Smith County reports about 518 chlamydia cases per 100,000 residents, near the US average. If you're in Troup, Texas, considering testing for a one-time concern or regular check-ups, clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Options in Troup, Texas can include local clinics and private labs.
Available testing centers
7 testing options are listed for Troup, TX. The nearest, Total Point Urgent Care, is about 8.0 miles away. Compare community and public clinics, private labs, and at-home kits below.
Total Point Urgent Care in Whitehouse accepts Medicaid, Medicare, and most insurance, with a sliding scale for other payers, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis B and C, and TB, no appointment required, with Spanish-language care on staff.
Spanish is handled at the provider level at Total Point Urgent Care, not routed through an external service, so counseling, test result review, and treatment instructions are delivered directly by staff who work in the language, keeping clinical nuance intact from the first question to the final prescription.
Total Point Urgent Care runs hepatitis B and C testing as part of its in-house panel alongside gonorrhea, chlamydia, syphilis, rapid and conventional HIV, and TB: meaning a single visit produces results across all eight, with bacterial infections treated on the spot and hepatitis managed through the same clinic relationship.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Bullard Mission House and Mission Clinic in Mount Selman is a mission-rooted clinic where STI testing spans gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB: full treatment on-site, HPV and hepatitis A and B vaccines available, appointments required, fees on a sliding scale with donations accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Wood County Health Department in Quitman operates STI care through public health infrastructure, covering gonorrhea, chlamydia, and rapid and conventional HIV testing alongside treatment, prevention counseling, and HPV and hepatitis A and B vaccines: by appointment, on a sliding scale with no-fee options, and with Medicaid, Medicare, and insurance all accepted.
Wood County Health Department's standing capacity to deliver all services at no fee makes it the practical answer for anyone paying out of pocket without a regular provider: there's no minimum income, no coverage requirement, and no portion of care that becomes billable once you're through the door.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Troup, 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 Smith 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.
800 East Dawson Street, Tyler, TX 75701
CMS-certified lab Accredited · College of American Pathologists
706 Turtle Creek, Tyler, TX 75701
CMS-certified lab Accredited · Joint Commission
University Of Texas Hlth Science Ctr, Tyler, TX 75708
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Troup. 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, 419 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Troup. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 103 offer telehealth.
Wesley Pemberton, MD
Family medicine · 403 State Hwy 110 North, Whitehouse
Liza Banaag, MD Telehealth
Family medicine · 151 Heritage Springs Drive, Bullard
Amara Emenike, MD Telehealth
Internal medicine · 3593 East Grande Boulevard, Tyler
Stephanie Tyo, MD
Family medicine · 13172 State Hwy 64 East, Tyler
Jose Serpa-Alvarez, MD
Infectious disease · 102 West Henderson Street, Overton
Raman Dhillon, MD
Family medicine · 8389 South Broadway Avenue, Tyler
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 Troup, 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.
Troup Pharmacy
0.1 miBrookshires Pharmacy
7.8 mi
7.8 mi 
8.3 mi Showing the 4 closest pharmacies to Troup, 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 Troup, 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 Smith County, the county that includes Troup, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#37 of 254 Texas counties for chlamydia, a higher rate than 85% of the state
| Infection | Smith County | Texas | United States |
|---|---|---|---|
| Chlamydia | 517.9 1,270 cases ▲ 5% | 491.9 | 492.2 |
| Gonorrhea | 146.4 359 cases ▼ 17% | 176.4 | 179.5 |
| Syphilis (P&S) | 11 27 cases ▼ 27% | 15 | 15.8 |
| Syphilis (early) | 9.4 23 cases ▼ 64% | 26.4 | 16 |
| Syphilis (late/unknown) | 35.9 88 cases ▼ 19% | 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 Smith County, chlamydia has risen from 402.6 to 517.9 per 100,000 (29%), gonorrhea has fallen from 193.6 to 146.4 per 100,000 (24%), and P&S syphilis has risen from 2.1 to 11 per 100,000 (424%).
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 Smith County.
Local HIV snapshot
Smith County HIV care continuum (2023)
Smith County recorded 19.2 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Smith County residents living with HIV, 82.4% are in care · 66.5% 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 Smith County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Stopping by Troup City Park on a weekend or running an errand along Duval Street, you move through a town where many households stretch across generations and tight budgets shape everyday choices. That financial reality, and the privacy concerns that come with it, make confidential STI testing especially relevant here. Testing sites in and around Troup listed on this page offer the discretion and affordability that matter when cost and trust are both on the line. Young adults in particular often find themselves at a crossroads where routine screening becomes urgent: a new relationship, a health scare, or simply the responsible step before moving forward with someone.
In a place where word travels and rent is already tight, knowing that test results remain confidential and that screening won't drain your account is real relief. The clinics and mobile services available locally understand these pressures. Access to testing that fits your schedule and your wallet removes one barrier to peace of mind. Whether you're navigating early adulthood, managing a household that spans multiple generations, or simply taking care of yourself, the providers listed here offer straightforward, judgment-free screening without the premium price tag or the wait that comes elsewhere.
Getting there
At 4.35/20 on the EPA walkability index, day-to-day errands in Troup 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 75789 snapshot
ZIP-level Census figures for the wider 75789 area around Troup: a single ZIP can span several communities, so they describe the area, not Troup alone.
Troup sits in Smith County, ZIP 75789. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Troup? 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 Smith 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 Troup-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 Troup 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.
Possibly, Whitehouse, TX is close; compare it by distance against Total Point Urgent Care.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 518 cases per 100,000 residents (2023), above the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
It's cured with antibiotics; treating partners together prevents reinfection.
The CDC doesn't advise routine herpes testing without symptoms; if you have a sore, a swab of it is the most accurate test.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Roughly 1–2 weeks after exposure gives a dependable gonorrhea result.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.