Midland sees syphilis cases that run 15% higher than the national average. If you're getting tested in Midland, Texas whether for the first time or routinely, consider your scheduling needs: some clinics accept walk-ins for same-day testing, while labs and at-home kits offer more flexibility.
11 testing centers serve Midland, TX — the nearest, Clinical Pathology Labs, about 1.9 miles away. Compare 8 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.
Today's offer: $10 off any test panel — applied automatically at checkout.
When can I test? Exposure-window calculator
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
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Best for free testing
2.4 miles
Texas Department Of State Health Services
★★★★☆4.4(115 reviews)?
Review sources
EasySTD reviews115
Rated 4.4 out of 5 from 115 reviews
About 2 miles southwest of Midland in Midland: Texas Department of State Health Services is a public health clinic offering free STI testing, same-visit treatment, and prevention services including vaccines and doxy-PEP. It's built for anyone seeking straightforward sexual health care without cost barriers.
Read full overviewShow less
A public clinic, free and appointment-based
The Texas Department of State Health Services in Midland is a state-run clinic where you can walk through testing, treatment, and prevention in one visit—at no cost. You'll need to book an appointment, and Spanish interpretation is available, so language won't block you from care.
Testing and same-visit treatment for bacterial STIs
The clinic screens for chlamydia, gonorrhea, syphilis, herpes, and conventional HIV, plus TB. If you test positive for chlamydia or gonorrhea, treatment happens on the same visit. Syphilis is also treated there; HIV and TB require follow-up specialist care, but the clinic manages both.
Prevention built in—vaccines, doxy-PEP, and education
Beyond testing, the clinic offers mpox, HPV, and hepatitis A and B vaccines at no charge. If you're at risk for bacterial STIs, doxy-PEP (an antibiotic taken after sex to prevent infection) is available. Condoms and prevention counseling are part of the visit.
Best for anyone without insurance or savings
If you're uninsured, paying out of pocket, or just want straightforward public health care, this clinic removes the cost question entirely. The appointment requirement means you'll plan ahead, but that also means no wait-time surprises on the day.
About 2 miles south of Midland in Midland: Midland Health Department offers STI and TB testing by appointment, with same-visit treatment for bacterial infections and vaccines to prevent future disease. It's ideal for anyone seeking affordable care on a sliding scale, with Spanish interpretation available.
Read full overviewShow less
Book ahead for a focused visit
Midland Health Department requires an appointment, which means shorter wait times and staff ready for your visit. Once there, you'll get counseling alongside testing, and if you're diagnosed with a bacterial infection like chlamydia, gonorrhea, or syphilis, treatment happens the same day.
Tests cover the infections that matter most
The clinic screens for HIV, syphilis, gonorrhea, chlamydia, and tuberculosis. Bacterial STIs are treated on-site immediately; HIV results come with counseling to help you understand next steps and prevention options.
Sliding scale makes it affordable
Testing and treatment are not free, but the clinic uses a sliding scale based on income, and Medicaid is accepted. You'll pay according to what you can afford, not a flat fee.
Spanish interpretation and vaccines included
Staff offer Spanish interpretation, and the clinic provides HPV, hepatitis A, and hepatitis B vaccines alongside testing and treatment. This is the place if you want prevention and care bundled into one appointment.
About 4 miles southeast of Midland in Midland: Midland Community Healthcare Services is a community clinic offering STI testing, treatment, and prevention in one visit, with sliding-scale fees and walk-in access for anyone seeking care without an appointment.
Read full overviewShow less
A community clinic built for real access
Midland Community Healthcare Services meets you where you are—walk in without an appointment, get tested and treated the same day if needed, and pay on a sliding scale based on what you can afford. Medicaid, Medicare, and insurance are all accepted; if you're uninsured or paying out of pocket, the clinic adjusts the fee to fit your situation.
Testing and treatment in one place
You can screen for chlamydia, gonorrhea, syphilis, hepatitis B and C, and HIV in a single visit. Bacterial infections like chlamydia and gonorrhea can be treated right there; hepatitis B and C testing is available, with treatment managed through the clinic. The clinic also offers HPV and hepatitis A vaccines, plus family planning and STI prevention education to help you stay healthy.
