The rate of reported gonorrhea in Henderson County is 44% lower than the US average. Whether it's your first STI test or a routine screening in Payne Springs, Texas, know that some clinics take walk-ins for same-day testing, while lab and at-home kits let you plan around your own time. See your options below.
Available testing centers
7 testing options are listed for Payne Springs, TX. The nearest, East Texas Community Clinic, is about 3.7 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.
East Texas Community Clinic in Gun Barrel City welcomes walk-ins for STI screening under its federally qualified health center designation, pairing that with an NHSC sliding-fee scale tied to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, with fees adjusted based on what patients can afford.
Tests offered
Fees & payment
Texas Health Family Care, a family practice in Mabank, folds STI testing into the same appointment structure as routine medical care: meaning gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB screening share a visit with treatment, HPV and hepatitis A and B vaccines, and sliding-scale fees accepted alongside Medicaid, Medicare, and insurance.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Family Circle of Care Health Centers in Athens tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis C on a sliding-scale fee structure, with Medicaid and Medicare also accepted. Bacterial infections can be treated the same visit; an appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Payne Springs, 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 Henderson 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 Municipal Drive, Suite 300, Gun Barrel City, TX 75156
CMS-certified lab Accredited · Joint Commission
170 Municipal Drive, Gun Barrel City, TX 75156
CMS-certified lab
824 Southpark Circle, Athens, TX 75752
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Payne Springs. 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, 85 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Payne Springs. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
William Giles, MD
Internal medicine · 100 Municipal Drive, Gun Barrel City
Steven Koerth, MD Telehealth
Family medicine · 170 Municipal Drive, Gun Barrel City
Richard David, MD
Family medicine · 801 West Main Street, Gun Barrel City
Jon Rich, MD Telehealth
Family medicine · 2412 West Main Street, Gun Barrel City
Jonathan Edwards, MD Telehealth
Family medicine · 2418 West Main Street, Gun Barrel City
Anantha Chentha, MD
Internal medicine · 606 South Seven Points Drive, Seven Points
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 Payne Springs, 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.
Anne's Pharmacy
3.4 mi
3.9 mi 
4.1 mi Brookshire Pharmacy
4.8 miSeven Point
7.6 miBrookshires Pharmacy
7.6 miShowing the 6 closest pharmacies to Payne Springs, 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 Payne Springs, 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.
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
$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 Henderson County, the county that includes Payne Springs, 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.
#101 of 254 Texas counties for chlamydia, a higher rate than 60% of the state
| Infection | Henderson County | Texas | United States |
|---|---|---|---|
| Chlamydia | 348.2 300 cases ▼ 29% | 491.9 | 492.2 |
| Gonorrhea | 99.8 86 cases ▼ 43% | 176.4 | 179.5 |
| Syphilis (P&S) | 10.4 9 cases ▼ 31% | 15 | 15.8 |
| Syphilis (early) | 3.5 3 cases ▼ 87% | 26.4 | 16 |
| Syphilis (late/unknown) | 25.5 22 cases ▼ 42% | 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 Henderson County, chlamydia has risen from 277.5 to 348.2 per 100,000 (25%), gonorrhea has fallen from 137.6 to 99.8 per 100,000 (27%), and P&S syphilis has risen from 3.7 to 10.4 per 100,000 (181%).
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 Henderson County.
Local HIV snapshot
Henderson County HIV care continuum (2023)
Henderson County recorded 13.7 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Henderson County residents living with HIV, 88.1% are in care · 72.5% 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 Henderson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Down Gun Barrel City's tree-lined streets, the rhythm of early shifts and long drives on roads built only for cars shapes when testing actually gets considered. That barrier falls hardest on people in their late teens and twenties, who are also the ones most likely to benefit from routine screening; building a dedicated drive into an already-packed week is exactly where follow-through breaks down. The community's strong homeownership rate and majority of married households suggest stability, but those same circumstances can create a false sense that STI screening is someone else's concern. Roughly a third of households here earn above six figures, yet the modest rent typical of the area reflects a working-class core where cost still registers.
Even a modest clinic fee can be enough reason to postpone. With 36 tested and listed options available in Henderson County, cost and access are genuinely manageable for most residents. What helps most is knowing the options before you need them. A lunch-break appointment or an early-Saturday slot can fit around the rhythms of a town that drives everywhere, and with choices already mapped on this page, the planning part is already done.
Getting there
At 4.64/20 on the EPA walkability index, day-to-day errands in Payne Springs 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 75156 snapshot
ZIP-level Census figures for the wider 75156 area around Payne Springs: a single ZIP can span several communities, so they describe the area, not Payne Springs alone.
Payne Springs sits in Henderson County, ZIP 75156. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Payne Springs? 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 Henderson 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 Payne Springs-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 Payne Springs 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 5 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Henderson County reported ~348 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, the HPV vaccine prevents the types most linked to cancer and genital warts; it's recommended through age 26 (and some adults to 45).
PrEP is taken before exposure to prevent HIV; PEP is emergency medicine started within 72 hours after a possible exposure.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.