Miller County reports about 59 syphilis cases per 100,000 residents, well above the national average. If you're in Texarkana, Arkansas for a one-time check or regular STI testing, you can use local clinics or private labs. Clinics may bill insurance or offer sliding-scale fees, while many private labs charge a flat self-pay price. Find your options below.
Available testing centers
11 testing options are listed for Texarkana, AR. The nearest, Bradley Bibb MD, is about 0.4 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 safety-net rural health clinic in Texarkana. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
ARcare in Texarkana functions as a community health center where STI care (rapid and conventional HIV testing, gonorrhea, chlamydia, syphilis, herpes, and hepatitis A, B, and C) sits alongside primary care, with sliding-scale and no-fee options and appointments required for all services.
Fee-based clinics routinely leave patients weighing whether to complete follow-up or fill a prescription. ARcare breaks that pattern entirely: the full scope of services (testing, treatment, vaccines, PrEP) carries no charge, so cost doesn't become the variable that interrupts care.
ARcare's standing interpretation services mean that someone navigating STI care, PrEP counseling, or hepatitis treatment in a language other than English engages directly with clinical staff: the conversation about medications, adherence, and follow-up happens with full comprehension, not around it.
Ryan White Program funding at ARcare means HIV care doesn't stop at a positive test, it extends through ongoing medical treatment and medication adherence counseling, with the program absorbing costs that would otherwise interrupt antiretroviral regimens for uninsured patients.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A community safety-net federally qualified health center about 2 miles from Texarkana. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Engaging Arkansas Communities in Texarkana covers gonorrhea, chlamydia, syphilis, hepatitis C, and rapid HIV testing, bacterial infections treated the same visit, with no fee charged for any service, to anyone.
Every test, every treatment, every prevention visit at Engaging Arkansas Communities carries no charge. That means a patient who needs both a rapid HIV test and same-visit gonorrhea treatment leaves without any out-of-pocket cost at all, no partial billing, no exceptions.
Many sexual health programs stock PrEP and stop there, leaving DoxyPEP off the table entirely. Engaging Arkansas Communities prescribes all three (PrEP, PEP, and DoxyPEP) giving people in Texarkana access to the full current range of biomedical HIV and bacterial STI prevention options in one appointment.
Engaging Arkansas Communities tests for hepatitis C alongside the standard bacterial panel and rapid HIV: meaning the antibody screen is ordered, results are reviewed, and next steps for reactive findings are addressed through the same clinic rather than deferred elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Healthy Connections-Texarkana, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal qualification backs its sliding-scale fees, tying costs to income so a single visit can cover syphilis, gonorrhea, and chlamydia testing for virtually any patient, whatever their financial situation.
Tests offered
Fees & payment
Arkansas Department of Health in Texarkana charges nothing for its services (no sliding scale to navigate, just zero cost) and covers gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing, with same-visit treatment for bacterial STIs and an appointment required to be seen.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Special Health Resources for Texas in Texarkana runs entirely on a sliding-scale and donation model, covering HIV (rapid and self-test), syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial STIs and appointments required.
Plenty of clinics post a sliding scale and still leave patients with a balance after insurance is applied or the income calculation runs short. Special Health Resources for Texas charges nothing: the full range of testing, treatment, and prevention services operates on donations, not on whatever a patient can document at the front desk.
Special Health Resources for Texas delivers care in Spanish as a standing clinical capability, not routed through scheduling workarounds. For someone managing HIV treatment, hepatitis C care, or PrEP adherence counseling in their primary language, that continuity shapes how medication education actually lands.
Special Health Resources for Texas holds dedicated funding for PrEP for uninsured patients, meaning cost doesn't gate access to ongoing HIV prevention. PEP is also available on-site, so the same clinic that starts a PEP course can transition a patient into a PrEP regimen with continuous HIV monitoring already in place.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Texarkana, 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.
Local clinicians
Beyond dedicated clinics, 126 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Texarkana. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 13 offer telehealth.
