Every year, Monroe reports about 36 syphilis cases per 100,000 residents, well above the US average. Whether you are getting tested in Rochester, New York before starting a new relationship or as part of ongoing care, you may choose from clinics that reduce costs, labs that expedite results, or home kits that skip the clinic visit. Explore your options below.
12 testing centers serve Rochester, NY — the nearest, Rochester - Westside Health Brown Square (Part of Strong Memorial Hospital), about 0.6 miles away. Compare 8 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.
Today's offer: $10 off any test panel — applied automatically at checkout.
When can I test? Exposure-window calculator
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
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Community health center
0.6 miles
Jordan Health
★★★★★4.6(115 reviews)?
Review sources
EasySTD reviews115
Rated 4.6 out of 5 from 115 reviews
About 1 mile west of Rochester in Rochester: Jordan Health requires an appointment but moves quickly through testing and treatment in a single visit. It's best for anyone seeking STI screening, HIV testing, hepatitis care, or PrEP without the wait of a walk-in clinic.
Read full overviewShow less
Appointments keep the line short
You'll need to call ahead, but that means less time in the waiting room and more time with a provider who's ready for you. A single visit covers testing, on-site treatment for bacterial STIs like chlamydia and gonorrhea, and counseling—no separate trips.
Screens for the full range, treats what it finds
Jordan Health tests for HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB. Bacterial infections are treated the same day. If you're concerned about hepatitis C or TB, treatment is managed on-site; HIV care is coordinated with specialists. PrEP is available for those who need it.
Sliding scale means you pay what fits your budget
Uninsured? Sliding scale fees adjust to your income. Medicaid and Medicare are accepted. There's a standard visit fee, but the clinic won't turn you away for cost.
Interpretation in Chinese, Spanish, and Vietnamese
Language won't be a barrier—the clinic offers interpretation services in three languages.
About 1 mile southwest of Rochester in Rochester: Trillium Health offers free HIV and hepatitis C testing, with sliding-scale fees for other STI screens and treatment—no one's priced out. If you're uninsured, PrEP is covered; appointments are required, and Spanish interpretation is available.
Read full overviewShow less
Free testing, sliding scale for the rest
HIV and hepatitis C testing are free at Trillium Health, and so is STI screening. If you need treatment or PrEP, a sliding-scale fee applies based on income; Medicaid and insurance are accepted, and uninsured patients can access PrEP without cost. You won't be turned away for inability to pay.
Tests and same-visit treatment for bacterial STIs
Trillium screens for chlamydia, gonorrhea, syphilis, herpes, and hepatitis C, and can treat chlamydia and gonorrhea on the same visit. HIV and hepatitis C require confirmatory testing and ongoing care, which the clinic manages. If you're at risk for HIV exposure, PEP is available; the clinic also offers PrEP for prevention.
Appointments required; Spanish interpretation on hand
You'll need to schedule ahead—walk-ins aren't accepted. Spanish interpretation is available, and the clinic can arrange interpretation for other languages if you call ahead.
Best for anyone who wants free baseline testing
Trillium suits anyone seeking free HIV or hepatitis C screening without insurance barriers, or those already on PrEP who need affordable ongoing care. If you speak Spanish or need interpretation, the clinic is set up to serve you.
About 1 mile southeast of Rochester in Rochester: University of Rochester Medical Center is a hospital-based clinic offering STI testing, treatment, and prevention services in one visit. It's best for people with insurance or Medicaid, or those who can pay out of pocket and want care integrated with broader medical services.
Read full overviewShow less
Hospital clinic with testing, treatment, and prevention
University of Rochester Medical Center screens for chlamydia, gonorrhea, syphilis, herpes, hepatitis B and C, and HIV in a single visit. Bacterial infections like chlamydia and gonorrhea can be treated on-site the same day. The clinic also prescribes PrEP for HIV prevention and offers hepatitis A and B vaccines.
