People in Sagadahoc County experience gonorrhea at a rate 81% lower than the national average. If you're in Topsham, Maine for a one-time concern or regular check-ups, you can weigh insurance-accepting clinics with sliding-scale fees against private labs that charge a flat, self-pay price. There are options for both, listed below.
Available testing centers
6 testing options are listed for Topsham, ME. The nearest, Quest Diagnostics, is about 2.2 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.
Planned Parenthood of Northern New England in Topsham tests for HIV, gonorrhea, chlamydia, syphilis, herpes, hepatitis B, and hepatitis C, including rapid options, and treats bacterial STIs the same visit. Fees slide to income, with Medicaid and insurance accepted; an appointment is required.
Planned Parenthood of Northern New England prescribes both daily oral PrEP and PEP directly, with follow-up labs and monitoring handled by the same clinical team rather than handed off elsewhere. That continuity (baseline HIV and kidney-function testing, scheduled refills, adherence check-ins) is what keeps a prevention regimen actually running.
As a Title X-funded site, Planned Parenthood of Northern New England provides legally confidential family planning and STI care to minors. Meaning services aren't billed through a parent's insurance and records are kept separate by law, not just by policy. For a teenager paying out of pocket or without a regular provider, that legal structure is the difference between seeking care and going without.
When interpretation isn't built into the visit, STI care can stall: a diagnosis lands without context, treatment instructions go unasked-about, and follow-up simply doesn't happen. At Planned Parenthood of Northern New England in Topsham, interpretation services are available for non-English languages so that the full clinical conversation (exposure history, medication instructions, prevention counseling) actually lands.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Oasis Free Clinics in Brunswick tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C, and treats bacterial STIs the same visit. Every service runs on a sliding scale with no-fee options, by appointment.
Every service at Oasis Free Clinics carries no charge, and that extends past the test itself to STI treatment, PrEP prescriptions, and vaccines. The result is that nothing a provider recommends gets deferred because of cost.
Oasis Free Clinics holds the standing capacity to prescribe both PrEP and PEP directly, making it a complete prevention resource for anyone without a regular provider or who needs an affordable path to ongoing HIV prevention medication.
Oasis tests for both hepatitis B and hepatitis C, including a rapid hepatitis C option, alongside HIV, syphilis, gonorrhea, and chlamydia, meaning a single appointment surfaces infections that a narrower panel would leave undetected.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
HealthReach Community Health Centers in Richmond tests for HIV, syphilis, chlamydia, gonorrhea, herpes, hepatitis B, and hepatitis C on a sliding-scale fee open to everyone, by appointment, with same-visit treatment for bacterial infections and HPV, hepatitis A, and hepatitis B vaccines on-site, and substance-use treatment woven into the same practice.
Plenty of clinics screen for STIs and hand off anything more complicated elsewhere. HealthReach holds substance-use treatment inside the same practice, so the overlap between those two health concerns, and it is a real overlap, gets addressed by one clinical team rather than split across separate systems.
For someone without a regular provider, HealthReach's panel covers herpes, hepatitis B, and hepatitis C alongside the standard bacterial infections. Meaning a single appointment can answer questions that a narrower clinic would leave open, without sending you elsewhere to fill the gaps.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
A safety-net federally qualified health center about 15 miles from Topsham. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
CCS Family Health Center in Lewiston welcomes patients paying cash, between providers, or working without insurance coverage. Federally qualified status means fees adjust to income on a sliding scale. Syphilis, gonorrhea, and chlamydia screening is available, no appointment needed.
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 Topsham, 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.
Local clinicians
Beyond dedicated clinics, 672 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Topsham. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 184 offer telehealth.
Timothy Howe, MD
Internal medicine · 1 Wellness Way, Topsham
David Salko, MD Telehealth
Family medicine · 4 Horton Place, Topsham
Jose Ventura, MD Telehealth
Internal medicine · 4 Union Park Road, Topsham
Beatrix Ramos Bondy, MD
Internal medicine · 105 Topsham Fair Mall Road, Topsham
Margo Goodman, DO
Family medicine · 8 Mason Street, Brunswick
Andreas Thyssen, MD Telehealth
Internal medicine · 8 Mason Street, Brunswick
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 Topsham, ME 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.
1.8 mi Hannaford Food and Drug
1.9 mi
4.1 mi Hannaford Supermarket & Pharmacy
4.5 miShowing the 4 closest pharmacies to Topsham, ME.
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 Topsham, 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.
$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
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 Sagadahoc County, the county that includes Topsham, compare with Maine 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.
#12 of 16 Maine counties for chlamydia, a higher rate than 25% of the state
| Infection | Sagadahoc County | Maine | United States |
|---|---|---|---|
| Chlamydia | 144 54 cases ▼ 34% | 217.4 | 492.2 |
| Gonorrhea | 34.7 13 cases ▼ 22% | 44.4 | 179.5 |
| Syphilis (P&S) | — no data | 5.3 | 15.8 |
| Syphilis (early) | — no data | 2.1 | 16 |
| Syphilis (late/unknown) | 5.3 2 cases ▲ 18% | 4.5 | 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 Sagadahoc County, chlamydia has fallen from 177.1 to 144 per 100,000 (19%), gonorrhea has risen from 30 to 34.7 per 100,000 (16%), and P&S syphilis has held roughly steady from 2.7 to 2.7 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 Sagadahoc County.
Local HIV snapshot
Sagadahoc County HIV care continuum (2022)
Sagadahoc County recorded 0 new HIV diagnoses per 100,000 (2022), against 2.9 statewide and 13.7 nationally. Among Sagadahoc County residents living with HIV, 84.8% are in care · 78.8% 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 Sagadahoc County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The Skolfield-Whittier House anchors the Historic District in the kind of deep-rooted quiet that Topsham projects outward: most households here own their homes, many have lived on these streets for years, and the town carries a settled, community-feels-familiar quality. That stability is real, but it shapes how people think about health logistics too. A significant share of residents are partnered and established, yet the town's younger adults, people in their late teens and twenties still moving through new relationships, are exactly the group for whom routine STI screening matters most and tends to get postponed longest.
Getting tested in and around Topsham typically means a drive, whether you head out on ME 196 toward Lewiston or cross into Brunswick. For residents without generous employer coverage, the distinction between a sliding-scale clinic and a standard-rate provider is not minor. Topsham's low unemployment reflects how many people here are working, often on fixed schedules, so an option that absorbs cost rather than just offering convenient hours can determine whether a visit actually gets scheduled.
Getting there
At 6.5/20 on the EPA walkability index, day-to-day errands in Topsham 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.
Topsham sits in Sagadahoc County, ZIP 4086. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Topsham? 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 Sagadahoc County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Maine 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 Topsham-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 Topsham 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 Maine 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 Maine, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Maine 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 MaineSource: 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.
Possibly, Portland, ME is close; compare it by distance against Quest Diagnostics.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 144 cases per 100,000 residents (2023), below the Maine average.
In Maine, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Yes, at-home kits ship to 4086; you collect a sample, mail it back, and get results in about 2–5 days.
That's a myth; STIs need sexual contact to spread, not surfaces.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.