Syphilis in Hardin County runs about 56% lower than the national average. For Silsbee, Texas residents getting an STD or STI test, whether that's your first check or recurring screening, the choice between community clinics and private labs often comes down to cost and scheduling. See the options below.
Available testing centers
9 testing options are listed for Silsbee, TX. The nearest, Gulf Coast Health Center, 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.
A public STD-testing option in Silsbee, 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 Mar 2026 · Source: CDC NPIN + HRSA
A community safety-net federally qualified health center about 18 miles from Silsbee. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
A public STD-testing site about 18 miles from Silsbee, run as a Federally Qualified Health Center with sliding-scale fees.
Languages
American Sign Language, 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 + HRSA
Triangle Area Network in Beaumont carries federally qualified health center standing, which means its STI screening fees adjust to each patient's income on a sliding scale. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing. No insurance required to keep costs manageable.
Tests offered
Fees & payment
Legacy Beaumont North in Beaumont welcomes walk-in patients, no appointment needed, to access sliding-scale STI screening through its federally qualified health center designation. A single visit can cover syphilis, gonorrhea, and chlamydia testing, with fees adjusted to income for anyone who walks through the door.
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 Silsbee, 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 Hardin 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.
280 Hwy 418 East, Silsbee, TX 77656
CMS-certified lab
137 North Lhs Drive, Lumberton, TX 77657
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Silsbee. 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, 127 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Silsbee. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 23 offer telehealth.
Doyce Cartrett, MD
Family medicine · 280 Hwy 418 East, Silsbee
Harrypersad Singh
Internal medicine · 1255 Hwy 327 East, Silsbee
Danny Farley, MD
Family medicine · 220 Blanco Street, Lumberton
Mahanoor Raza, MD
Family medicine · 151 Country Lane Drive, Lumberton
Tuan Dao, MD Telehealth
Family medicine · 1233 South Main Street, Lumberton
Jana Winberg, MD Telehealth
Family medicine · 345 South Pine Street, Kountze
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 Silsbee, 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.
0.2 mi 
0.3 mi Brookshire Brothers Pharmacy
0.3 mi
0.6 mi King's Pharmacy of Lumberton
6.2 miShowing the 5 closest pharmacies to Silsbee, 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 Silsbee, 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.
$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
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 Hardin County, the county that includes Silsbee, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#202 of 254 Texas counties for chlamydia, a higher rate than 20% of the state
| Infection | Hardin County | Texas | United States |
|---|---|---|---|
| Chlamydia | 187.1 109 cases ▼ 62% | 491.9 | 492.2 |
| Gonorrhea | 30.9 18 cases ▼ 82% | 176.4 | 179.5 |
| Syphilis (P&S) | 6.9 4 cases ▼ 54% | 15 | 15.8 |
| Syphilis (early) | 24 14 cases ▼ 9% | 26.4 | 16 |
| Syphilis (late/unknown) | 39.5 23 cases ▼ 11% | 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 Hardin County, chlamydia has fallen from 190.3 to 187.1 per 100,000 (2%), gonorrhea has fallen from 74.7 to 30.9 per 100,000 (59%), and P&S syphilis has risen from 1.8 to 6.9 per 100,000 (283%).
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 Hardin County.
Local HIV snapshot
Hardin County HIV care continuum (2023)
Hardin County recorded 10.4 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Hardin County residents living with HIV, 77.2% are in care · 59.6% 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 Hardin County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Silsbee's draw for young adults often centers on family land: a grandparent's acreage to build on, a relative's business to join, roots already planted and waiting. That stability brings its own realities: households that span generations under one roof, neighbors who've known each other for decades, the kind of intimacy where privacy becomes something you have to actively protect. Testing for STIs in and around Silsbee listed on this page reflects that tension between openness and discretion. Whether you're establishing yourself here or passing through, the clinics and health providers serving the area understand that confidentiality isn't performative.
It's foundational to how people actually access care. The affordability that makes Silsbee attractive to young people building a life also means health services tend toward straightforward, no-frills competence rather than flashy anonymity. You'll find testing available through providers who've built their reputations on reliability and respect for what people need kept quiet. Many residents have carried their health care with the same provider for years, a continuity that can feel reassuring or complicated depending on your situation.
What matters most is that screening happens: early, accurate, and without the friction that silence creates. The testing sites and clinics listed here serve people at every stage of their Silsbee story, whether they're settling in, raising kids, or figuring out what comes next.
Getting there
At 5.59/20 on the EPA walkability index, day-to-day errands in Silsbee 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 77656 snapshot
ZIP-level Census figures for the wider 77656 area around Silsbee: a single ZIP can span several communities, so they describe the area, not Silsbee alone.
Silsbee sits in Hardin County, ZIP 77656. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Silsbee? 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 Hardin 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 Silsbee-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 Silsbee 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.
The closest is Gulf Coast Health Center (0.6 mi); 9 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 187 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.
Definitely worth testing; abnormal discharge often points to a treatable STI.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
It's curable with antibiotics; catching it early avoids serious complications.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.