Madisonville, Texas has a gonorrhea rate 64% lower than the national average. If you engage in sex and have had a recent risk or simply test on a regular schedule, Madisonville, Texas has community and public clinics that are often low-cost or free, though private labs may offer faster results and more flexible scheduling. Our directory lists options below.
Available testing centers
9 testing options are listed for Madisonville, TX. The nearest, HealthPoint, is about 0.6 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.
HealthPoint in Madisonville tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee structure accepted by Medicaid, Medicare, and private insurance. Appointments are required; bacterial infections can be treated the same visit, and care is delivered in Spanish.
Tracking down separate appointments for herpes or hepatitis testing, and paying twice, is the gap HealthPoint closes. Gonorrhea, chlamydia, syphilis, and HIV come standard, but so do herpes, hepatitis A, hepatitis B, and hepatitis C, resolved in one visit rather than scattered across providers.
HealthPoint prescribes and manages PrEP, daily oral tenofovir-based therapy that reduces HIV acquisition risk, directly, meaning the monitoring labs, refills, and clinical oversight stay with the same provider. PEP is also available for post-exposure prevention when the timing still allows for it.
For someone whose primary language is Spanish and who has no regular English-speaking provider, HealthPoint delivers the clinical encounter (history, results, treatment decisions, and PrEP counseling) directly in Spanish, so nothing critical depends on translation after the fact.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Lone Star Family Health Center in Huntsville carries federal community health center certification, which means STI screening (syphilis, gonorrhea, and chlamydia) runs on a sliding-scale fee tied to income, keeping costs proportionate to what each patient actually earns. No appointment is needed to get started.
Tests offered
Fees & payment
Integrity Urgent Care in Bryan runs STI testing and treatment through an urgent-care model, which means appointments are scheduled and insurance or Medicare applies to fees. The panel covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C, with same-visit treatment for bacterial infections, and care is available in Spanish.
Spanish-language care at Integrity Urgent Care is a staffing fact, not a workaround: consultations, history-taking, and treatment discussions run in Spanish directly. For patients whose medical vocabulary is Spanish-first, that means clinical details land with the precision they require.
Integrity Urgent Care tests for seven infections: HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C. Adding herpes and both hepatitis strains to the panel means conditions that often go undetected, because they weren't included, are actually on the table.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
HealthPoint - Trinity welcomes patients in Trinity regardless of insurance status or ability to pay, making it a practical answer for anyone navigating care without coverage or paying out of pocket. As a federally qualified health center, it offers sliding-scale STI screening for syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Brazos Valley Community Action Agency in College Station was built for people navigating gaps in coverage: uninsured, cash-paying, or caught between providers. Federally qualified status anchors its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely affordable without an appointment required.
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 Madisonville, 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 value: single tests
$49 & 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 Madison 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.
100 West Cross Street, Madisonville, TX 77864
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madisonville. 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, 44 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madisonville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 14 offer telehealth.
Liza Banaag, MD Telehealth
Family medicine · 411 East Collard Street, Madisonville
Solomon Pendleton, MD
Family medicine · 100 West Cross Street, Madisonville
Tom Hill, MD
Family medicine · 1548 11th Street, Huntsville
Walter Toronjo, MD Telehealth
Family medicine · 521 Ih 45, Huntsville
Laxman Kalvakuntla, MD Telehealth
Internal medicine · 110 Memorial Hospital Drive, Huntsville
Trey Young, MD Telehealth
Internal medicine · 119 Medical Park Lane, Huntsville
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 Madisonville, 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.
Brookshire Brothers Pharmacy
0.3 miWalkers Pharmacy
0.4 mi
0.8 mi Carols Pharmacy
22 miShowing the 4 closest pharmacies to Madisonville, 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 Madisonville, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$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
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 Madison County, the county that includes Madisonville, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#139 of 254 Texas counties for chlamydia, a higher rate than 45% of the state
| Infection | Madison County | Texas | United States |
|---|---|---|---|
| Chlamydia | 276.5 38 cases ▼ 44% | 491.9 | 492.2 |
| Gonorrhea | 65.5 9 cases ▼ 63% | 176.4 | 179.5 |
| Syphilis (P&S) | — no data | 15 | 15.8 |
| Syphilis (early) | 7.3 1 cases ▼ 72% | 26.4 | 16 |
| Syphilis (late/unknown) | 43.7 6 cases ▼ 1% | 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 Madison County, chlamydia has fallen from 349.3 to 276.5 per 100,000 (21%), gonorrhea has fallen from 170.9 to 65.5 per 100,000 (62%), and P&S syphilis has held roughly steady from 7.4 to 7.4 per 100,000.
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 Madison County.
Local HIV snapshot
Madison County HIV care continuum (2023)
Madison County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Madison County residents living with HIV, 69.4% are in care · 61.2% 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.
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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
East Main Street runs you out of downtown Madisonville fast, a drive to the nearest listed option is exactly the kind of errand that requires planning, not impulse. With nearly two in five households renting at a monthly rate well under the state average, discretionary spending is already allocated tightly, which makes the low-cost and sliding-scale options listed here genuinely relevant rather than a footnote. The workforce picture in Madisonville reflects a community where most working-age adults are employed and actively showing up, which means scheduling anything during standard clinic hours competes with shifts and commutes along TX 75. For people in their late teens and twenties, who carry disproportionate exposure to STIs simply by being in the years when sexual networks are most active and screening habits least established, that scheduling friction is real.
The options listed on this page include extended and weekend hours that fit around a working week rather than assuming a flexible one. Madisonville skews toward larger, family-structured households: averages above three people per home, and nearly half of adults married. Testing fits into that picture not as an edge-case behavior but as ordinary preventive care, the kind a household with shared health stakes has every reason to keep current.
Getting there
At 6.95/20 on the EPA walkability index, day-to-day errands in Madisonville 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 77864 snapshot
ZIP-level Census figures for the wider 77864 area around Madisonville: a single ZIP can span several communities, so they describe the area, not Madisonville alone.
Madisonville sits in Madison County, ZIP 77864. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Madisonville? 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 Madison 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 Madisonville-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 Madisonville 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
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.
Madison County reported ~277 chlamydia cases per 100,000 in 2023, below the Texas average.
Most results are ready in about 1–2 days.
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.
At-home kits mail to 77864: self-collect, send to the lab, results in ~2–5 days.
Yes, syphilis is cured with antibiotics (usually penicillin), and earlier treatment prevents long-term damage.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.