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

Gonorrhea rates in Platte County run about 90% lower than the US average. If you live in Creston, Nebraska, and are considering STI testing whether you have symptoms or just want peace of mind, some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. Your options appear 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 Creston, NE

6 testing options are listed for Creston, NE. The nearest, Faith Health, is about 5.5 miles away. Compare 3 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 5.5 miles

Faith Health

No ratings yet

Faith Health in Humphrey pairs testing for chlamydia, gonorrhea, syphilis, HIV, herpes, and hepatitis A, B, and C with same-visit treatment for bacterial STIs. Appointments required. Fees run on a sliding scale and Medicaid, Medicare, and private insurance are all accepted.

Tests & treats Sliding-scale
Address
47452 268th Avenue, Humphrey, NE 68642
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 12:00 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 9.5 miles

Midtown Health Center

No ratings yet

Midtown Health Center in Madison tests for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB on a sliding-scale fee, with same-visit treatment for bacterial STIs; appointments are required, and care is delivered in Spanish.

Read full overview Show less

Spanish Spoken Across Every Clinical Conversation

Midtown Health Center delivers care in Spanish, which means consent discussions, test results, and treatment instructions all happen in the same language. Reducing the chance that dosing details or follow-up timing get lost in translation.

Prevention Prescriptions Written Here, Not Forwarded

Without a clinic that prescribes PrEP and provides PEP on-site, patients often cycle through a primary care referral before getting the medication that matters most. Midtown Health Center in Madison carries both, so prevention isn't deferred to a second appointment at a separate practice.

Hepatitis C Treatment Runs Through Midtown Directly

Midtown Health Center in Madison treats hepatitis C on-site with curative antiviral therapy, the same direct-acting agents that achieve sustained virologic response, meaning a confirmed diagnosis moves immediately into a treatment plan managed by the clinic's own providers, not handed off elsewhere.

Tests & treats Sliding-scale PrEP
Address
222 Main Street, Madison, NE 68748
Booking
Appointment required
Opening hours
  • Monday 8:30 AM – 5:30 PM
  • Tuesday 8:30 AM – 5:30 PM
  • Wednesday 8:30 AM – 5:30 PM
  • Thursday 8:30 AM – 5:30 PM
  • Friday 8:30 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 12.4 miles

Alegent Health Memorial Hospital, Schuyler

No ratings yet

A community safety-net rural health clinic about 12 miles from Creston. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
322 Pine Street, Clarkson, NE 68629
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 Creston, 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 Creston, NE

The nearest testing center is about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Creston, 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 Creston, NE

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

  • Good Neighbor Community Health Center

    4321 41st Avenue, Columbus, NE 68601

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Columbus Community Hospital

    4508 38th Street, Suite 168, Columbus, NE 68601

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Columbus Medical Center

    1454 28th Avenue, Columbus, NE 68601

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Creston. 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 Creston, NE who may help arrange STD testing

Beyond dedicated clinics, 46 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Creston. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.

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 Creston, NE

No pharmacy near Creston, 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.

  • Louderback Drug

    9.6 mi
    Rx pickupCondoms / EC
  • Genoa Healthcare

    17 mi
    Rx pickupCondoms / EC
  • Tooley Clinic Pharmacy Vital Care

    18 mi
    Rx pickupCondoms / EC
  • Walgreens 19 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Super Saver Pharmacy

    19 mi
    Rx pickupCondoms / EC

Showing the 5 closest pharmacies to Creston, 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 Creston, 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 Platte County: the local picture

How reported STI rates in Platte County, the county that includes Creston, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~12% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#25 of 93 Nebraska counties for chlamydia, a higher rate than 73% of the state

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

Platte County Nebraska U.S. ▲▼ = Platte County vs the state average
Infection Platte County Nebraska United States
Chlamydia
228.3 79 cases ▼ 51%
468.8 492.2
Gonorrhea
17.3 6 cases ▼ 85%
115.5 179.5
Syphilis (P&S)
8.7 3 cases ▼ 16%
10.4 15.8
Syphilis (early)
5.8 2 cases ▼ 3%
6 16
Syphilis (late/unknown)
11.6 4 cases ▼ 47%
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 Platte County over time (per 100,000)

Chlamydia ▲ 4% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in Platte County, chlamydia has fallen from 306.2 to 228.3 per 100,000 (25%), gonorrhea has fallen from 32.1 to 17.3 per 100,000 (46%), and P&S syphilis has fallen from 11.7 to 8.7 per 100,000 (26%).

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 Creston, NE

Adults uninsured
7.1%
No routine checkup
22.7%
No transportation
5%
Binge drinking
20.3%
Frequent mental distress
13.1%
Depression
16.4%
Below poverty line
0.6%
Primary-care ratio
1,317 : 1
Platte County
  • Primary-care shortage score 16 / 26
  • Medically Underserved Area · IMU 58.2
  • Social Vulnerability Index · 37th 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 Platte County.

Local HIV snapshot

HIV in Platte County (2023)

People living with HIV
25 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
43

Platte County HIV care continuum (2023)

Platte County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. Among Platte County residents living with HIV, 66.7% are in care · 66.7% 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.

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 Platte County tests for syphilis.

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

17 Sources

Local resources & officials

Data & references

About Creston, NE

Agriculture and grain handling shape the rhythms of Creston, with seasonal work bringing young adults into the area for months at a time. Alongside that transient workforce, a steady population of residents in their late teens through thirties makes the town a place where routine STI screening fits naturally into regular health maintenance. Testing clinics and health providers in and around Creston recognize that people in these years often have shifting schedules, new partners, or simply want a straightforward health check. The kind that fits between harvest cycles or job changes.

Confidentiality isn't theater here; it's how clinics operate, and results stay private by design. What matters in Creston is access without friction. Screening doesn't require elaborate explanation or a long wait to be taken seriously. The providers listed on this page understand that someone working seasonal shifts or juggling multiple commitments needs efficiency and discretion in equal measure.

Walk-in appointments, rapid turnaround on results, and staff who treat screening as routine rather than remarkable all lower the barrier to getting tested. Young adults in Creston benefit from knowing exactly where to go and what to expect. Testing is available through health departments and clinics that serve the town's working population, and the straightforward approach these providers take means you can schedule screening, get answers, and move forward without unnecessary complication or judgment.

Getting there

How residents reach STD testing in Creston, NE

Walkability 4.76 / 20 · Least walkable

At 4.76/20 on the EPA walkability index, day-to-day errands in Creston 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 6 STD & STI testing locations in Creston, Nebraska, EasySTD

ZIP 68631 snapshot

Residents
344
Median age
35
Median income
$61,875

ZIP-level Census figures for the wider 68631 area around Creston: a single ZIP can span several communities, so they describe the area, not Creston alone.

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

Everything to know before you test in Platte 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 Creston-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 Creston 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 Creston, NE

Answers to the questions people ask most before getting tested.

How many places can I test near Creston, NE?

There are 3 options within a 30-mile drive.

Can I use Medicaid for testing?

Yes, Medicaid typically covers it, and public clinics are free either way.

Is there free HIV testing near Creston, NE?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near Creston, NE?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Platte County?

Platte County reported ~228 chlamydia cases per 100,000 in 2023, below the Nebraska average.

Can I get PrEP near Creston, NE?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

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.

How is chlamydia tested near Creston, NE?

Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.

Are at-home STD tests accurate?

Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.

What happens after a positive result?

Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.

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