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STD Testing in Big Sandy, TX: Free, Same-Day & Confidential

Gonorrhea in Upshur County runs about 60% lower than the US average. If you live in Big Sandy, Texas, and you're considering your STI testing options whether you have symptoms or just want peace of mind, community and public clinics are often low-cost or free, while private labs may offer faster results and more flexible scheduling. See the options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Big Sandy, TX

6 testing options are listed for Big Sandy, TX. The nearest, Wellness Pointe, is about 14.2 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 14.2 miles

Wellness Pointe

Where these reviews come from

Review sources

  • Google100
  • EasySTD5
Rated 4.2 out of 5 from 105 reviews

Wellness Pointe in Gilmer runs on a sliding scale and accepts Medicaid, Medicare, and private insurance, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, hepatitis A, B, and C, and TB. Appointments required, with same-visit treatment for bacterial infections.

Read full overview Show less

Spanish Spoken On Staff, Interpretation Beyond

Wellness Pointe conducts care in Spanish directly and extends interpretation services to additional non-English languages: meaning clinical conversations about PrEP dosing, exposure history, or test results happen in the language a person uses at home, not through a delayed workaround that flattens nuance.

PrEP Prescribed and Managed at Wellness Pointe

Wellness Pointe holds the standing capacity to prescribe and manage PrEP on-site: useful for anyone without a regular provider or paying cash on a sliding scale, because both the prescription and the ongoing monitoring it requires stay at the same clinic rather than splitting across separate practices.

Herpes and Hepatitis Added to the Standard Panel

Beyond gonorrhea, chlamydia, syphilis, and HIV, Wellness Pointe tests for herpes simplex and all three hepatitis strains (A, B, and C) with hepatitis A and B vaccines available on-site to close the loop where a negative result on those creates a clear vaccination window.

Tests & treats Sliding-scale PrEP
Address
602 Titus Street, Suite 130 Gilmer, TX 75644
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 10:00 AM – 7:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 14.2 miles

Core Health Systems - Gilmer

Where these reviews come from

Review sources

  • Google7
  • EasySTD1
Rated 3.3 out of 5 from 8 reviews

Core Health Systems - Gilmer, serving Gilmer, structures its fees on a sliding scale tied to income, so cost is never a barrier to care. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed to get tested.

Sliding-scale
Address
101 East Madison Street, Gilmer, TX 75644
Website
Premium Partner

Quest Diagnostics

Most reviewed Results in 1–2 days
Where these reviews come from

Review sources

  • Google106
  • EasySTD5
Rated 3.5 out of 5 from 111 reviews
Address
822 South Fleishel Avenue, Tyler, TX 75701 19.8 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Labcorp

Results in 1–2 days
Where these reviews come from

Review sources

  • Google84
  • EasySTD5
Rated 3.3 out of 5 from 89 reviews
Address
649 South Broadway Avenue, Tyler, TX 75701 20.0 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Clinical Pathology Labs

Highest rated Results in 1–2 days
Where these reviews come from

Review sources

  • Google10
  • EasySTD1
Rated 4.8 out of 5 from 11 reviews
Address
700 Olympic Plaza, Tyler, TX 75701 20.1 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Clinical Pathology Labs

Results in 1–2 days
Where these reviews come from

Review sources

  • Google48
  • EasySTD4
Rated 4.5 out of 5 from 52 reviews
Address
3535 N. Fourth Street, Longview, TX 75605 22.3 miles away
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 12:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

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.

Detection windows for every 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.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Rate this clinic

Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Big Sandy, TX

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

At-home STD testing in Big Sandy, TX

The nearest testing center is about 14 miles away; if you'd rather skip the trip, an at-home kit ships to Big Sandy, 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.

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

Clinicians near Big Sandy, TX who may help arrange STD testing

Beyond dedicated clinics, 489 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Big Sandy. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 122 offer telehealth.

  • Christopher Godwin, DO

    Family medicine · 5321 South Fm, Holly Lake Ranch

    Call Directions

  • Ketki Patel, MD Telehealth

    Family medicine · 1600 Broadway Avenue, Gladewater

    Call Directions

  • Jay Hofweber, MD

    Internal medicine · 11937 US Hwy 271, Tyler

    Directions

  • Christine Kang, DO

    Internal medicine · 11937 US Hwy 271, Tyler

    Call Directions

  • Sudha Rani Yanamandra, MD Telehealth

    Internal medicine · 5174 Fm 1252, Kilgore

    Call Directions

  • Adam Mcdaniel, DO Telehealth

    Internal medicine · 602 Titus Street, Gilmer

    Call Directions

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

Pharmacies near Big Sandy, TX

No pharmacy near Big Sandy, 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.

  • Walker Pharmacy

    10 mi
    Rx pickupCondoms / EC
    Directions

  • Easttexrx

    10 mi
    Rx pickupCondoms / EC
    Directions

  • Careplus Pharmacy

    11 mi
    Rx pickupCondoms / EC
    Directions
  • Walgreens 11 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Preferred RX Direct

    11 mi
    Rx pickupCondoms / EC
    Directions
  • CVS Pharmacy 11 mi
    Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
    Directions

Showing the 6 closest pharmacies to Big Sandy, TX.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Big Sandy, 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.

