In Jefferson County, reported syphilis runs about 24% higher than the US average. Whether it's your first STI test or a routine screening in Madras, Oregon, you'll find public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience; see your options below.
Available testing centers
9 testing options are listed for Madras, OR. The nearest, Jefferson County Public Health Department, is about 0.7 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.
A public STD-testing site in Madras.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Madras Health Center in Madras welcomes walk-ins for STI screening: no appointment needed to get tested for syphilis, gonorrhea, and chlamydia. Backed by federal FQHC funding, the clinic ties fees to income, so cost adjusts to what each patient actually earns.
Tests offered
Fees & payment
Deschutes County Health Services in Redmond delivers STI testing (rapid and conventional HIV, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C) through a county public health infrastructure where appointments are required, bacterial infections are treated same visit, and every service carries no fee.
Every service at Deschutes County Health Services (testing, treatment, vaccines, counseling, condom distribution) is provided at no cost. That blanket applies regardless of insurance status, so sliding-scale calculation and coverage gaps both become irrelevant before the appointment begins.
Spanish is spoken directly at Deschutes County Health Services, and interpretation services extend access across other languages: meaning test results, treatment instructions, and counseling all reach patients in full rather than in summary.
Deschutes County Health Services tests for hepatitis A, B, and C alongside the core bacterial and HIV screen, which means a single appointment can surface chronic infections that often go undetected without a deliberate reason to look.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Redmond Health Center, in Redmond, carries federal qualification that obligates it to offer sliding-scale fees tied to household income: meaning STI screening for syphilis, gonorrhea, and chlamydia is priced according to what patients actually earn, with no appointment required to be seen.
Tests offered
Fees & payment
Crook County Health Department in Prineville runs on a sliding scale, accepting Medicaid, Medicare, and private insurance, and tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis B, and hepatitis C. With an appointment required and care available in Spanish.
Spanish-language care at Crook County Health Department extends through clinical services, not just scheduling: meaning counseling, treatment decisions, and prevention education are conducted in Spanish. For patients whose primary language is Spanish, that continuity shapes every exchange that matters.
The panel at Crook County Health Department includes hepatitis B and hepatitis C testing alongside gonorrhea, chlamydia, syphilis, and HIV. Six infections in total. Hepatitis C in particular carries long asymptomatic periods, making its inclusion in a routine panel a meaningful clinical difference.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Madras, 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 Jefferson 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.
470 Northeast A Street, Madras, OR 97741
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madras. 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, 97 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madras. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 24 offer telehealth.
Gary Plant, MD
Family medicine · 76 Northeast 12th Street, Madras
Aj Schuster, MD
Family medicine · 470 Northeast A Street, Madras
William Irvine, MD
Family medicine · 470 Northeast A Street, Madras
Leonard Savage, MD
Family medicine · 480 Northeast A Street, Madras
Rebecca Roach, MD
Family medicine · 500 Northeast A Street, Madras
Tara Perti, MD
Internal medicine · 1270 Kot Num Road, Warm Springs
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 Madras, OR 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.
0.2 mi Hometown Drugs
0.3 miMosaic Pharmacy-Madras
0.7 mi
24 mi Community Pharmacy Redmond
25 miThe Medicine Shoppe
25 miShowing the 6 closest pharmacies to Madras, OR.
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 Madras, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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 Jefferson County, the county that includes Madras, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 36 Oregon counties for chlamydia, among the very highest in the state
| Infection | Jefferson County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 573.6 146 cases ▲ 58% | 362.5 | 492.2 |
| Gonorrhea | 43.2 11 cases ▼ 63% | 117.2 | 179.5 |
| Syphilis (P&S) | 19.6 5 cases ▲ 2% | 19.2 | 15.8 |
| Syphilis (early) | 23.6 6 cases ▲ 146% | 9.6 | 16 |
| Syphilis (late/unknown) | 66.8 17 cases ▲ 239% | 19.7 | 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 Jefferson County, chlamydia has fallen from 595.9 to 573.6 per 100,000 (4%), gonorrhea has fallen from 163.3 to 43.2 per 100,000 (74%), and P&S syphilis has risen from 12.2 to 19.6 per 100,000 (61%).
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 Jefferson County.
Local HIV snapshot
Jefferson County HIV care continuum (2023)
Jefferson County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.6 statewide and 13.7 nationally. Among Jefferson County residents living with HIV, 76% are in care · 76% 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 Jefferson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along US 97, where Northeast 6th Street carries the daily rhythm of Madras in and out of town, an apartment running close to $815 a month leaves little cushion for anything that feels optional. That financial squeeze is worth naming plainly, because it shapes whether younger adults in Madras (people in their late teens and twenties who are statistically most likely to encounter chlamydia, gonorrhea, or syphilis) actually follow through on a test they already know they should get. The household picture here adds another layer. With an unemployment rate that leaves a meaningful share of working-age residents without steady paychecks, and a majority of households renting rather than owning, scheduling flexibility is limited and discretionary spending is tight.
Larger average households mean shared budgets and shared schedules, so a visit that takes half an afternoon on US 97 or up along US 26 isn't a small ask. That's exactly why the range of the options listed on this page matters. Clinics serve Jefferson County residents on a sliding-fee or no-cost basis, which means the walk from 5th Street or a short drive past 7th Street Park doesn't have to hinge on whether payday already came and went.
Getting there
At 9.88/20 on the EPA walkability index, day-to-day errands in Madras 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 97741 snapshot
ZIP-level Census figures for the wider 97741 area around Madras: a single ZIP can span several communities, so they describe the area, not Madras alone.
Madras sits in Jefferson County, ZIP 97741. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Madras? 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 Jefferson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon 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 Madras-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 Madras 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 Oregon 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 Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: 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+.
Deschutes County Health Services, about 24.6 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Jefferson County reported ~574 chlamydia cases per 100,000 in 2023, above the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.