and a gap where an active infection continues untreated. Tennessee Department of Health in Madisonville closes that gap, diagnosis and antiviral treatment happen at the same clinic, with no second referral chain to navigate.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A public safety-net rural health clinic about 8 miles from Madisonville. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
River Valley Health in Englewood functions as a community health center where STI care (covering HIV, syphilis, gonorrhea, chlamydia, herpes, and all three hepatitis strains) sits alongside primary and preventive medicine on a sliding-scale fee. Appointments are required; same-visit treatment is available for bacterial infections. Interpretation services extend access across languages.
Without interpretation at the point of care, a patient leaves River Valley Health with instructions they can't act on. Missed doses, skipped follow-ups, untreated partners. River Valley Health integrates interpretation services directly into appointments, so diagnosis, treatment, and medication counseling are fully communicated before anyone walks out the door.
River Valley Health prescribes both PrEP, the daily oral medication that suppresses HIV acquisition, and PEP, the post-exposure course requiring close follow-up. Both require lab monitoring and adherence counseling, which the clinic provides directly; PrEP coverage for uninsured patients is also available through the clinic's dedicated program.
River Valley Health doesn't stop at confirming a hepatitis C diagnosis, it manages the full antiviral treatment course on-site. For someone without a specialist relationship or paying on a sliding scale, having prescribing, monitoring, and follow-up at one clinic removes the gap between a positive result and a completed cure.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
A community safety-net federally qualified health center about 8 miles from Madisonville. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 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 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 Monroe 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.
4233 US 411 Suite B, Madisonville, TN 37354
CMS-certified lab
125 Mountain View Drive, Suite 300, Vonore, TN 37885
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 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, 292 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 55 offer telehealth.
Cherie Hansen, DO
Family medicine · 167 Warren Street, Madisonville
Tracey Beverley, MD
Family medicine · 321 Tellico Street South, Madisonville
Barbara Levin, MD
Family medicine · 4233 Hwy 411, Madisonville
Jan Hahn, MD
Family medicine · 4233 Hwy 411, Madisonville
John Kriese, DO Telehealth
Family medicine · 155 Grand Vis, Vonore
Martha Moore, MD Telehealth
Family medicine · 520 Old Hwy 68, Sweetwater
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, TN 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.
0.6 mi 
7.6 mi Little Drugs Family Wellness Center
7.7 mi
7.7 mi Wil Sav Drugs of Sweetwater
8.9 miShowing the 5 closest pharmacies to Madisonville, TN.
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.
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
$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
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 Monroe County, the county that includes Madisonville, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#66 of 95 Tennessee counties for chlamydia, a higher rate than 31% of the state
| Infection | Monroe County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 209.9 102 cases ▼ 59% | 517.4 | 492.2 |
| Gonorrhea | 49.4 24 cases ▼ 73% | 186.4 | 179.5 |
| Syphilis (P&S) | 16.5 8 cases ▲ 11% | 14.8 | 15.8 |
| Syphilis (early) | 12.3 6 cases ▲ 7% | 11.5 | 16 |
| Syphilis (late/unknown) | 37 18 cases ▲ 40% | 26.4 | 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 Monroe County, chlamydia has fallen from 358.9 to 209.9 per 100,000 (42%), gonorrhea has fallen from 233.5 to 49.4 per 100,000 (79%), and P&S syphilis has risen from 4.3 to 16.5 per 100,000 (284%).
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 Monroe County.
Local HIV snapshot
Monroe County HIV care continuum (2022)
Monroe County recorded 0 new HIV diagnoses per 100,000 (2022), against 14.8 statewide and 13.7 nationally. Among Monroe County residents living with HIV, 72.5% are in care · 62.7% 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 Monroe County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Madisonville's rhythm runs on steady work (farming, trades, light manufacturing) and on people who build lives here rather than pass through. The landscape around Hiwassee Knobs and Notchy Creek Knobs anchors a community where homeownership and affordability let families stay put across decades. That permanence shapes how residents think about health: what happens in a clinic stays private, and confidentiality isn't theater. It's a baseline expectation when you know your neighbors and plan to keep living here.
Young adults in their late teens through thirties make up a meaningful part of Madisonville's population, and routine STI screening fits naturally into their lives when access is straightforward and judgment-free. Testing in and around Madisonville listed on this page happens at clinics staffed by people who understand that sexual health questions aren't moral questions. Results are yours alone; providers follow strict confidentiality practices as a matter of professional standard, not favor. Getting screened before a new relationship, during routine care, or after a concern arises is practical.
The same way you'd schedule any preventive checkup. The affordability that defines Madisonville extends to testing too, with sliding scales and insurance options available. Knowing your status is something you do for yourself, not because anyone else demands it.
Getting there
At 4.91/20 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 37354 snapshot
ZIP-level Census figures for the wider 37354 area around Madisonville: a single ZIP can span several communities, so they describe the area, not Madisonville alone.
Madisonville sits in Monroe County, ZIP 37354. 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 Monroe County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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 7 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Tennessee Department of Health, about 3 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Monroe County reported ~210 chlamydia cases per 100,000 in 2023, below the Tennessee average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 37354: self-collect, send to the lab, results in ~2–5 days.
Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.