Madison County reports about 160 gonorrhea cases per 100,000 residents, near the national average. Whether you're testing in South Roxana, Illinois for the first time or as a routine screening, you can visit a clinic with a provider for treatment or use an at-home kit on your own schedule. See the options below.
Available testing centers
7 testing options are listed for South Roxana, IL. The nearest, Madison County Health Department, is about 4.6 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.
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
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
Chestnut Family Health Center in Granite City anchors its STI care in a sliding-scale fee structure tied directly to income, so cost alone won't keep someone from getting screened. The federally qualified clinic offers syphilis, gonorrhea, and chlamydia testing, with no appointment necessary.
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to South 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 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 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.
2800 College Avenue, Alton, IL 62002
CMS-certified lab
6800 State Route 162, Maryville, IL 62062
CMS-certified lab Accredited · College of American Pathologists
One Memorial Drive, Alton, IL 62002
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 South 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, 1,827 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of South Roxana. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 480 offer telehealth.
Bryson Whalen, MD
OB-GYN · 2246 South State Route 157, Glen Carbon
Haresh Motwani, MD
Family medicine · 27 Auerbach Place, Glen Carbon
Christopher Green, MD Telehealth
Internal medicine · 1181 South State Route 157, Edwardsville
Judy Abu-Brown, MD
Family medicine · 1188 South State Route 157, Edwardsville
Umer Mukhtar, MD Telehealth
Internal medicine · 1111 University Drive, Edwardsville
Kevin Bell, MD
Family medicine · 3986 Maryville Road, Granite City
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 South 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.
3.7 mi The Medicine Shoppe
3.8 mi
4.0 mi 
4.7 mi Glen Ed Pharmacy
4.9 miRinderer's Home Health Care Pharmacy
5.1 miShowing the 6 closest pharmacies to South 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 South 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.
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 Madison County, the county that includes South Roxana, compare with Illinois and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% 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
Along IL 3, Lewis and Clark Boulevard, the households running nearest to the Wood River boundary tend to be full ones, averaging close to three people under a roof, and a fair share of those residents are people in their late teens and twenties navigating first leases or shared arrangements on rents that stay genuinely modest by Illinois standards. That affordability keeps people here, but it also means disposable income is thin, and with unemployment running notably high, a lot of adults are piecing together schedules that shift week to week rather than following a reliable nine-to-five rhythm. Those realities shape how sexual health care either gets done or gets quietly set aside.
When roughly a third of households are renting and a significant share of working-age adults are between jobs or on irregular hours, the cost of a clinic visit (in dollars, in time, in child-care logistics for a household nearly three people large) lands differently than it does somewhere with steadier paychecks. The options listed on this page include sliding-scale and low-cost appointments that meet that specific pressure; knowing what's available before the need is urgent is the more useful move. That drive is worth planning for in advance, because the window for a same-week appointment closes faster than people expect.
Getting there
At 7.1/20 on the EPA walkability index, day-to-day errands in South 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 South Roxana: a single ZIP can span several communities, so they describe the area, not South Roxana alone.
South 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 South 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 South 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 South 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.
The closest is Madison County Health Department (4.6 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 442 cases per 100,000 residents (2023), below the Illinois average.
Yes, at-home kits ship to 62025; you collect a sample, mail it back, and get results in about 2–5 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Illinois, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.