With reported syphilis in Burnet County running about 41% lower than the US average, you may want to consider your testing options if you've had a recent risk or simply test on a regular schedule in Bertram, Texas. Some clinics have same-day testing but take walk-ins, while labs and at-home kits let you plan around your schedule. See options below.
Available testing centers
6 testing options are listed for Bertram, TX. The nearest, Ascension Seton, is about 0.5 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.
A public safety-net rural health clinic in Bertram. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Texas Department of State Health Services in Marble Falls brings the credibility of a state public-health agency to gonorrhea, chlamydia, syphilis, and conventional HIV testing: all on a sliding-scale fee, by appointment, with same-visit treatment for bacterial infections and Spanish-language care available throughout.
Spanish speakers without a regular primary-care provider get something rarer than a bilingual front desk: clinical staff who conduct the exam, explain results, and walk through a treatment plan entirely in Spanish. That continuity, from intake to prescription, is built into how the clinic operates, not added on.
DoxyPEP, doxycycline taken after potential bacterial STI exposure, is prescribed directly by the clinic's providers, who determine appropriate candidates through clinical assessment and coordinate follow-up testing to monitor effectiveness. The prescription doesn't require a separate physician visit or an outside referral to initiate.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
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 Bertram, 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 range: couples & full panels
$79 & 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 Burnet 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.
104 Max Starke Dam Road, Marble Falls, TX 78654
CMS-certified lab Accredited · COLA
810 West Highway 71, Marble Falls, TX 78654
CMS-certified lab Accredited · College of American Pathologists
800 South Highway 281, Marble Falls, TX 78654
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Bertram. 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, 679 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Bertram. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 368 offer telehealth.
Asif Syed, MD
Internal medicine · 540 East State Hwy 29, Bertram
Kristi Burkhart
Family medicine · 160 North Lampasas Street, Bertram
Nickolas Hadley, DO
Family medicine · 14365 West State Hwy 29 10, Liberty Hill
Milton Shepperd, DO
Internal medicine · 507 West Jackson Street, Burnet
Walter Woodruff, DO
Internal medicine · 3201 South Water Street, Burnet
Erica Hughes, MD Telehealth
Internal medicine · 3201 South Water Street, Burnet
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 Bertram, 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.
M and L Pharmacy
9.3 mi
9.6 mi 
9.8 mi Hill Country Pharmacare
10 miLakes Area Pharmacy
10 miShowing the 5 closest pharmacies to Bertram, 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 Bertram, 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
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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Burnet County, the county that includes Bertram, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#137 of 254 Texas counties for chlamydia, a higher rate than 46% of the state
| Infection | Burnet County | Texas | United States |
|---|---|---|---|
| Chlamydia | 279.7 151 cases ▼ 43% | 491.9 | 492.2 |
| Gonorrhea | 40.7 22 cases ▼ 77% | 176.4 | 179.5 |
| Syphilis (P&S) | 9.3 5 cases ▼ 38% | 15 | 15.8 |
| Syphilis (early) | 11.1 6 cases ▼ 58% | 26.4 | 16 |
| Syphilis (late/unknown) | 37 20 cases ▼ 16% | 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 Burnet County, chlamydia has fallen from 291.1 to 279.7 per 100,000 (4%), gonorrhea has fallen from 111.9 to 40.7 per 100,000 (64%), and P&S syphilis has risen from 2 to 9.3 per 100,000 (365%).
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 Burnet County.
Local HIV snapshot
Burnet County HIV care continuum (2021)
Burnet County recorded 13.7 new HIV diagnoses per 100,000 (2021), against 20.2 statewide and 13.7 nationally. Among Burnet County residents living with HIV, 79.7% are in care · 66.2% 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 Burnet County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
TX 29 stretches east and west through Bertram's center, and the nearest clinic listed on this page means a genuine drive along that corridor: not a quick errand, but a committed half-hour or more out and back. That reality lands differently when unemployment is running high and nearly a quarter of residents are renting at around a thousand dollars a month, leaving scheduling and cost as real considerations for anyone weighing a screening appointment. Bertram runs on large, often multigenerational households: close to four people per home on average, with most adults married and a majority owning their homes outright.
That stability shapes the town's texture, but it doesn't insulate the sizeable share of younger adults, people in their late teens and twenties, from the years when STIs spread most readily and often without symptoms. Burnet County's STI picture, visible in the tables above, is the county-wide backdrop; Bertram residents navigate it with the options listed on this page, none of them a short walk from Bertram Depot or Johnnie Mae Wheeler Park. A four-person household has four people's schedules to weigh.
Getting there
At 4.56/20 on the EPA walkability index, day-to-day errands in Bertram 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 78605 snapshot
ZIP-level Census figures for the wider 78605 area around Bertram: a single ZIP can span several communities, so they describe the area, not Bertram alone.
Bertram sits in Burnet County, ZIP 78605. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Bertram? 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 Burnet 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 a Bertram-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 Bertram 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Burnet County reported ~280 chlamydia cases per 100,000 in 2023, below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 78605: self-collect, send to the lab, results in ~2–5 days.
For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.
PrEP is taken before exposure to prevent HIV; PEP is emergency medicine started within 72 hours after a possible exposure.
No, most STIs have no visible signs, so the only way to know is to test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.