Hays County reports about 159 gonorrhea cases per 100,000 residents, near the US average. If you're in Mountain City, Texas and looking for STI testing before starting a new relationship or as part of ongoing care, your options include free community and public clinics and private labs that may offer faster results.
Available testing centers
7 testing options are listed for Mountain City, TX. The nearest, Carbon Health, is about 2.5 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.
Carbon Health in Kyle accepts walk-ins and covers gonorrhea, chlamydia, syphilis, conventional HIV, hepatitis A, hepatitis C, and TB testing in a single visit, with same-visit treatment for bacterial STIs, PrEP, PEP, DoxyPEP, and fees billed to insurance or charged on a standard fee basis.
Carbon Health tests for hepatitis A and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV. Seven pathogens at one visit. Catching hepatitis A or C exposure early changes the clinical path: it opens the door to active monitoring and management rather than an incidental discovery months later.
Leaving Carbon Health in Kyle without a prevention plan (because PrEP, PEP, or DoxyPEP required a separate specialist visit) is a gap this clinic is built to close. All three medications are available on-site, so the decision and the prescription happen at the same appointment.
Carbon Health offers interpretation services for non-English languages, which means every part of the visit (symptom history, treatment instructions, medication guidance) reaches patients in the language they use to make health decisions. That access shapes what care actually gets delivered.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
CommuniCare Health Centers in Kyle tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis, treating bacterial infections the same visit. Fees run on a sliding scale accepted by Medicaid, Medicare, and private insurance. An appointment is required.
Many clinics handling STI care in English-dominant offices rely on workarounds when a patient needs to explain symptoms or ask about a diagnosis in Spanish. CommuniCare Health Centers in Kyle delivers that conversation directly, interpretation services and Spanish-language care are built into the clinical encounter, not layered on after the fact.
For anyone without a regular provider, paying cash or navigating gaps in ongoing care, having herpes and hepatitis A, B, and C testing available at the same appointment as the standard bacterial and HIV workup means fewer clinics to coordinate and a more complete picture in a single visit at CommuniCare Health Centers in Kyle.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Community Action Incorporated of Central Texas in San Marcos charges on a sliding scale with Medicaid accepted, keeping gonorrhea, chlamydia, syphilis, and HIV testing within reach across income levels. Appointments are required, and STI treatment is available alongside counseling.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 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 3 miles away; if you'd rather skip the trip, an at-home kit ships to Mountain City, 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 value: single tests
$49 & 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 Hays 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.
6001 Kyle Parkway, Kyle, TX 78640
CMS-certified lab Accredited · Joint Commission
6001 Kyle Parkway, Kyle, TX 78640
CMS-certified lab Accredited · Joint Commission
5330 Overpass Road Suite 110, Buda, TX 78610
CMS-certified lab Accredited · College of American Pathologists
5235 Overpass Road, Suite 200, Buda, TX 78610
CMS-certified lab
15610 Ih-35, Buda, TX 78610
CMS-certified lab Accredited · COLA
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Mountain City. 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, 1,373 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Mountain City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 521 offer telehealth.
Shao Chun Chang Jackson, MD
OB-GYN · 4100 Everett, Kyle
Kathryn Simon, MD
Family medicine · 830 Kohlers Xing, Kyle
Juan Davila, MD
Family medicine · 177 Kirkham Circle, Kyle
Gustavo Boeta-Lopez, MD
Family medicine · 135 Bunton Creek Road, Kyle
Diego Moreno, MD
Family medicine · 135 Bunton Creek Road, Kyle
Gary Gilcrease, MD
Family medicine · 135 Bunton Creek Road, Kyle
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 Mountain City, 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.
Plum Creek Pharmacy
1.1 mi
1.8 mi 
2.4 mi 
2.5 mi 
2.5 mi Showing the 5 closest pharmacies to Mountain City, 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 Mountain City, 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
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
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 Hays County, the county that includes Mountain City, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~20% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#50 of 254 Texas counties for chlamydia, a higher rate than 80% of the state
| Infection | Hays County | Texas | United States |
|---|---|---|---|
| Chlamydia | 472.4 1,325 cases ▼ 4% | 491.9 | 492.2 |
| Gonorrhea | 159.4 447 cases ▼ 10% | 176.4 | 179.5 |
| Syphilis (P&S) | 14.6 41 cases ▼ 3% | 15 | 15.8 |
| Syphilis (early) | 13.5 38 cases ▼ 49% | 26.4 | 16 |
| Syphilis (late/unknown) | 19.6 55 cases ▼ 56% | 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 Hays County, chlamydia has risen from 448.4 to 472.4 per 100,000 (5%), gonorrhea has risen from 153.5 to 159.4 per 100,000 (4%), and P&S syphilis has risen from 6.6 to 14.6 per 100,000 (121%).
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 Hays County.
Local HIV snapshot
Hays County HIV care continuum (2023)
Hays County recorded 13.9 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Hays County residents living with HIV, 83.3% are in care · 71.8% 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 Hays County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
FM 1626 cuts through Mountain City with the unhurried cadence of a community where the vast majority of households own their homes and most have done so long enough to feel settled, yet that stability carries its own quiet cost pressures, with typical home values well above the regional median and the rare renters here facing some of the steeper monthly outlays in Hays County. That ownership-heavy, high-earner profile shapes daily life in ways that matter for health decisions. With nearly seven in ten households clearing six figures and unemployment hovering at a near-negligible level, most working-age residents are fully employed and keeping long schedules, which means a routine screening appointment competes with real demands, not hypothetical ones.
The options listed on this page serve people living here, but none sit in Mountain City itself, so building a testing visit into an existing commute toward Kyle is the practical path. Young adults still sorting out relationships and establishing care routines benefit most from options that don't require a separate half-day commitment, and the drive to the nearest listed clinic, workable from FM 1626, is shorter when it's already planned around.
Getting there
At 4.99/20 on the EPA walkability index, day-to-day errands in Mountain City 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 78640 snapshot
ZIP-level Census figures for the wider 78640 area around Mountain City: a single ZIP can span several communities, so they describe the area, not Mountain City alone.
Mountain City sits in Hays County, ZIP 78640. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Mountain City? 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 Hays 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 Mountain City-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 Mountain City 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.
There are 7 options within a 30-mile drive.
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.
Hays County reported ~472 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.
It can: too soon and a real infection may not show yet. Retest after the window to be sure.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.