In Hillsboro, reported gonorrhea runs about 59% lower than the US average. Whether you need testing after a possible exposure or as part of routine care, Hillsboro, Texas offers options between community clinics which are often low-cost or free and private labs that tend to offer faster results and more flexible scheduling. We list both for you below.
Available testing centers
9 testing options are listed for Hillsboro, TX. The nearest, Waco Family Medicine - Hillsboro, is about 1.0 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.
Waco Family Medicine - Hillsboro serves anyone in Hillsboro navigating care without insurance, between providers, or paying out of pocket. Federal qualification backs its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely affordable regardless of income. No appointment needed to get started.
Tests offered
Fees & payment
Integrity Urgent Care in Waco tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C, with fees billed to Medicare or private insurance; an appointment is required, and bacterial STIs are treated the same visit, with care available in Spanish.
For someone without a regular primary-care provider who needs to navigate treatment decisions, not just a diagnosis, having the entire clinical conversation happen in Spanish changes what's actually possible. At Integrity Urgent Care, Spanish-language care covers consultation, diagnosis, and same-visit bacterial treatment, so nothing gets lost between question and answer.
Without a regular provider ordering labs, getting tested for herpes or hepatitis B and C alongside gonorrhea, chlamydia, syphilis, and HIV typically means coordinating multiple appointments. Integrity Urgent Care runs all seven in a single visit, the right fit for anyone who wants a complete picture without stitching together separate referrals.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Waco Family Medicine in Bellmead requires an appointment, so scheduling in advance is what makes a visit work: once there, a single encounter covers TB and STI testing (gonorrhea, chlamydia, syphilis, and HIV), treatment for bacterial infections, and family planning on a sliding-scale fee.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Waco-McLennan County Public Health District runs appointments for gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing, with same-visit treatment for bacterial infections, HPV and hepatitis vaccines, and partner notification. Every service extended at no fee.
For anyone managing care without a regular provider or paying entirely out of pocket, Waco-McLennan County Public Health District covers testing, treatment, vaccines, and counseling without charging for any of it. No line item, no cost at checkout regardless of what the visit requires.
For someone whose primary language is Spanish, Waco-McLennan County Public Health District delivers services (counseling, treatment decisions, prevention education) directly in Spanish, so nothing clinical gets filtered or simplified in translation.
Ryan White Program funding at Waco-McLennan County Public Health District extends the continuum from HIV testing through ongoing HIV management, meaning a positive result doesn't end the clinic's role. Care continues here rather than being handed off elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Waco Family Medicine – Madison Cooper, in Waco, earned its federal health center designation by committing to serve patients regardless of their ability to pay: sliding-scale fees adjust to income, keeping syphilis, gonorrhea, and chlamydia screening within reach for cash-paying patients, those between providers, or anyone navigating coverage gaps.
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Hillsboro, 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 Hill 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.
101 Circle Drive, Hillsboro, TX 76645
CMS-certified lab Accredited · Joint Commission
101 Circle Drive # 400, Hillsboro, TX 76645
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hillsboro. 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, 66 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hillsboro. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
Jonathan Seale, MD
Family medicine · 101 Circle Drive, Hillsboro
Ebony Raymond, DO Telehealth
Internal medicine · 112 South Covington Street, Hillsboro
Randall Henderson, DO
Family medicine · 1314 North Brazos Street, Whitney
Lance Robinson, MD
Family medicine · 202 East Jefferson Avenue, Whitney
George Smith, DO
Family medicine · 500 Meadow Drive, West
Mark Dickie, MD Telehealth
Family medicine · 782 Dry Creek Road, Waco
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 Hillsboro, 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
0.9 miT B Bond Pharmacy
0.9 miAmerican Star Pharmacy
0.9 miWaco Family Medicine - Pharmacy
0.9 mi
1.0 mi Eagle Drug
1.0 miShowing the 6 closest pharmacies to Hillsboro, 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 Hillsboro, 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 Hill County, the county that includes Hillsboro, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#135 of 254 Texas counties for chlamydia, a higher rate than 47% of the state
| Infection | Hill County | Texas | United States |
|---|---|---|---|
| Chlamydia | 286.1 109 cases ▼ 42% | 491.9 | 492.2 |
| Gonorrhea | 73.5 28 cases ▼ 58% | 176.4 | 179.5 |
| Syphilis (P&S) | 18.4 7 cases ▲ 23% | 15 | 15.8 |
| Syphilis (early) | 2.6 1 cases ▼ 90% | 26.4 | 16 |
| Syphilis (late/unknown) | 18.4 7 cases ▼ 58% | 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 Hill County, chlamydia has fallen from 295.5 to 286.1 per 100,000 (3%), gonorrhea has fallen from 117.1 to 73.5 per 100,000 (37%), and P&S syphilis has risen from 5.6 to 18.4 per 100,000 (229%).
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 Hill County.
Local HIV snapshot
Hill County HIV care continuum (2023)
Among Hill County residents living with HIV, 75% are in care · 65.9% 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 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 Hill County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Corsicana Highway cuts through a town where households run larger than the state average and nearly half of all residents rent, most at a modest monthly figure that still leaves little slack for discretionary spending. That combination shapes how health decisions get made here: when nearly six in ten working-age adults are in the labor force and unemployment sits noticeably above typical Texas levels, a medical appointment competes with shift schedules, childcare, and tight budgets rather than convenience alone. With fewer than one in six households clearing six figures, out-of-pocket costs are a real calculation, not an afterthought.
Those pressures land hardest on young adults in their late teens and twenties, the years when STI exposure is statistically most common and when people are also least likely to have established relationships with a primary-care provider. Hillsboro's household structure, averaging more than three people per home and with just over four in ten adults married, means many residents share living arrangements across generations or with roommates, contexts where partners cycle and conversations about testing rarely happen unprompted. The options listed on this page include twelve testing resources in and around Hillsboro, some reachable along South Waco Street or TX 81 without a long detour from a daily commute.
Hill County's STI figures reflect patterns common to smaller, inland Texas counties, where reported rates can undercount actual transmission simply because routine screening is less frequent. For someone living near Leadership Park or anywhere else in town, staying current means the county's numbers reflect reality rather than just the subset of people who happened to get tested.
Getting there
At 7.17/20 on the EPA walkability index, day-to-day errands in Hillsboro 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 76645 snapshot
ZIP-level Census figures for the wider 76645 area around Hillsboro: a single ZIP can span several communities, so they describe the area, not Hillsboro alone.
Hillsboro sits in Hill County, ZIP 76645. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Hillsboro? 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 Hill 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 Hillsboro-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 Hillsboro 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.
Possibly, Whitney, TX is close; compare it by distance against Waco Family Medicine - Hillsboro.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 286 cases per 100,000 residents (2023), below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.