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STD Testing in Bruno, NE: Free, Same-Day & Confidential

Gonorrhea in Butler County runs about 87% lower than the US average. Whether you're getting tested for the first time or as part of routine screening in Bruno, Nebraska, you can choose between low-cost or free community and public clinics, or private labs with faster results and flexible scheduling. See your options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
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STD testing near Bruno, NE

5 testing options are listed for Bruno, NE. The nearest, Butler County Clinic, is about 8.8 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Closest to you 8.8 miles

Butler County Clinic

Where these reviews come from

Review sources

  • Google11
  • EasySTD2
Rated 4.3 out of 5 from 13 reviews

Butler County Clinic in David City requires an appointment, so scheduling ahead is the move, but that single visit covers gonorrhea, chlamydia, syphilis, conventional HIV, herpes, and TB, with same-visit treatment for bacterial infections, HPV and hepatitis A and B vaccines, and fees on a sliding scale.

Tests & treats Sliding-scale
Address
336 South 9th Street, David City, NE 68632
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:30 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:30 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday 8:00 AM – 11:00 AM
  • Sunday Closed
Website
Community health center 12.9 miles

Alegent Health Memorial Hospital, Schuyler

Where these reviews come from

Review sources

  • Google118
  • EasySTD5
Rated 4.6 out of 5 from 123 reviews

A community safety-net rural health clinic about 13 miles from Bruno. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
1721 Colfax Street, Schuyler, NE 68661
Website

Free tool · not a clinic

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.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Every other option

More ways to get tested in Bruno, NE

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.

At-home STD testing in Bruno, NE

The nearest testing center is about 9 miles away; if you'd rather skip the trip, an at-home kit ships to Bruno, 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.

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.

Other CLIA-certified labs near Bruno, NE

Beyond the public testing sites above, these federally certified (CLIA) labs serve Butler 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.

  • Butler County Health Care Center

    372 South 9th Street, David City, NE 68632

    CMS-certified lab

    • STD testing

Showing the nearest 1 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Bruno. 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.

Clinicians near Bruno, NE who may help arrange STD testing

Beyond dedicated clinics, 72 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Bruno. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 9 offer telehealth.

  • Joshua Sypal, MD

    Family medicine · 336 South 9th Street, David City

  • Jo Witter, MD

    Family medicine · 358 South, David City

  • Daniel Richter, MD

    Family medicine · 1721 Colfax Street, Schuyler

  • Nicole Akers, MD

    Family medicine · 1760 County Rd J, Wahoo

  • Luke Lemke, MD Telehealth

    Family medicine · Contact, Columbus

  • Ajit Chary, MD Telehealth

    Internal medicine · 4471 41st Avenue, Columbus

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.

Pharmacies near Bruno, NE

No pharmacy near Bruno, 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.

  • Butler County Pharmacy

    8.8 mi
    Rx pickupCondoms / EC
  • David City Discount Pharmacy

    8.9 mi
    Rx pickupCondoms / EC
  • Cunningham Drug

    12 mi
    Rx pickupCondoms / EC
  • Schuyler Pharmacy

    13 mi
    Rx pickupCondoms / EC
  • Vogt Pharmacies

    13 mi
    Rx pickupCondoms / EC

Showing the 5 closest pharmacies to Bruno, NE.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Bruno, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Butler County: the local picture

How reported STI rates in Butler County, the county that includes Bruno, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#39 of 93 Nebraska counties for chlamydia, a higher rate than 58% of the state

Reported STD rates per 100,000, Butler County vs Nebraska vs U.S.

Butler County Nebraska U.S. ▲▼ = Butler County vs the state average
Infection Butler County Nebraska United States
Chlamydia
189.1 16 cases ▼ 60%
468.8 492.2
Gonorrhea
23.6 2 cases ▼ 80%
115.5 179.5
Syphilis (P&S) — no data 10.4 15.8
Syphilis (early) — no data 6 16
Syphilis (late/unknown)
11.8 1 cases ▼ 46%
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.

Reported STD rates in Butler County over time (per 100,000)

Chlamydia ▲ 45% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 100 200 2020202120222023

Between 2020 and 2023 in Butler County, chlamydia has risen from 95.6 to 189.1 per 100,000 (98%), and gonorrhea has fallen from 59.7 to 23.6 per 100,000 (60%).

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 Bruno, NE

Adults uninsured
8.4%
No routine checkup
23.1%
No transportation
5.7%
Binge drinking
19.9%
Frequent mental distress
13.4%
Depression
16.2%
Below poverty line
9.6%
Primary-care ratio
1,407 : 1
Butler County
  • Medically Underserved Area · IMU 47.2
  • Social Vulnerability Index · 7th 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 Butler County.

Local HIV snapshot

HIV in Butler County (2023)

New diagnoses (2023)
0cases countywide
PrEP users / 100k
57

Butler County HIV care continuum (2023)

Butler County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Butler County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Bruno, NE

Bruno runs on a rhythm most residents know well: an early start, work that fills the day, and a town where almost everything beyond the immediate neighborhood requires a drive. For the roughly one-in-five households that rent here, a $917 monthly payment leaves little slack for anything that feels optional, which can make a clinic visit easy to defer. But deferral carries its own cost: Butler County's STI data reflects patterns seen across rural Nebraska, and the young adults who live here, people in their late teens and twenties forming new relationships, are the group where untreated infections do the most quiet damage over time. What makes Bruno distinct is how thoroughly it's a homeowning, family-rooted community.

Nearly two-thirds of adults are married, and average households run large. Meaning health decisions often ripple outward to partners and children rather than landing on one person alone. A positive test caught early stays a manageable conversation; an undetected one rarely does. That distance doesn't make screening impossible, but it does mean building the trip into a planned errand run rather than a spontaneous stop, which changes when it happens far more than whether it happens.

Getting there

How residents reach STD testing in Bruno, NE

Walkability 4.05 / 20 · Least walkable

At 4.05/20 on the EPA walkability index, day-to-day errands in Bruno 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.

Map of 5 STD & STI testing locations in Bruno, Nebraska, EasySTD

ZIP 68014 snapshot

Residents
313
Median age
31
Median income
$86,250

ZIP-level Census figures for the wider 68014 area around Bruno: a single ZIP can span several communities, so they describe the area, not Bruno alone.

STD testing in Bruno, NE: screening, costs & privacy

Everything to know before you test in Butler 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.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 Bruno-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Bruno 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.

TestReference priceCPT / 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.

Confidentiality & consent in Nebraska

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

In Nebraska, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

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 Nebraska

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Bruno, NE

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Bruno, NE?

The closest is Butler County Clinic (8.8 mi); 2 options are within 30 miles.

Does insurance cover STD testing near Bruno, NE?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Is there free STD testing near Bruno, NE?

Yes, public clinics in the area offer free or low-cost testing.

Which tests are offered near Bruno, NE?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Butler County?

About 189 cases per 100,000 residents (2023), below the Nebraska average.

Can someone under 18 get tested in Nebraska without a parent?

In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.

Can I be vaccinated against any STIs?

HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.

Should I get tested if a condom broke?

Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.

Why should I get tested for STDs?

Most STIs have no symptoms, so testing is the only way to know your status, get early treatment, and avoid passing one on.

Can syphilis be treated?

It's curable with antibiotics; catching it early avoids serious complications.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.