In Bexar County, chlamydia cases have been about 19% lower than the US average. Before starting a new relationship or as part of ongoing care in Alamo Heights, Texas, you can weigh options between clinics that may bill insurance or offer sliding-scale fees and private labs with a flat self-pay price. Below, you'll find options in both categories.
Available testing centers
9 testing options are listed for Alamo Heights, TX. The nearest, Quest Diagnostics, is about 0.2 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.
CommuniCare Health Centers - Vital Life Wellness Broadway, San Antonio, earns its federally qualified designation by tying STI screening costs directly to each patient's income. Walk-in appointments are welcome for syphilis, gonorrhea, and chlamydia testing, with sliding-scale fees ensuring no fixed price stands between anyone and care.
Tests offered
Fees & payment
San Antonio AIDS Foundation requires an appointment, so every visit is purposeful: HIV, gonorrhea, syphilis, and chlamydia testing, same-visit bacterial treatment, PrEP initiation, and HIV care, all on a sliding-scale fee open to everyone, with all services ultimately provided at no cost.
San Antonio AIDS Foundation carries no fee for any service on its roster, not the rapid HIV test, not STI treatment, not PrEP initiation, not ongoing HIV medical care. That single policy means the full scope of what the clinic does, from a first test to a prescription, is available without a copay, a balance, or a means threshold.
Spanish-language services at San Antonio AIDS Foundation are staffed directly into clinical operations: counseling, medication adherence education, and HIV care conversations happen in Spanish as a primary clinical mode. That means the nuance of a PrEP regimen or an adherence plan is conveyed by the provider, not filtered.
Ryan White funding positions San Antonio AIDS Foundation as a provider for people who need continuous HIV medical care, particularly those without private insurance or a steady clinical home. The program covers HIV treatment and medication adherence support, so someone managing an HIV diagnosis can stay with a single provider rather than piecing together care from separate sources.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Texas Specialty Clinic in San Antonio requires an appointment, so scheduling ahead secures same-visit bacterial treatment alongside HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C testing: all at no fee, with sliding-scale options and vaccines available.
Texas Specialty Clinic funds the full scope of its services (testing, STI treatment, PrEP, PEP, hepatitis B and C treatment, HIV medical management, and mpox and HPV vaccination) at no charge. No copay tier, no balance at checkout; the no-fee structure is clinic-wide, not limited to a subset of visits.
Spanish is a primary care language at Texas Specialty Clinic in San Antonio, not a supplemental channel. Medication adherence counseling, PrEP education, and HIV prevention discussions all run in Spanish: meaning nuanced conversations about dosing, adherence schedules, and risk reduction happen in the language without a separate facilitation layer.
When PrEP or PEP requires specialist-level prescribing and a patient has to pursue it through a separate provider, the gap between exposure and prescription widens. Texas Specialty Clinic prescribes both directly, keeping PrEP initiation and PEP access inside the same appointment where testing and counseling happen.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
University Health in San Antonio pairs same-visit treatment for bacterial STIs with testing for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C: all on a fee schedule that scales with what you can pay, with insurance and Medicaid accepted. Appointments are required.
University Health offers Spanish-language services directly, plus interpretation for additional languages: meaning clinical conversations, consent, and follow-up instructions carry the same specificity regardless of which language a patient uses. That consistency extends from the initial appointment through treatment.
University Health treats hepatitis C on-site, so a confirmed diagnosis doesn't stall into a separate referral chain. Patients move from test result to treatment management within the same clinical relationship.
The testing panel at University Health covers six infections (gonorrhea, chlamydia, syphilis, conventional HIV, hepatitis B, and hepatitis C) which means hepatitis exposure gets documented alongside bacterial and viral STIs in a single visit rather than requiring a separate clinical encounter.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
CentroMed in San Antonio tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C on a sliding-scale fee open to everyone, with same-visit treatment for bacterial STIs, and the full clinic runs in Spanish.
CentroMed tests for hepatitis A, B, and C in addition to the standard bacterial and viral panel, which means a single visit can produce a complete picture of bloodborne and sexually transmitted exposure, rather than leaving hepatitis status as an open question after you leave.
Without PrEP or PEP access at the same clinic where you're tested, you absorb the cost (in time, appointments, and follow-through) of tracking down a prescriber separately. CentroMed holds both, so prevention doesn't fall through the gap between a test result and a prescription.
