In Madison County, Madison County, Kentucky, reported chlamydia rates run about 28% lower than the US average. If you need testing in Richmond, Kentucky whether routine or after possible exposure, weigh clinics that accept insurance or offer sliding-scale fees against private labs that charge a flat self-pay price.
Available testing centers
12 testing options are listed for Richmond, KY. The nearest, Baptist Health Medical Group, is about 0.4 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 Richmond. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Madison County Health Department in Richmond runs rapid and conventional HIV testing alongside the full bacterial STI panel, with same-visit treatment for gonorrhea, chlamydia, and syphilis: all on a sliding scale, and all services provided at no fee.
Every service at Madison County Health Department (testing, treatment, vaccines, harm reduction) is provided at no fee. That means a patient can follow through on treatment, partner notification, and prevention in a single visit without any cost standing between a positive result and complete care.
Spanish-language care is available directly at Madison County Health Department, which means clinical conversations, including exposure history and counseling, happen in Spanish without routing through a secondary service. That continuity keeps nothing lost between the test and the follow-up.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Madison County Health Department tests for hepatitis C and tuberculosis, and carries treatment for both on-site. Hepatitis C and TB treatment under the same roof means a reactive result moves directly into management without a separate referral chain.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
White House Clinics, serving Richmond, carries federal qualification that anchors its income-based sliding-scale fees. No one is turned away for inability to pay. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Kentucky River Foothills Development Council, in Richmond, earned federal qualification that mandates sliding-scale fees tied to income. Meaning cost adjusts to what you actually earn. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no financial barrier standing between patients and testing.
Tests offered
Fees & payment
A public safety-net rural health clinic about 2 miles from Richmond. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic about 2 miles from Richmond. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 3 miles from Richmond. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 4 miles from Richmond. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Richmond, 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 range: couples & full panels
$79 & 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 Madison 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.
3945 Simpson Lane, Richmond, KY 40475
CMS-certified lab Accredited · College of American Pathologists
1623 Fox Haven Drive, Richmond, KY 40475
CMS-certified lab
801 Eastern Bypass, Richmond, KY 40475
CMS-certified lab
1012 Center Drive, Richmond, KY 40475
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richmond. 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, 547 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richmond. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 157 offer telehealth.
James Coorssen, MD
Internal medicine · 648 University Shopping Ctr, Richmond
Angela Hignite, DO
Family medicine · 401 Highland Park Drive, Richmond
Chelsea Taylor, MD
Family medicine · 789 Eastern Bypass, Richmond
Vernon Brewer, DO
Family medicine · 789 Eastern Bypass, Richmond
Ian Holbrook, MD
OB-GYN · 793 Eastern Byp, Richmond
Mary Montague, MD
OB-GYN · 793 Eastern Byp, Richmond
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 Richmond, 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.
Baptist Health Pharmacy
0.0 miProfessional Center Pharmacy Annex
0.4 miGenoa Healthcare
0.4 miMcCay's Total Care Pharmacy
0.4 mi
0.5 mi E.W. James & Sons
0.8 miShowing the 6 closest pharmacies to Richmond, 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 Richmond, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Madison County, the county that includes Richmond, compare with Kentucky and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~45% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#18 of 120 Kentucky counties for chlamydia, a higher rate than 85% of the state
| Infection | Madison County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 356.6 345 cases ▼ 7% | 381.9 | 492.2 |
| Gonorrhea | 80.6 78 cases ▼ 40% | 134.4 | 179.5 |
| Syphilis (P&S) | 16.5 16 cases ▲ 17% | 14.1 | 15.8 |
| Syphilis (early) | 11.4 11 cases ▼ 21% | 14.5 | 16 |
| Syphilis (late/unknown) | 9.3 9 cases ▼ 51% | 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 Madison County, chlamydia has fallen from 454.1 to 356.6 per 100,000 (21%), gonorrhea has fallen from 149.9 to 80.6 per 100,000 (46%), and P&S syphilis has risen from 4.3 to 16.5 per 100,000 (284%).
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 Madison 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.
Madison County HIV care continuum (2023)
Madison County recorded 8.5 new HIV diagnoses per 100,000 (2023), against 10.4 statewide and 13.7 nationally. Among Madison County residents living with HIV, 94.4% are in care · 84.1% 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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Big Hill Avenue cuts through a Richmond where most households rent rather than own, and where a large share of adults are unpartnered, which shapes how health decisions get made. Without a co-paying spouse or a shared calendar to coordinate around, the call to schedule a screening tends to land on one person alone. That everyday reality, combined with the economic pressure that comes with rents that stay low relative to the rest of Kentucky but stretch further when unemployment is running notably high and only about one in nine households clears six figures, means that cost and convenience carry real weight in whether a test actually gets booked.
Eastern Kentucky University anchors the population character here in ways that matter for sexual health. Richmond carries one of the highest concentrations of people in their late teens and twenties of any comparably sized Kentucky city, and those are exactly the years when STI transmission is most common and when routine screening offers the clearest benefit. With so many residents living alone or in non-family households near the EKU Cross Country Trail side of town, low-cost and low-threshold options matter more than they would in a community built around established family units.
Madison County's STI figures reflect what that age distribution predicts, and for someone living here, staying current with screening is less about alarm than about keeping pace with a risk profile that the county's own numbers already confirm.
Getting there
At 7.23/20 on the EPA walkability index, day-to-day errands in Richmond 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 40475 snapshot
ZIP-level Census figures for the wider 40475 area around Richmond: a single ZIP can span several communities, so they describe the area, not Richmond alone.
Richmond sits in Madison County, ZIP 40475. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Richmond? 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 Madison 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 Richmond-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 Richmond 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.
Possibly, Nicholasville, KY is close; compare it by distance against Baptist Health Medical Group.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 357 cases per 100,000 residents (2023), below the Kentucky average.
In Kentucky, people under 18 can consent to confidential STD testing and treatment on their own.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
It's cured with antibiotics; treating partners together prevents reinfection.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.