Cost requires insurance or payment ability
Medicaid and Medicare are accepted, as is private insurance. Uninsured patients pay a standard visit fee. Appointments are required; call ahead to schedule and confirm your coverage.
Best for insured patients seeking integrated care
If you have Medicaid, Medicare, or private insurance and prefer testing within a hospital system where treatment and prevention are available immediately, this clinic streamlines the process. Those without insurance should explore free or sliding-scale options elsewhere.
Tests & treatsPrEP
454 East Broad Street, Suite 100 Rochester, NY 14607
About 2 miles southeast of Rochester in Rochester: Rochester Regional Health tests for bacterial STIs, herpes, and HIV while accepting Medicaid, Medicare, and insurance; uninsured patients pay a standard visit fee. Walk-in testing and same-visit treatment for chlamydia and gonorrhea make it practical for anyone seeking quick, affordable screening.
Read full overviewShow less
Insurance covers most; uninsured pay a flat fee
Medicaid and Medicare are accepted, as is private insurance, so if you're covered, your visit is likely low or no cost. If you're paying out of pocket, expect a standard visit fee—higher than a free public clinic, but the clinic doesn't turn away anyone who can't pay in full.
Tests for bacterial STIs, herpes, and HIV on-site
You can get screened for chlamydia, gonorrhea, and syphilis, plus herpes and HIV, all in one visit. Chlamydia and gonorrhea are treated right there if positive; syphilis treatment is also available. HIV test counseling is part of the process, and if you need it, hepatitis A and B vaccines and HPV vaccination are offered.
Walk in anytime; no appointment needed
You don't have to book ahead—just show up. That convenience is especially useful if you need quick results or prefer not to plan a visit in advance.
Best for insured patients and those seeking speed
If you have Medicaid, Medicare, or insurance, this is an efficient choice. Uninsured folks should be aware of the fee, but the walk-in model and on-site treatment for bacterial STIs mean you can get tested and treated in one trip. Spanish and Vietnamese interpretation are available.
Tests & treatsSliding-scale
222 Alexander Street, Suite 5000 Rochester, NY 14607
Listing verified May 2026 · source: CDC NPIN + HRSA
Tests offered
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Conventional HIV
Serves
Asian or Pacific Islander persons
Hispanic or Latino persons
Low Income Persons
Persons with STI
Care services
Family Planning
TB Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Fees & payment
Medicaid Accepted
Medicare Accepted
Fee
Insurance Accepted
Community health center
2.0 miles
Highland Hospital
★★★★★4.6(41 reviews)?
Review sources
EasySTD reviews41
Rated 4.6 out of 5 from 41 reviews
About 2 miles southeast of Rochester in Rochester: Highland Hospital offers walk-in STI testing and treatment without requiring an appointment, making it accessible for anyone who needs quick screening. The clinic tests for chlamydia, gonorrhea, syphilis, herpes, hepatitis C, and HIV, with same-visit treatment for bacterial infections and vaccines available on-site.
Read full overviewShow less
Walk in anytime — no appointment needed
Highland Hospital's STI clinic takes walk-ins, so you can get tested without planning ahead. A single visit covers testing, treatment for bacterial infections like chlamydia and gonorrhea, and vaccines including HPV and hepatitis A, making it straightforward to handle multiple needs at once.
Screens for six infections, treats most on the spot
The clinic tests for chlamydia, gonorrhea, syphilis, herpes, hepatitis C, and HIV. Bacterial STIs are treated the same visit; HIV and hepatitis C results are managed through follow-up care. HPV and hepatitis A vaccines are available if you need protection.
Standard fees, insurance and Medicaid accepted
Expect a standard visit fee. Medicaid and insurance are accepted, which can reduce your out-of-pocket cost if you have coverage.
Best for anyone who values speed and flexibility
If you need testing without scheduling around your calendar, Highland Hospital's walk-in model works well. It's also a solid choice if you have Medicaid or insurance and want to use it to offset costs.
