Halifax County reports about 994 chlamydia cases per 100,000 residents, well above the US average. Whether it's your first STI test or a routine screening in Roanoke Rapids, North Carolina, consider that clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Your choice of local clinics and private labs is below.
Available testing centers
9 testing options are listed for Roanoke Rapids, NC. The nearest, Rural Health Group at Drugco Express, is about 0.5 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.
Rural Health Group at Drugco Express, in Roanoke Rapids, earns its federally qualified designation 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 at a cost scaled to your income.
Tests offered
Fees & payment
Rural Health Group at HRMC, Roanoke Rapids, extends federally qualified sliding-scale STI screening (syphilis, gonorrhea, and chlamydia) to cash-paying patients and anyone whose income makes standard clinic costs out of reach. Ryan White-funded HIV care on-site means those already navigating an HIV diagnosis have a dedicated pathway here.
Tests offered
Fees & payment
Rural Health Group in Roanoke Rapids tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis on a sliding scale accepted by Medicaid, Medicare, and most insurance, appointments required, with same-visit treatment for bacterial infections and care delivered in Spanish.
Rural Health Group provides STI care directly in Spanish, which means medical history, test results, and treatment instructions are exchanged in the same language. Nothing filtered or delayed through an intermediary step.
Many clinics screen for HIV risk and stop there, leaving prevention prescriptions to outside providers. Rural Health Group writes PrEP and PEP prescriptions directly, keeping the entire prevention pathway (assessment, prescription, and follow-up) within the same practice.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Rural Health Group runs herpes and hepatitis A, B, and C testing through the same appointment. Each requiring its own specimen type and clinical protocol, all handled in-house rather than split across separate orders.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Rural Health Group Women's Health in Roanoke Rapids welcomes walk-in patients without an appointment for STI screening. Federally qualified standing ties fees to a sliding income scale, keeping syphilis, gonorrhea, and chlamydia testing within reach for patients across the income spectrum.
Tests offered
Fees & payment
Rural Health Group at Roanoke Rapids earned its federal health center designation partly by tying fees to what patients actually earn: meaning STI screening costs scale with income, and inability to pay is never a barrier. Testing covers syphilis, gonorrhea, and chlamydia, with no appointment required.
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 Roanoke Rapids, 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.
Local clinicians
Beyond dedicated clinics, 55 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Roanoke Rapids. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 8 offer telehealth.
Wayne Henry, MD
Family medicine · 1381 Medical Ctr Drive, Roanoke Rapids
Fnu Saba Mushtaq, MD
Family medicine · 1385 Medical Ctr Drive, Roanoke Rapids
Natarajan Rajan, MD
Urology · 117 Professional Drive, Roanoke Rapid
Timothy Cox, MD
Family medicine · 1261 Julian Allsbrk Highway, Roanoke Rapids
Timothy Rabe, DO
Internal medicine · 1096 East 10th Street, Roanoke Rapids
Makunda Abdul-Mbacke, MD
OB-GYN · 306 Becker Drive, Roanoke Rapids
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 Roanoke Rapids, NC 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.
0.4 mi DDP Pharmacy
0.4 mi
0.6 mi 
0.6 mi Showing the 4 closest pharmacies to Roanoke Rapids, NC.
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 Roanoke Rapids, 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
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
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 Halifax County, the county that includes Roanoke Rapids, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 100 North Carolina counties for chlamydia, a higher rate than 90% of the state
| Infection | Halifax County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 993.7 470 cases ▲ 63% | 607.9 | 492.2 |
| Gonorrhea | 372.1 176 cases ▲ 53% | 243.2 | 179.5 |
| Syphilis (P&S) | 27.5 13 cases ▲ 38% | 19.9 | 15.8 |
| Syphilis (early) | 8.5 4 cases ▼ 46% | 15.8 | 16 |
| Syphilis (late/unknown) | 59.2 28 cases ▲ 147% | 24 | 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 Halifax County, chlamydia has risen from 931.7 to 993.7 per 100,000 (7%), gonorrhea has fallen from 604.7 to 372.1 per 100,000 (38%), and P&S syphilis has risen from 16.5 to 27.5 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 Halifax County.
Local HIV snapshot
Halifax County HIV care continuum (2023)
Halifax County recorded 17.4 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Halifax County residents living with HIV, 85.4% are in care · 78.1% 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 Halifax County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Roanoke Avenue carries most of the daily traffic through town, and for many residents a clinic visit means following it out to US 158 and driving a stretch that adds real time to an already compressed day. With more than half of households renting at rates that leave little margin, and fewer than one in seven bringing home six figures, cost and scheduling both weigh on whether screening actually gets scheduled. That squeeze matters most for the city's young adults, people in their late teens and twenties who are statistically at the center of STI transmission and who are also, here, navigating a local economy where labor-force participation is modest and unemployment runs higher than most mid-sized North Carolina cities.
Household life in Roanoke Rapids tends to run on the larger side, averaging just over three people per home, and fewer than four in ten adults are married, which means many of those households include people at various relationship stages who benefit from routine screening. In a community shaped by that mix of renters, working families, and single-person or shared households, a current test result is simply practical information for wherever someone is in life right now.
Getting there
At 7.93/20 on the EPA walkability index, day-to-day errands in Roanoke Rapids 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 27870 snapshot
ZIP-level Census figures for the wider 27870 area around Roanoke Rapids: a single ZIP can span several communities, so they describe the area, not Roanoke Rapids alone.
Roanoke Rapids sits in Halifax County, ZIP 27870. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Roanoke Rapids? 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 Halifax County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Roanoke Rapids-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 Roanoke Rapids 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Halifax County reported ~994 chlamydia cases per 100,000 in 2023, above the North Carolina average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.