Best for anyone without insurance or with tight timing
If you need testing without scheduling weeks ahead, or if cost is a concern, this clinic removes those barriers. Walk in, get answers, and leave with a treatment plan or prevention strategy—all in one afternoon.
About 19 miles southwest of Midland in Odessa: Ector County Health Department is a public clinic that screens for and treats bacterial STIs, HIV, and TB in a single visit, with free HIV testing and sliding-scale fees for other services—ideal for anyone without insurance or on a tight budget.
Read full overviewShow less
Walk-in testing and same-visit treatment
No appointment needed: you can walk in, get tested for chlamydia, gonorrhea, syphilis, HIV, and TB, and if you test positive for a bacterial infection, start treatment the same day. Counseling and education are built into every visit, so you leave with a clear picture of your results and next steps.
Free HIV testing; sliding-scale for the rest
HIV testing is free. For other tests and services—STI screening, TB testing, treatment, vaccines (HPV, hepatitis A, hepatitis B), and PrEP—you pay on a sliding scale based on income. Medicaid and Medicare are accepted, and uninsured patients are charged according to what they can afford.
Spanish interpretation available
Staff offer Spanish-language services, so language is not a barrier to getting tested or starting treatment.
Best for uninsured and low-income testing
If you need free HIV testing or can't afford a standard clinic visit, this is the place. It's also the right choice if you want PrEP—a daily pill that prevents HIV—or if you need TB screening and treatment in one location.
About 20 miles southwest of Midland in Odessa: Texas Tech University Health Sciences Center offers free STI testing for chlamydia, gonorrhea, and syphilis alongside HIV screening, with same-visit treatment for bacterial infections and on-site vaccines. It's ideal for anyone seeking free, walk-in testing without insurance or out-of-pocket worry.
Read full overviewShow less
Free testing and same-visit treatment
Texas Tech University Health Sciences Center screens for chlamydia, gonorrhea, syphilis, and HIV at no cost—no insurance required, no appointment needed. If you test positive for a bacterial STI, treatment is available the same visit, so you walk out with a plan rather than a referral slip.
Prevention built into your visit
Beyond testing, the clinic offers HPV and hepatitis A vaccines, plus hepatitis B vaccination for adults. Staff also provide STI and HIV prevention education, helping you understand your risk and options going forward.
Walk in anytime, completely free
There's no appointment barrier and no cost at any stage—testing, treatment for bacterial STIs, and vaccines are all free. This clinic is built for people who need straightforward, judgment-free care without financial or scheduling friction.
Best for uninsured or cash-conscious testing
If you're uninsured, between jobs, or simply want to avoid a bill, this is your clinic. The combination of free testing, same-visit treatment, and walk-in access makes it the easiest entry point for anyone who's been putting off a test.
About 33 miles northwest of Midland in Andrews: Andrews County Health Department offers free STI testing and treatment on a sliding-scale fee structure, accepting Medicaid and Medicare. It's built for anyone seeking affordable sexual health care without insurance barriers.
Read full overviewShow less
Free testing, sliding scale for the rest
STI testing is free at Andrews County Health Department, and Medicaid and Medicare cover most visits; uninsured patients pay on a sliding scale tied to income. That removes the cost worry for anyone without insurance or tight on cash.
Tests and treatment in one place
The clinic screens for chlamydia, gonorrhea, syphilis, herpes, and conventional HIV, and can treat bacterial STIs (chlamydia, gonorrhea, syphilis) the same visit. TB testing and treatment are also available, as are mpox and HPV vaccines—plus hepatitis B vaccination for adults who need it.
Appointments required; Spanish spoken
You'll need to call ahead and book an appointment rather than walk in. Staff offer interpretation in Spanish, so language won't block access.
Best for uninsured and underinsured locals
This is the right choice if you're paying out of pocket or on Medicaid—the sliding scale and free testing mean you won't face surprise bills, and a health department clinic means solid, routine care without frills.
A safety-net rural health clinic about 39 miles from Midland. Sliding-scale STD testing and care are typical here — call ahead to confirm the exact panel and pricing.
About 40 miles east of Midland in Big Spring: South Plains Rural Health Services is a rural health clinic serving patients across the region with full STI testing, same-visit treatment, and prevention all in one visit. It's built for anyone—insured, uninsured, or on Medicaid—who needs straightforward sexual health care without traveling far.
