In Comanche County, Texas, reported chlamydia runs about 49% lower than the US average. Whether you're starting a new relationship in or getting ongoing care in Comanche County there are trade-offs: clinics offer in-person support and immediate treatment, while at-home kits let you test on your own time. Below, find options.
Available testing centers
6 testing options are listed for Comanche, TX. The nearest, Comanche County Medical Center Company, is about 0.1 miles away. Compare 5 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 community safety-net rural health clinic in Comanche. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
AccelHealth - DeLeon Annex, in De Leon, earned its federal qualification by committing to serve patients regardless of ability to pay: making sliding-scale STI screening for syphilis, gonorrhea, and chlamydia genuinely reachable for cash-paying residents, those between providers, and anyone navigating coverage gaps.
Tests offered
Fees & payment
AccelHealth - DeLeon serves De Leon residents navigating gaps in coverage, paying out of pocket, or simply without a regular provider, and its federally qualified status means fees are calibrated to income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening without an appointment.
Tests offered
Fees & payment
Brownwood-Brown County Health Department anchors STI care within Brownwood's public health infrastructure, pairing gonorrhea, chlamydia, syphilis, and HIV testing with same-visit bacterial treatment, HPV and hepatitis A and B vaccines, and family planning. All on a sliding-scale fee, by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
AccelHealth - Brownwood Main, in Brownwood, carries federal qualification that obligates it to offer STI screening (syphilis, gonorrhea, and chlamydia) on a sliding-scale fee schedule tied directly to each patient's income, making the same standard of care available regardless of what someone can pay.
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 Comanche, 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 Comanche 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.
10201 Highway 16 North, Comanche, TX 76442
CMS-certified lab
10201 Highway 16 North, Comanche, TX 76442
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Comanche. 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, 35 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Comanche. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.
Richard Byrd, MD
Family medicine · 201 Valley Forge Street, Comanche
John Hodges, MD
Internal medicine · 10201 Hwy 16, Comanche
Roy Byrd, MD
Internal medicine · 1100 West Reynosa Avenue, De Leon
Ali Busoul, DO Telehealth
Family medicine · 1604 14th Street, Brownwood
Fred Schultz, MD
OB-GYN · 2900 Coggin Avenue, Brownwood
Gary Butka, MD
Internal medicine · 3661 Hwy 377 South, Brownwood
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 Comanche, 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.
Brookshires Pharmacy
0.3 mi
0.3 mi Comanche Pharmacy
0.4 miDe Leon Pharmacy
15 miPatrick Street Pharmacy
20 miBest Value Dublin Pharmacy
20 miShowing the 6 closest pharmacies to Comanche, 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 Comanche, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Comanche County, the county that includes Comanche, 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.
#164 of 254 Texas counties for chlamydia, a higher rate than 35% of the state
| Infection | Comanche County | Texas | United States |
|---|---|---|---|
| Chlamydia | 249.1 35 cases ▼ 49% | 491.9 | 492.2 |
| Gonorrhea | 49.8 7 cases ▼ 72% | 176.4 | 179.5 |
| Syphilis (P&S) | — no data | 15 | 15.8 |
| Syphilis (early) | 7.1 1 cases ▼ 73% | 26.4 | 16 |
| Syphilis (late/unknown) | 14.2 2 cases ▼ 68% | 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 Comanche County, chlamydia has fallen from 279.5 to 249.1 per 100,000 (11%), and gonorrhea has fallen from 66.2 to 49.8 per 100,000 (25%).
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 Comanche County.
Local HIV snapshot
Comanche County HIV care continuum (2021)
Comanche County recorded 0 new HIV diagnoses per 100,000 (2021), against 20.2 statewide and 13.7 nationally. Among Comanche County residents living with HIV, 76.5% are in care · 70.6% 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 Comanche County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West Central Avenue cuts through a Comanche where most residents own their homes outright and have for years, which means the roughly one-in-four households renting here are often younger adults still sorting out where life is headed, forming new relationships, navigating new partners, and not always prioritizing a clinic visit in the process. With over half of adults married and household sizes averaging three, Comanche skews toward settled family life, but that picture coexists with a meaningful share of people in their late teens and twenties who don't yet fit that mold, and who fall squarely in the years when STI rates run highest. Labor-force participation here is modest, meaning many residents aren't on a nine-to-five schedule that would make a weekday appointment easy to slot in. The low unemployment figure suggests those who are working tend to stay busy, and with typical rents among the lowest you'll find anywhere in Texas, cost pressure looks different here than in bigger metros, but that doesn't automatically make a screening feel simple or close.
What does complicate it is distance. Every clinic here requires getting into a vehicle and covering real miles out along TX 16 or beyond. That drive is the concrete variable to plan around.
Getting there
At 6.92/20 on the EPA walkability index, day-to-day errands in Comanche 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 76442 snapshot
ZIP-level Census figures for the wider 76442 area around Comanche: a single ZIP can span several communities, so they describe the area, not Comanche alone.
Comanche sits in Comanche County, ZIP 76442. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Comanche? 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 Comanche 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 Comanche-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 Comanche 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
Brownwood-Brown County Health Department, about 25.3 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Comanche County reported ~249 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.
Most results are ready in about 1–2 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.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.