In Adams County, the reported rate of syphilis runs about 77% lower than the US average. If you're in Rome, Ohio, starting a new relationship or managing ongoing care, your testing options vary. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time.
Available testing centers
7 testing options are listed for Rome, OH. The nearest, Fresh Start Health PSC, is about 5.6 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 safety-net rural health clinic about 6 miles from Rome. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Lewis County Health Department brings public-health infrastructure to STI care in Vanceburg: HIV, gonorrhea, chlamydia, and hepatitis C testing alongside same-visit bacterial treatment, HPV and hepatitis B vaccines, and a sliding scale, with all services provided at no fee.
For anyone paying out of pocket or navigating care without an established provider, Lewis County Health Department's standing policy covers the full visit (testing, treatment, and vaccines) at no charge. There's no fee tier to qualify for and no service carved out of that coverage.
Chasing a hepatitis C result through a separate appointment means a gap where an active infection goes unaddressed and potentially untreated. At Lewis County Health Department, hepatitis C testing runs alongside gonorrhea, chlamydia, and HIV. One appointment closes what would otherwise be an open interval in your care.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
PrimaryPlus in Vanceburg is a community health center where STI care sits alongside primary and family medicine: meaning gonorrhea, chlamydia, syphilis, and HIV testing, sliding-scale fees, and same-visit bacterial treatment all come through a practice built around ongoing care. Appointments required.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Rome, 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 Adams 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.
230 Medical Center Drive, Seaman, OH 45679
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Rome. 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, 104 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rome. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 26 offer telehealth.
Sarah Porter, DO
Family medicine · 207 Plummers Lane, Vanceburg
Ramon Barcelona, MD
Family medicine · 211 Ky, Vanceburg
Justin Greenlee, MD
Family medicine · 90 Cic Boulevard, West Union
Dinesh Nayak, MD Telehealth
Family medicine · 28 East 2nd Street, Manchester
James Duncan, DO Telehealth
Family medicine · 22442 State Route 73, West Portsmouth
Adam Hoynacki, DO
Family medicine · 1 West Mcdonald Parkway, Maysville
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 Rome, OH 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.
Somc Vanceburg Pharmacy
5.3 miProfessional Care Pharmacy
5.6 miNobles Pharmacy
12 miBlake Pharmacy
12 miRobert A Blake
13 mi
13 mi Showing the 6 closest pharmacies to Rome, OH.
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 Rome, 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 Adams County, the county that includes Rome, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~17% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#28 of 88 Ohio counties for chlamydia, a higher rate than 68% of the state
| Infection | Adams County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 283.4 78 cases ▼ 39% | 461.7 | 492.2 |
| Gonorrhea | 32.7 9 cases ▼ 81% | 168 | 179.5 |
| Syphilis (P&S) | 3.6 1 cases ▼ 78% | 16.3 | 15.8 |
| Syphilis (early) | 3.6 1 cases ▼ 61% | 9.2 | 16 |
| Syphilis (late/unknown) | 3.6 1 cases ▼ 77% | 16 | 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 Adams County, chlamydia has risen from 243.8 to 283.4 per 100,000 (16%), gonorrhea has risen from 21.8 to 32.7 per 100,000 (50%), and P&S syphilis has held roughly steady from 3.6 to 3.6 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 Adams County.
Local HIV snapshot
Adams County HIV care continuum (2023)
Adams County recorded 0 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Adams County residents living with HIV, 85.7% are in care · 71.4% 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 Adams County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
STD testing in Rome calls for honest reckoning: the clinic landscape here is spare, and getting care sometimes means traveling beyond town limits to find a full range of services. That reality shapes how residents approach screening: a few turn to telemedicine, others connect with providers in neighboring communities, and some make the trip worth it by combining a test with other health needs. The testing options available in and around Rome are listed on this page. Young adults in Rome, late teens through their thirties, often face the practical question of where to get tested without delay or fanfare.
Confidentiality is real here, not theoretical. A test result stays yours alone, and the clinical staff has no reason to broadcast it through a town where people recognize faces. That separation between your private health decision and your daily life matters in a place this size. Getting screened early, before symptoms appear, is the straightforward move.
Rome residents can access testing without judgment, and the providers listed on this page understand that routine screening is routine care. The Stout Post Office and Riverview Mountain mark this community's geography; its health infrastructure simply extends beyond what those landmarks contain.
Getting there
At 2.9/20 on the EPA walkability index, day-to-day errands in Rome 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 45684 snapshot
ZIP-level Census figures for the wider 45684 area around Rome: a single ZIP can span several communities, so they describe the area, not Rome alone.
Rome sits in Adams County, ZIP 45684. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Rome? 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 Adams County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Rome-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 Rome 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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.
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.
Adams County reported ~283 chlamydia cases per 100,000 in 2023, below the Ohio average.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Certain high-risk HPV types raise cancer risk; vaccination and routine screening are the defenses.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.