Russell, Kentucky: Syphilis reports in Greenup County run about 64% lower than the US average. Whether you need a one-off check or regular STI testing, Russell, Kentucky has clinics that may bill insurance or offer sliding-scale fees, plus labs that offer flat self-pay pricing.
Available testing centers
9 testing options are listed for Russell, KY. The nearest, The Weekend Clinic, is about 1.5 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.
The Weekend Clinic in Ironton tests for gonorrhea, chlamydia, syphilis, and HIV, rapid and conventional, with every service provided at no fee. Walk-ins are welcome, and bacterial infections caught on-site are treated the same visit.
Sliding-scale clinics still hand you a bill at the end, adjusted or not. The Weekend Clinic operates on a no-fee model across the board (testing, treatment, vaccines, DoxyPEP) so the cost calculation going in is already settled: there isn't one.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, requires a prescriber who can review sexual history, weigh antibiotic considerations, and issue the script directly. The Weekend Clinic has that clinical capacity in-house, so the prescription and any follow-up monitoring happen within the same visit, not across separate providers.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
A public safety-net federally qualified health center about 2 miles from Russell. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
One Stop Family Medical Center in Ironton earned federal qualification that anchors its sliding-scale fee structure: income determines cost, and inability to pay turns no one away. STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment required to get tested.
Tests offered
Fees & payment
Lawrence County Health Department in Ironton runs appointments-only STI care covering gonorrhea, chlamydia, syphilis, herpes, and rapid HIV. Bacterial infections treated the same visit. Fees follow a sliding scale, with Medicaid and insurance accepted. Title X family planning, including confidential services for minors, is available here.
Title X federal family planning funding carries a specific legal provision: minors can receive services confidentially, without parental disclosure required. At Lawrence County Health Department, that program is active and operative. It is not a referral destination but a service delivered on-site at this clinic.
Beyond gonorrhea, chlamydia, syphilis, and rapid HIV, Lawrence County Health Department runs herpes testing. A distinct diagnostic added to the panel that requires its own specimen collection and interpretation protocol, not just a checkbox on a shared form.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Kennedy Building in Ironton welcomes walk-ins for STI screening without an appointment. Federally qualified status grounds its sliding-scale fees, adjusting costs by income so a single visit can cover syphilis, gonorrhea, and chlamydia testing for patients across the pay spectrum.
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Russell, 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 range: couples & full panels
$79 & 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 Greenup 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.
137 State Route 3117, South Shore, KY 41175
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Russell. 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, 293 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Russell. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 55 offer telehealth.
Angela Lewis, DO
Family medicine · 1021 Kenwood Drive, Russell
Ben Odell
Internal medicine · 700 Saint Christopher Drive, Ashland
Charles Carraway, DO Telehealth
Family medicine · 1000 Ashland Drive, Ashland
Michael Basedow, DO
Family medicine · 1000 Ashland Drive, Ashland
Mittra Esmaeili, DO
Family medicine · 398 Diederich Boulevard, Ashland
Kathie Watson-Gray, MD
Family medicine · 1610 Argillite Road, Flatwoods
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 Russell, 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.
1.1 mi 
1.2 mi 
1.2 mi Daniels Pharmacy
1.3 miStultz Pharmacy
1.3 mi
1.3 mi Showing the 6 closest pharmacies to Russell, 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 Russell, 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
$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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Greenup County, the county that includes Russell, compare with Kentucky and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#94 of 120 Kentucky counties for chlamydia, a higher rate than 22% of the state
| Infection | Greenup County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 159 56 cases ▼ 58% | 381.9 | 492.2 |
| Gonorrhea | 31.2 11 cases ▼ 77% | 134.4 | 179.5 |
| Syphilis (P&S) | 5.7 2 cases ▼ 60% | 14.1 | 15.8 |
| Syphilis (early) | 2.8 1 cases ▼ 81% | 14.5 | 16 |
| Syphilis (late/unknown) | 8.5 3 cases ▼ 55% | 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 Greenup County, chlamydia has fallen from 166.8 to 159 per 100,000 (5%), gonorrhea has fallen from 75.1 to 31.2 per 100,000 (58%), and P&S syphilis has fallen from 8.4 to 5.7 per 100,000 (32%).
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 Greenup 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.
Greenup County HIV care continuum (2021)
Greenup County recorded 0 new HIV diagnoses per 100,000 (2021), against 10.4 statewide and 13.7 nationally. Among Greenup County residents living with HIV, 93.5% are in care · 87.1% 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 Greenup County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 23 stretches through Russell as the main artery connecting residents to larger centers, and depending on which of options listed on this page you choose, that drive can range from a few minutes to a meaningful commitment out of an already packed day. For a town where most adults own their homes and roughly six in ten are married, healthcare decisions tend to get absorbed into the rhythm of households running on two schedules, shared finances, and a mortgage to consider rather than an $860 monthly rent check. That ownership stability is real, but labor-force participation here is notably modest, meaning a sizable share of residents aren't on employer health plans with easy referral pathways, so the cost and scheduling details on those clinic cards matter.
Young adults in their late teens and twenties, the years when STIs circulate most actively, are navigating that same landscape: they're part of households averaging nearly three people, often without the professional infrastructure that makes a routine appointment frictionless. Flatwoods, just along the US 23 corridor, represents the kind of residential density where people live close to neighbors but not necessarily close to a clinic.
Getting there
At 7.08/20 on the EPA walkability index, day-to-day errands in Russell 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 41139 snapshot
ZIP-level Census figures for the wider 41139 area around Russell: a single ZIP can span several communities, so they describe the area, not Russell alone.
Russell sits in Greenup County, ZIP 41139. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Russell? 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 Greenup 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 Russell-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 Russell 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.
The closest is The Weekend Clinic (1.5 mi); 9 options are within 30 miles.
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 159 cases per 100,000 residents (2023), below the Kentucky average.
Lab results typically come back in 1–2 days.
In Kentucky, people under 18 can consent to confidential STD testing and treatment on their own.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It's curable with antibiotics; catching it early avoids serious complications.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.