Read full overviewShow less
A rural clinic that handles it all
South Plains Rural Health Services is a full-service rural health clinic, not a specialized STI center, but it offers complete sexual health screening and care in a single visit. You'll get tested for HIV, chlamydia, gonorrhea, syphilis, herpes, hepatitis A/B/C, and TB; if you test positive for chlamydia, gonorrhea, or syphilis, treatment happens the same day. The clinic also offers HPV and hepatitis A vaccines, condom distribution, and counseling on prevention—so a routine visit can cover testing, treatment, and protection all at once.
Cost that scales to your situation
There is a standard fee for visits, but South Plains uses a sliding scale, so what you pay depends on your income. Medicaid and Medicare are accepted, as is most insurance. If you're uninsured and paying out of pocket, the sliding scale keeps costs lower than a standard clinic visit would be.
Appointments required; Spanish and ASL available
You'll need to call ahead and schedule an appointment—there's no walk-in option. The clinic offers interpretation in Spanish and American Sign Language, so language won't be a barrier to care.
Best for rural patients who need one stop
This clinic is ideal if you live in or near Big Spring and want to avoid a long drive to a city STI clinic. It's also a good fit if you're insured or on Medicaid and prefer a full-service health center over a specialized testing site.
11 testing centers serving Midland and Midland County — screening for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, Conventional HIV, TB, HIV.
Community health center
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.
How we rank: vetted partner labs (clearly marked Sponsored) appear first; every other center is listed free and ordered by verified review score, then distance.
Premium Partner
Clinical Pathology Labs
Editor's pick
Results in 1–2 days
★★★★★4.5(183 reviews)?
Review sources
EasySTD reviews183
Rated 4.5 out of 5 from 183 reviews
2407 W. Louisiana, Midland, TX, 79701
1.9 miles away
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
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Texas Department Of State Health Services
Best for free testing
★★★★☆4.4(115 reviews)?
Review sources
EasySTD reviews115
Rated 4.4 out of 5 from 115 reviews
About 2 miles southwest of Midland in Midland: Texas Department of State Health Services is a public health clinic offering free STI testing, same-visit treatment, and prevention services including vaccines and doxy-PEP. It's built for anyone seeking straightforward sexual health care without cost barriers.
Read full overviewShow less
A public clinic, free and appointment-based
The Texas Department of State Health Services in Midland is a state-run clinic where you can walk through testing, treatment, and prevention in one visit—at no cost. You'll need to book an appointment, and Spanish interpretation is available, so language won't block you from care.
Testing and same-visit treatment for bacterial STIs
The clinic screens for chlamydia, gonorrhea, syphilis, herpes, and conventional HIV, plus TB. If you test positive for chlamydia or gonorrhea, treatment happens on the same visit. Syphilis is also treated there; HIV and TB require follow-up specialist care, but the clinic manages both.
Prevention built in—vaccines, doxy-PEP, and education
Beyond testing, the clinic offers mpox, HPV, and hepatitis A and B vaccines at no charge. If you're at risk for bacterial STIs, doxy-PEP (an antibiotic taken after sex to prevent infection) is available. Condoms and prevention counseling are part of the visit.
Best for anyone without insurance or savings
If you're uninsured, paying out of pocket, or just want straightforward public health care, this clinic removes the cost question entirely. The appointment requirement means you'll plan ahead, but that also means no wait-time surprises on the day.
DoxyPEP
1101 North Midland Drive, Midland, TX 79705
2.4 miles away
Doxy PEP · Family Planning · Mpox Vaccine · STI Treatment · Human Papillomavirus Vaccine (HPV) · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education · STI Prevention/Education · HIV/AIDS Prevention/Education · HIV Test Counseling · Hepatitis Prevention/Education · Condom Distribution
About 2 miles south of Midland in Midland: Midland Health Department offers STI and TB testing by appointment, with same-visit treatment for bacterial infections and vaccines to prevent future disease. It's ideal for anyone seeking affordable care on a sliding scale, with Spanish interpretation available.
Read full overviewShow less
Book ahead for a focused visit
Midland Health Department requires an appointment, which means shorter wait times and staff ready for your visit. Once there, you'll get counseling alongside testing, and if you're diagnosed with a bacterial infection like chlamydia, gonorrhea, or syphilis, treatment happens the same day.