Kyle Diaz, MD
Family medicine · 3417 U Of A Way, Texarkana
Mary Anderson, MD
Family medicine · 401 East Street, Texarkana
Mark Hahn, DO
Family medicine · 3809 East 9th Street, Texarkana
James Scales, MD
OB-GYN · 4077 Jefferson Avenue, Texarkana
Zubaer Dawlah, MD
Internal medicine · 1000 Pine Street, Texarkana
Nalini Narayana Reddy, MD
Family medicine · 1000 Pine Street, Texarkana
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 Texarkana, AR 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.
Genoa Healthcare
1.9 miCollege Hill Drug
2.3 miAllcare Pharmacy
2.3 miRobertsons North Heights Pharmacy
2.4 mi
3.1 mi 
3.1 mi Showing the 6 closest pharmacies to Texarkana, AR.
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 Texarkana, 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 Miller County, the county that includes Texarkana, compare with Arkansas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#8 of 75 Arkansas counties for chlamydia, a higher rate than 89% of the state
| Infection | Miller County | Arkansas | United States |
|---|---|---|---|
| Chlamydia | 966.6 410 cases ▲ 67% | 579.6 | 492.2 |
| Gonorrhea | 360.7 153 cases ▲ 87% | 193.4 | 179.5 |
| Syphilis (P&S) | 58.9 25 cases ▲ 102% | 29.2 | 15.8 |
| Syphilis (early) | 35.4 15 cases ▲ 105% | 17.3 | 16 |
| Syphilis (late/unknown) | 264.1 112 cases ▲ 450% | 48 | 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 Miller County, chlamydia has risen from 774.6 to 966.6 per 100,000 (25%), gonorrhea has fallen from 434.3 to 360.7 per 100,000 (17%), and P&S syphilis has fallen from 63.4 to 58.9 per 100,000 (7%).
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 Miller County.
Local HIV snapshot
Federal priority area: Arkansas is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Miller County HIV care continuum (2023)
Miller County recorded 14.1 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Miller County residents living with HIV, 30.6% are in care · 17.7% 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 Miller County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Four States Auto Museum anchors the stretch of East 9th Street where Texarkana's two-state identity feels most tangible, and for residents who need STI screening, that same corridor puts several of the options listed on this page within a manageable drive rather than a distant errand.
The city's household picture shapes who needs low-cost, low-hassle access most. Nearly half of residents rent at monthly rates that leave little cushion for unexpected medical bills, so the sliding-scale and no-cost options listed here carry real weight. Household sizes lean larger than the national average, meaning scheduling around shared vehicles, childcare, or a partner's shift is a common logistic, not an edge case. With fewer than one in five households reaching six-figure income, out-of-pocket testing fees can genuinely determine whether an appointment happens. Young adults, roughly a quarter of Texarkana, are in the years when STI transmission runs highest, and that group benefits most when a clinic visit doesn't require burning half a day.
That last point connects directly to the workforce picture here: labor-force participation runs below the national norm, and unemployment is measurably elevated, which means irregular hours, gig work, and midday availability are real conditions for a lot of people. The mix of evening and weekend slots among the options listed here, reachable along US 82 or the I 49 corridor, translates a spare weekday hour into an actual appointment.
Getting there
At 8.19/20 on the EPA walkability index, day-to-day errands in Texarkana 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 71854 snapshot
ZIP-level Census figures for the wider 71854 area around Texarkana: a single ZIP can span several communities, so they describe the area, not Texarkana alone.
Texarkana sits in Miller County, ZIP 71854. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Texarkana? 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 Miller County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Arkansas 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 Texarkana-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 Texarkana 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 Arkansas 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 Arkansas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Arkansas 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 ArkansasSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Miller County reported ~967 chlamydia cases per 100,000 in 2023, above the Arkansas average.
At-home kits mail to 71854: self-collect, send to the lab, results in ~2–5 days.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Arkansas, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.