In Custer County, reported gonorrhea runs 95% lower than the US average. If you want to get tested in Broken Bow, Nebraska for a one-time concern or for regular check-ups, you may appreciate that some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. Review your options below.
Available testing centers
2 testing options are listed for Broken Bow, NE. The nearest, Callaway Hospital District, is about 16.8 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 about 17 miles from Broken Bow. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 17 miles away; if you'd rather skip the trip, an at-home kit ships to Broken Bow, 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 Custer 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.
145 Memorial Drive, Broken Bow, NE 68822
CMS-certified lab
211 East Kimball, Callaway, NE 68825
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Broken Bow. 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.
Nearby pharmacies
No pharmacy near Broken Bow, NE 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.
Holcomb Pharmacy
0.3 miFrontier Family Pharmacy
0.3 miShopko Pharmacy 695
0.9 miSouth Loup Community Pharmacy
17 miLoup City RX Shoppe
36 miGood Life Health Services
36 miShowing the 6 closest pharmacies to Broken Bow, NE.
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 Broken Bow, 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 Custer County, the county that includes Broken Bow, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#60 of 93 Nebraska counties for chlamydia, a higher rate than 35% of the state
| Infection | Custer County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 132.3 14 cases ▼ 72% | 468.8 | 492.2 |
| Gonorrhea | 9.5 1 cases ▼ 92% | 115.5 | 179.5 |
| Syphilis (P&S) | — no data | 10.4 | 15.8 |
| Syphilis (early) | — no data | 6 | 16 |
| Syphilis (late/unknown) | — no data | 21.7 | 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 Custer County, chlamydia has risen from 66.4 to 132.3 per 100,000 (99%), gonorrhea has fallen from 19 to 9.5 per 100,000 (50%), and P&S syphilis has fallen from 19 to 9.6 per 100,000 (49%).
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 Custer County.
Local HIV snapshot
Custer County HIV care continuum (2023)
Custer County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. Among Custer County residents living with HIV, 57.1% are in care · 57.1% 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 Custer County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South E Street runs through the quieter residential stretch where a good share of Broken Bow's renters land when they first settle in town, paying rents that sit well below what most of the country sees. For younger adults still sorting out relationships, jobs, and where life is headed, that modest cost of living helps, but it also signals a community where most households are watching budgets carefully. With fewer than one in six households clearing six figures, a testing visit that costs little and asks little of the clock matters in practical terms.
The workforce here is active and the unemployment rate is low, which means the people most likely to benefit from routine STI screening, those in their late teens and twenties when transmission rates climb, are often working regular hours and not easily free on a weekday morning. Custer County's STI figures reflect what plays out across rural Nebraska: rates that are easy to overlook precisely because the community feels small and familiar. Familiarity does not lower risk; it can simply lower the sense that screening applies.
That is where distance becomes the real variable. Highway 2 connects Broken Bow to the wider region, but reaching the nearest option listed on this page still means committing to a drive rather than a quick detour. Knowing which clinic on this page accepts walk-ins, or offers Saturday hours, is what turns the trip from an obstacle into a straightforward errand on a day you are already out.
Getting there
At 7.11/20 on the EPA walkability index, day-to-day errands in Broken Bow 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 68822 snapshot
ZIP-level Census figures for the wider 68822 area around Broken Bow: a single ZIP can span several communities, so they describe the area, not Broken Bow alone.
Broken Bow sits in Custer County, ZIP 68822. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Broken Bow? 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 Custer County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Nebraska 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 Broken Bow-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 Broken Bow 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 Nebraska 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 Nebraska, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Nebraska 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 NebraskaSource: 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.
The closest is Callaway Hospital District (16.8 mi); 1 option is within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 132 cases per 100,000 residents (2023), below the Nebraska average.
Yes, at-home kits ship to 68822; you collect a sample, mail it back, and get results in about 2–5 days.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
It's cured with antibiotics; treating partners together prevents reinfection.
There's no cure, but antivirals manage symptoms well and reduce transmission.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.