Franklin County, Massachusetts sees reported syphilis cases running about 73% lower than the US average. If you're considering testing after a possible exposure or as part of routine care in Monroe, Massachusetts, weigh your options for convenience and immediacy. Some places take walk-ins, while others let you pick your own time. See the list below.
Available testing centers
7 testing options are listed for Monroe, MA. The nearest, Tapestry, is about 6.5 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.
Tapestry in North Adams runs on a sliding scale with insurance accepted, covering rapid HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C testing: appointments required, bacterial infections treated the same visit, with HPV vaccine and Title X family planning including legally-confidential services for minors.
Tapestry tests for herpes and hepatitis C alongside the standard four, which means a single appointment surfaces infections that a narrower panel would leave undetected and unaddressed.
Without PrEP or PEP access at the same clinic, a patient leaves with a gap between diagnosis and prevention: one that often costs another visit, another provider, and more time. Tapestry prescribes both, closing that gap at the same address.
Tapestry holds Title X designation, which makes its family planning services legally confidential for minors. Meaning care is documented and protected in ways that a standard clinic visit is not.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
A safety-net rural health clinic about 7 miles from Monroe. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Berkshire Health Systems in North Adams tests for HIV, gonorrhea, chlamydia, syphilis, and hepatitis C, treating bacterial infections the same visit when results warrant. All at no fee, no appointment needed, on a sliding scale that reaches zero.
When cost sits between a person and a test, infections go undetected and untreated, and the gap compounds. At Berkshire Health Systems, every service, from the initial test through counseling and treatment, carries no fee, so the question of whether to come back for follow-up never becomes a financial calculation.
Missing hepatitis C from a testing visit means a separate appointment, a separate provider, and weeks where an infection continues unchecked. Berkshire Health Systems includes hepatitis C in the same panel as gonorrhea, chlamydia, syphilis, and HIV. One visit covers all five, at no charge.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · 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 about 7 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 range: couples & full panels
$79 & 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 Franklin 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.
21 Sanderson Street, Greenfield, MA 01301
CMS-certified lab Accredited · Joint Commission
Showing the nearest 1 CLIA-certified labs.
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, 204 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 86 offer telehealth.
Grace Kim, MD
Internal medicine · 71 Hospital Avenue, North Adams
Douglas Oneill, MD Telehealth
Internal medicine · 71 Hospital Avenue, North Adams
Kristin Lamontagne, MD
Internal medicine · 71 Hospital Avenue, North Adams
Shyama Wickramaaratchi, DO Telehealth
Internal medicine · 71 Hospital Avenue, North Adams
Elisabeth Berger, MD
Internal medicine · 71 Hospital Avenue, North Adams
Mitchell Bamberger, MD
Urology · 71 Hospital Avenue, North Adams
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, MA 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.
Littles HSC Pharmacy
6.5 miBerkshire Community Pharmacy of North Adams
6.5 mi
6.6 mi 
6.7 mi 
7.5 mi Showing the 5 closest pharmacies to Monroe, MA.
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 $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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Franklin County, the county that includes Monroe, compare with Massachusetts and U.S. averages, based on the most recent 2023 surveillance data.
#14 of 14 Massachusetts counties for chlamydia, among the lowest in the state
| Infection | Franklin County | Massachusetts | United States |
|---|---|---|---|
| Chlamydia | 142.6 101 cases ▼ 65% | 412.7 | 492.2 |
| Gonorrhea | 40.9 29 cases ▼ 71% | 139.8 | 179.5 |
| Syphilis (P&S) | 4.2 3 cases ▼ 60% | 10.6 | 15.8 |
| Syphilis (early) | 1.4 1 cases ▼ 86% | 10.3 | 16 |
| Syphilis (late/unknown) | 4.2 3 cases ▼ 69% | 13.7 | 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 Franklin County, chlamydia has fallen from 171.8 to 142.6 per 100,000 (17%), gonorrhea has fallen from 60.5 to 40.9 per 100,000 (32%), and P&S syphilis has held roughly steady from 4.2 to 4.2 per 100,000.
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 Franklin County.
Local HIV snapshot
Franklin County HIV care continuum (2023)
Among Franklin County residents living with HIV, 79.8% are in care · 74.7% 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 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 Franklin County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Manufacturing and forestry have shaped Monroe's working life for generations, bringing steady employment and the kind of physical labor that leaves little mental bandwidth for health upkeep. That rhythm (the mill shift, the timber work, the seasonal cycles) makes routine screening easy to postpone. Testing in and around Monroe, listed on this page, exists partly to fit into that reality: confidential visits that don't demand explanations to coworkers or lengthy appointments that eat into paychecks. Young adults here, many working their first stable jobs or building trades locally, have particular reason to make screening part of their annual check-ins, yet the mill-town culture doesn't always make health questions feel welcome at the kitchen table. Confidentiality carries real weight in a place where the same faces appear at the hardware store, the post office, and the local diner.
Testing providers understand that discretion isn't a courtesy, it's a practical necessity. Results stay confidential by law and by practice, and seeking care doesn't mean broadcasting it. Monroe Bridge, Bakke Mountain, and the surrounding towns all have clinics and health centers within reach. Starting early and screening regularly (before symptoms, before doubt) fits the kind of self-reliance that Monroe residents respect.
Getting there
At 7.65/20 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.
Monroe sits in Franklin County, ZIP 1350. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
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 Franklin County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Massachusetts 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 Massachusetts 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 Massachusetts, a minor may consent to confidential STI testing and treatment on their own; a provider may inform a parent only if they judge the minor's health to be in serious danger.
Massachusetts 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 MassachusettsSource: 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.
Greenfield, MA is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Franklin County reported ~143 chlamydia cases per 100,000 in 2023, below the Massachusetts average.
In Massachusetts, 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.
At-home kits mail to 1350: self-collect, send to the lab, results in ~2–5 days.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
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.