Listing verified Oct 2025 · source: CDC NPIN + HRSA
Tests offered
Hepatitis C
Gonorrhea
Syphilis
Herpes
Chlamydia
Conventional HIV
Serves
Low Income Persons
Care services
Family Planning
Substance Abuse Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
4.1 miles
Compasscare
★★★★★4.5(32 reviews)?
Review sources
EasySTD reviews32
Rated 4.5 out of 5 from 32 reviews
About 4 miles south of Rochester in Rochester: CompassCare screens for HIV, chlamydia, gonorrhea, syphilis, herpes, and hepatitis B, treating bacterial infections on-site and offering counseling and partner notification to help you and your contacts stay healthy. It's the right choice if you need an appointment-based clinic with Spanish or French interpretation.
Read full overviewShow less
Testing and treatment under one visit
CompassCare tests for HIV, chlamydia, gonorrhea, syphilis, herpes, and hepatitis B. If you test positive for chlamydia, gonorrhea, or syphilis, treatment is available the same day. HIV and hepatitis B results require confirmatory testing and ongoing care, but counseling and next steps are managed during your visit.
Prevention and support beyond the test
Beyond testing, CompassCare offers STI prevention education, partner notification services to help contacts get tested, and hepatitis prevention guidance. Family planning services are also available, so a single appointment can address multiple health needs.
Cost: a standard fee, with insurance and Medicaid
CompassCare charges a standard visit fee. If you have Medicaid or insurance, those are accepted. There is no sliding-scale option, so expect a typical clinic fee if you're paying out of pocket.
Appointments required; Spanish and French available
You'll need to schedule an appointment in advance. Spanish and French interpretation are offered, so language won't be a barrier to care.
Tests & treats
2024 West Henrietta Road, Suite 6D Rochester, NY 14623
Rochester, NY (Monroe County) STD testing locations
12 testing centers serving Rochester and Monroe County — screening for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, Conventional HIV, TB, Hepatitis Self-Test, Hepatitis C Rapid, HIV Self-Test.
Community health center
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.
How we rank: vetted partner labs (clearly marked Sponsored) appear first; every other center is listed free and ordered by verified review score, then distance.
Premium Partner
Rochester - Westside Health Brown Square (Part of Strong Memorial Hospital)
Editor's pick
Results in 1–2 days
★★★★★4.6(149 reviews)?
Review sources
EasySTD reviews149
Rated 4.6 out of 5 from 149 reviews
340 Lake Avenue, Rochester, NY, 14608
0.6 miles away
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
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Community health center
Jordan Health
★★★★★4.6(115 reviews)?
Review sources
EasySTD reviews115
Rated 4.6 out of 5 from 115 reviews
About 1 mile west of Rochester in Rochester: Jordan Health requires an appointment but moves quickly through testing and treatment in a single visit. It's best for anyone seeking STI screening, HIV testing, hepatitis care, or PrEP without the wait of a walk-in clinic.
Read full overviewShow less
Appointments keep the line short
You'll need to call ahead, but that means less time in the waiting room and more time with a provider who's ready for you. A single visit covers testing, on-site treatment for bacterial STIs like chlamydia and gonorrhea, and counseling—no separate trips.
Screens for the full range, treats what it finds
Jordan Health tests for HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB. Bacterial infections are treated the same day. If you're concerned about hepatitis C or TB, treatment is managed on-site; HIV care is coordinated with specialists. PrEP is available for those who need it.
Sliding scale means you pay what fits your budget
Uninsured? Sliding scale fees adjust to your income. Medicaid and Medicare are accepted. There's a standard visit fee, but the clinic won't turn you away for cost.
Interpretation in Chinese, Spanish, and Vietnamese
Language won't be a barrier—the clinic offers interpretation services in three languages.
PrEP
322 Lake Avenue, Suite 1 Rochester, NY 14608
0.6 miles away
About 1 mile southwest of Rochester in Rochester: Trillium Health offers free HIV and hepatitis C testing, with sliding-scale fees for other STI screens and treatment—no one's priced out. If you're uninsured, PrEP is covered; appointments are required, and Spanish interpretation is available.
