Madison County has about 51% fewer HIV diagnoses than US average. If you're starting a new relationship or monitoring your health in Roxana, Illinois, you have choices: public clinics tend to be cheaper, private labs offer quicker results, and at-home tests skip the clinic trip.
Available testing centers
7 testing options are listed for Roxana, IL. The nearest, Southern Illinois Healthcare Foundation, is about 3.9 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.
Southern Illinois Healthcare Foundation in Bethalto runs on sliding-scale fees with Medicaid, Medicare, and private insurance accepted, so cost adjusts to what you actually bring in. Appointments are required, and the panel covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB: with HPV, hepatitis A, and hepatitis B vaccines available alongside STI treatment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Madison County Health Department in Wood River operates as the public health infrastructure for the region, which means STI testing (gonorrhea, chlamydia, syphilis, rapid and conventional HIV) runs alongside TB screening, family planning, and partner notification, all by appointment and all at no fee.
Madison County Health Department absorbs cost through public health funding structures (Medicaid, Medicare, and departmental resources) so the fee line on every service reads zero. No service is tiered to ability-to-pay; the billing infrastructure handles what most clinics pass to the patient.
Without on-site PrEP and PEP access, the gap between a conversation and a prescription can stretch into weeks and additional appointments. Madison County Health Department carries both, so HIV prevention medication is prescribed and managed here. No secondary clinic, no delay added to the process.
Madison County Health Department tests for herpes and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV. Meaning infections that often go undetected on a shorter panel get caught at this visit, giving a fuller clinical picture before any treatment decisions are made.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
SIHF Healthcare in Glen Carbon bases visit costs on a sliding income scale, meaning fees adjust to what patients can actually afford. Federal qualification backs that commitment. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
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 about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Roxana, 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 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.
12866 Troxler Avenue, Highland, IL 62249
CMS-certified lab Accredited · College of American Pathologists
2800 College Avenue, Alton, IL 62002
CMS-certified lab
2100 Madison Ave - Lab, Granite City, IL 62040
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Roxana. 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, 1,766 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Roxana. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 453 offer telehealth.
Umer Mukhtar, MD Telehealth
Internal medicine · 1111 University Drive, Edwardsville
Craig Harms, MD Telehealth
Family medicine · 163 East Bethalto Drive, Bethalto
Christopher Green, MD Telehealth
Internal medicine · 1181 South State Route 157, Edwardsville
Judy Abu-Brown, MD
Family medicine · 1188 South State Route 157, Edwardsville
Bryson Whalen, MD
OB-GYN · 2246 South State Route 157, Glen Carbon
Haresh Motwani, MD
Family medicine · 27 Auerbach Place, Glen Carbon
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 Roxana, IL 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.
2.8 mi 
2.8 mi The Medicine Shoppe
3.0 miRinderer's Home Health Care Pharmacy
3.7 mi
4.1 mi Medicine Shoppe Pharmacy
4.8 miShowing the 6 closest pharmacies to Roxana, IL.
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 Roxana, 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.
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
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 Madison County, the county that includes Roxana, compare with Illinois 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.
#21 of 102 Illinois counties for chlamydia, a higher rate than 79% of the state
| Infection | Madison County | Illinois | United States |
|---|---|---|---|
| Chlamydia | 441.9 1,161 cases ▼ 21% | 557.7 | 492.2 |
| Gonorrhea | 160.2 421 cases ▼ 21% | 202.3 | 179.5 |
| Syphilis (P&S) | 17.5 46 cases ▲ 51% | 11.6 | 15.8 |
| Syphilis (early) | 5.7 15 cases ▼ 48% | 10.9 | 16 |
| Syphilis (late/unknown) | 17.1 45 cases ▼ 34% | 26 | 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 448 to 441.9 per 100,000 (1%), gonorrhea has fallen from 208.4 to 160.2 per 100,000 (23%), and P&S syphilis has risen from 7.5 to 17.5 per 100,000 (133%).
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
Madison County HIV care continuum (2023)
Madison County recorded 6.7 new HIV diagnoses per 100,000 (2023), against 14.7 statewide and 13.7 nationally. Among Madison County residents living with HIV, 79.1% are in care · 64.5% 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
IL 143 stretches east out of Roxana toward Wood River, and any clinic visit listed here means getting behind the wheel. That drive is worth factoring into the week, especially for households already juggling work schedules against a labor-force participation rate that leaves a notable share of residents outside the traditional nine-to-five structure where daytime appointments feel easiest. Most Roxana residents own their homes, but the roughly one-in-three who rent do so at a modest monthly figure that still competes with every other line in a tight budget. With home values well below state norms and fewer than one in seven households clearing six figures, out-of-pocket testing costs can feel like a real calculation rather than an afterthought, which makes sliding-scale and low-cost options among the listings here genuinely relevant, not just a checkbox.
Nearly half of Roxana adults are married, and household sizes run close to three people: meaning this is largely a community of shared lives, shared finances, and health decisions that affect more than one person. Young adults in their late teens and twenties, the years when STI transmission is most common, often live inside those same households or nearby ones. For them, knowing which option on IL 255 or across the county line is closest, cheapest, and open on a Saturday is the practical detail that settles the question.
Getting there
At 7.44/20 on the EPA walkability index, day-to-day errands in Roxana 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 62025 snapshot
ZIP-level Census figures for the wider 62025 area around Roxana: a single ZIP can span several communities, so they describe the area, not Roxana alone.
Roxana sits in Madison County, ZIP 62025. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Roxana? 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 Illinois 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 Roxana-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 Roxana 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 Illinois 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 Illinois, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Illinois 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 IllinoisSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Madison County reported ~442 chlamydia cases per 100,000 in 2023, below the Illinois average.
In Illinois, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.