Most community health centers offer confidential STD and HIV testing on a sliding scale, and access matters most where the burden is highest: Black Americans account for roughly a third of chlamydia, gonorrhea, and syphilis diagnoses nationwide despite being 12.6% of the population (CDC, Sexually Transmitted Infections Surveillance, 2023).
These 2 federally funded clinics in Arecibo offer std testing on a sliding-scale fee schedule and see patients regardless of insurance or immigration status.
Every site above tests free or at low cost based on income, and that is the right first stop. An at-home kit is self-pay and is not billed to Medicaid, so the clinic route usually costs less. If you would rather test at home:
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