Marshall County reports about 482 chlamydia cases per 100,000 residents, near the US average. If you've had a recent risk or simply test on a regular schedule in Melbourne, Iowa, some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See your options below.
Available testing centers
4 testing options are listed for Melbourne, IA. The nearest, Unitypoint Health - Marshalltown, is about 5.9 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.
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A community safety-net rural health clinic about 6 miles from Melbourne. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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Primary Health Care in Marshalltown accepts Medicaid, Medicare, and most insurance, with a sliding scale extending to everyone else: covering gonorrhea, chlamydia, syphilis, herpes, and HIV testing, with same-visit treatment for bacterial infections; appointments are required.
Primary Health Care runs herpes testing through the same appointment as the core bacterial panel, no separate referral or scheduling. The result is a clinician who can interpret herpes serology alongside syphilis, gonorrhea, chlamydia, and HIV findings at once, adjusting counseling and treatment planning in a single visit.
Without on-site PrEP and PEP prescribing, prevention often stalls at a recommendation that needs to be acted on somewhere else. Another appointment, another provider, time lost. Primary Health Care writes and manages both PrEP and PEP prescriptions directly, keeping prevention continuous rather than contingent on a second clinic.
Spanish-language care at Primary Health Care is staffed capacity: clinicians conduct the exam, explain results, and walk through medication adherence counseling in Spanish without a relay. That means treatment instructions, PrEP monitoring conversations, and follow-up plans are communicated directly, with no translation layer between the provider and the patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
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Today's offer: $10 off any test panel, applied automatically at checkout.
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Today's offer: $10 off any test panel, applied automatically at checkout.
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 |
|---|
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. Widen the distance or clear the service-type filter.
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 6 miles away, if you'd rather skip the trip, an at-home kit ships to Melbourne, 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 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 Marshall 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.
421 East Merle Hibbs Boulevard, Marshalltown, IA 50158
CMS-certified lab Accredited · COLA
55 Unitypoint Way, Marshalltown, IA 50158
CMS-certified lab
201 East Merle Hibbs Boulevard, Marshalltown, IA 50158
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Melbourne. 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, 161 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Melbourne. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 30 offer telehealth.
Bonnie Beer, MD
OB-GYN · 421 East Merle Hibbs Boulevard, Marshalltown
Abby Flannagan
Family medicine · 51 Unitypoint Way, Marshalltown
James Selenke, MD
Family medicine · 51 Unitypoint Way, Marshalltown
William Durbin, MD
Family medicine · 55 Unitypoint Way, Marshalltown
Uwem Ekwo, MD
Family medicine · 55 Unitypoint Way, Marshalltown
Maureen Muke, MD
Internal medicine · 3 South 4th Avenue, Marshalltown
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
Compare the pharmacies closest to Melbourne, IA. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Genoa Healthcare
11 miGRX Holdings
11 miNucara Pharmacy
11 mi
11 mi Hy-Vee Pharmacy
11 mi
12 mi Showing the 6 closest pharmacies to Melbourne, IA.
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 Melbourne, 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.
PrEP & DoxyPEP
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Online treatment
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Online treatment
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
PrEP & DoxyPEP
$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 Marshall County, the county that includes Melbourne, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#13 of 99 Iowa counties for chlamydia, a higher rate than 87% of the state
| Infection | Marshall County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 482.3 193 cases ▲ 13% | 426.8 | 492.2 |
| Gonorrhea | 120 48 cases ▲ 3% | 116.8 | 179.5 |
| Syphilis (P&S) | 27.5 11 cases ▲ 167% | 10.3 | 15.8 |
| Syphilis (early) | 10 4 cases ▲ 9% | 9.2 | 16 |
| Syphilis (late/unknown) | 15 6 cases ▲ 52% | 9.9 | 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 Marshall County, chlamydia has fallen from 506.2 to 482.3 per 100,000 (5%), gonorrhea has fallen from 199.5 to 120 per 100,000 (40%), and P&S syphilis has risen from 2.5 to 27.5 per 100,000 (1000%).
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
Primary-care shortage score 16 / 26
Medically Underserved Area · IMU 61.3
Social Vulnerability Index · 68th percentile nationally
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 Marshall County.
Local HIV snapshot
Marshall County HIV care continuum (2023)
Marshall County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Marshall County residents living with HIV, 80% are in care · 77.5% 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 Marshall County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Editorially Reviewed & Fact-Checked · Updated
Reviewed by EasySTD Editorial Team
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Local resources & officials
Data & references
Local context
Meier Memorial Park sits at the kind of quiet end of town where weekends feel genuinely unhurried, yet getting from Melbourne to any kind of clinical service means committing to IA 330 toward Marshalltown, because the options listed on this page aren't around the corner. The town's profile shapes who feels that squeeze most. With more than three-quarters of residents owning their homes and an average household running above three people, Melbourne skews toward established, rooted families, but the younger adults still forming relationships, those in their late teens and twenties moving through the years when STIs spread most readily, are also here, and they're largely absorbed into that same labor-force churn.
When over eight in ten working-age residents are employed, weekday appointment windows get narrow fast, and the drive out on 295th Street to reach listed clinics adds another layer of planning most people can't improvise around. Cost is a separate current running underneath all of this. Nearly three in ten households clear six figures, but that still leaves the majority below it, and with typical rent under $750 a month, renters here are managing on budgets where even a modest clinic fee lands differently than it does for a homeowner with equity behind them.
Getting there
At 4.11/20 on the EPA walkability index, day-to-day errands in Melbourne 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 50162 snapshot
ZIP-level Census figures for the wider 50162 area around Melbourne: a single ZIP can span several communities, so they describe the area, not Melbourne alone.
Melbourne sits in Marshall County, ZIP 50162. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Melbourne? 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 Marshall County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 Melbourne-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 Melbourne 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
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.
Marshall County reported ~482 chlamydia cases per 100,000 in 2023, above the Iowa average.
At-home kits mail to 50162: self-collect, send to the lab, results in ~2–5 days.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.