Bexar County's reported chlamydia cases are about 19% lower than the US average. If you're considering STI testing in Selma, Texas, perhaps to begin a new relationship or as part of regular healthcare, weigh whether you prefer to use insurance at local clinics or pay a set fee at private labs. Check the list below for your options.
Available testing centers
9 testing options are listed for Selma, TX. The nearest, Quest Diagnostics, is about 1.8 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 safety-net federally qualified health center about 2 miles from Selma. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
CentroMed in Converse is a community health center where STI care (gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C) runs on a sliding-scale fee with same-visit bacterial treatment; appointments are required, and services are available in Spanish.
CentroMed conducts STI visits (history, results, and treatment planning) entirely in Spanish for patients whose primary language is Spanish. For someone navigating a gonorrhea diagnosis or weighing hepatitis vaccination without a regular English-speaking provider, that full clinical conversation in Spanish is what makes follow-through realistic.
Leaving hepatitis off a standard panel means a second appointment, a second co-pay, and a gap where hepatitis B or C can go undetected. CentroMed tests for hepatitis A, B, and C alongside gonorrhea, chlamydia, syphilis, and HIV. Closing that gap in a single visit rather than sending patients elsewhere for the rest of the picture.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
CommuniCare at the MAC, San Antonio, welcomes walk-ins for STI screening without an appointment. Federally qualified health center status anchors a sliding-scale fee structure tied to household income, covering syphilis, gonorrhea, and chlamydia testing in a single visit.
Tests offered
Fees & payment
Planned Parenthood South Texas in San Antonio requires an appointment and covers gonorrhea, chlamydia, syphilis, herpes, and rapid or conventional HIV testing, with same-visit treatment for bacterial STIs, sliding-scale fees accepted by all, and Medicaid and insurance welcome.
Spanish is a working clinical language at Planned Parenthood South not a service routed through a separate system. Interpretation is also available for other languages, so the conversation between a patient and a provider carries the same precision regardless of which language it happens in.
Planned Parenthood South Texas holds Title X designation, which means family planning services for minors are legally confidential. Providers cannot report care to a parent or guardian without consent. That protection travels with every Title X-covered service, not just the visit itself.
Chasing PrEP from one clinic and DoxyPEP from another means gaps: in coverage, in continuity, and in cost. Planned Parenthood South Texas prescribes PrEP, PEP, and DoxyPEP as part of its standing prevention practice, so all three are available in a single clinical relationship without splitting care across providers.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
CommuniCare Health Centers in San Antonio runs on sliding-scale fees with Medicaid, Medicare, and private insurance accepted, covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C, and TB. Appointment required, bacterial STIs treated same visit.
For anyone whose medical vocabulary, comfort, and instinct to ask hard questions live in Spanish, CommuniCare delivers the full conversation (history, results, treatment, next steps) in that language natively. No relay, no lag, no detail lost between a question and its answer.
For someone without a standing relationship with a primary care provider, CommuniCare's panel covers the gaps that would otherwise require a separate referral: herpes and hepatitis A, B, and C sit alongside the standard four, so one appointment handles exposures a basic clinic wouldn't address.
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
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Selma, 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 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 Bexar 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.
5000 Schertz Parkway, #400, Schertz, TX 78154
CMS-certified lab Accredited · COLA
16977 Ih 35 North, Suite 100, Schertz, TX 78154
CMS-certified lab Accredited · COLA
4825 Fm 3009, Schertz, TX 78154
CMS-certified lab Accredited · COLA
18238 1-35 Suite 163, Schertz, TX 78154
CMS-certified lab Accredited · COLA
173311 I 35 North Suite 103, Schertz, TX 78154
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Selma. 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, 1,532 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Selma. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 446 offer telehealth.
Gloria Wright, MD Telehealth
Family medicine · 5016 East Fm 1518, Selma
John Lehew, DO
Family medicine · 8341 Agora Parkway, Selma
Jeffrey Chang, MD
OB-GYN · 5000 Schertz Parkway, Schertz
Jeffrey Munoz, MD Telehealth
Family medicine · 2318 Pat Booker Road, Universal City
Leora Collins, MD
OB-GYN · 5000 Baptist Health Drive, Schertz
Simon Fensterszaub, DO Telehealth
Family medicine · 8221 Palisades Drive, San Antonio
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 Selma, 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.
2.3 mi Healthway Pharmacy
2.4 mi
2.5 mi 
2.8 mi Centerwell Pharmacy
3.1 miShowing the 5 closest pharmacies to Selma, 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 Selma, 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
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
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 Bexar County, the county that includes Selma, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#74 of 254 Texas counties for chlamydia, a higher rate than 71% of the state
| Infection | Bexar County | Texas | United States |
|---|---|---|---|
| Chlamydia | 399.2 8,333 cases ▼ 19% | 491.9 | 492.2 |
| Gonorrhea | 165.7 3,459 cases ▼ 6% | 176.4 | 179.5 |
| Syphilis (P&S) | 18.4 384 cases ▲ 23% | 15 | 15.8 |
| Syphilis (early) | 40.4 844 cases ▲ 53% | 26.4 | 16 |
| Syphilis (late/unknown) | 64.8 1,352 cases ▲ 46% | 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 Bexar County, chlamydia has fallen from 594.7 to 399.2 per 100,000 (33%), gonorrhea has fallen from 259.5 to 165.7 per 100,000 (36%), and P&S syphilis has risen from 16.9 to 18.4 per 100,000 (9%).
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 Bexar County.
Local HIV snapshot
Federal priority area: Bexar County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Bexar County HIV care continuum (2023)
Bexar County recorded 22.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bexar County residents living with HIV, 82.9% know their status · 77.4% are in care · 67.6% 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 Bexar County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
That matters here in a specific way. Selma runs on households larger than the Texas average, with nearly half of adults married and a workforce participation rate that leaves little slack in the week. Most residents own their homes, which signals a degree of stability, but a meaningful share rent at rates that absorb a real portion of monthly income. The younger adults living here, people in their late teens and twenties who face the steepest odds for chlamydia and gonorrhea, are often the ones juggling the tightest schedules: early shifts accessed via FM 2252, long commutes on the North Pan Am Expressway, evenings that disappear fast.
For that group, a clinic requiring a mid-day drive across the county can genuinely be the thing that does not happen. Households earning above six figures make up a solid portion of Selma, but that still leaves a substantial share of residents for whom an out-of-pocket testing fee is a real line-item decision. Checking the fee column on the clinic cards above, and confirming what your insurance actually covers before you drive out, is worth doing first.
Getting there
At 7.43/20 on the EPA walkability index, day-to-day errands in Selma 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 78154 snapshot
ZIP-level Census figures for the wider 78154 area around Selma: a single ZIP can span several communities, so they describe the area, not Selma alone.
Selma sits in Bexar County, ZIP 78154. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Selma? 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 Bexar 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 Selma-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 Selma 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Bexar County reported ~399 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.
No real difference for testing, "STI" is just the current term for what used to be called "STD."
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
A blood draw screens for syphilis, with a confirmatory test if it's reactive.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.