Gonorrhea rates in Lincoln County run about 72% lower than the national average. Whether it's your first STI test or part of a routine screening in Silex, Missouri, you can choose between clinics or private labs. Some clinics may bill insurance or offer fees based on income, while many private labs let you pay a flat price. Look below for your options.
Available testing centers
7 testing options are listed for Silex, MO. The nearest, Lincoln County Health Department, is about 10.4 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.
Lincoln County Health Department in Troy schedules appointments for gonorrhea, chlamydia, syphilis, and conventional HIV testing, with TB testing and treatment also on the menu, so one visit can address both STI and respiratory concerns. Fees are charged on a sliding scale, with donations accepted, and bacterial STIs are treated the same day.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Compass Health in Troy serves patients navigating gaps in coverage, paying out of pocket, or without a regular provider, and its federally qualified standing means fees for syphilis, gonorrhea, and chlamydia screening adjust to income, so cost rarely stands between anyone and a result.
Tests offered
Fees & payment
Mercy in Troy runs STI care on an appointment basis, so scheduling ahead means the visit covers testing for HIV, syphilis, gonorrhea, chlamydia, herpes, and all three hepatitis strains, same-visit treatment for bacterial infections, and DoxyPEP. All on a sliding-scale fee.
Mercy's panel extends beyond the standard four by running blood draws for herpes simplex and each hepatitis strain (A, B, and C) alongside the core bacterial and HIV screens. That means a single appointment yields results across infections without splitting labs or visits.
Mercy carries DoxyPEP as a standing service, which is particularly useful for anyone without a primary care provider who can prescribe it, or for those managing prevention costs on a sliding-scale basis. The prescription comes directly from Mercy's own clinical staff, keeping the entire prevention plan in one place.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Silex, 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 Lincoln 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.
1000 East Cherry Street, Troy, MO 63379
CMS-certified lab Accredited · College of American Pathologists
520 East Cherry Street, Troy, MO 63379
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Silex. 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, 106 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Silex. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 19 offer telehealth.
Scott Barton, DO
Internal medicine · 1000 East Cherry Street, Troy
Yasmira Watson, MD
Internal medicine · 1000 East Cherry Street, Troy
Melissa Bradley, MD
Family medicine · 1000 East Cherry Street, Troy
Jeremy Talley, DO
Family medicine · 900 East Cherry Street, Troy
Bradley Massey, DO
Family medicine · 1003 East Cherry Street, Troy
Christopher Labonte, MD
Internal medicine · 350 Cap Au Gris Street, Troy
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 Silex, MO 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.
10 mi 
10 mi 
11 mi Mark Jay Beckwith
11 miMercy Pharmacy Troy
11 miShowing the 5 closest pharmacies to Silex, MO.
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 Silex, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Lincoln County, the county that includes Silex, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#45 of 115 Missouri counties for chlamydia, a higher rate than 61% of the state
| Infection | Lincoln County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 276.7 179 cases ▼ 45% | 498.6 | 492.2 |
| Gonorrhea | 51 33 cases ▼ 75% | 201.9 | 179.5 |
| Syphilis (P&S) | 3.1 2 cases ▼ 86% | 21.5 | 15.8 |
| Syphilis (early) | 3.1 2 cases ▼ 75% | 12.4 | 16 |
| Syphilis (late/unknown) | 9.3 6 cases ▼ 72% | 33.8 | 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 Lincoln County, chlamydia has risen from 261.9 to 276.7 per 100,000 (6%), gonorrhea has fallen from 134.3 to 51 per 100,000 (62%), and P&S syphilis has fallen from 8.4 to 3.1 per 100,000 (63%).
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 Lincoln County.
Local HIV snapshot
Federal priority area: Missouri 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.
Lincoln County HIV care continuum (2020)
Lincoln County recorded 0 new HIV diagnoses per 100,000 (2020), against 10.6 statewide and 13.7 nationally. Among Lincoln County residents living with HIV, 88.2% are in care · 79.4% 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 Lincoln County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Stephens Bluff sits quietly at the edge of a small Missouri town where most residents own their homes and have put down the kind of roots that make a place feel permanent. That stability shapes daily life in Silex in ways that matter for health care access: when nearly three in ten households are renting and relatively few adults are formally partnered, the population skews toward people navigating housing and relationships in less settled ways, and young adults in their late teens and twenties, who face the sharpest risk for chlamydia, gonorrhea, and other infections, are part of that mix in Lincoln County. What makes routine screening realistic here is less about motivation and more about logistics.
With a labor-force participation rate that reflects a largely non-traditional workforce, the people who do need to get tested may keep irregular or unpredictable schedules rather than the standard nine-to-five that makes a Tuesday afternoon appointment easy to book and keep. Several carry extended hours or same-day availability, so a resident driving out from Silex can find a slot that fits around caregiving, seasonal work, or an off-schedule week without needing to plan far ahead.
Getting there
At 6.09/20 on the EPA walkability index, day-to-day errands in Silex 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 63377 snapshot
ZIP-level Census figures for the wider 63377 area around Silex: a single ZIP can span several communities, so they describe the area, not Silex alone.
Silex sits in Lincoln County, ZIP 63377. Local context that shapes where residents test:
Neighborhoods & communities
Nearby cities & towns
Just outside Silex? 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 Lincoln County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 Silex-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 Silex 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
Compass Health, about 10.4 mi away, with 7 options within 30 miles.
Yes, Medicaid typically covers it.
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.
Lincoln County reported ~277 chlamydia cases per 100,000 in 2023, below the Missouri average.
At-home kits mail to 63377: self-collect, send to the lab, results in ~2–5 days.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
It can; oral HSV-1 transmits to the genitals during oral sex.
It can: too soon and a real infection may not show yet. Retest after the window to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.