Read full overviewShow less
Free testing, sliding scale for the rest
HIV and hepatitis C testing are free at Trillium Health, and so is STI screening. If you need treatment or PrEP, a sliding-scale fee applies based on income; Medicaid and insurance are accepted, and uninsured patients can access PrEP without cost. You won't be turned away for inability to pay.
Tests and same-visit treatment for bacterial STIs
Trillium screens for chlamydia, gonorrhea, syphilis, herpes, and hepatitis C, and can treat chlamydia and gonorrhea on the same visit. HIV and hepatitis C require confirmatory testing and ongoing care, which the clinic manages. If you're at risk for HIV exposure, PEP is available; the clinic also offers PrEP for prevention.
Appointments required; Spanish interpretation on hand
You'll need to schedule ahead—walk-ins aren't accepted. Spanish interpretation is available, and the clinic can arrange interpretation for other languages if you call ahead.
Best for anyone who wants free baseline testing
Trillium suits anyone seeking free HIV or hepatitis C screening without insurance barriers, or those already on PrEP who need affordable ongoing care. If you speak Spanish or need interpretation, the clinic is set up to serve you.
PrEP
470 West Main Street, Rochester, NY 14608
1.1 miles away
About 1 mile southeast of Rochester in Rochester: University of Rochester Medical Center is a hospital-based clinic offering STI testing, treatment, and prevention services in one visit. It's best for people with insurance or Medicaid, or those who can pay out of pocket and want care integrated with broader medical services.
Read full overviewShow less
Hospital clinic with testing, treatment, and prevention
University of Rochester Medical Center screens for chlamydia, gonorrhea, syphilis, herpes, hepatitis B and C, and HIV in a single visit. Bacterial infections like chlamydia and gonorrhea can be treated on-site the same day. The clinic also prescribes PrEP for HIV prevention and offers hepatitis A and B vaccines.
Cost requires insurance or payment ability
Medicaid and Medicare are accepted, as is private insurance. Uninsured patients pay a standard visit fee. Appointments are required; call ahead to schedule and confirm your coverage.
Best for insured patients seeking integrated care
If you have Medicaid, Medicare, or private insurance and prefer testing within a hospital system where treatment and prevention are available immediately, this clinic streamlines the process. Those without insurance should explore free or sliding-scale options elsewhere.
PrEP
454 East Broad Street, Suite 100 Rochester, NY 14607
1.2 miles away
About 2 miles southeast of Rochester in Rochester: Rochester Regional Health tests for bacterial STIs, herpes, and HIV while accepting Medicaid, Medicare, and insurance; uninsured patients pay a standard visit fee. Walk-in testing and same-visit treatment for chlamydia and gonorrhea make it practical for anyone seeking quick, affordable screening.
Read full overviewShow less
Insurance covers most; uninsured pay a flat fee
Medicaid and Medicare are accepted, as is private insurance, so if you're covered, your visit is likely low or no cost. If you're paying out of pocket, expect a standard visit fee—higher than a free public clinic, but the clinic doesn't turn away anyone who can't pay in full.
Tests for bacterial STIs, herpes, and HIV on-site
You can get screened for chlamydia, gonorrhea, and syphilis, plus herpes and HIV, all in one visit. Chlamydia and gonorrhea are treated right there if positive; syphilis treatment is also available. HIV test counseling is part of the process, and if you need it, hepatitis A and B vaccines and HPV vaccination are offered.
Walk in anytime; no appointment needed
You don't have to book ahead—just show up. That convenience is especially useful if you need quick results or prefer not to plan a visit in advance.
Best for insured patients and those seeking speed
If you have Medicaid, Medicare, or insurance, this is an efficient choice. Uninsured folks should be aware of the fee, but the walk-in model and on-site treatment for bacterial STIs mean you can get tested and treated in one trip. Spanish and Vietnamese interpretation are available.
