Syphilis reports in Kendall County run about 75% lower than US averages. If it's your first STI test or a routine screening in Boerne, Texas, you can trade money, speed, or clinic visits among public labs, private clinics, and at-home kits. We list options below.
Available testing centers
9 testing options are listed for Boerne, TX. The nearest, Labcorp, is about 0.3 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 - Boerne earns its federal qualification 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 one pays more than their budget allows.
Tests offered
Fees & payment
Hill Country Pregnancy Care Center in Boerne tests for gonorrhea and chlamydia, treats confirmed bacterial infections in the same visit, and covers every service at no charge. Appointment required, sliding-scale fees built in for all.
STI clinics commonly separate testing costs from treatment costs, leaving patients to sort out what each piece will run them. Hill Country Pregnancy Care Center charges nothing for either, gonorrhea and chlamydia testing and same-visit bacterial treatment alike carry no fee, for anyone who walks through the door.
Hill Country Pregnancy Care Center delivers its full scope of STI testing and bacterial treatment in Spanish, not through an add-on service, but as part of how care runs. For someone navigating a sexual health concern without a regular English-speaking provider, that continuity from question to diagnosis to treatment in one language is the practical difference.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Texas Department of State Health Services in Boerne requires an appointment, and that scheduled visit covers gonorrhea, chlamydia, syphilis, and HIV testing alongside STI treatment, DoxyPEP, HPV, hepatitis A, and mpox vaccines. All at no charge, on a sliding scale for any additional services.
Fee waivers at STI clinics often apply to testing alone, leaving treatment as a separate line item. At Texas Department of State Health Services in Boerne, the no-fee structure extends across both. HIV and STI testing and treatment are provided at no charge, not as a conditional discount.
Many clinics handle Spanish through workarounds that sit outside the clinical conversation. Texas Department of State Health Services in Boerne delivers care directly in Spanish, so counseling, exposure history, and prevention discussions happen in the same language as the appointment itself.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, is available directly through Texas Department of State Health Services in Boerne. That standing prescribing capability means eligible patients leave with an active prevention tool rather than a forwarded request.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
CommuniCare Health Centers - Leon Springs, in San Antonio, earned federal qualification as a community health center. A designation that locks in income-based sliding-scale fees for every patient. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia, with costs adjusted to what you can pay.
Tests offered
Fees & payment
CommuniCare Health Centers - Helotes, serving Helotes, welcomes walk-in patients without an appointment. Federally qualified status ties its fees to a sliding income scale, so a single visit can cover syphilis, gonorrhea, and chlamydia screening with costs adjusted to what each patient actually earns.
Tests offered
Fees & payment
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 Boerne, 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 Kendall 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.
134 Menger Springs Suite 2000 Room Lab, Boerne, TX 78006
CMS-certified lab Accredited · College of American Pathologists
309 Water Street, Suite 112, Boerne, TX 78006
CMS-certified lab
112 Herff Road, Suite 250, Boerne, TX 78006
CMS-certified lab
745 West San Antonio Avenue, Boerne, TX 78006
CMS-certified lab
124 East Bandera Suite 301, Boerne, TX 78006
CMS-certified lab Accredited · COLA
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Boerne. 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, 1,323 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Boerne. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 393 offer telehealth.
Ali Abedi, MD Telehealth
Internal medicine · 34910 Interstate 10 West 601, Boerne
Michelle Berry, DO
Family medicine · 1201 South Main Street, Boerne
Allison Ogle, DO Telehealth
Family medicine · 1201 South Main Street, Boerne
Jason Nurnberg, DO
Family medicine · 910 River Road, Boerne
Bertha Gaytan, MD Telehealth
Family medicine · 1430 South Main Street, Boerne
Peter Acosta, MD
Family medicine · 17 Old San Antonio Road, Boerne
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 Boerne, 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.
0.4 mi 
5.9 mi 
9.3 mi 
9.9 mi Showing the 4 closest pharmacies to Boerne, 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 Boerne, 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 Kendall County, the county that includes Boerne, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#215 of 254 Texas counties for chlamydia, a higher rate than 15% of the state
| Infection | Kendall County | Texas | United States |
|---|---|---|---|
| Chlamydia | 164.2 83 cases ▼ 67% | 491.9 | 492.2 |
| Gonorrhea | 45.5 23 cases ▼ 74% | 176.4 | 179.5 |
| Syphilis (P&S) | 4 2 cases ▼ 73% | 15 | 15.8 |
| Syphilis (early) | 5.9 3 cases ▼ 78% | 26.4 | 16 |
| Syphilis (late/unknown) | 7.9 4 cases ▼ 82% | 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 Kendall County, chlamydia has fallen from 239.4 to 164.2 per 100,000 (31%), gonorrhea has fallen from 79 to 45.5 per 100,000 (42%), and P&S syphilis has risen from 2.3 to 4 per 100,000 (74%).
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 Kendall County.
Local HIV snapshot
Kendall County HIV care continuum (2023)
Kendall County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Kendall County residents living with HIV, 74.6% are in care · 66.7% 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 Kendall County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Saint Peter's Catholic Church anchors the quieter stretch of South Main Street where Boerne's Hill Country character feels most intact, and for residents in surrounding neighborhoods like Bella Vista or Ladera, getting to any clinic for routine STI screening still means committing to a real drive, not a quick errand. That travel cost lands differently depending on your situation. With just over half of households owning their homes and a meaningful share renting at around twelve hundred dollars a month, many Boerne residents are balancing mortgage payments or rent against the kind of out-of-pocket health expenses that feel easy to postpone.
Larger average households mean more schedules to coordinate, and the young adults in their late teens and twenties who face the highest risk of chlamydia, gonorrhea, and other STIs are often among those with the least scheduling flexibility. A sizable portion of Boerne households clear six figures, but a third of the population sits outside the labor force entirely, meaning cost and time both shape who actually follows through on routine care. The good news is that labor-force participation here skews heavily employed, and unemployment is remarkably low, which means most working residents carry predictable weekday commitments.
Getting there
At 7.38/20 on the EPA walkability index, day-to-day errands in Boerne 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 78006 snapshot
ZIP-level Census figures for the wider 78006 area around Boerne: a single ZIP can span several communities, so they describe the area, not Boerne alone.
Boerne sits in Kendall County, ZIP 78006. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Boerne? 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 Kendall 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 Boerne-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 Boerne 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.
Possibly, Fair Oaks Ranch, TX is close; compare it by distance against Labcorp.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 164 cases per 100,000 residents (2023), below the Texas average.
Yes, at-home kits ship to 78006; you collect a sample, mail it back, and get results in about 2–5 days.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, partners should test and be treated together to avoid passing it back and forth.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.