Skip to main content

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

Frio County reports about 1268 chlamydia cases per 100,000 residents, well above the US average in Texas. You might want to get tested before starting a new relationship or as part of ongoing care in Hilltop. Public clinics may be low-cost or free, whereas private labs usually provide faster results and more flexible scheduling.

Find a lab
  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

STD testing near Hilltop, TX

6 testing options are listed for Hilltop, TX. The nearest, South Texas Rural Health Services, is about 1.8 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 1.8 miles

South Texas Rural Health Services

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 5 out of 5 from 5 reviews

South Texas Rural Health Services tests for gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB on a sliding-scale fee open to all, with bacterial STIs treated same visit; an appointment is required, and care is delivered in Spanish.

Read full overview Show less

Spanish Is the Working Clinical Language Here

Spanish functions as a primary operational language at South Texas Rural Health Services in Dilley, not a supplemental option. Counseling, risk history, treatment instructions, and follow-up guidance are delivered directly in Spanish by staff, which means clinical nuance isn't lost in translation at any point in the visit.

Substance-Use Treatment Staffed Alongside STI Services

South Texas Rural Health Services carries licensed substance-use treatment within the same clinical structure as its STI program. That means the same practice managing a gonorrhea diagnosis or a hepatitis C workup can also initiate and monitor substance-use treatment, two conditions that frequently intersect, handled by one coordinated staff rather than split across separate providers.

Herpes and Hepatitis Testing Extend the Standard Panel

Beyond the core four bacterial infections and HIV, South Texas Rural Health Services runs herpes, hepatitis B, and hepatitis C testing as part of its panel. Hepatitis C-positive results can move directly into treatment within the clinic, and hepatitis B vaccination is available on-site, so the testing and the clinical response to it stay within the same practice.

Tests & treats Sliding-scale
Address
606 West Leona, Dilley, TX 78017
Booking
Appointment required
Opening hours
  • Monday 9:00 AM – 6:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 9:00 AM – 6:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 14.5 miles

Pearsall Behavioral Health

Where these reviews come from

Review sources

  • Google11
  • EasySTD1
Rated 3.3 out of 5 from 12 reviews

Pearsall Behavioral Health, in Pearsall, earns its federally qualified status by tying fees to income. No patient is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs scaled to what each person actually earns.

Sliding-scale
Address
158 Medical Drive, Pearsall, TX 78061
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.

Find your match in 10 seconds

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

Rate this clinic

Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Hilltop, 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 Hilltop, TX

The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Hilltop, 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.

Clinicians near Hilltop, TX who may help arrange STD testing

Beyond dedicated clinics, 6 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hilltop. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.

  • Robert Pease, MD

    Infectious disease · 200 South Interstate 35, Pearsall

  • Jose Sosa, MD Telehealth

    Family medicine · 151 Medical Drive, Pearsall

  • Earl Marshall, MD

    Family medicine · 151 Medical Drive, Pearsall

  • Marcela Riojas, MD Telehealth

    Family medicine · 150 Medical Drive, Pearsall

  • Oscar Garza, MD Telehealth

    Family medicine · 205 North Oak Street, Pearsall

  • Elva Camero, MD Telehealth

    Family medicine · 302 North Main Street, Cotulla

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 Hilltop, TX

No pharmacy near Hilltop, 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.

Showing the 6 closest pharmacies to Hilltop, 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 Hilltop, 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 Frio County: the local picture

How reported STI rates in Frio County, the county that includes Hilltop, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#2 of 254 Texas counties for chlamydia, among the very highest in the state

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

Frio County Texas U.S. ▲▼ = Frio County vs the state average
Infection Frio County Texas United States
Chlamydia
1267.6 228 cases ▲ 158%
491.9 492.2
Gonorrhea
200.1 36 cases ▲ 13%
176.4 179.5
Syphilis (P&S)
16.7 3 cases ▲ 11%
15 15.8
Syphilis (early)
33.4 6 cases ▲ 27%
26.4 16
Syphilis (late/unknown)
389.2 70 cases ▲ 779%
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 Frio County over time (per 100,000)

Chlamydia ▲ 2% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 650 1300 2020202120222023

Between 2020 and 2023 in Frio County, chlamydia has risen from 625.5 to 1267.6 per 100,000 (103%), gonorrhea has risen from 168.6 to 200.1 per 100,000 (19%), and P&S syphilis has risen from 10.8 to 16.7 per 100,000 (55%).