Tests cover the infections that matter most
The clinic screens for HIV, syphilis, gonorrhea, chlamydia, and tuberculosis. Bacterial STIs are treated on-site immediately; HIV results come with counseling to help you understand next steps and prevention options.
Sliding scale makes it affordable
Testing and treatment are not free, but the clinic uses a sliding scale based on income, and Medicaid is accepted. You'll pay according to what you can afford, not a flat fee.
Spanish interpretation and vaccines included
Staff offer Spanish interpretation, and the clinic provides HPV, hepatitis A, and hepatitis B vaccines alongside testing and treatment. This is the place if you want prevention and care bundled into one appointment.
3303 West Illinois, Suite 22 Midland, TX 79704
2.4 miles away
About 4 miles southeast of Midland in Midland: Midland Community Healthcare Services is a community clinic offering STI testing, treatment, and prevention in one visit, with sliding-scale fees and walk-in access for anyone seeking care without an appointment.
Read full overviewShow less
A community clinic built for real access
Midland Community Healthcare Services meets you where you are—walk in without an appointment, get tested and treated the same day if needed, and pay on a sliding scale based on what you can afford. Medicaid, Medicare, and insurance are all accepted; if you're uninsured or paying out of pocket, the clinic adjusts the fee to fit your situation.
Testing and treatment in one place
You can screen for chlamydia, gonorrhea, syphilis, hepatitis B and C, and HIV in a single visit. Bacterial infections like chlamydia and gonorrhea can be treated right there; hepatitis B and C testing is available, with treatment managed through the clinic. The clinic also offers HPV and hepatitis A vaccines, plus family planning and STI prevention education to help you stay healthy.
Best for anyone without insurance or with tight timing
If you need testing without scheduling weeks ahead, or if cost is a concern, this clinic removes those barriers. Walk in, get answers, and leave with a treatment plan or prevention strategy—all in one afternoon.
801 East Florida Avenue, Midland, TX 79701
3.7 miles away
About 19 miles southwest of Midland in Odessa: Ector County Health Department is a public clinic that screens for and treats bacterial STIs, HIV, and TB in a single visit, with free HIV testing and sliding-scale fees for other services—ideal for anyone without insurance or on a tight budget.
Read full overviewShow less
Walk-in testing and same-visit treatment
No appointment needed: you can walk in, get tested for chlamydia, gonorrhea, syphilis, HIV, and TB, and if you test positive for a bacterial infection, start treatment the same day. Counseling and education are built into every visit, so you leave with a clear picture of your results and next steps.
Free HIV testing; sliding-scale for the rest
HIV testing is free. For other tests and services—STI screening, TB testing, treatment, vaccines (HPV, hepatitis A, hepatitis B), and PrEP—you pay on a sliding scale based on income. Medicaid and Medicare are accepted, and uninsured patients are charged according to what they can afford.
Spanish interpretation available
Staff offer Spanish-language services, so language is not a barrier to getting tested or starting treatment.
Best for uninsured and low-income testing
If you need free HIV testing or can't afford a standard clinic visit, this is the place. It's also the right choice if you want PrEP—a daily pill that prevents HIV—or if you need TB screening and treatment in one location.
PrEP
221 North Texas Avenue, Odessa, TX 79761
19.3 miles away
About 20 miles southwest of Midland in Odessa: Texas Tech University Health Sciences Center offers free STI testing for chlamydia, gonorrhea, and syphilis alongside HIV screening, with same-visit treatment for bacterial infections and on-site vaccines. It's ideal for anyone seeking free, walk-in testing without insurance or out-of-pocket worry.
Read full overviewShow less
Free testing and same-visit treatment
Texas Tech University Health Sciences Center screens for chlamydia, gonorrhea, syphilis, and HIV at no cost—no insurance required, no appointment needed. If you test positive for a bacterial STI, treatment is available the same visit, so you walk out with a plan rather than a referral slip.
Prevention built into your visit
Beyond testing, the clinic offers HPV and hepatitis A vaccines, plus hepatitis B vaccination for adults. Staff also provide STI and HIV prevention education, helping you understand your risk and options going forward.
Walk in anytime, completely free
There's no appointment barrier and no cost at any stage—testing, treatment for bacterial STIs, and vaccines are all free. This clinic is built for people who need straightforward, judgment-free care without financial or scheduling friction.
