Gillespie County reports gonorrhea at about 80% lower than the national average. Whether you have symptoms or just want peace of mind in Stonewall, Texas, your choices include one-on-one care at a clinic, or a self-collected sample with an at-home kit. See your options below.
Available testing centers
7 testing options are listed for Stonewall, TX. The nearest, Frontera Healthcare Network - Fredericksburg Clinic, is about 11.5 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.
Frontera Healthcare Network - Fredericksburg Clinic in Fredericksburg carries federally qualified health center standing, which translates directly into sliding-scale fees tied to household income for STI screening. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without needing an appointment first.
Tests offered
Fees & payment
Frontera Healthcare Network in Fredericksburg accepts Medicaid, Medicare, and most insurance, with sliding-scale fees for those paying out of pocket. Appointments are required for testing, which covers HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C, with same-visit treatment for bacterial infections and HPV, hepatitis A, and hepatitis B vaccines available.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Frontera Healthcare Fredericksburg Behavioral Health Clinic in Fredericksburg welcomes walk-in patients seeking STI screening without an appointment. Federal FQHC certification anchors its sliding-scale fee structure, so costs adjust to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
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 about 12 miles away; if you'd rather skip the trip, an at-home kit ships to Stonewall, 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 Gillespie 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.
506 West Windcrest Street, Suite 300, Fredericksburg, TX 78624
CMS-certified lab Accredited · COLA
1308 South State Highway 16, Fredericksburg, TX 78624
CMS-certified lab Accredited · COLA
205 West Wincrest Suite 340, Fredericksburg, TX 78624
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Stonewall. 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, 82 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Stonewall. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 38 offer telehealth.
Laura Givens, MD Telehealth
Family medicine · 1208 North Llano Street, Fredericksburg
Yvonne Haug, MD
Family medicine · 1305 North Milam Street, Fredericksburg
Derrick Borecky, MD
Internal medicine · 97 Hitchin Post, Fredericksburg
Rebecca Turbeville, MD Telehealth
Family medicine · 205 West Windcrest Street, Fredericksburg
Noah Greene, MD Telehealth
Internal medicine · 1020 South State Hwy 16, Frederickburg
Elliana Wiesner, MD Telehealth
Internal medicine · 1020 South State Hwy 16, Frederickburg
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 Stonewall, 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.
11 mi Valu-Med
12 miHill Country Pharmacy
13 mi
13 mi Gail's Apothecary
13 mi
13 mi Showing the 6 closest pharmacies to Stonewall, 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 Stonewall, 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 Gillespie County, the county that includes Stonewall, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~35% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#183 of 254 Texas counties for chlamydia, a higher rate than 28% of the state
| Infection | Gillespie County | Texas | United States |
|---|---|---|---|
| Chlamydia | 212.7 59 cases ▼ 57% | 491.9 | 492.2 |
| Gonorrhea | 36.1 10 cases ▼ 80% | 176.4 | 179.5 |
| Syphilis (P&S) | 3.6 1 cases ▼ 76% | 15 | 15.8 |
| Syphilis (early) | 3.6 1 cases ▼ 86% | 26.4 | 16 |
| Syphilis (late/unknown) | 7.2 2 cases ▼ 84% | 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 Gillespie County, chlamydia has risen from 172.1 to 212.7 per 100,000 (24%), gonorrhea has risen from 26.2 to 36.1 per 100,000 (38%), and P&S syphilis has fallen from 7.3 to 3.6 per 100,000 (51%).
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 Gillespie County.
Local HIV snapshot
Gillespie County HIV care continuum (2023)
Gillespie County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Gillespie County residents living with HIV, 81% are in care · 76.2% 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 Gillespie County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Stonewall's economy turns on ranching, orchards, and the seasonal draw of the Peach JAMboree: work that keeps people moving between property, market, and highway. That rhythm of work and community leaves little margin for health gaps. Routine STI screening, especially for young adults in their late teens through thirties, fits into the same practical mindset: something you handle before it becomes a problem, quietly and without fanfare. Testing in and around Stonewall is listed on this page, with clinics positioned to meet people where they already travel.
Confidentiality here isn't about hiding from judgment, it's about respect for the fact that your health history belongs to you and your provider, period. That clarity matters in a place where people run into each other at the feed store and the fairgrounds. A single screening can catch what has no symptoms, and results come back to you alone. The providers listed serve Gillespie County residents with the same directness that defines work and life here: no unnecessary steps, no surprises, no one else in the room unless you want them there.
Getting there
At 3.48/20 on the EPA walkability index, day-to-day errands in Stonewall 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 78671 snapshot
ZIP-level Census figures for the wider 78671 area around Stonewall: a single ZIP can span several communities, so they describe the area, not Stonewall alone.
Stonewall sits in Gillespie County, ZIP 78671. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Stonewall? 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 Gillespie 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 Stonewall-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 Stonewall 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.
Closest is Frontera Healthcare Network - Fredericksburg Clinic (11.5 mi), or order an at-home kit to 78671.
Medicaid generally covers STD testing.
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 213 cases per 100,000 residents (2023), below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
They can, swollen groin nodes can accompany herpes, syphilis, or early HIV, so mention them when you test.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
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.