STD Testing in Four Mile Road, AK: Free, Same-Day & Confidential
Yukon-Koyukuk Census Area reports about 526 gonorrhea cases per 100,000 residents, well above the US average. If you've had a recent risk or simply test on a regular schedule in Four Mile Road, Alaska, you have options between community and public clinics and private labs: the former often low-cost or free, the latter often faster results and more flexible scheduling.
3 testing options are listed for Four Mile Road, AK. The nearest, Tanana Chiefs Conference, is about 3.0 miles away. Compare community and public clinics, private labs, and at-home kits below.
Closest to you 3.0 miles
Tanana Chiefs Conference
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Tanana Chiefs Conference in Nenana tests for gonorrhea, chlamydia, syphilis, herpes, HIV, and TB: all at no fee, with same-visit treatment for bacterial STIs and hepatitis A and B vaccines available; an appointment is required.
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Zero-Cost Care, Every Service, Every Visit
Without a regular provider or insurance, the cost of STI care can quietly become a reason to delay it. Tanana Chiefs Conference carries no fee for any service it offers (testing, treatment, vaccines, counseling) so the full scope of care stays on the table regardless of what someone can or can't pay.
Herpes Testing Included in the Standard Panel
For anyone without a primary care doctor who can order a broader workup, Tanana Chiefs Conference builds herpes testing directly into its panel alongside HIV, syphilis, gonorrhea, and chlamydia. Making it the right fit when a complete picture matters and there's no other local option to fill the gap.
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.
The nearest testing center is about 3 miles away, if you'd rather skip the trip, an at-home kit ships to Four Mile Road, 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 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
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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.
Nearby pharmacies
Pharmacies near Four Mile Road, AK
Compare the pharmacies closest to Four Mile Road, AK. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
42 mi
Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
Showing the 4 closest pharmacies to Four Mile Road, AK.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Four Mile Road, 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.
PrEP & DoxyPEP
Q Care Plus
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
STDs & HIV in Yukon-Koyukuk Census Area: the local picture
How reported STI rates in Yukon-Koyukuk Census Area, the census area that includes Four Mile Road, compare with Alaska and U.S. averages, based on the most recent 2023 surveillance data.
#5
#5 of 30 Alaska counties for chlamydia, a higher rate than 83% of the state
Reported STD rates per 100,000, Yukon-Koyukuk Census Area vs Alaska vs U.S.
Yukon-Koyukuk Census AreaAlaskaU.S.▲▼ = Yukon-Koyukuk Census Area vs the state average
Infection
Yukon-Koyukuk Census Area
Alaska
United States
Chlamydia
1072.355 cases▲ 54%
697.7
492.2
Gonorrhea
526.427 cases▲ 69%
310.9
179.5
Syphilis (P&S)
19.51 cases▼ 13%
22.5
15.8
Syphilis (early)
392 cases▲ 258%
10.9
16
Syphilis (late/unknown)
58.53 cases▲ 192%
20
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 Yukon-Koyukuk Census Area over time (per 100,000)
Chlamydia ▼ 6% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Yukon-Koyukuk Census Area, chlamydia has risen from 992 to 1072.3 per 100,000 (8%), gonorrhea has risen from 318.2 to 526.4 per 100,000 (65%), and P&S syphilis has risen from 18.7 to 19.5 per 100,000 (4%).
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 Four Mile Road, AK
Adults uninsured
9.9%
No routine checkup
29.1%
No transportation
10.7%
Binge drinking
15.4%
Frequent mental distress
16.5%
Depression
20.6%
Below poverty line
16.6%
Primary-care ratio
5,275 : 1
Yukon-Koyukuk Census Area
Primary-care shortage score 16 / 26
Medically Underserved Area · IMU 47.7
Social Vulnerability Index · 88th 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 Yukon-Koyukuk Census Area.
Local HIV snapshot
HIV in Yukon-Koyukuk Census Area (2024)
PrEP users / 100k
97
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD. 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 Yukon-Koyukuk Census Area tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Fishing, hunting, and subsistence work shape the rhythm of life in Four Mile Road, where people depend on their bodies to stay strong through seasons of physical labor and weather. That same attention to maintenance (checking gear, planning ahead) matters just as much when it comes to sexual health. Routine STI screening is straightforward preventive care, especially for young adults who work seasonally or move between communities; knowing your status before symptoms appear keeps you and your partners safer. Testing in and around Four Mile Road is available through local health services and listed on this page. Confidentiality is built into how clinics operate here, not as an exception but as standard practice.
Your results won't circulate through town gossip or workplace talk, the screening stays between you and the provider who runs it. Young adults in Four Mile Road often weigh the practical side of health decisions: cost, time, and whether a visit fits into work schedules. Clinics in the area understand those constraints. Getting tested doesn't require a long commitment or a reason to explain to anyone; it's one appointment, and it's yours alone.
Getting there
How residents reach STD testing in Four Mile Road, AK
Walkability5.84 / 20 · Below average
At 5.84/20 on the EPA walkability index, day-to-day errands in Four Mile Road 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 99760 snapshot
Residents
800
Median age
40.8
Median income
$56,250
ZIP-level Census figures for the wider 99760 area around Four Mile Road: a single ZIP can span several communities, so they describe the area, not Four Mile Road alone.
Four Mile Road sits in Yukon-Koyukuk Census Area, ZIP 99760. Local context that shapes where residents test:
Local landmarks
Nenana Ice Classic
Historic Alaska Railroad Depot Museum
Alfred Starr Nenana Cultural Center & Museum
Major routes
AK 3 (George Parks Highway)
Nearby cities & towns
STD testing near Four Mile Road, AK
Just outside Four Mile Road? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Four Mile Road, AK: screening, costs & privacy
Everything to know before you test in Yukon-Koyukuk Census Area: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alaska law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Four Mile Road-area provider.
What each STD test costsMedicare 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 Four Mile Road 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.
Confidentiality & consent in AlaskaMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Alaska 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 Alaska, 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)
Alaska 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.