Best for uninsured or cash-conscious testing
If you're uninsured, between jobs, or simply want to avoid a bill, this is your clinic. The combination of free testing, same-visit treatment, and walk-in access makes it the easiest entry point for anyone who's been putting off a test.
Title X
701 West 5th Street, Odessa, TX 79763
19.8 miles away
About 33 miles northwest of Midland in Andrews: Andrews County Health Department offers free STI testing and treatment on a sliding-scale fee structure, accepting Medicaid and Medicare. It's built for anyone seeking affordable sexual health care without insurance barriers.
Read full overviewShow less
Free testing, sliding scale for the rest
STI testing is free at Andrews County Health Department, and Medicaid and Medicare cover most visits; uninsured patients pay on a sliding scale tied to income. That removes the cost worry for anyone without insurance or tight on cash.
Tests and treatment in one place
The clinic screens for chlamydia, gonorrhea, syphilis, herpes, and conventional HIV, and can treat bacterial STIs (chlamydia, gonorrhea, syphilis) the same visit. TB testing and treatment are also available, as are mpox and HPV vaccines—plus hepatitis B vaccination for adults who need it.
Appointments required; Spanish spoken
You'll need to call ahead and book an appointment rather than walk in. Staff offer interpretation in Spanish, so language won't block access.
Best for uninsured and underinsured locals
This is the right choice if you're paying out of pocket or on Medicaid—the sliding scale and free testing mean you won't face surprise bills, and a health department clinic means solid, routine care without frills.
208 Northwest 2nd Street, Andrews, TX 79714
32.6 miles away
A safety-net rural health clinic about 39 miles from Midland. Sliding-scale STD testing and care are typical here — call ahead to confirm the exact panel and pricing.
About 40 miles east of Midland in Big Spring: South Plains Rural Health Services is a rural health clinic serving patients across the region with full STI testing, same-visit treatment, and prevention all in one visit. It's built for anyone—insured, uninsured, or on Medicaid—who needs straightforward sexual health care without traveling far.
Read full overviewShow less
A rural clinic that handles it all
South Plains Rural Health Services is a full-service rural health clinic, not a specialized STI center, but it offers complete sexual health screening and care in a single visit. You'll get tested for HIV, chlamydia, gonorrhea, syphilis, herpes, hepatitis A/B/C, and TB; if you test positive for chlamydia, gonorrhea, or syphilis, treatment happens the same day. The clinic also offers HPV and hepatitis A vaccines, condom distribution, and counseling on prevention—so a routine visit can cover testing, treatment, and protection all at once.
Cost that scales to your situation
There is a standard fee for visits, but South Plains uses a sliding scale, so what you pay depends on your income. Medicaid and Medicare are accepted, as is most insurance. If you're uninsured and paying out of pocket, the sliding scale keeps costs lower than a standard clinic visit would be.
Appointments required; Spanish and ASL available
You'll need to call ahead and schedule an appointment—there's no walk-in option. The clinic offers interpretation in Spanish and American Sign Language, so language won't be a barrier to care.
Best for rural patients who need one stop
This clinic is ideal if you live in or near Big Spring and want to avoid a long drive to a city STI clinic. It's also a good fit if you're insured or on Medicaid and prefer a full-service health center over a specialized testing site.
103 West 11th Street, Big Spring, TX 79720
40.4 miles away
Family Planning · STI Treatment · Human Papillomavirus Vaccine (HPV) · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education · STI Prevention/Education · HIV/AIDS Prevention/Education · HIV Test Counseling · Hepatitis Prevention/Education · Condom Distribution
Beyond the public testing sites above, these federally certified (CLIA) labs serve Midland 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.
Showing the 6 closest CLIA-certified labs in Midland County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — near Midland. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in Midland, TX
The nearest testing center is about 2 miles away — if you'd rather skip the
trip, an at-home kit ships to Midland, 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
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.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
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
Doctors near Midland who can order STD testing
Beyond dedicated clinics, 196 primary-care, OB-GYN, infectious-disease
and other clinicians practice within 30 miles of Midland — any of them can order a confidential STD panel as
part of a regular visit, and 42 offer telehealth.
These are licensed clinicians who can order STD testing during a visit — not dedicated STD-testing clinics.
