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

In Nacogdoches County, reported syphilis runs 91% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Cushing, Texas, you can get answers and start treatment with a clinic visit, or collect a sample on your own schedule with an at-home kit. We list your options below.

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  • Backed by CDC, CMS & Census data
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STD testing near Cushing, TX

5 testing options are listed for Cushing, TX. The nearest, Crossroads Family Care, is about 11.8 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 11.8 miles

Crossroads Family Care

Where these reviews come from

Review sources

  • Google17
  • EasySTD1
Rated 3.1 out of 5 from 18 reviews

Crossroads Family Care in Mount Enterprise pairs gonorrhea, chlamydia, syphilis, and herpes testing with same-visit treatment for bacterial infections. All on a sliding-scale fee that adjusts to income. Appointments are required; Medicaid, Medicare, and insurance are accepted, and services include HPV and hepatitis vaccines.

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Spanish-Language Care Without a Workaround

Crossroads Family Care delivers STI testing, counseling, and treatment directly in Spanish. Not routed through a separate service or scheduled separately. For someone navigating a diagnosis, discussing family planning, or managing ongoing treatment, that capacity sits inside the clinic itself, on the same appointment.

Herpes and Hepatitis Testing Beyond the Standard Four

Many clinics test for gonorrhea, chlamydia, syphilis, and HIV, and stop there. Crossroads Family Care extends its panel to herpes, hepatitis A, B, and C, and TB, giving a more complete picture in a single appointment rather than requiring separate referrals for those additional tests.

Tests & treats Sliding-scale
Address
106 West Rusk Street, Mount Enterprise, TX 75681
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 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
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 Cushing, 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 Cushing, TX

The nearest testing center is about 12 miles away; if you'd rather skip the trip, an at-home kit ships to Cushing, 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.

Other CLIA-certified labs near Cushing, TX

Beyond the public testing sites above, these federally certified (CLIA) labs serve Nacogdoches 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.

  • East Texas Foot Associates

    1400 Raguet Street, Nacogdoches, TX 75961

    CMS-certified lab Accredited · COLA

    • STD testing
  • Procare Nacogdoches

    1420 North Street, Nacogdoches, TX 75961

    CMS-certified lab Accredited · COLA

    • STD testing
  • NCHD Memorial Hospital

    1204 North Mound Street, Nacogdoches, TX 75961

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cushing. 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.

Clinicians near Cushing, TX who may help arrange STD testing

Beyond dedicated clinics, 118 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cushing. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 32 offer telehealth.

  • Aaron Polk, MD

    Family medicine · 212 Russell Boulevard, Nacogdoches

  • David Vinther, MD

    Internal medicine · 409 Russell Boulevard, Nacogdoches

  • Kavita Vyas, MD Telehealth

    Internal medicine · 607 Russell Boulevard, Nacogdoches

  • Rachel Head, MD Telehealth

    Urology · 617 Russell Boulevard, Nacogdoches

  • Philip Labarbera, MD

    Family medicine · 4944 Northeast Stallings Drive, Nacogdoches

  • Vicki Satir, MD Telehealth

    Family medicine · 4942 Northeast Stallings Drive, Nacogdoches

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 Cushing, TX

No pharmacy near Cushing, 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.

  • CVS Pharmacy 18 mi
    Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
  • B and B Pharmacy

    18 mi
    Rx pickupCondoms / EC
  • Kroger Pharmacy 18 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
  • Stripling's Pharmacy

    18 mi
    Rx pickupCondoms / EC
  • The Medicine Shoppe

    18 mi
    Rx pickupCondoms / EC

Showing the 5 closest pharmacies to Cushing, 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 Cushing, 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 Nacogdoches County: the local picture

How reported STI rates in Nacogdoches County, the county that includes Cushing, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#19 of 254 Texas counties for chlamydia, a higher rate than 93% of the state