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

STDs & HIV in Upshur County: the local picture

How reported STI rates in Upshur County, the county that includes Big Sandy, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#172 of 254 Texas counties for chlamydia, a higher rate than 32% of the state

Reported STD rates per 100,000, Upshur County vs Texas vs U.S.

Upshur County Texas U.S. ▲▼ = Upshur County vs the state average
Infection Upshur County Texas United States
Chlamydia
233.4 101 cases ▼ 53%
491.9 492.2
Gonorrhea
71.6 31 cases ▼ 59%
176.4 179.5
Syphilis (P&S)
6.9 3 cases ▼ 54%
15 15.8
Syphilis (early)
20.8 9 cases ▼ 21%
26.4 16
Syphilis (late/unknown)
9.2 4 cases ▼ 79%
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.

Reported STD rates in Upshur County over time (per 100,000)

Chlamydia ▼ 29% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in Upshur County, chlamydia has risen from 195.6 to 233.4 per 100,000 (19%), gonorrhea has risen from 68.5 to 71.6 per 100,000 (5%), and P&S syphilis has risen from 4.9 to 6.9 per 100,000 (41%).

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 Big Sandy, TX

Adults uninsured
14%
No routine checkup
24.6%
Binge drinking
16%
Frequent mental distress
19.6%
Depression
25.7%
Below poverty line
17.9%
Primary-care ratio
4,642 : 1
Upshur County
  • Primary-care shortage score 16 / 26
  • Medically Underserved Area · IMU 61
  • Social Vulnerability Index · 60th 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 Upshur County.

Local HIV snapshot

HIV in Upshur County (2023)

People living with HIV
188 / 100k
PrEP users / 100k
61

Upshur County HIV care continuum (2022)

Upshur County recorded 14.1 new HIV diagnoses per 100,000 (2022), against 20.2 statewide and 13.7 nationally. Among Upshur County residents living with HIV, 81.8% are in care · 71.2% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Upshur County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

15 Sources

Local resources & officials

Data & references

Local context

About Big Sandy, TX

West Broadway Street runs through the center of Big Sandy the way most things do here, practically, without pretense. Households in this town tend to be larger than the state average, built around extended family networks where health decisions rarely get made in isolation. Most residents rent rather than own, at monthly costs well below what East Texas cities demand, and with fewer than one in ten households reaching six figures, those savings are real rather than optional. That household character shapes how younger adults (people in their late teens and twenties, who represent a substantial share of Big Sandy's population) actually navigate routine care.

A test that requires a dedicated car trip down TX 155 or out along US 80 gets weighed against work schedules in a community where labor-force participation reflects real constraints on who can step away mid-week and for how long. The options listed on this page sit outside Big Sandy itself, so that drive is the starting point, not a minor detail. Upshur County's STI figures give context to why staying current matters: for someone living here, a known baseline is simply useful information about one's own health, especially in a county where the surrounding data aren't negligible.

Getting there

How residents reach STD testing in Big Sandy, TX

Walkability 4.05 / 20 · Least walkable

At 4.05/20 on the EPA walkability index, day-to-day errands in Big Sandy 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.

Map of 6 STD & STI testing locations in Big Sandy, Texas, EasySTD

ZIP 75755 snapshot

Residents
4,863
Median age
38.8
Median income
$58,227

ZIP-level Census figures for the wider 75755 area around Big Sandy: a single ZIP can span several communities, so they describe the area, not Big Sandy alone.

Big Sandy sits in Upshur County, ZIP 75755. Local context that shapes where residents test:

Local landmarks

  • Big Sandy Park
  • Pinnacle Mountain
  • Peter Hayes Hill

Major routes

  • TX 155 (North Tyler Street)
  • US 80 (East Broadway Street)

Reference

STD testing in Big Sandy, TX: screening, costs & privacy

Everything to know before you test in Upshur 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.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 Big Sandy-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Big Sandy 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.

TestReference priceCPT / 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.

Confidentiality & consent in Texas

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

In Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

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 Texas

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Big Sandy, TX

Answers to the questions people ask most before getting tested.

Can I get same-day or walk-in testing near Big Sandy, TX?

Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.

Does insurance cover STD testing near Big Sandy, TX?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Can I get tested in Big Sandy, TX without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Big Sandy, TX?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Upshur County?

About 233 cases per 100,000 residents (2023), below the Texas average.

Can someone under 18 get tested in Texas without a parent?

In Texas, people under 18 can consent to confidential STD testing and treatment on their own.

Where do I get PrEP around Big Sandy, TX?

PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.

How long do results take near Big Sandy, TX?

Lab results typically come back in 1–2 days.

What is expedited partner therapy?

Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.

How do I prepare for an STD test near Big Sandy, TX?

Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.