In Bastrop County, reported chlamydia runs about 14% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Elgin, Texas, you can choose from public clinics to keep costs down, private labs to prioritize speed, and at-home kits for convenience. You can see your options below.
Available testing centers
9 testing options are listed for Elgin, TX. The nearest, Labcorp, is about 0.5 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.
Community Health Centers of South Central a community health center in Elgin, weaves STI testing and treatment into the same primary-care infrastructure its patients already use: gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee with appointments, HPV and hepatitis vaccines included.
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 Elgin tests for HIV, hepatitis C, gonorrhea, chlamydia, and syphilis, treating bacterial infections the same visit: all at no fee, with donations accepted and Medicaid taken for those who use it. An appointment is required.
Every service at this clinic (testing, treatment, vaccines, DoxyPEP) carries no charge, and that extends to follow-up care as well. For anyone budgeting around a diagnosis or a prevention regimen, the cost of the visit simply isn't a variable.
Spanish is spoken directly at this clinic, and interpretation services extend coverage to other languages as needed. That means symptom histories, treatment instructions, and prevention counseling reach patients with the precision that only native or fluent delivery provides.
Doxycycline post-exposure prophylaxis remains outside the scope of many STI clinics, left to primary care or specialty providers to sort out. Texas DSHS Elgin prescribes DoxyPEP directly, making bacterial STI prevention through this antibiotic regimen part of the standard care available here.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Peoples Community Clinic in Manor functions as a community health center where STI care sits alongside family medicine, meaning gonorrhea, chlamydia, syphilis, and HIV testing, plus same-visit bacterial treatment, are handled on a sliding-scale fee with an appointment, and services close in Spanish.
When care at Peoples Community Clinic stalls because of a language gap, the gap doesn't stay theoretical: STI counseling gets compressed, treatment decisions get deferred, and follow-up falls apart. Here, Spanish-speaking staff carry the clinical conversation from intake through treatment without compression or delay.
Peoples Community Clinic prescribes and manages PrEP directly, which means the path from a prevention conversation to an active prescription stays within the same clinical relationship. No handoff to a separate provider before medication begins.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
CommUnityCare Health Centers in Manor tests for gonorrhea, chlamydia, syphilis, and herpes alongside hepatitis A, B, and C, a wider diagnostic sweep than the standard four, with same-visit treatment for bacterial infections and sliding-scale fees that apply regardless of insurance status. Walk-ins welcome.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Hornsby Bend Health and Wellness Center, Austin, anchors its STI care in a sliding-scale fee structure tied to income. No one is turned away for inability to pay. Walk-ins are welcome for screening that covers syphilis, gonorrhea, and chlamydia.
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 Elgin, 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 range: couples & full panels
$79 & 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 Bastrop 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.
630 Hwy71 West, Bastrop, TX 78602
CMS-certified lab Accredited · Joint Commission
1201 Hill Road, Smithville, TX 78957
CMS-certified lab Accredited · Joint Commission
3101 Hwy 71 East Suite 203, Bastrop, TX 78602
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Elgin. 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, 1,411 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Elgin. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 575 offer telehealth.
Jacqueline Champlain, MD Telehealth
Family medicine · 1392 West US Hwy 290, Elgin
Lee Rice, MD
OB-GYN · 200 Roy Rivers Road, Elgin
Carolyn Crispell, DO
Internal medicine · 1373 North Ave C, Elgin
Sondra Aiken, MD Telehealth
Internal medicine · 11300 US Hwy 290 East Building 2 230, Manor
Christal Murray, MD Telehealth
Internal medicine · 12436 Gregg Manor Road, Manor
Grace Steel, MD
OB-GYN · 2600 East Pflugerville Parkway, Pflugerville
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 Elgin, 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.
0.1 mi 
0.2 mi 
0.5 mi Baylor Scott & White Pharmacy
14 miShowing the 4 closest pharmacies to Elgin, 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 Elgin, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Bastrop County, the county that includes Elgin, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#58 of 254 Texas counties for chlamydia, a higher rate than 77% of the state
| Infection | Bastrop County | Texas | United States |
|---|---|---|---|
| Chlamydia | 425.2 471 cases ▼ 14% | 491.9 | 492.2 |
| Gonorrhea | 148 164 cases ▼ 16% | 176.4 | 179.5 |
| Syphilis (P&S) | 17.2 19 cases ▲ 15% | 15 | 15.8 |
| Syphilis (early) | 13.5 15 cases ▼ 49% | 26.4 | 16 |
| Syphilis (late/unknown) | 28.9 32 cases ▼ 35% | 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 Bastrop County, chlamydia has fallen from 444.4 to 425.2 per 100,000 (4%), gonorrhea has fallen from 179 to 148 per 100,000 (17%), and P&S syphilis has risen from 9.3 to 17.2 per 100,000 (85%).
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 Bastrop County.
Local HIV snapshot
Bastrop County HIV care continuum (2023)
Bastrop County recorded 14.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bastrop County residents living with HIV, 82.1% 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 Bastrop County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Elgin Memorial Park sits quiet most mornings, but for a lot of residents here, the day starts early and ends late. Because with unemployment running meaningfully higher than state norms and a large share of households where multiple people depend on the same paycheck, discretionary time is genuinely scarce. That crunch falls hardest on younger adults in their late teens and twenties, the years when STI rates spike and when a clinic visit feels easiest to postpone when work schedules are unpredictable. Nearly half of Elgin's residents rent rather than own, and at roughly $950 a month that's a real line item in a household averaging more than four people. Cost pressure at that scale means out-of-pocket health expenses get weighed carefully, which is exactly why having listed options matters, including ones with sliding-scale or no-cost visits.
The town's spread-out layout along US 290 and State Highway 95 means most trips require a car and a block of time, so knowing in advance which clinic is closest and what it charges removes a genuine obstacle before it becomes a reason to skip. Bastrop County's STI picture makes routine screening worth building into life here, not as an aspiration but as a practical habit. The same way residents already navigate long commutes and tight budgets. Finding the right option on this page first means the drive on 290 has a clear destination.
Getting there
At 3.52/20 on the EPA walkability index, day-to-day errands in Elgin 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 78621 snapshot
ZIP-level Census figures for the wider 78621 area around Elgin: a single ZIP can span several communities, so they describe the area, not Elgin alone.
Elgin sits in Bastrop County, ZIP 78621. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Elgin? 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 Bastrop 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 an Elgin-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 Elgin 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.
There are 9 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Bastrop County reported ~425 chlamydia cases per 100,000 in 2023, below the Texas average.
At-home kits mail to 78621: self-collect, send to the lab, results in ~2–5 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Herpes isn't in standard panels unless you have symptoms, a sore can be swabbed, or a blood test discussed with a provider.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.