New HIV diagnoses in Monroe County run about 17% lower than the US average. For residents of Spencerport, New York, it can be wise to get tested before starting a new relationship or as part of ongoing care. Whether you prefer the availability of insurance billing and sliding-scale fees at clinics or a straightforward fee at private labs, your options are listed below.
Available testing centers
9 testing options are listed for Spencerport, NY. The nearest, University of Rochester, is about 0.3 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.
OOH Administrative Extension in Brockport earns its federally qualified health center designation partly through a mandated sliding-scale fee structure, meaning charges for syphilis, gonorrhea, and chlamydia screening adjust to each patient's income. No appointment needed to get started.
Tests offered
Fees & payment
Oak Orchard Health in Brockport tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee open to all. Appointments are required, bacterial STIs are treated the same visit, and HPV and hepatitis vaccines are available on-site.
Many clinics cap their panel at gonorrhea, chlamydia, syphilis, and HIV. Leaving herpes and hepatitis as separate referrals to chase down elsewhere. Oak Orchard Health tests for herpes alongside hepatitis A, B, and C in the same appointment, so a single visit can answer a fuller set of questions about what's actually present.
For anyone who communicates in American Sign Language, Spanish, or French, or whose primary language requires interpretation, Oak Orchard Health in Brockport has standing capacity to deliver care directly in those languages. That means the clinical conversation, not just the check-in, reaches people whose health decisions happen in a language other than English.
Languages
American Sign Language, English, French, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Hope House (Salvation Army) in Rochester charges on a sliding scale tied to income, ensuring fees adjust to what patients can actually pay. As a federally qualified health center, it provides STI screening for syphilis, gonorrhea, and chlamydia. No appointment needed to get started.
Tests offered
Fees & payment
His Branches Inc.: 19th Ward, Rochester, earned federal qualification that mandates income-based sliding-scale fees. No one is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, making testing financially within reach regardless of what someone earns.
Tests offered
Fees & payment
Rochester Regional Health in Rochester schedules appointments for STI care that spans rapid and conventional HIV testing, herpes, syphilis, gonorrhea, chlamydia, and hepatitis C: plus same-visit treatment for bacterial infections, hepatitis A and B vaccines, and sliding-scale fees down to no cost.
The zero-cost coverage here isn't underwritten by a separate fund patients must qualify for: Rochester Regional Health absorbs the cost of testing, treatment, and prevention services through its own operational structure, so the fee schedule reaches $0 regardless of insurance status or income documentation.
Spanish-language capacity at Rochester Regional Health is built into the clinical workflow itself: counseling, risk assessment, and treatment conversations are conducted by staff, meaning the clinical relationship and the language it happens in are never separated across the visit.
Many testing-only clinics hand off prevention medication to primary care or pharmacies that may not move quickly. Rochester Regional Health prescribes and manages both PrEP and PEP on-site, and covers PrEP at no cost for patients without insurance, keeping the full prevention arc inside one clinical relationship.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Spencerport, 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 for simplicity & support
$89 & 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 Monroe 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.
400 Red Creek Drive, Suite 200, Rochester, NY 14623
CMS-certified lab
1425 Portland Avenue, Rochester, NY 14621
CMS-certified lab
1815 South Clinton Ave Suite 360, Rochester, NY 14618
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Spencerport. 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, 926 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Spencerport. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 288 offer telehealth.
Jaikumar Menon, MD Telehealth
Internal medicine · 5 Church Street, Spencerport
Suzanne Piotrowski, MD
Family medicine · 42 Nichols Street, Spencerport
Galina Pavlencheva, DO Telehealth
Family medicine · 42 Nichols Street, Spencerport
Diane Kane, MD
Internal medicine · 105 Canal Landing Boulevard, Rochester
Teodoro Mariano
Internal medicine · 800 Spencerport Road, Rochester
Marissa Levine, DO
OB-GYN · 2655 Ridgeway Avenue, Rochester
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 Spencerport, NY 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.
0.5 mi 
0.5 mi Spencerport Family Apothecary
2.2 miHealthdirect Institutional Pharmacy Services,
3.8 miHealth Direct/Kinney Drugs
4.0 miShowing the 5 closest pharmacies to Spencerport, NY.
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 Spencerport, 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
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
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 Monroe County, the county that includes Spencerport, compare with New York and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#4 of 62 New York counties for chlamydia, a higher rate than 94% of the state
| Infection | Monroe County | New York | United States |
|---|---|---|---|
| Chlamydia | 671.4 5,025 cases ▲ 20% | 558.4 | 492.2 |
| Gonorrhea | 305.3 2,285 cases ▲ 30% | 235.6 | 179.5 |
| Syphilis (P&S) | 36.2 271 cases ▲ 145% | 14.8 | 15.8 |
| Syphilis (early) | 18.3 137 cases ▼ 21% | 23.1 | 16 |
| Syphilis (late/unknown) | 30.5 228 cases ▲ 21% | 25.2 | 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 Monroe County, chlamydia has fallen from 705.9 to 671.4 per 100,000 (5%), gonorrhea has fallen from 532.6 to 305.3 per 100,000 (43%), and P&S syphilis has risen from 27.9 to 36.2 per 100,000 (30%).
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 Monroe County.
Local HIV snapshot
Monroe County HIV care continuum (2023)
Monroe County recorded 11.4 new HIV diagnoses per 100,000 (2023), against 14.1 statewide and 13.7 nationally. Among Monroe County residents living with HIV, 87% are in care · 79.6% 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 Monroe County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Pine Hill sits at the quieter end of a village where more than two-thirds of residents own their homes and most households run close to three people, the kind of place that reads settled on a Saturday afternoon. But that surface calm doesn't make STI screening automatic. That planning falls unevenly. With nearly a third of residents renting, typically around $865 a month, and unemployment a real presence in the workforce, a younger adult still building financial footing can find that cost and scheduling stack up together.
People in their late teens and twenties carry disproportionate STI risk during exactly the years when spare time, reliable transport, and health-care funds are all thin. A strong labor-force participation rate means many households work full schedules, so clinic hours matter as much as distance when choosing where to go. Monroe County's STI landscape makes routine testing genuinely worthwhile for anyone sexually active here, whatever their relationship status. For residents without employer coverage, or with a high-deductible plan, options listed here offer sliding-scale fees, which can bring an out-of-pocket visit down to well under what a single month's renter's insurance costs.
Getting there
At 7.15/20 on the EPA walkability index, day-to-day errands in Spencerport 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 14559 snapshot
ZIP-level Census figures for the wider 14559 area around Spencerport: a single ZIP can span several communities, so they describe the area, not Spencerport alone.
Spencerport sits in Monroe County, ZIP 14559. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Spencerport? 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 Monroe County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New York 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 Spencerport-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 Spencerport 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 New York 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 New York, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New York 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 New YorkSource: 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 University of Rochester (0.3 mi); 9 options are within 30 miles.
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 671 cases per 100,000 residents (2023), above the New York average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In New York, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.