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

In San Jacinto County, reported chlamydia runs about 63% lower than the US average. Whether it's your first STI test or a routine screening in Coldspring, Texas, you have several options: public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Below, find a list of choices.

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STD testing near Coldspring, TX

6 testing options are listed for Coldspring, TX. The nearest, Health Center of Southeast Texas, is about 10.4 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 10.4 miles

Health Center of Southeast Texas

Where these reviews come from

Review sources

  • Google71
  • EasySTD5
Rated 4.1 out of 5 from 76 reviews

Health Center of Southeast Texas in Shepherd is a community health center where STI care (gonorrhea, chlamydia, syphilis, HIV, and hepatitis C) runs alongside family planning on a sliding-scale fee, with appointments required and same-visit treatment available for bacterial infections. Spanish is spoken on staff.

Read full overview Show less

Spanish Is a Working Clinical Language Here

Spanish-language care at Health Center of Southeast Texas is staffed capacity, not a workaround: clinicians conduct intake, counseling, and treatment conversations directly in Spanish. That means dosing instructions, follow-up schedules, and prevention education are delivered and confirmed in the same language, with no relay between patient and provider.

Hepatitis C Treated Through Completion, On-Site

Health Center of Southeast Texas prescribes and manages direct-acting antiviral therapy for hepatitis C in-house, the same clinic that runs the antibody and confirmatory tests carries the treatment through sustained virologic response. Patients aren't handed off after diagnosis; monitoring and medication management stay in one place.

The Panel Includes Hepatitis C Alongside the Core Four

Beyond gonorrhea, chlamydia, syphilis, and HIV, Health Center of Southeast Texas tests for hepatitis C, which means a single visit can surface an infection that often goes undetected until liver damage is already underway.

Tests & treats Sliding-scale
Address
11 Woodland Park Drive, Shepherd, TX 77371
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 6:00 PM
  • Tuesday 8:00 AM – 6:00 PM
  • Wednesday 8:00 AM – 6:00 PM
  • Thursday 8:00 AM – 6:00 PM
  • Friday 8:00 AM – 6:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 11.0 miles

Health Center of Southeast Texas - Livingston

Where these reviews come from

Review sources

  • Google78
  • EasySTD5
Rated 4.5 out of 5 from 83 reviews

Health Center of Southeast Texas - Livingston, serving Livingston, anchors its STI services in a federally qualified model where fees adjust to what patients actually earn. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening.

Sliding-scale
Address
204 West Park, Livingston, TX 77351
Website

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.

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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

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Every other option

More ways to get tested in Coldspring, 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.

At-home STD testing in Coldspring, TX

The nearest testing center is about 10 miles away; if you'd rather skip the trip, an at-home kit ships to Coldspring, 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.

Clinicians near Coldspring, TX who may help arrange STD testing

Beyond dedicated clinics, 186 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Coldspring. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 61 offer telehealth.

  • Duc (Steve) Le, MD Telehealth

    Family medicine · 21 Alpine Street, Coldspring

  • Tri Le, MD Telehealth

    Family medicine · 21 Alpine Street, Coldspring

  • Raoul Perez, MD

    Family medicine · 309S Loop Hwy 59, Livingston

  • James Brown, MD

    Family medicine · 129 Daycare Road, Livingston

  • Nakizito Kazigo, MD Telehealth

    Internal medicine · 101 Woodland Park Drive, Sheperd

  • Anita Kuruvilla, MD

    Internal medicine · 400 West Church Street, Livingston

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.

Pharmacies near Coldspring, TX

No pharmacy near Coldspring, 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.

  • Brookshire Brothers Pharmacy

    0.2 mi
    Rx pickupCondoms / EC
  • Shepherd Pharmacy

    10 mi
    Rx pickupCondoms / EC
  • Prime RX Pharmacy

    17 mi
    Rx pickupCondoms / EC
  • Texienne Pharmacy

    17 mi
    Rx pickupCondoms / EC
  • Walgreens 17 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC

Showing the 5 closest pharmacies to Coldspring, TX.

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

PrEP, prevention & online treatment

Testing is one step. For residents of Coldspring, 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.

STDs & HIV in San Jacinto County: the local picture

How reported STI rates in San Jacinto County, the county that includes Coldspring, 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.

