Residents of Kendall County, Texas report gonorrhea at rates approximately 75% lower than the US average. Whether you're getting tested in Comfort, Texas for a one-time concern or regular check-ups, choose from clinics that take walk-ins, or labs and at-home kits that let you plan around your own time. We list your options below.
Available testing centers
9 testing options are listed for Comfort, TX. The nearest, Texas Department of State Health Services, is about 14.2 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.
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
Raphael Community Free Clinic in Kerrville runs its STI panel (gonorrhea, chlamydia, herpes, and hepatitis C) alongside on-site hepatitis C treatment, HPV and hepatitis A and B vaccines, and same-visit bacterial treatment, by appointment, with every service provided at no fee.
Sliding-scale and reduced-cost models still leave a number at the end of the visit. Raphael Community Free Clinic in Kerrville charges nothing, not for the test, not for the vaccine, not for treatment. The fee is zero across every service the clinic offers.
Raphael Community Free Clinic in Kerrville delivers its care in Spanish, not through a relay or an add-on, but as a core part of how services run. For someone navigating a positive result, a treatment plan, or a vaccine schedule, that means every clinical conversation happens in the language that carries the most weight.
A hepatitis C diagnosis that sends you to a specialist means a second appointment, a longer wait, and a gap where treatment hasn't started. Raphael Community Free Clinic in Kerrville closes that gap, treatment happens on-site, so the path from confirmed diagnosis to active care doesn't pass through another door.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
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
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
Frontera Healthcare Network - Fredericksburg Clinic in Fredericksburg carries federally qualified health center standing, which translates directly into sliding-scale fees tied to household income for STI screening. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without needing an appointment first.
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 about 14 miles away; if you'd rather skip the trip, an at-home kit ships to Comfort, 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 for simplicity & support
$89 & up
Best range: couples & full panels
$79 & 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.
815 Front Street, Comfort, TX 78013
CMS-certified lab Accredited · COLA
134 Menger Springs Suite 2000 Room Lab, Boerne, TX 78006
CMS-certified lab Accredited · College of American Pathologists
124 East Bandera Suite 301, Boerne, TX 78006
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Comfort. 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, 176 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Comfort. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 68 offer telehealth.
John Ramsay, MD
Family medicine · 815 Front Street, Comfort
Shannon Klump, DO Telehealth
Family medicine · 203 US Hwy 87, Comfort
Brian Burns, MD Telehealth
Family medicine · 1555 Bandera Highway, Kerrville
Rachel Myers, MD
Family medicine · 1216 Broadway, Kerrville
David Miloy, MD Telehealth
Internal medicine · 1411 Water Street, Kerrville
Kerri Truelock, MD
OB-GYN · 176 Fairway Drive, Kerrville
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 Comfort, 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.
Comfort Pharmacy
0.6 miMedicine Stop
15 miHappy Hooves Pharmacy
15 miFrontier Pharmacy
15 miGrasso Enterprises
15 miLuck Enterprises
15 miShowing the 6 closest pharmacies to Comfort, 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 Comfort, 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
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
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 Kendall County, the county that includes Comfort, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% 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
US Highway 87 stretches through Comfort as both the town's main artery and the road anyone here follows toward the nearest clinic listed on this page, a real drive out of Kendall County, not a quick errand between stops. That distance matters more when unemployment is running notably high and a quarter of households are renting, where an unplanned afternoon off work carries a sharper cost than it might elsewhere. Comfort skews toward stability on paper: most residents own their homes, the average household runs large, and more than half of adults are married. Those households often have competing schedules, shared vehicles, and the logistical math that comes with multiple people under one roof.
For the younger adults here, people in their late teens and twenties who make up a meaningful share of the population, that household texture can make self-directed health decisions feel like one more thing to coordinate, especially when the nearest testing option requires planning a trip rather than fitting one into an existing commute. Kendall County's STI picture reinforces why that planning is worth doing. Getting screened means arranging the drive down US 87 in advance, knowing which option on this page fits the household's schedule, and treating it as a logistics problem with a workable solution, which, for most people here, it is.
Getting there
At 4.32/20 on the EPA walkability index, day-to-day errands in Comfort 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 78013 snapshot
ZIP-level Census figures for the wider 78013 area around Comfort: a single ZIP can span several communities, so they describe the area, not Comfort alone.
Comfort sits in Kendall County, ZIP 78013. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Comfort? 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 Comfort-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 Comfort 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.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Kendall County reported ~164 chlamydia cases per 100,000 in 2023, below the Texas average.
Most results are ready in about 1–2 days.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
No; "everything" means a panel of several tests, and some need a repeat later to be conclusive.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, syphilis is cured with antibiotics (usually penicillin), and earlier treatment prevents long-term damage.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.