Around 84% fewer syphilis cases in Jasper County are reported than the US average. If you need one-time STI testing or regular check-ups in Monroe, Iowa, consider your budget, turnaround time, and convenience. Public clinics, private labs, and at-home kits each offer distinct benefits. Read the list below to weigh your options.
Available testing centers
5 testing options are listed for Monroe, IA. The nearest, Pella Regional Health Center, is about 8.6 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.
Pella Regional Health Center in Prairie City accepts Medicaid, Medicare, and private insurance, with a fee structure and donations accepted for those paying directly. Appointments are required for testing that covers gonorrhea, chlamydia, syphilis, rapid HIV, hepatitis C, and TB.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Pathways of Pella delivers STI testing (gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and HIV) with every service free of charge and appointments required; bacterial infections are treated the same visit they're diagnosed.
Pathways of Pella runs its entire STI program without fees, no sliding scale, no partial charge, no cost at any point. That means the herpes swab, the hepatitis C draw, the HIV test, and any same-visit bacterial treatment are all covered at the same rate: nothing.
Where many panels stop at gonorrhea, chlamydia, syphilis, and HIV, Pathways of Pella adds herpes and hepatitis C. Both drawn and processed through the clinic itself. Herpes testing requires a specific sample collection method distinct from blood-based STI draws, and having that capability in-house means the full six-infection panel runs in a single appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Knoxville Office, in Knoxville, carries full federally qualified health center standing, which means STI screening for syphilis, gonorrhea, and chlamydia is priced on a sliding scale tied to household income, so no one pays more than their means allow. Walk-ins are welcome; no appointment needed.
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 9 miles away; if you'd rather skip the trip, an at-home kit ships to Monroe, 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 for simplicity & support
$89 & 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 Jasper 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.
204 North 4th Avenue East, Newton, IA 50208
CMS-certified lab
300 North Fourth Avenue East, Newton, IA 50208
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Monroe. 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, 406 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Monroe. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 40 offer telehealth.
Joseph Coleman, MD
OB-GYN · 404 East 2nd Street, Prairie City
Spencer Carlstone, MD
Family medicine · 1518 Washington Street, Pella
Wendy Fluegel, MD
Internal medicine · 405 Monroe Street, Pella
Stewart Kanis, DO
Internal medicine · 405 Monroe Street, Pella
Ronald Childerston, DO
Internal medicine · 404 Jefferson Street, Pella
Chad Stocker, DO
Internal medicine · 404 Jefferson Street, Pella
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 Monroe, IA 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.
Monroe Community Pharmacy
0.3 miPella Regional Prairie City Pharmacy
8.8 mi
12 mi 
12 mi Crown Pharmacy
12 miPella Regional Health Center Pharmacy
12 miShowing the 6 closest pharmacies to Monroe, 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 Monroe, 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
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
$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 Jasper County, the county that includes Monroe, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#43 of 99 Iowa counties for chlamydia, a higher rate than 57% of the state
| Infection | Jasper County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 250.5 95 cases ▼ 41% | 426.8 | 492.2 |
| Gonorrhea | 39.6 15 cases ▼ 66% | 116.8 | 179.5 |
| Syphilis (P&S) | 2.6 1 cases ▼ 75% | 10.3 | 15.8 |
| Syphilis (early) | 7.9 3 cases ▼ 14% | 9.2 | 16 |
| Syphilis (late/unknown) | 10.5 4 cases ▲ 6% | 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 Jasper County, chlamydia has fallen from 304.1 to 250.5 per 100,000 (18%), gonorrhea has fallen from 132.2 to 39.6 per 100,000 (70%), and P&S syphilis has fallen from 7.9 to 2.6 per 100,000 (67%).
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 Jasper County.
Local HIV snapshot
Jasper County HIV care continuum (2023)
Among Jasper County residents living with HIV, 81.8% are in care · 81.8% 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 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 Jasper County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Monroe Town Square anchors daily life here the way it does in a lot of small Iowa towns (a reference point, a place people pass through) yet the nearest testing clinic is a drive out along IA 14, not a short walk from the square. That's simply the geography of a community where getting almost anywhere medical means getting in a car. What makes that drive worth planning for is the makeup of Monroe itself. With more than seven in ten residents actively working and unemployment low, schedules are genuinely full.
Early shifts, long days, the kind of week where a midday appointment is a logistical puzzle. At the same time, roughly a fifth of households here rent, often at modest monthly costs, which can mean less financial cushion when an out-of-pocket fee comes up unexpectedly. Young adults in their late teens and twenties, a meaningful slice of this community, are navigating those same constraints while also being the group for whom regular screening matters most clinically, since untreated infections caught early spare a lot of downstream difficulty. The options listed on this page span a range of fee structures and hours precisely because a community where most people are employed full-time needs something bookable before nine or after five, and several of the listed sites offer exactly that window.
Getting there
At 6.49/20 on the EPA walkability index, day-to-day errands in Monroe 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 50170 snapshot
ZIP-level Census figures for the wider 50170 area around Monroe: a single ZIP can span several communities, so they describe the area, not Monroe alone.
Monroe sits in Jasper County, ZIP 50170. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Monroe? 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 Jasper 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 Monroe-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 Monroe 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.
Pella Regional Health Center, about 8.6 mi away, with 3 options within 30 miles.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Pathways of Pella, about 11.8 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Jasper County reported ~251 chlamydia cases per 100,000 in 2023, below the Iowa average.
At-home kits mail to 50170: 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.
It can; oral HSV-1 transmits to the genitals during oral sex.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Most HIV tests detect infection about 2–6 weeks out depending on the test type; a later retest confirms a negative.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.