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

Nacogdoches County Texas U.S. ▲▼ = Nacogdoches County vs the state average
Infection Nacogdoches County Texas United States
Chlamydia
607.3 397 cases ▲ 23%
491.9 492.2
Gonorrhea
136.1 89 cases ▼ 23%
176.4 179.5
Syphilis (P&S)
1.5 1 cases ▼ 90%
15 15.8
Syphilis (early)
6.1 4 cases ▼ 77%
26.4 16
Syphilis (late/unknown)
67.3 44 cases ▲ 52%
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 Nacogdoches County over time (per 100,000)

Chlamydia ▲ 16% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 350 700 2020202120222023

Between 2020 and 2023 in Nacogdoches County, chlamydia has fallen from 674.4 to 607.3 per 100,000 (10%), gonorrhea has fallen from 314 to 136.1 per 100,000 (57%), and P&S syphilis has fallen from 13.9 to 1.5 per 100,000 (89%).

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 Cushing, TX

Adults uninsured
11.9%
No routine checkup
22.8%
Binge drinking
15.7%
Frequent mental distress
16.4%
Depression
22.6%
Below poverty line
16%
Primary-care ratio
1,406 : 1
Nacogdoches County
  • Primary-care shortage score 19 / 26
  • Medically Underserved Area
  • Social Vulnerability Index · 100th 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 Nacogdoches County.

Local HIV snapshot

HIV in Nacogdoches County (2023)

People living with HIV
238 / 100k
New diagnoses (2023)
7cases countywide
PrEP users / 100k
73 · PnR 5.71

Nacogdoches County HIV care continuum (2023)

Nacogdoches County recorded 12.8 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Nacogdoches County residents living with HIV, 81.3% are in care · 69.9% 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 Nacogdoches County tests for syphilis.

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

17 Sources

Local resources & officials

Data & references

About Cushing, TX

Beard Mountain Road anchors one edge of Cushing, and the households clustered nearby look a lot like the town overall. Mostly owners, mostly married, running larger-than-average families on budgets where $667 a month in rent still represents a real line item. With nearly four in ten working-age residents outside the labor force and unemployment meaningfully elevated, the rhythms here aren't nine-to-five predictable. Shift work, caregiving, and stretched schedules mean that driving somewhere for a routine screening has to compete with a long list of other demands.

That's worth naming plainly for younger adults, the people in their late teens and twenties who are statistically most likely to have an undetected infection and least likely to have a regular doctor visit already on the calendar. Lower-cost, appointment-optional clinics carry obvious weight when household budgets are tight and the high-earner share of residents is small. No testing options are currently listed for Cushing directly, but the options on this page cover the broader area: meaning a drive toward Nacogdoches, past the shadow of Denny Mountain, can still connect residents to sliding-scale care that fits what this particular town actually earns and schedules.

Getting there

How residents reach STD testing in Cushing, TX

Walkability 3.93 / 20 · Least walkable

At 3.93/20 on the EPA walkability index, day-to-day errands in Cushing 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 5 STD & STI testing locations in Cushing, Texas, EasySTD

ZIP 75760 snapshot

Residents
2,114
Median age
46.7
Median income
$77,803

ZIP-level Census figures for the wider 75760 area around Cushing: a single ZIP can span several communities, so they describe the area, not Cushing alone.

Cushing sits in Nacogdoches County, ZIP 75760. Local context that shapes where residents test:

Local landmarks

  • Denny Mountain
  • Button Mountain
  • Beard Mountain
  • Flower Mountain

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

Everything to know before you test in Nacogdoches 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 Cushing-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 Cushing 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 Cushing, TX

Answers to the questions people ask most before getting tested.

Can I get same-day or walk-in testing near Cushing, 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 Cushing, TX without insurance?

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

Which tests are offered near Cushing, 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 Nacogdoches County?

About 607 cases per 100,000 residents (2023), above the Texas average.

How long do results take near Cushing, TX?

Lab results typically come back in 1–2 days.

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.

How do at-home STD kits work near Cushing, TX?

You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.

Should both partners test for chlamydia?

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

Can trich be treated?

It's cured with antibiotics; treating partners together prevents reinfection.

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