Confirm services and availability before booking. Source: CMS Doctors & Clinicians (Medicare-enrolled providers).
Local context
About Midland, TX
A notable share of residents speak limited English (bilingual services help). Midland, in Midland County, Texas, is a large city. Bounce is the closest neighboring town, and it's a comparatively well-off area. Provider load runs high, so many residents pair a clinic visit with at-home kits or telehealth.
ZIP 79701 snapshot
Inside Midland's ZIP code
These ZIP-level Census figures show the demographics that shape testing demand in Midland.
Residents
27,678
Median age
32
Median income
$57,679
Getting there
How residents reach testing in Midland
Walkability10.24 / 20 · Below average
At 10.24/20 on the EPA walkability index, day-to-day errands in Midland 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.
Have symptoms?
Do I have an STD?
Use our confidential symptom checker to see which STDs match your symptoms — and which tests are recommended near Midland.
Here's how reported STI rates in Midland County — the county that includes Midland — compare with Texas and U.S. averages, based on the most recent 2023 surveillance data.
An estimated ~31% of Midland County residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why local screening access matters here.
Lower chlamydia rate than 6% of the state's 254 counties (ranked #17)
Reported STD rates per 100,000 — Midland County vs Texas vs U.S.
Midland CountyTexasU.S.
Infection
Midland County
Texas
United States
Chlamydia
612.61,085 cases▲ 25%
491.9
492.2
Gonorrhea
142.9253 cases▼ 19%
176.4
179.5
Syphilis (P&S)
18.132 cases▲ 21%
15
15.8
Syphilis (early)
27.148 cases▲ 3%
26.4
16
Syphilis (late/unknown)
30.554 cases▼ 31%
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. County 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.
Reported STD rates in Midland County over time (per 100,000)
Chlamydia ▲ 16% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in Midland County, chlamydia has risen from 464.8 to 612.6 per 100,000 (32%), gonorrhea has fallen from 178.3 to 142.9 per 100,000 (20%), and P&S syphilis has risen from 5.9 to 18.1 per 100,000 (207%).
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
What shapes testing access in and around Midland
Adults uninsured
29.4%
No routine checkup
28.4%
Binge drinking
16.8%
Frequent mental distress
19.1%
Depression
21.6%
Below poverty line
24.3%
Primary-care ratio
2,625 : 1
Midland County
Primary-care shortage score 21 / 26
Medically Underserved Area · IMU 57
Social Vulnerability Index · 74th percentile nationally
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 Midland County.
Local HIV snapshot
HIV in Midland County (2023)
People living with HIV
196 / 100k
New diagnoses (2023)
18
On PrEP (coverage)
60.8%
Midland County HIV care continuum (2023)
Midland County recorded 13 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally.
Among Midland County residents living with HIV, 74.6% are in care · 65.6% 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 the county health department.
Pregnant or planning to be?
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 Midland County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Two quick references for getting tested in Midland County: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection (the earliest a test can reliably detect it). Select any infection to open its in-depth testing guide — every clinic and lab listed above for Midland screens for them.
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative — confirm timing with a Midland-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving Midland 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
$79.20
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.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Midland, telehealth covers the rest of the picture — 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.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
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.
Privacy
Confidentiality & consent in Texas
The questions Midland residents ask most before testing, answered under Texas law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In Texas, a minor of any age can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many Texas health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. Texas permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Good to Know
STD testing FAQs for Midland, TX
Answers to the questions people ask most before getting tested.
How many places can I test near Midland?
There are 8 options within a 30-mile drive.
Can I use Medicaid for testing?
Yes — Medicaid typically covers it, and public clinics are free either way.
Where can I get tested for free near Midland?
Texas Department Of State Health Services, about 2.4 mi away, provides free testing.
What does a full STD panel cover?
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
What's the local chlamydia rate?
Midland County reported ~613 chlamydia cases per 100,000 in 2023, above the Texas average.
Is there an at-home STD test for Midland?
At-home kits mail to 79701: self-collect, send to the lab, results in ~1–2 days.
How is chlamydia tested near Midland?
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
What's the test for trich?
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Is herpes curable?
Herpes isn't curable, but daily or as-needed antiviral medicine controls outbreaks and lowers the chance of passing it on.
Is STD testing a blood test or a urine test?
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
