Gonorrhea in Madison County runs about 77% lower than the US average. Whether it's your first STI test or a routine screening in Marshall, North Carolina, public clinics keep costs down, but private labs prioritize speed for their tests. At-home kits trade a clinic visit for convenience.
Available testing centers
7 testing options are listed for Marshall, NC. The nearest, Mashburn Medical Center, is about 1.8 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.
Mashburn Medical Center in Marshall earns its federally qualified designation by tying STI screening fees directly to each patient's income. Walk-in visits for syphilis, gonorrhea, and chlamydia testing are covered under that sliding-scale structure, meaning cost adjusts rather than becoming a barrier.
Tests offered
Fees & payment
Madison County Health Department in Marshall schedules appointments for STI care covering HIV, syphilis, gonorrhea, chlamydia, and hepatitis C testing alongside same-visit treatment for bacterial infections. All provided at no fee to every patient.
Every service at Madison County Health Department carries no charge, not just testing, not just select vaccines, but the full scope of care. That means treatment, partner notification, and prevention education all proceed without a financial variable shaping what gets addressed.
Spanish is a complete service language at Madison County Health Department: not a workaround activated at intake but the actual medium for counseling, education, and care coordination. For Spanish-speaking patients, nothing in the clinical conversation gets compressed or deferred.
Madison County Health Department pairs its free hepatitis C test with on-site treatment, meaning a confirmed diagnosis moves into active management without a separate specialist referral cycle. The treatment relationship stays within the same department that identified the infection.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Mars Hill Medical Center, in Mars Hill, ties STI screening costs to each patient's income. No one is turned away for inability to pay. Federally qualified status backs that sliding-scale commitment, with syphilis, gonorrhea, and chlamydia testing available without an appointment.
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 Marshall, 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.
Local clinicians
Beyond dedicated clinics, 536 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Marshall. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 153 offer telehealth.
Dana Jones, MD
Family medicine · 80 Guntertown Road, Marshall
Karen Lehew, MD
Family medicine · 493 Medical Park Drive, Marshall
Andrew Shelton, DO
Internal medicine · 590 Medical Park Drive, Marshall
Lydia Jeffries, MD
OB-GYN · 590 Medical Park Drive, Marshall
Kayla Williams, MD
Internal medicine · 119 Mountain View Road, Mars Hill
Katherine Emery, MD
Family medicine · 201 Flat Creek Village Drive, Weaverville
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 Marshall, NC 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.
Marshall Family Pharmacy
1.0 miIngles Markets
1.2 miMadison Pharmacy
1.4 miHot Springs Health Program
1.8 miJanes RX Drugs
7.8 mi
7.9 mi Showing the 6 closest pharmacies to Marshall, NC.
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 Marshall, 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
$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
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 Madison County, the county that includes Marshall, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~13% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#86 of 100 North Carolina counties for chlamydia, a higher rate than 14% of the state
| Infection | Madison County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 199.4 44 cases ▼ 67% | 607.9 | 492.2 |
| Gonorrhea | 40.8 9 cases ▼ 83% | 243.2 | 179.5 |
| Syphilis (P&S) | — no data | 19.9 | 15.8 |
| Syphilis (early) | 13.6 3 cases ▼ 14% | 15.8 | 16 |
| Syphilis (late/unknown) | 22.7 5 cases ▼ 5% | 24 | 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 Madison County, chlamydia has fallen from 240.6 to 199.4 per 100,000 (17%), gonorrhea has fallen from 103.8 to 40.8 per 100,000 (61%), and P&S syphilis has risen from 14.2 to 18.4 per 100,000 (30%).
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 Madison County.
Local HIV snapshot
Madison County HIV care continuum (2023)
Madison County recorded 0 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Madison County residents living with HIV, 86.4% are in care · 77.3% 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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US-25/70 threads through the French Broad River valley past Roberts Mountain, and for most Marshall residents a clinic visit means committing to that road for a real stretch: this is mountain terrain, not a grid town, and the options listed here reflect how spread out services are in and around Marshall. That distance calculus hits differently when a third of households are renting at rates well below the state norm, leaving disposable income tight enough that an unplanned co-pay or a tank of gas can genuinely factor into the decision. Nearly two in three residents own their homes, and average household size runs close to three people. A profile that skews toward established families rather than transient turnover. Yet the young adults who carry the steepest statistical risk for STIs are present here too, navigating a labor market where participation already runs below full engagement.
For someone working irregular hours or patching together employment in a rural county, a clinic with extended or weekend availability isn't a convenience. It's often the only viable window between shifts and family obligations. Madison County's STI figures give context for why routine screening matters even in a small, close-knit community. The households here (many of them multigenerational, many married, most owner-occupied) don't fit the mental image people attach to STI risk, which is exactly why a straightforward annual test is worth building into the rhythm of life along this stretch of the valley.
Getting there
At 5.26/20 on the EPA walkability index, day-to-day errands in Marshall 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 28753 snapshot
ZIP-level Census figures for the wider 28753 area around Marshall: a single ZIP can span several communities, so they describe the area, not Marshall alone.
Marshall sits in Madison County, ZIP 28753. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Marshall? 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 Madison County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Marshall-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 Marshall 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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 Mashburn Medical Center (1.8 mi); 6 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 199 cases per 100,000 residents (2023), below the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, at-home kits ship to 28753; you collect a sample, mail it back, and get results in about 2–5 days.
HPV is checked through cervical screening (often with a Pap test); there's no routine HPV test for men.
No HIV found; just confirm with a retest if you tested soon after a possible exposure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.