In Dodge County, there are about 16 syphilis cases per 100,000 residents, near the US average. If you need STI testing in Fremont, Nebraska, such as for a one-time concern or regular check-ups, consider your options within public clinics, private labs, and at-home kits.
Available testing centers
11 testing options are listed for Fremont, NE. The nearest, Beacom Health, is about 0.7 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.
Beacom Health in Fremont folds STI testing into full-service primary care, so gonorrhea, chlamydia, syphilis, and HIV screening sit alongside treatment, HPV and hepatitis A and B vaccines, and family planning: fees scale to income, insurance is accepted, and appointments are required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Three Rivers Public Health Department in Fremont tests for gonorrhea, chlamydia, syphilis, herpes, and HIV, treating bacterial infections the same visit. The full panel, including HPV and hepatitis A and B vaccines, runs on a sliding scale, with HIV and STI testing offered at no fee.
A cost that feels manageable at intake can quietly become the reason treatment gets skipped or delayed. At Three Rivers Public Health Department, every service (testing, treatment, vaccines) is provided at no fee, so the visit that starts with a rapid HIV test can end with treated gonorrhea and a completed hepatitis B series, nothing deferred.
Three Rivers Public Health Department in Fremont delivers STI testing, treatment, and counseling directly in Spanish. Not through a line or a third session with a translator. For someone without a regular primary care provider who needs to understand a diagnosis, discuss a medication, or ask follow-up questions clearly, that standing capability changes the quality of what they walk out knowing.
Three Rivers is a Title X clinic, which means family planning services for minors are legally confidential. A real distinction for a young person without insurance in their own name or one whose parents aren't in the picture. STI testing, contraception, and counseling are available without a guardian's involvement or a bill that surfaces on someone else's insurance.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Good Neighbor Community Health Center in Fremont runs on scheduled appointments, so a single visit covers gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, hepatitis A, B, and C, and TB: with sliding-scale fees, same-visit bacterial treatment, and care available in Spanish.
Without Spanish-language care on-site, a patient navigating test results or treatment decisions faces a second appointment, a different facility, and a gap where follow-through tends to break down. At Good Neighbor, the conversation about results, treatment, and next steps happens in Spanish in the same visit. No gap, no detour.
The standard STI clinic handles the infection and stops there: substance use, which frequently intersects with sexual health risk, gets handed off elsewhere or ignored entirely. Good Neighbor carries substance-abuse treatment on the same roster as STI care, so both conditions can be addressed through one provider relationship.
Good Neighbor's standing panel reaches herpes and hepatitis A, B, and C alongside the core four. A meaningful capability for anyone without a regular primary-care provider who needs a thorough picture in a single appointment rather than piecing together tests across multiple offices.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
A safety-net rural health clinic about 18 miles from Fremont. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Nebraska Medicine in Bennington tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis A, B, and C, and TB, and treats bacterial STIs the same visit. Fees run on a sliding scale, with Medicaid, Medicare, and private insurance all accepted. An appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A public safety-net rural health clinic about 19 miles from Fremont. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
OneWorld Community Health Centers in Omaha carries full federal qualification as a community health center, which translates directly into sliding-scale fees tied to income: making syphilis, gonorrhea, chlamydia, and HIV screening available at a cost that adjusts to what you actually earn.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
OneWorld Northwest in Omaha earns its federal qualification by anchoring care for patients paying cash, between providers, or working without insurance. All on a sliding-scale fee tied to income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening without an appointment.
Tests offered
Fees & payment
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Fremont, 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 for simplicity & support
$89 & up
Best range: couples & full panels
$79 & 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 Dodge 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.
450 East 23rd Street, Fremont, NE 68025
CMS-certified lab Accredited · College of American Pathologists
450 East 23rd Street Hpp, Fremont, NE 68025
CMS-certified lab
350 West 23rd Street, Fremont, NE 68025
CMS-certified lab Accredited · COLA
2900 Elk Lane Suite 1, Fremont, NE 68025
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fremont. 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, 646 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fremont. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 121 offer telehealth.
Ellen Janssen, MD
Internal medicine · 680 East Fremont Medical Park Drive, Fremont
Matthew Beacom, MD
Family medicine · 1625 East Military Avenue, Fremont
Todd Eberle, DO
Family medicine · 450 East 23rd Street, Fremont
Gerald Keasling, MD
OB-GYN · 450 East 23rd Street, Fremont
Angela Sukstorf, MD Telehealth
Infectious disease · 450 East 23rd Street, Fremont
Andrea Vermaas, MD
Family medicine · 2540 North Healthy Way, Fremont
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 Fremont, 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.
Bakers Pharmacy
0.4 miA&A Drug Company
0.4 miSav-RX Pharmacy
0.8 miMiller Pharmacy
0.8 miMiller Pharmacy North
0.8 miHy-Vee
0.8 miShowing the 6 closest pharmacies to Fremont, 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 Fremont, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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
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 Dodge County, the county that includes Fremont, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#8 of 93 Nebraska counties for chlamydia, a higher rate than 91% of the state
| Infection | Dodge County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 438.3 163 cases ▼ 7% | 468.8 | 492.2 |
| Gonorrhea | 59.2 22 cases ▼ 49% | 115.5 | 179.5 |
| Syphilis (P&S) | 16.1 6 cases ▲ 55% | 10.4 | 15.8 |
| Syphilis (early) | 2.7 1 cases ▼ 55% | 6 | 16 |
| Syphilis (late/unknown) | 13.4 5 cases ▼ 38% | 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 Dodge County, chlamydia has risen from 360.5 to 438.3 per 100,000 (22%), gonorrhea has fallen from 67.3 to 59.2 per 100,000 (12%), and P&S syphilis has risen from 5.4 to 16.1 per 100,000 (198%).
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 Dodge County.
Local HIV snapshot
Dodge County HIV care continuum (2023)
Dodge County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. Among Dodge County residents living with HIV, 36.4% are in care · 27.3% 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 Dodge County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Paradise Estates sits on Fremont's quieter residential edge, where front yards outnumber storefronts and a grocery run means getting in the car. That driving reality shapes how people here think about healthcare appointments: something that feels optional gets postponed, and STI screening is easily optional when the nearest clinic requires planning a route along North Broad Street or US 30 Business. The city's household profile adds texture to that picture. With more than four in ten residents renting at a monthly rate that leaves limited budget cushion, and unemployment running at a level where missed work hours carry real consequences, younger adults in Fremont, people in their late teens and twenties who are statistically most likely to contract an STI, often weigh the cost of an afternoon off against the cost of a test.
Fremont's listed clinics, several of which offer sliding-scale or low-cost options, directly address that calculation. Average household size here runs close to three people, meaning a diagnosis caught late rarely stays a private matter. The roughly half of adults who are married and the nearly half who rent coexist in the same neighborhoods, attending the same community spaces around Van Anda Park and Barnard Park. STI screening works best when it's close enough and affordable enough to happen between a shift and dinner, which, for Fremont, means using the clinic options on this page before the errand list grows longer.
Getting there
At 8.22/20 on the EPA walkability index, day-to-day errands in Fremont 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 68025 snapshot
ZIP-level Census figures for the wider 68025 area around Fremont: a single ZIP can span several communities, so they describe the area, not Fremont alone.
Fremont sits in Dodge County, ZIP 68025. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Fremont? 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 Dodge 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 Fremont-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 Fremont 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.
There are 9 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Three Rivers Public Health Department, about 1 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Dodge County reported ~438 chlamydia cases per 100,000 in 2023, below the Nebraska average.
At-home kits mail to 68025: self-collect, send to the lab, results in ~2–5 days.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.