Sliding-scale
222 Alexander Street, Suite 5000 Rochester, NY 14607
1.6 miles away
About 2 miles southeast of Rochester in Rochester: Highland Hospital offers walk-in STI testing and treatment without requiring an appointment, making it accessible for anyone who needs quick screening. The clinic tests for chlamydia, gonorrhea, syphilis, herpes, hepatitis C, and HIV, with same-visit treatment for bacterial infections and vaccines available on-site.
Read full overviewShow less
Walk in anytime — no appointment needed
Highland Hospital's STI clinic takes walk-ins, so you can get tested without planning ahead. A single visit covers testing, treatment for bacterial infections like chlamydia and gonorrhea, and vaccines including HPV and hepatitis A, making it straightforward to handle multiple needs at once.
Screens for six infections, treats most on the spot
The clinic tests for chlamydia, gonorrhea, syphilis, herpes, hepatitis C, and HIV. Bacterial STIs are treated the same visit; HIV and hepatitis C results are managed through follow-up care. HPV and hepatitis A vaccines are available if you need protection.
Standard fees, insurance and Medicaid accepted
Expect a standard visit fee. Medicaid and insurance are accepted, which can reduce your out-of-pocket cost if you have coverage.
Best for anyone who values speed and flexibility
If you need testing without scheduling around your calendar, Highland Hospital's walk-in model works well. It's also a solid choice if you have Medicaid or insurance and want to use it to offset costs.
Sliding-scale
777 South Clinton Avenue, Rochester, NY 14620
2.0 miles away
About 4 miles south of Rochester in Rochester: CompassCare screens for HIV, chlamydia, gonorrhea, syphilis, herpes, and hepatitis B, treating bacterial infections on-site and offering counseling and partner notification to help you and your contacts stay healthy. It's the right choice if you need an appointment-based clinic with Spanish or French interpretation.
Read full overviewShow less
Testing and treatment under one visit
CompassCare tests for HIV, chlamydia, gonorrhea, syphilis, herpes, and hepatitis B. If you test positive for chlamydia, gonorrhea, or syphilis, treatment is available the same day. HIV and hepatitis B results require confirmatory testing and ongoing care, but counseling and next steps are managed during your visit.
Prevention and support beyond the test
Beyond testing, CompassCare offers STI prevention education, partner notification services to help contacts get tested, and hepatitis prevention guidance. Family planning services are also available, so a single appointment can address multiple health needs.
Cost: a standard fee, with insurance and Medicaid
CompassCare charges a standard visit fee. If you have Medicaid or insurance, those are accepted. There is no sliding-scale option, so expect a typical clinic fee if you're paying out of pocket.
Appointments required; Spanish and French available
You'll need to schedule an appointment in advance. Spanish and French interpretation are offered, so language won't be a barrier to care.
2024 West Henrietta Road, Suite 6D Rochester, NY 14623
4.1 miles away
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.
Showing the 6 closest CLIA-certified labs in Monroe County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — near Rochester. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in Rochester, NY
The nearest testing center is about 1 miles away — if you'd rather skip the
trip, an at-home kit ships to Rochester, 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
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.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
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
Doctors near Rochester who can order STD testing
Beyond dedicated clinics, 1,115 primary-care, OB-GYN, infectious-disease
and other clinicians practice within 30 miles of Rochester — any of them can order a confidential STD panel as
part of a regular visit, and 359 offer telehealth.
These are licensed clinicians who can order STD testing during a visit — not dedicated STD-testing clinics.
Confirm services and availability before booking. Source: CMS Doctors & Clinicians (Medicare-enrolled providers).
Local context
About Rochester, NY
Rochester sits in Monroe, New York — a large city, where it has a high share of renters. It's a short drive from Otis, and single adults are a large share of the population. Demand is high even with many clinics, so mail-in kits and telehealth cut the wait.
