Grainger County reports about 16 syphilis cases per 100,000 residents, near the US average. If you're considering testing after a possible exposure, or as part of routine care in Rutledge, Tennessee, clinics offer immediate provider access, while at-home kits provide flexibility. Compare your options below.
Available testing centers
7 testing options are listed for Rutledge, TN. The nearest, Tennessee Department of Health, is about 1.3 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.
Tennessee Department of Health in Rutledge tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee with no appointment required, and hepatitis C diagnosed here can also be treated here, keeping care with the same provider.
Direct-acting antivirals for hepatitis C are prescribed and monitored at this location rather than handed off to a specialist network. Clinical staff track viral load response through the treatment course, meaning the prescribing, dosing adjustments, and clearance confirmation all stay within the same public health department.
Hepatitis A, B, and C each have a place in this clinic's scope. Antibody screening for C sits alongside vaccination for A and B. That combination means a single visit can establish both where someone stands on active hepatitis C infection and whether their immunity to A and B needs shoring up.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
River Valley Health in Washburn tests for HIV, syphilis, hepatitis C, gonorrhea, and chlamydia on a sliding-scale fee open to everyone, with herpes, TB, and hepatitis A and B rounding out a full panel. Bacterial STIs are treated the same visit; appointments are required.
River Valley Health carries a full hepatitis C treatment program: once a diagnosis is confirmed, clinicians prescribe antiviral therapy on-site and monitor patients through the treatment course. Hepatitis B treatment follows the same model, managed and adjusted by the same team that ran the initial test.
Plenty of testing sites hand off prevention prescribing to an outside provider, River Valley Health writes those prescriptions itself. PrEP is available with dedicated support for uninsured patients, and PEP is prescribed on-site, keeping prevention and testing with a single clinical team.
Interpretation services at River Valley Health in Washburn are a staffed clinical resource, not an afterthought: meaning providers can conduct full medical conversations, review treatment plans, and walk through medication adherence in the language a patient uses at home.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
CHS Washburn Clinic, in Washburn, keeps STI care within reach through income-based sliding-scale fees. Federal FQHC standing means no one is turned away for inability to pay. Walk-ins are welcome for screening that covers 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Rutledge, 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, 233 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rutledge. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 44 offer telehealth.
Mark Holland, MD
Internal medicine · 8048 Rutledge Pike, Rutledge
Dennis Duck, MD
Internal medicine · 8731 Rutledge Pike, Rutledge
Rachel Hovis, MD
Internal medicine · 6350 West Andrew Johnson Highway, Talbott
David Perkel, MD
Internal medicine · 6242 West Andrew Johnson Highway, Talbott
Mathew Kraus, MD
Internal medicine · 1059 East Hwy 11 East, Jefferson City
Floyd Phillips, MD
Internal medicine · 6890 West A J Highway, Talbott
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 Rutledge, TN 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.
Good Old Drugstore
3.8 miValue RX
10 miM.D. Pharmacy Store 2
11 mi
11 mi 
11 mi K-VA-T Food Stores
11 miShowing the 6 closest pharmacies to Rutledge, TN.
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 Rutledge, 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 $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
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
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 Grainger County, the county that includes Rutledge, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#67 of 95 Tennessee counties for chlamydia, a higher rate than 29% of the state
| Infection | Grainger County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 198.5 49 cases ▼ 62% | 517.4 | 492.2 |
| Gonorrhea | 68.9 17 cases ▼ 63% | 186.4 | 179.5 |
| Syphilis (P&S) | 16.2 4 cases ▲ 9% | 14.8 | 15.8 |
| Syphilis (early) | — no data | 11.5 | 16 |
| Syphilis (late/unknown) | 4.1 1 cases ▼ 84% | 26.4 | 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 Grainger County, chlamydia has risen from 191.3 to 198.5 per 100,000 (4%), gonorrhea has risen from 55.3 to 68.9 per 100,000 (25%), and P&S syphilis has held roughly steady from 16.2 to 16.2 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 Grainger County.
Local HIV snapshot
Grainger County HIV care continuum (2023)
Grainger County recorded 0 new HIV diagnoses per 100,000 (2023), against 14.8 statewide and 13.7 nationally. Among Grainger County residents living with HIV, 89.5% are in care · 84.2% 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 Grainger County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Rutledge Pike cuts through a town where most households own their homes and nearly a third of adults are married, a profile where health decisions often get weighed against family budgets and shared schedules rather than made on a whim. That ownership stability, paired with home values and rents that stay well below regional norms, suggests a community where modest incomes stretch deliberately: a $482 monthly rent leaves little cushion for anything that feels like an optional expense, and screening can quietly land in that category when there's no clinic down the street. That's the practical reality here. With fewer than half of working-age residents currently in the labor force, the households that are employed often run on tight, inflexible hours.
The kind where a mid-week appointment in another county becomes a genuine logistical problem rather than a minor inconvenience. Grainger County's STI figures are part of the county-level picture visible elsewhere on this page. For younger adults, people in their late teens and twenties navigating relationships and reproductive health, staying current means knowing those county numbers apply to the roads, neighbors, and households around the Nance Building and out toward Buzzard Knob just as much as they apply anywhere else in Tennessee.
Getting there
At 4.17/20 on the EPA walkability index, day-to-day errands in Rutledge 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 37861 snapshot
ZIP-level Census figures for the wider 37861 area around Rutledge: a single ZIP can span several communities, so they describe the area, not Rutledge alone.
Rutledge sits in Grainger County, ZIP 37861. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Rutledge? 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 Grainger County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Rutledge-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 Rutledge 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Grainger County reported ~199 chlamydia cases per 100,000 in 2023, below the Tennessee average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 37861: self-collect, send to the lab, results in ~2–5 days.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.