Randall County reports about 15 syphilis cases per 100,000 residents, near the US average. If you are in Palisades, Texas, and considering testing after a possible exposure or as part of routine care, weigh whether you'd prefer clinics that may bill insurance or offer sliding-scale fees, or private labs that let you pay a flat self-pay price. See the options below.
Available testing centers
7 testing options are listed for Palisades, TX. The nearest, RHN Medical and Dental Group, is about 8.2 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.
A public STD-testing option about 8 miles from Palisades, run as a Federally Qualified Health Center with sliding-scale fees.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Texas Department of State Health Services in Amarillo charges nothing for any service it provides: gonorrhea, chlamydia, syphilis, and HIV testing, STI treatment, and HPV, hepatitis A, and hepatitis B vaccines all carry a zero balance. An appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
City of Amarillo Department of Public Health tests for gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis C, and TB, treating bacterial STIs the same visit, on a sliding scale, with every service available at no fee. Appointments are required.
For anyone without a regular provider or paying entirely out of pocket, the City of Amarillo Department of Public Health's standing offer is straightforward: testing, treatment, and vaccines carry no charge. That includes STI treatment, mpox and hepatitis A and B vaccination, and TB care. None of it conditional on income documentation or coverage.
Plenty of clinics handle Spanish through a patched-in service running parallel to actual care. At the City of Amarillo Department of Public Health, Spanish is a direct language of service: counseling, prevention education, and clinical conversation happen in it, not around it.
People without a primary care relationship often have no routine pathway to hepatitis C screening. The City of Amarillo Department of Public Health builds it into the same visit as the bacterial STI panel, so hepatitis C testing isn't a separate referral to chase down. It's already on the table.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Palisades, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Randall 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.
2105 South Western Street, Amarillo, TX 79109
CMS-certified lab Accredited · COLA
1101 4th Avenue, Canyon, TX 79015
CMS-certified lab
4510 Bell Street, Amarillo, TX 79109
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Palisades. 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, 154 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Palisades. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 32 offer telehealth.
Amanda Hartman, MD Telehealth
Family medicine · 2611 Southwest 46th Avenue, Amarillo
Teresa Baker, MD
OB-GYN · 3404 4th Avenue, Canyon
David Clarke, MD Telehealth
Family medicine · 2329 Ross Osage Street, Amarillo
Jorge Sifuentes, MD
Family medicine · 4510 Bell Street, Amarillo
Dean Brown, DO Telehealth
Family medicine · 2909 South Georgia Street, Amarillo
Cindy Hutson, DO
Family medicine · 2703 Mockingbird Lane, Amarillo
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 Palisades, 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.
7.0 mi Amarillo Pharmacy
7.4 miUnited Pharmacy
7.4 miKongdara
8.1 miMartin Tipton Pharmacy Hillside
8.1 mi
8.1 mi Showing the 6 closest pharmacies to Palisades, 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 Palisades, 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
$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 $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 Randall County, the county that includes Palisades, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~14% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#62 of 254 Texas counties for chlamydia, a higher rate than 76% of the state
| Infection | Randall County | Texas | United States |
|---|---|---|---|
| Chlamydia | 412.1 611 cases ▼ 16% | 491.9 | 492.2 |
| Gonorrhea | 130.9 194 cases ▼ 26% | 176.4 | 179.5 |
| Syphilis (P&S) | 14.8 22 cases ▼ 1% | 15 | 15.8 |
| Syphilis (early) | 40.5 60 cases ▲ 53% | 26.4 | 16 |
| Syphilis (late/unknown) | 18.9 28 cases ▼ 57% | 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 Randall County, chlamydia has risen from 100.2 to 412.1 per 100,000 (311%), gonorrhea has risen from 40.5 to 130.9 per 100,000 (223%), and P&S syphilis has risen from 2.1 to 14.8 per 100,000 (605%).
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 Randall County.
Local HIV snapshot
Randall County HIV care continuum (2023)
Randall County recorded 12.9 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Randall County residents living with HIV, 85.2% are in care · 71.6% 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 Randall County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The Palisades State Park Concession Building sits at the edge of town's recreational heart, a reminder that life here moves between outdoor spaces and the quieter concerns people manage alone. For young adults in and around Palisades, STI testing carries weight precisely because it's straightforward and private. A health step taken without fanfare. Testing sites and providers listed on this page serve residents who value directness: getting answers without delay, without assumptions, and without their choices becoming neighborhood conversation.
Confidentiality in a smaller community isn't negotiable; it's the foundation that makes people willing to seek screening at all. Clinics serving Palisades understand this. Whether someone's at a routine checkup, between relationships, or acting on a specific concern, the medical professionals available locally treat testing as standard preventive care, not a marker of character. Results remain sealed to the individual and their provider.
Access near FM 1151 and throughout the area means residents needn't travel far or wait weeks for an appointment. The range of tests available, from rapid results to comprehensive panels, lets people choose what fits their situation. Young adults especially benefit from knowing they can walk into a clinic, get screened, and walk out with clarity, all without their private health decisions rippling through the community.
Getting there
At 6.38/20 on the EPA walkability index, day-to-day errands in Palisades 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 79118 snapshot
ZIP-level Census figures for the wider 79118 area around Palisades: a single ZIP can span several communities, so they describe the area, not Palisades alone.
Palisades sits in Randall County, ZIP 79118. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Palisades? 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 Randall 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 Palisades-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 Palisades 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.
7 testing options are within 30 miles of Palisades, TX.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 412 cases per 100,000 residents (2023), below the Texas average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 79118; you collect a sample, mail it back, and get results in about 2–5 days.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.