STD Testing in Pastos, PR: Free, Same-Day & Confidential
Gonorrhea rates in Aibonito Municipio are 89% lower than the national average. If you need testing after a possible exposure or as part of routine care in Pastos, Puerto Rico, some locations take walk-ins, while others let you plan around your own schedule. Keep reading to explore your options.
3 testing options are listed for Pastos, PR. The nearest, Cossma, is about 1.3 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
Closest to you 1.3 miles
Cossma
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Cossma, in Aibonito, runs its STI care through federally qualified health center standing, which ties testing fees directly to each patient's income. Syphilis, gonorrhea, chlamydia, and HIV screening are available on that sliding-scale basis, with appointments required to be seen.
Sliding-scale
Address
Calle Ignacio Lopez Colon, Frente Al Correo Postal Aibonito, PR 00705
Cossma Aibonito, in Pasto, welcomes walk-ins for STI screening without an appointment. Federally qualified status anchors its sliding-scale fees, calibrated to income, making syphilis, gonorrhea, and chlamydia testing reachable for a broad range of budgets in a single visit.
Salud Integral en la Montaña in Barranquitas works on a sliding scale and accepts Medicaid, Medicare, and private insurance; fees apply without coverage. The clinic tests for gonorrhea, chlamydia, syphilis, and HIV by appointment, and treats STIs and HIV/AIDS directly alongside TB care and family planning.
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All Care Conducted in Spanish
Every appointment at Salud Integral en la Montaña runs in Spanish, which means counseling around HIV test results, medication adherence, and STI prevention lands with the precision and nuance those conversations require.
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.
The nearest testing center is about 1 mile away, if you'd rather skip the trip, an at-home kit ships to Pastos, 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
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Other CLIA-certified labs near Pastos, PR
Beyond the public testing sites above, these federally certified (CLIA) labs serve Aibonito Municipio, 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Pastos. 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
Clinicians near Pastos, PR who may help arrange STD testing
Beyond dedicated clinics, 1,081 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pastos. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 63 offer telehealth.
RL
Rafael L Marrero, MD
Family medicine · Calle Pedro Rosario No, Aibonito
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
Pharmacies near Pastos, PR
Compare the pharmacies closest to Pastos, PR. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Pastos, 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
Q Care Plus
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
STDs & HIV in Aibonito Municipio: the local picture
How reported STI rates in Aibonito Municipio, the municipio that includes Pastos, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~5% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#42
#42 of 78 Puerto Rico counties for chlamydia, a higher rate than 46% of the state
Reported STD rates per 100,000, Aibonito Municipio vs Puerto Rico vs U.S.
Aibonito MunicipioPuerto RicoU.S.▲▼ = Aibonito Municipio vs the state average
Infection
Aibonito Municipio
Puerto Rico
United States
Chlamydia
130.132 cases▼ 20%
162.1
492.2
Gonorrhea
20.35 cases▼ 45%
37
179.5
Syphilis (P&S)
16.34 cases▲ 20%
13.6
15.8
Syphilis (early)
16.34 cases▼ 17%
19.6
16
Syphilis (late/unknown)
—
15.6
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.
Reported STD rates in Aibonito Municipio over time (per 100,000)
Chlamydia ▼ 3% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Aibonito Municipio, chlamydia has risen from 73.1 to 130.1 per 100,000 (78%), gonorrhea has risen from 12.2 to 20.3 per 100,000 (66%), and P&S syphilis has risen from 8.2 to 16.3 per 100,000 (99%).
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
What shapes testing access in and around Pastos, PR
Medically Underserved Area
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 Aibonito Municipio.
Local HIV snapshot
HIV in Aibonito Municipio (2023)
People living with HIV
286 / 100k
PrEP users / 100k
18
Aibonito Municipio HIV care continuum (2022)
Aibonito Municipio recorded 0 new HIV diagnoses per 100,000 (2022), against 13.5 statewide and 13.7 nationally. Among Aibonito Municipio residents living with HIV, 63.9% are in care · 63.9% 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 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.
Pregnant or planning to be?Congenital syphilis is the fastest-rising STI: what to test, and when
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 Aibonito Municipio tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
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 →
Driving out of Pastos on the PR-181, you pass by rows of single-family homes with neatly manicured lawns, a testament to the area's high homeownership rate. For many young adults in their late teens and twenties, these houses are a stepping stone to independence, but they also come with a hefty price tag – literally. The median home value in Pastos is a staggering $86,638, making it difficult for many to afford the dream of homeownership.
As a result, the local rental market is highly competitive, with many renters struggling to find affordable options. The drive to the nearest clinic, which sits a drive from Pastos in Aibonito Municipio, adds another layer of complexity to the already challenging landscape. Given the limited testing options and the high cost of living, convenient and low-friction screening matters more than ever for younger adults in Pastos, who are more likely to be forming relationships and engaging in new experiences. Without access to affordable testing, these young adults may be at risk of undiagnosed STIs, which can have serious consequences for their health and well-being.
Getting there
How residents reach STD testing in Pastos, PR
Walkability3.34 / 20 · Least walkable
At 3.34/20 on the EPA walkability index, day-to-day errands in Pastos 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.
Pastos sits in Aibonito Municipio, ZIP 705. Local context that shapes where residents test:
Local landmarks
Piedra de Degetau
Cerro Verdún
Cerro El Indio
Cerro Las Tetas
Peña Domingo
La Piedra
Neighborhoods & communities
Parcelas Viejas de Pastos
Parcelas Nuevas de Pastos
La Represa
El Coquí
El Fresal
El Campito
Aibonito
Cuyón
Nearby cities & towns
STD testing near Pastos, PR
Just outside Pastos? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Pastos, PR: screening, costs & privacy
Everything to know before you test in Aibonito Municipio: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Puerto Rico law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Pastos-area provider.
What each STD test costsMedicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Pastos 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.
Confidentiality & consent in Puerto RicoMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Puerto Rico 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).
Can a minor consent on their own?
In Puerto Rico, public health clinics provide confidential STI testing and treatment; ask the clinic directly about consent requirements for minors.
Can my partner be treated too? (EPT)
Expedited Partner Therapy (EPT) is potentially allowable in Puerto Rico: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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.