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 Hilltop, TX

Adults uninsured
36.1%
No routine checkup
32.8%
Binge drinking
18.3%
Frequent mental distress
19%
Depression
20.1%
Below poverty line
20.6%
Primary-care ratio
4,609 : 1
Frio County
  • Primary-care shortage score 21 / 26
  • Medically Underserved Area · IMU 60
  • Social Vulnerability Index · 97th 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 Frio County.

Local HIV snapshot

HIV in Frio County (2023)

People living with HIV
1596 / 100k
New diagnoses (2023)
25cases countywide
PrEP users / 100k
107 · PnR 0.64

Frio County HIV care continuum (2023)

Frio County recorded 167.6 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Frio County residents living with HIV, 31.2% are in care · 24.2% 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 Frio County tests for syphilis.

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

15 Sources

Local resources & officials

Data & references

About Hilltop, TX

West Leona Street cuts through a community where a substantial share of residents are young adults navigating that stretch of life between early independence and settled partnership: renting at rates that leave real monthly choices between convenience and cost, or owning modest homes in a county where STI rates make routine screening genuinely worthwhile. Two facts about Hilltop complicate that picture in interesting ways. The homeownership rate here is notably split, just under half of households rent, many at prices that make every discretionary expense something people weigh carefully. And with nearly nine in ten working-age adults in the labor force and unemployment effectively absent, schedules here are full.

People along North Main Street or near Dilley City Park aren't underemployed and available: they're working, and working consistently. That's the real texture of why low-overhead, fast-turnaround testing matters for the younger adults here: it's not about stigma, it's about hours in a day. The options listed on this page aren't all local, some require a stretch of I-35 to reach. That distance is exactly what turns a passing intention into a scheduling decision, which is why knowing the hours and costs before leaving the driveway makes the difference between a trip that happens this week and one that drifts.

Getting there

How residents reach STD testing in Hilltop, TX

Walkability 5.54 / 20 · Least walkable

At 5.54/20 on the EPA walkability index, day-to-day errands in Hilltop 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 6 STD & STI testing locations in Hilltop, Texas, EasySTD

ZIP 78017 snapshot

Residents
6,160
Median age
29.3
Median income
$51,111

ZIP-level Census figures for the wider 78017 area around Hilltop: a single ZIP can span several communities, so they describe the area, not Hilltop alone.

Hilltop sits in Frio County, ZIP 78017. Local context that shapes where residents test:

Local landmarks

  • Dilley City Park

Neighborhoods & communities

  • Dilley

Major routes

  • I 35 (Purple Heart Trail)
  • TX 85 (West Leona Street)
  • South Main Street

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

Everything to know before you test in Frio 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 Hilltop-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 Hilltop 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 Hilltop, TX

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near Hilltop, TX?

Yes, several local labs offer same-day walk-in testing; best to call first.

How much does STD testing cost near Hilltop, TX?

Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Can I get tested in Hilltop, TX without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Hilltop, TX?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Frio County?

Frio County reported ~1,268 chlamydia cases per 100,000 in 2023, above the Texas average.

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.

Where can teens get STD testing near Hilltop, TX?

Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.

Are there LGBTQ-friendly testing options?

Public and community clinics test everyone; several provide LGBTQ-affirming services.

Can you tell if someone has an STD by looking?

No, most STIs have no visible signs, so the only way to know is to test.

How is HPV tested near Hilltop, TX?

For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.

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