CentroMed delivers care in Spanish, which means HIV test counseling, treatment conversations, and prevention guidance, including PrEP education, happen in the same language without anything filtered through a second person or deferred to a follow-up call.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · 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 Alamo Heights, 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 Bexar 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.
403 Treeline Park, San Antonio, TX 78209
CMS-certified lab Accredited · College of American Pathologists
250 East Basse Road, Suite 101, San Antonio, TX 78209
CMS-certified lab Accredited · College of American Pathologists
6496 North New Braunfels Avenue, San Antonio, TX 78209
CMS-certified lab
7979 Broadway, Suite 202, San Antonio, TX 78209
CMS-certified lab
5500 Broadway Street, Suite R100, Alamo Heights, TX 78209
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Alamo Heights. 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, 1,490 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Alamo Heights. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 437 offer telehealth.
Heberto Garza, MD Telehealth
Internal medicine · 5929 Broadway, San Antonio
Bonnie Chang, DO
Family medicine · 5410 Broadway, San Antonio
Kathryn Holloway, MD
OB-GYN · 999 East Basse Road, San Antonio
Patrick Pierre, MD Telehealth
Family medicine · 250 East Basse Road, San Antonio
Paul Smith, MD Telehealth
Internal medicine · 855 East Basse Road, San Antonio
April Hain Trevino, MD Telehealth
Family medicine · 1248 Austin Highway, San Antonio
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 Alamo Heights, TX 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.
Ventura Business Partners
0.1 miPatt's Drug Store
0.6 mi
0.7 mi 
0.9 mi 
0.9 mi Showing the 5 closest pharmacies to Alamo Heights, TX.
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 Alamo Heights, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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
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 Bexar County, the county that includes Alamo Heights, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#74 of 254 Texas counties for chlamydia, a higher rate than 71% of the state
| Infection | Bexar County | Texas | United States |
|---|---|---|---|
| Chlamydia | 399.2 8,333 cases ▼ 19% | 491.9 | 492.2 |
| Gonorrhea | 165.7 3,459 cases ▼ 6% | 176.4 | 179.5 |
| Syphilis (P&S) | 18.4 384 cases ▲ 23% | 15 | 15.8 |
| Syphilis (early) | 40.4 844 cases ▲ 53% | 26.4 | 16 |
| Syphilis (late/unknown) | 64.8 1,352 cases ▲ 46% | 44.3 | 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 Bexar County, chlamydia has fallen from 594.7 to 399.2 per 100,000 (33%), gonorrhea has fallen from 259.5 to 165.7 per 100,000 (36%), and P&S syphilis has risen from 16.9 to 18.4 per 100,000 (9%).
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 Bexar County.
Local HIV snapshot
Federal priority area: Bexar County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Bexar County HIV care continuum (2023)
Bexar County recorded 22.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bexar County residents living with HIV, 82.9% know their status · 77.4% are in care · 67.6% 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 Bexar County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Renting your first place off Broadway or figuring out a new relationship near the Pearl often comes with a quieter kind of uncertainty, whether your health coverage kept up with the transition, whether you even have a regular doctor yet. That life-stage gap is exactly when a straightforward path to STI screening matters most, and Alamo Heights sits in a part of Bexar County where those gaps can be easy to overlook against the backdrop of a largely stable, high-earning community. That stability is real: most residents here own their homes, households tend to be larger than the Texas norm, and unemployment is effectively negligible.
But the roughly three in ten who do rent, many of them younger adults in the years when new partnerships overlap with shifting insurance situations, are carrying a monthly rent that leaves less cushion for optional-feeling clinic visits. When a test feels like a discretionary expense rather than a routine one, it gets deferred. Listed options across a range of fee structures means someone can usually find an appointment that fits between a work shift and picking up along Broadway, not someday, but this week.
Getting there
Alamo Heights scores 14.53/20 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.
ZIP 78209 snapshot
ZIP-level Census figures for the wider 78209 area around Alamo Heights: a single ZIP can span several communities, so they describe the area, not Alamo Heights alone.
Alamo Heights sits in Bexar County, ZIP 78209. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Alamo Heights? 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 Bexar County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 an Alamo Heights-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 Alamo Heights 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 Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Texas 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 TexasSource: 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 Quest Diagnostics (0.2 mi); 9 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, San Antonio AIDS Foundation (2.8 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 399 cases per 100,000 residents (2023), below the Texas average.
In Texas, 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.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.