Lancaster County reports about 495 chlamydia cases per 100,000 residents, near the US average. If you're in Firth, Nebraska and testing before starting a new relationship or as part of ongoing care, consider the trade-offs: clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. We list options below to help you choose.
Available testing centers
5 testing options are listed for Firth, NE. The nearest, Johnson County Hospital, is about 7.3 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 public safety-net rural health clinic about 7 miles from Firth. 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 7 miles away; if you'd rather skip the trip, an at-home kit ships to Firth, 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 Lancaster 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.
3131 O Street, Lincoln, NE 68510
CMS-certified lab
8040 South 13th Street, Lincoln, NE 68512
CMS-certified lab
770 North Cotner Bl 205 Box 5559, Lincoln, NE 68505
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Firth. 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, 242 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Firth. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 51 offer telehealth.
Wasim Chughtai, MD Telehealth
Internal medicine · 5455 New Castle Road, Lincoln
Gregory Alberts, MD
Urology · 7440 South 91st Street, Lincoln
Ruby Marie-Northrup, DO Telehealth
Internal medicine · 7120 South 69th Street, Lincoln
Jaime Dodge, MD
Family medicine · 5445 Red Rock Lane, Lincoln
Joseph Wees, DO Telehealth
Family medicine · 7501 South 27th Street, Lincoln
Aaron Pomajzl, MD
Urology · 5500 Pine Lake Road, Lincoln
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 Firth, 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.
Meadowlark Pharmacy
6.3 miLake Crest Pharmacy
7.3 miAlegent Creighton Health
13 mi
14 mi Genoa Healthcare
14 miShowing the 5 closest pharmacies to Firth, 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 Firth, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Lancaster County, the county that includes Firth, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 93 Nebraska counties for chlamydia, a higher rate than 94% of the state
| Infection | Lancaster County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 495.2 1,618 cases ▲ 6% | 468.8 | 492.2 |
| Gonorrhea | 113.9 372 cases ▼ 1% | 115.5 | 179.5 |
| Syphilis (P&S) | 15.9 52 cases ▲ 53% | 10.4 | 15.8 |
| Syphilis (early) | 10.1 33 cases ▲ 68% | 6 | 16 |
| Syphilis (late/unknown) | 41.9 137 cases ▲ 93% | 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 Lancaster County, chlamydia has fallen from 573.5 to 495.2 per 100,000 (14%), gonorrhea has fallen from 249.5 to 113.9 per 100,000 (54%), and P&S syphilis has risen from 3.4 to 15.9 per 100,000 (368%).
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 Lancaster County.
Local HIV snapshot
Lancaster County HIV care continuum (2023)
Lancaster County recorded 6.2 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. Among Lancaster County residents living with HIV, 41% are in care · 35% 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 Lancaster County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Firth's name recalls the narrow inlets of Scotland, though the town itself sits inland in Lancaster County, Nebraska. A place where open space and close community exist side by side. That balance shapes how residents approach health care. STI testing in and around Firth draws on local clinics and regional providers listed on this page, all of which handle screening with the discretion that matters when you live where many faces are familiar.
Young adults moving through their late teens and thirties often find that routine confidential testing fits naturally into their health habits here, whether they're settling in neighborhoods like Tekolste or Country View or passing through temporarily. Testing itself is straightforward and accessible through the services available in and around Firth. Clinics on this page offer rapid results, clear counseling, and the assurance that your medical information stays sealed from casual conversation. No test result triggers automatic notification to anyone beyond you and your doctor.
The process is the same whether you're seeking screening after a known exposure or building preventive habits into your annual checkup. Health care in Firth reflects the town's character: direct, unhurried, and built on trust. Residents who need STI testing find providers willing to answer questions without judgment and to explain next steps plainly. That clarity, paired with genuine confidentiality, makes the decision to test feel less fraught than it might elsewhere.
Getting there
At 5.97/20 on the EPA walkability index, day-to-day errands in Firth 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 68358 snapshot
ZIP-level Census figures for the wider 68358 area around Firth: a single ZIP can span several communities, so they describe the area, not Firth alone.
Firth sits in Lancaster County, ZIP 68358. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Firth? 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 Lancaster 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 Firth-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 Firth 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.
Closest is Johnson County Hospital (7.3 mi), or order an at-home kit to 68358.
Medicaid generally covers STD testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 495 cases per 100,000 residents (2023), above the Nebraska average.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
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.