Reported chlamydia in Bandera County runs about 75% lower than the US average. Whether you have symptoms or just want peace of mind in Lakehills, Texas, some clinics offer same-day testing, while labs and at-home kits let you plan around your own schedule. Check your options below.
Available testing centers
9 testing options are listed for Lakehills, TX. The nearest, CommuniCare Health Centers, is about 15.5 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.
CommuniCare Health Centers in San Antonio is a community health center, meaning STI care sits within a broader primary-care infrastructure. Appointments are required; the sliding-scale fee applies to everyone, and same-visit treatment is available for bacterial infections. Services are available in Spanish and through interpretation.
CommuniCare Health Centers conducts care directly in Spanish, with interpretation available for other languages: meaning clinical conversations about symptoms, exposure history, and treatment instructions happen in the language a patient speaks, with the same clinical staff handling the visit.
Beyond gonorrhea, chlamydia, syphilis, and HIV, CommuniCare tests for herpes and hepatitis A, B, and C. Infections whose diagnoses shape long-term management decisions. Hepatitis A and B vaccines are also on-site, so a reactive hepatitis A or B result can immediately inform a vaccination conversation at the same visit.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
CommuniCare Health Centers - Helotes, serving Helotes, welcomes walk-in patients without an appointment. Federally qualified status ties its fees to a sliding income scale, so a single visit can cover syphilis, gonorrhea, and chlamydia screening with costs adjusted to what each patient actually earns.
Tests offered
Fees & payment
CommuniCare Health Centers - Boerne earns its federal qualification by tying STI screening costs directly to each patient's income. Walk-in appointments are welcome for syphilis, gonorrhea, and chlamydia testing, with sliding-scale fees ensuring no one pays more than their budget allows.
Tests offered
Fees & payment
Apollo Wellness in San Antonio covers HIV, syphilis, gonorrhea, chlamydia, herpes, and all three hepatitis strains, treats bacterial infections the same day, and runs every service on a sliding scale. With HIV testing free. An appointment is required.
All services at Apollo Wellness are provided at no fee: meaning the cost never becomes a reason to delay a result, skip a follow-up, or put off starting PrEP.
Spanish is spoken directly by staff at Apollo Wellness, so counseling, results, and treatment decisions all happen in the same language. With the precision that clinical conversation requires.
Plenty of clinics offer PrEP, and some add PEP, but DoxyPEP, the post-exposure antibiotic that reduces bacterial STI risk, stays off the menu at most. Apollo Wellness prescribes all three, giving patients a genuinely complete set of prevention tools.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Hill Country Pregnancy Care Center in Boerne tests for gonorrhea and chlamydia, treats confirmed bacterial infections in the same visit, and covers every service at no charge. Appointment required, sliding-scale fees built in for all.
STI clinics commonly separate testing costs from treatment costs, leaving patients to sort out what each piece will run them. Hill Country Pregnancy Care Center charges nothing for either, gonorrhea and chlamydia testing and same-visit bacterial treatment alike carry no fee, for anyone who walks through the door.
Hill Country Pregnancy Care Center delivers its full scope of STI testing and bacterial treatment in Spanish, not through an add-on service, but as part of how care runs. For someone navigating a sexual health concern without a regular English-speaking provider, that continuity from question to diagnosis to treatment in one language is the practical difference.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
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 16 miles away; if you'd rather skip the trip, an at-home kit ships to Lakehills, 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.
Local clinicians
Beyond dedicated clinics, 1,184 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lakehills. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 354 offer telehealth.
Shelley Kohlleppel, MD Telehealth
Family medicine · 146 Laurel Vista Drive, Lakehills
Lawrence Alder, MD Telehealth
Internal medicine · 1050 State Hwy 16 South, Bandera
Tyler Ulmer, DO Telehealth
Family medicine · 3540 Hwy 16 South, Bandera
Ronald Garcia, MD
Internal medicine · 12020 Culebra Road, San Antonio
Augustin Rodriguez, MD
Family medicine · 11823 Culebra Road, San Antonio
Karen Stewart, MD Telehealth
Internal medicine · 12952 Bandera Road, Helotes
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 Lakehills, 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.
Super Drug Mart Telepharmacy
1.4 mi
11 mi 
11 mi 
15 mi Showing the 4 closest pharmacies to Lakehills, 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 Lakehills, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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 Bandera County, the county that includes Lakehills, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#236 of 254 Texas counties for chlamydia, a higher rate than 7% of the state
| Infection | Bandera County | Texas | United States |
|---|---|---|---|
| Chlamydia | 123.7 28 cases ▼ 75% | 491.9 | 492.2 |
| Gonorrhea | 30.9 7 cases ▼ 82% | 176.4 | 179.5 |
| Syphilis (P&S) | — no data | 15 | 15.8 |
| Syphilis (early) | 8.8 2 cases ▼ 67% | 26.4 | 16 |
| Syphilis (late/unknown) | 13.3 3 cases ▼ 70% | 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 Bandera County, chlamydia has fallen from 129.5 to 123.7 per 100,000 (4%), gonorrhea has fallen from 62.3 to 30.9 per 100,000 (50%), and P&S syphilis has fallen from 9.6 to 4.5 per 100,000 (53%).
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 Bandera County.
Local HIV snapshot
Bandera County HIV care continuum (2023)
Bandera County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bandera County residents living with HIV, 66.7% are in care · 59.3% 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 Bandera County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Goat Hill rises at the edge of town, and from up there the nearest clinic might as well be in another county. Because in Lakehills, it often is. That daily friction of distance shapes the picture for younger adults in Lakehills, those in their late teens and twenties who are statistically at the greatest risk, in a particular way. With roughly six in ten residents in the labor force and a meaningful share working in trades or service jobs without flexible midweek hours, the testing options listed on this page matter precisely because they vary in schedule and cost.
Keeping rent manageable on $897 a month leaves little margin for unplanned medical visits, so knowing upfront which locations offer sliding-scale or low-cost options removes a real barrier before it becomes a reason to wait. The community here skews heavily toward homeowners and established households, the kind of place where roots run deep and a sense of privacy matters. Discreet, routine screening fits that grain; the Spettel Riverside House area may feel far from city-clinic convenience, but the options on this page were chosen specifically for Bandera County's geography.
Getting there
At 5.77/20 on the EPA walkability index, day-to-day errands in Lakehills 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 78063 snapshot
ZIP-level Census figures for the wider 78063 area around Lakehills: a single ZIP can span several communities, so they describe the area, not Lakehills alone.
Lakehills sits in Bandera County, ZIP 78063. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Lakehills? 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 Bandera 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 Lakehills-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 Lakehills 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.
Boerne, TX is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Bandera County reported ~124 chlamydia cases per 100,000 in 2023, below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.