In Bowie County, Texas, reported gonorrhea infections run about 15% higher than the US average. If you're in Hoot, Texas, and planning to start a new relationship or maintaining ongoing sexual health care, weigh options between clinics that may bill insurance, vs private labs offering a flat self-pay price. See your choices below.
Available testing centers
7 testing options are listed for Hoot, TX. The nearest, ARcare, is about 6.1 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.
ARcare in Texarkana functions as a community health center where STI care (rapid and conventional HIV testing, gonorrhea, chlamydia, syphilis, herpes, and hepatitis A, B, and C) sits alongside primary care, with sliding-scale and no-fee options and appointments required for all services.
Fee-based clinics routinely leave patients weighing whether to complete follow-up or fill a prescription. ARcare breaks that pattern entirely: the full scope of services (testing, treatment, vaccines, PrEP) carries no charge, so cost doesn't become the variable that interrupts care.
ARcare's standing interpretation services mean that someone navigating STI care, PrEP counseling, or hepatitis treatment in a language other than English engages directly with clinical staff: the conversation about medications, adherence, and follow-up happens with full comprehension, not around it.
Ryan White Program funding at ARcare means HIV care doesn't stop at a positive test, it extends through ongoing medical treatment and medication adherence counseling, with the program absorbing costs that would otherwise interrupt antiretroviral regimens for uninsured patients.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Arkansas Department of Health in Texarkana charges nothing for its services (no sliding scale to navigate, just zero cost) and covers gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing, with same-visit treatment for bacterial STIs and an appointment required to be seen.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Texarkana Care Clinic - Texas Blvd, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal qualification underpins its sliding-scale fees, keeping syphilis, gonorrhea, and chlamydia testing within reach regardless of income. One visit, no scheduling hurdle.
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Hoot, 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 Bowie 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.
1000 Pine Street, Texarkana, TX 75501
CMS-certified lab Accredited · College of American Pathologists
5212 West 7th Street, Texarkana, TX 75501
CMS-certified lab
1920 Moores Ln Suite A, Texarkana, TX 75503
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hoot. 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, 124 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hoot. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 13 offer telehealth.
Timothy Overlock, MD
Internal medicine · 1002 Texas Boulevard, Texarkana
James Hurley, MD
Internal medicine · 1002 Texas Boulevard, Texarkana
Zubaer Dawlah, MD
Internal medicine · 1000 Pine Street, Texarkana
Nalini Narayana Reddy, MD
Family medicine · 1000 Pine Street, Texarkana
Anita Scribner, MD
Infectious disease · 1102 Main Street, Texarkana
Bryan Bowen, MD
Family medicine · 5212 West 7th Street, Wake Village
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 Hoot, 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.
Allcare Pharmacy
6.3 miCollege Hill Drug
6.4 mi
6.8 mi 
6.9 mi Glenwood Pharmacy
8.3 miShowing the 5 closest pharmacies to Hoot, 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 Hoot, 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 Bowie County, the county that includes Hoot, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#25 of 254 Texas counties for chlamydia, a higher rate than 90% of the state
| Infection | Bowie County | Texas | United States |
|---|---|---|---|
| Chlamydia | 583.5 535 cases ▲ 19% | 491.9 | 492.2 |
| Gonorrhea | 207.2 190 cases ▲ 17% | 176.4 | 179.5 |
| Syphilis (P&S) | 16.4 15 cases ▲ 9% | 15 | 15.8 |
| Syphilis (early) | 17.5 16 cases ▼ 34% | 26.4 | 16 |
| Syphilis (late/unknown) | 85.1 78 cases ▲ 92% | 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 Bowie County, chlamydia has risen from 515.6 to 583.5 per 100,000 (13%), gonorrhea has fallen from 274.5 to 207.2 per 100,000 (25%), and P&S syphilis has risen from 7.5 to 16.4 per 100,000 (119%).
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 Bowie County.
Local HIV snapshot
Bowie County HIV care continuum (2023)
Bowie County recorded 27.5 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bowie County residents living with HIV, 82.1% are in care · 67.4% 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 Bowie County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Grady T. Wallace Park anchors one of Hoot's quieter residential stretches, where a mix of long-term owners and renters keeps the neighborhood grounded in everyday routine rather than constant turnover. That stability shapes how people think about healthcare here: with more than half of households carrying a mortgage, and a sizable share renting at rates that leave limited cushion, out-of-pocket costs for any appointment get weighed carefully before a decision gets made. What makes that calculation harder is that Hoot's workforce pattern leans toward concentrated employment hours: just over half the adult population is in the labor force, and those who are working tend to carry full schedules.
For younger adults in their late teens and twenties, the years when STI exposure is statistically most common and regular screening matters most, fitting a clinic visit between shifts or childcare pickups isn't trivial. The good news is that the testing options are listed on this page, ranging in hours, fees, and distance. Enough variety that someone working irregular hours near William Karrh Memorial Park has genuinely different choices from someone with a predictable weekday schedule across town. Browsing the clinic cards above is the most direct way to find which one actually fits Hoot life.
Getting there
At 8.9/20 on the EPA walkability index, day-to-day errands in Hoot 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 75501 snapshot
ZIP-level Census figures for the wider 75501 area around Hoot: a single ZIP can span several communities, so they describe the area, not Hoot alone.
Hoot sits in Bowie County, ZIP 75501. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Hoot? 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 Bowie 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 Hoot-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 Hoot 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.
6 testing options are within 30 miles of Hoot, TX.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, ARcare (6.1 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 584 cases per 100,000 residents (2023), above the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Lab results typically come back in 1–2 days.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
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.