ZIP 14608 snapshot
Inside Rochester's ZIP code
These ZIP-level Census figures show the demographics that shape testing demand in Rochester.
Residents
12,417
Median age
33.9
Median income
$39,537
Getting there
How residents reach testing in Rochester
Walkability15.2 / 20 · Above average
Rochester scores 15.2/20 on the EPA walkability index, so many trips are walkable or a short ride — though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
Have symptoms?
Do I have an STD?
Use our confidential symptom checker to see which STDs match your symptoms — and which tests are recommended near Rochester.
Pharmacies stock FDA-authorized at-home STI and HIV self-tests and fill prescriptions for treatment. Locations via OpenStreetMap.
Nearby cities & towns
STD testing near Rochester in Monroe County
Just outside Rochester? These nearby Monroe County communities have their own testing guides — clinics, at-home kits, and free screening close to home.
Here's how reported STI rates in Monroe County — the county that includes Rochester — compare with New York and U.S. averages, based on the most recent 2023 surveillance data.
An estimated ~35% of Monroe County residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why local screening access matters here.
Lower chlamydia rate than 5% of the state's 62 counties (ranked #4)
Reported STD rates per 100,000 — Monroe County vs New York vs U.S.
Monroe CountyNew YorkU.S.
Infection
Monroe County
New York
United States
Chlamydia
671.45,025 cases▲ 20%
558.4
492.2
Gonorrhea
305.32,285 cases▲ 30%
235.6
179.5
Syphilis (P&S)
36.2271 cases▲ 145%
14.8
15.8
Syphilis (early)
18.3137 cases▼ 21%
23.1
16
Syphilis (late/unknown)
30.5228 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. County 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.
Reported STD rates in Monroe County over time (per 100,000)
Chlamydia ▲ 7% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
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
What shapes testing access in and around Rochester
Adults uninsured
12%
No routine checkup
21.4%
No transportation
19.9%
Binge drinking
14.7%
Frequent mental distress
20.3%
Depression
22.1%
Below poverty line
31.8%
Primary-care ratio
931 : 1
Monroe County
Primary-care shortage score 20 / 26
Medically Underserved Area · IMU 48.02
Social Vulnerability Index · 59th percentile nationally
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
HIV in Monroe County (2023)
People living with HIV
371 / 100k
New diagnoses (2023)
73
On PrEP (coverage)
20.7%
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 the county health department.
Pregnant or planning to be?
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).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Two quick references for getting tested in Monroe County: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection (the earliest a test can reliably detect it). Select any infection to open its in-depth testing guide — every clinic and lab listed above for Rochester screens for them.
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative — confirm timing with a Rochester-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving Rochester 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
$79.20
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.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Rochester, telehealth covers the rest of the picture — 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.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
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.
Privacy
Confidentiality & consent in New York
The questions Rochester residents ask most before testing, answered under New York law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In New York, a minor of any age can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many New York health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. New York permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Good to Know
STD testing FAQs for Rochester, NY
Answers to the questions people ask most before getting tested.
Is walk-in STD testing available near Rochester?
Yes — several local labs offer same-day walk-in testing; best to call first.
How much does STD testing cost near Rochester?
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $99–209.
Can I get tested in Rochester without insurance?
Public clinics serve people without insurance, often on a sliding scale.
What does a full STD panel cover?
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
What's the local chlamydia rate?
Monroe County reported ~671 chlamydia cases per 100,000 in 2023, above the New York average.
What happens after a positive result?
Get treated, notify partners, pause sex until cleared, and follow up — the infection is manageable.
Can gonorrhea have no symptoms?
Often, yes — especially throat and rectal infections, which is why site-specific testing matters.
Does a negative test mean I'm safe?
Reassuring if you tested after the window — just retest if it was early, and screen again with new partners.
What's the test for trich?
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Is herpes curable?
Herpes isn't curable, but daily or as-needed antiviral medicine controls outbreaks and lowers the chance of passing it on.
