Floyd County has a gonorrhea rate that's 81% below the US average. Whether you're testing before a new relationship or as part of ongoing care in Prestonsburg, Kentucky, you can weigh whether to see a provider immediately or arrange testing on your schedule. Find your options below.
Available testing centers
9 testing options are listed for Prestonsburg, KY. The nearest, Eastern Kentucky Tender Care Pediatrics, is about 0.8 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.
A community safety-net rural health clinic in Prestonsburg. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Big Sandy Health Care in Prestonsburg carries federally qualified health center standing, which means its STI screening (syphilis, gonorrhea, and chlamydia) runs on a sliding-scale fee tied to income, so what patients pay adjusts to what they can actually afford.
Tests offered
Fees & payment
HomePlace Clinic - Prestonsburg earned its federally qualified standing by tying fees to what patients actually earn, no one is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs adjusted to each person's income level.
Tests offered
Fees & payment
Floyd County Health Department in Prestonsburg requires an appointment, and a single visit covers gonorrhea, chlamydia, syphilis, and HIV testing alongside STI treatment, family planning, and mpox and HPV vaccines. All provided at no fee.
Every service at Floyd County Health Department carries no charge, which means treatment for bacterial STIs like gonorrhea and chlamydia happens at the same visit as testing. Without a cost calculation standing between the diagnosis and the prescription.
As a Title X-funded site, Floyd County Health Department operates family planning services under federal statute that legally protects the confidentiality of care for minors. Meaning that protection is built into the funding structure itself, not left to clinic discretion.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
HomePlace OB/GYN in Prestonsburg carries federally qualified health center standing, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to your income, making the same clinical standard available regardless of what you earn.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Prestonsburg, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Floyd 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.
5230 Ky Route 321, Prestonsburg, KY 41653
CMS-certified lab Accredited · Joint Commission
5000 Ky Rt 321, Prestonsburg, KY 41653
CMS-certified lab
23 Willow Drive, Auxier, KY 41602
CMS-certified lab
400 University Drive Stes 211A And 101, Prestonsburg, KY 41653
CMS-certified lab
400 University Drive Suite 102B, Prestonsburg, KY 41653
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Prestonsburg. 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, 148 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Prestonsburg. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 18 offer telehealth.
Jeremy Parsons, MD
Family medicine · 1709 Ky Route 321, Prestonsburg
Ronald Mann, MD
Family medicine · 1358 Watergap Road, Prestonsburg
Andrew Brown
Family medicine · 1279 Old Abbott Mountain Road, Prestonsburg
Blake Burchett, MD
Family medicine · 400 University Drive, Prestonsburg
Kevin Farthing
Family medicine · 311 North Arnold Avenue, Prestonsburg
Charles Arnett, MD
Family medicine · 283 Goble Street, Prestonsburg
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 Prestonsburg, KY 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.
Archer Clinic Pharmacy
0.8 miFood City Pharmacy
0.8 miTotal Pharmacy Care
0.9 mi
1.0 mi Cooley Apothecary
1.1 miShowing the 5 closest pharmacies to Prestonsburg, KY.
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 Prestonsburg, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Floyd County, the county that includes Prestonsburg, compare with Kentucky and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#55 of 120 Kentucky counties for chlamydia, a higher rate than 54% of the state
| Infection | Floyd County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 238.2 82 cases ▼ 38% | 381.9 | 492.2 |
| Gonorrhea | 34.9 12 cases ▼ 74% | 134.4 | 179.5 |
| Syphilis (P&S) | 5.8 2 cases ▼ 59% | 14.1 | 15.8 |
| Syphilis (early) | 20.3 7 cases ▲ 40% | 14.5 | 16 |
| Syphilis (late/unknown) | 29.1 10 cases ▲ 54% | 18.9 | 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 Floyd County, chlamydia has risen from 180.8 to 238.2 per 100,000 (32%), gonorrhea has fallen from 64 to 34.9 per 100,000 (45%), and P&S syphilis has fallen from 22.7 to 5.8 per 100,000 (74%).
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 Floyd County.
Local HIV snapshot
Federal priority area: Kentucky is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Floyd County HIV care continuum (2023)
Floyd County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.4 statewide and 13.7 nationally. Among Floyd County residents living with HIV, 86.4% are in care · 72.7% 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 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 Floyd County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West Prestonsburg's mix of rental households and owned homes along KY 321 tells a quiet story about daily life here: slightly more residents rent than own, and at typical rents that stay well below state averages, a lot of households are stretching modest budgets rather than sitting on significant disposable income. That cost reality matters when someone is weighing whether to carve time out for a health appointment that feels optional until it suddenly isn't. What makes Prestonsburg distinct is its workforce picture. With fewer than four in ten residents in the labor force and unemployment running well above national norms, the people who are working often piece together irregular schedules or drive considerable distances for jobs, which means the usual assumption that "just stop by a clinic on your lunch break" doesn't hold here.
The options listed on this page are spread across the region, and knowing which one is realistically on your route on a given day is worth checking before you go. Young adults in their late teens and twenties, a sizable share of Prestonsburg's population, benefit most from testing that fits an already complicated week. If you spend time near Jenny Wiley State Resort Park, pulling up the listed options and confirming hours before heading out along KY 321 is the single most useful first move.
Getting there
At 6.4/20 on the EPA walkability index, day-to-day errands in Prestonsburg 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 41653 snapshot
ZIP-level Census figures for the wider 41653 area around Prestonsburg: a single ZIP can span several communities, so they describe the area, not Prestonsburg alone.
Prestonsburg sits in Floyd County, ZIP 41653. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Prestonsburg? 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 Floyd County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Kentucky 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 Prestonsburg-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 Prestonsburg 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 Kentucky 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 Kentucky, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Kentucky 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 KentuckySource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Floyd County Health Department, about 1.1 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Floyd County reported ~238 chlamydia cases per 100,000 in 2023, below the Kentucky average.
In Kentucky, people under 18 can consent to confidential STD testing and treatment on their own.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.