#204 of 254 Texas counties for chlamydia, a higher rate than 20% of the state

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

San Jacinto County Texas U.S. ▲▼ = San Jacinto County vs the state average
Infection San Jacinto County Texas United States
Chlamydia
179.7 52 cases ▼ 63%
491.9 492.2
Gonorrhea
79.5 23 cases ▼ 55%
176.4 179.5
Syphilis (P&S) — no data 15 15.8
Syphilis (early)
3.5 1 cases ▼ 87%
26.4 16
Syphilis (late/unknown)
17.3 5 cases ▼ 61%
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 San Jacinto County over time (per 100,000)

Chlamydia ▲ 8% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 125 250 2020202120222023

Between 2020 and 2023 in San Jacinto County, chlamydia has fallen from 219 to 179.7 per 100,000 (18%), gonorrhea has fallen from 83.9 to 79.5 per 100,000 (5%), and P&S syphilis has held roughly steady from 7.3 to 7.3 per 100,000.

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 Coldspring, TX

Adults uninsured
13.2%
No routine checkup
21.3%
Binge drinking
14.3%
Frequent mental distress
17.5%
Depression
23.7%
Below poverty line
15.3%
Primary-care ratio
13,939 : 1
San Jacinto County
  • Primary-care shortage score 17 / 26
  • Medically Underserved Area · IMU 54
  • Social Vulnerability Index · 81st 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 San Jacinto County.

Local HIV snapshot

HIV in San Jacinto County (2023)

People living with HIV
235 / 100k
PrEP users / 100k
170

San Jacinto County HIV care continuum (2023)

Among San Jacinto County residents living with HIV, 76.4% are in care · 58.2% 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 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 San Jacinto County tests for syphilis.

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

15 Sources

Local resources & officials

Data & references

About Coldspring, TX

A trip down Church Street toward the Townsite of Coldspring or a weekend drive on State Highway 150 West might seem like the moment to think about testing, but routine screening works best when it's simply part of how you look after yourself. Not something that waits for a particular reason. Young adults in Coldspring have access to confidential STI testing in and around town, listed on this page, where a conversation with a clinician stays private and judgment doesn't follow you back into your daily life. Coldspring's households often span generations under one roof, which can make privacy feel pressing in ways it wouldn't elsewhere. The clinics and providers serving the area understand this texture of community life.

Testing happens quickly, results come back reliably, and the whole process is designed to fit into the rhythm of actual living: whether you're working, in school, or managing the kind of life that doesn't fit neatly into either category. The modest cost of living here means that affording care shouldn't be the barrier it becomes in other places. If you're sexually active or simply want baseline peace of mind, screening is straightforward and available without fanfare or long waits. Many people in Coldspring do it without telling anyone, and that choice belongs entirely to you.

Getting there

How residents reach STD testing in Coldspring, TX

Walkability 3.34 / 20 · Least walkable

At 3.34/20 on the EPA walkability index, day-to-day errands in Coldspring 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 Coldspring, Texas, EasySTD

ZIP 77331 snapshot

Residents
7,348
Median age
51.1
Median income
$50,321

ZIP-level Census figures for the wider 77331 area around Coldspring: a single ZIP can span several communities, so they describe the area, not Coldspring alone.

Coldspring sits in San Jacinto County, ZIP 77331. Local context that shapes where residents test:

Local landmarks

  • J. M. Hansbro's Law Office
  • Townsite of Coldspring
  • Governor George Tyler Wood
  • Coldspring Methodist Church
  • San Jacinto County Courthouse
  • First Baptist Church of Coldspring

Major routes

  • TX 150 (Church Street)

STD testing in Coldspring, TX: screening, costs & privacy

Everything to know before you test in San Jacinto 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 Coldspring-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

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 Coldspring 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.

STD testing FAQs for Coldspring, TX

Answers to the questions people ask most before getting tested.

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

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

Does Medicaid cover STD testing?

Medicaid generally covers STD testing.

Can I get tested in Coldspring, TX without insurance?

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

Which tests are offered near Coldspring, 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 San Jacinto County?

About 180 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.

Should both partners test for chlamydia?

Yes, partners should test and be treated together to avoid passing it back and forth.

Can I trust an at-home result?

Yes, from a reputable lab, confirm any positive with a clinician for treatment.

I tested positive, what are the next steps?

Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.

Is drug-resistant gonorrhea a concern?

Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.

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