The rate of reported gonorrhea in Crawford County is about 62% lower than the US average. If you've had a recent risk or test on a regular schedule, in Aspinwall, Iowa you can either visit a clinic or use an at-home kit. To see the options, look below.
Available testing centers
5 testing options are listed for Aspinwall, IA. The nearest, St Anthony Regional Hospital and Nursing Home, is about 12.9 miles away. Compare 2 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 community safety-net rural health clinic about 13 miles from Aspinwall. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Crawford County Community Health in Denison covers gonorrhea, chlamydia, syphilis, and rapid HIV testing at no charge, with a sliding-scale fee structure and Medicaid and private insurance accepted. Appointments are required, and same-visit treatment is available for bacterial infections.
The no-fee guarantee at Crawford County Community Health extends past the HIV test to every service on the menu: gonorrhea, chlamydia, syphilis, HPV vaccination, hepatitis A and B vaccination, and STI treatment. That single fee structure means sliding-scale calculations never apply here, because the floor is already zero.
Spanish is one of the two languages Crawford County Community Health operates in directly, which means clinical conversations about testing, results, and treatment happen in Spanish without routing through a secondary service. For a community where Spanish is the first language of daily life, that capacity shapes what a visit can actually accomplish.
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 about 13 miles away; if you'd rather skip the trip, an at-home kit ships to Aspinwall, 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 value: single tests
$49 & 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 Crawford 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.
1550 6th Street, Manning, IA 51455
CMS-certified lab
100 Medical Parkway, Denison, IA 51442
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Aspinwall. 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, 49 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Aspinwall. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Thang Luong, DO
Family medicine · 1550 6th Street, Manning
Laxmi Kumari, MD
Family medicine · 100 Medical Parkway, Denison
Michael Luft, DO
Family medicine · 100 Medical Parkway, Denison
Jorge Sotolongo, MD
OB-GYN · 1324 1st Avenue North, Denison
Sarah Hayes, MD Telehealth
Internal medicine · 1214 South Grant Road, Carroll
Stephanie Vampola-Runyan, DO
Family medicine · 515 Pacific Avenue, Audubon
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 Aspinwall, IA 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.
Rex Pharmacy
3.6 miSt Anthony Westside Pharmacy
12 miHy-Vee Pharmacy
13 miHy-Vee Pharmacy (1124)
13 miThrifty White Drug
13 mi
15 mi Showing the 6 closest pharmacies to Aspinwall, IA.
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 Aspinwall, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Crawford County, the county that includes Aspinwall, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~6% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#19 of 99 Iowa counties for chlamydia, a higher rate than 81% of the state
| Infection | Crawford County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 399.7 64 cases ▼ 6% | 426.8 | 492.2 |
| Gonorrhea | 68.7 11 cases ▼ 41% | 116.8 | 179.5 |
| Syphilis (P&S) | 6.2 1 cases ▼ 40% | 10.3 | 15.8 |
| Syphilis (early) | 6.2 1 cases ▼ 33% | 9.2 | 16 |
| Syphilis (late/unknown) | 18.7 3 cases ▲ 89% | 9.9 | 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 Crawford County, chlamydia has risen from 254.2 to 399.7 per 100,000 (57%), gonorrhea has fallen from 78.7 to 68.7 per 100,000 (13%), and P&S syphilis has fallen from 12.4 to 6.2 per 100,000 (50%).
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 Crawford County.
Local HIV snapshot
Crawford County HIV care continuum (2022)
Crawford County recorded 0 new HIV diagnoses per 100,000 (2022), against 5.1 statewide and 13.7 nationally. Among Crawford County residents living with HIV, 91.7% are in care · 91.7% 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 Crawford County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Aspinwall's economy has long centered on agriculture and small manufacturing, work that demands both consistency and attention to detail. That same care applies to health maintenance: including STI screening, which matters most during young adulthood, when sexual activity and transmission risk peak. Confidential testing in and around Aspinwall lets residents monitor their sexual health without delay or public exposure, whether they're establishing new relationships, managing multiple partners, or simply staying current with routine care. Clinics and providers listed on this page offer straightforward access to screening and treatment. Many people find that a quick, private appointment removes the obstacle of uncertainty.
The not-knowing that can stretch for months. Results remain between you and your provider, with no obligation to disclose them to anyone else unless you choose to. Four Corners Recreation Area and Great Western Park anchor community life here; screening services operate with the same local reliability. Young adults in Aspinwall can schedule tests at their own pace and on their own terms, without navigating big-city bureaucracy or traveling farther than necessary.
Getting there
At 5.96/20 on the EPA walkability index, day-to-day errands in Aspinwall 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 51455 snapshot
ZIP-level Census figures for the wider 51455 area around Aspinwall: a single ZIP can span several communities, so they describe the area, not Aspinwall alone.
Aspinwall sits in Crawford County, ZIP 51455. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Aspinwall? 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 Crawford County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 an Aspinwall-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 Aspinwall 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Crawford County reported ~400 chlamydia cases per 100,000 in 2023, below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 51455: self-collect, send to the lab, results in ~2–5 days.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.