People in Sarpy County see chlamydia about 21% less often than average in the US, but you may need testing in Gretna, Nebraska whether it's for possible exposure or routine care. Clinics might bill insurance or use a sliding-scale fee, while many private labs offer a flat self-pay price. Look below to explore your options.
Available testing centers
8 testing options are listed for Gretna, NE. The nearest, Nebraska Medicine, is about 4.6 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.
Nebraska Medicine in Omaha tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis A, B, and C, and TB. Treating bacterial STIs at the same visit when results warrant. Fees are charged 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 free or low-cost STD-testing option about 10 miles from Gretna, run as a Federally Qualified Health Center with sliding-scale fees.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
OneWorld West in Omaha welcomes walk-in patients without an appointment for federally qualified sliding-scale STI care. A single visit can cover syphilis, gonorrhea, and chlamydia screening, with fees adjusted to income so the cost of knowing stays within reach for nearly anyone.
Tests offered
Fees & payment
OneWorld Ralston in Omaha welcomes walk-ins for STI screening without requiring an appointment. A single visit covers testing for syphilis, gonorrhea, and chlamydia through this federally qualified health center, where fees are set on a sliding scale tied to household income.
Tests offered
Fees & payment
CHI Health in Omaha brings hospital-system infrastructure to STI care, running gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, and hepatitis C testing on a fee-and-insurance basis. Bacterial infections are treated the same visit; appointments are required. PrEP and PEP are both available.
CHI Health in Omaha prescribes both tenofovir-based PrEP and PEP directly through its own clinical staff, meaning the prescribing, monitoring labs, and follow-up all stay within the same system rather than fragmenting across providers. Continuity of that kind keeps adherence tracking and lab results in a single record.
Plenty of STI clinics test for the bacterial quartet (gonorrhea, chlamydia, syphilis) and add HIV, then stop. CHI Health in Omaha extends its panel to herpes, hepatitis B, and hepatitis C, closing the gap for infections that a narrower panel quietly leaves undetected.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Gretna, 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 value: single tests
$49 & 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 Sarpy 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.
11946 Standing Stone Drive, Gretna, NE 68028
CMS-certified lab Accredited · COLA
2206 Longo Drive Suite 201, Bellevue, NE 68005
CMS-certified lab
11111 South 84th Street, Papillion, NE 68046
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Gretna. 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, 790 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Gretna. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 148 offer telehealth.
Derek Marshall, MD Telehealth
Family medicine · 102 West Gruenther Road, Gretna
William Weeks, MD
Family medicine · 11820 Standing Stone Drive, Gretna
Victor Estevez Telehealth
Internal medicine · 700 South Hwy 6, Gretna
Katrena Lacey, MD
Internal medicine · 11946 Standing Stone Drive, Gretna
Ralph Hauke, MD
Family medicine · 8343 South 168th Avenue, Omaha
Christine Carlson Rahn, MD
Family medicine · 4932 South 202nd Avenue, Omaha
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 Gretna, 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.
U Save Pharmacy Gretna
0.9 miU Save Pharmacy
0.9 miMcKinneys Pharmacy
1.1 mi
2.0 mi 
4.3 mi Hy-Vee
4.6 miShowing the 6 closest pharmacies to Gretna, 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 Gretna, 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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$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
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
How reported STI rates in Sarpy County, the county that includes Gretna, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#11 of 93 Nebraska counties for chlamydia, a higher rate than 88% of the state
| Infection | Sarpy County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 387.2 774 cases ▼ 17% | 468.8 | 492.2 |
| Gonorrhea | 76.5 153 cases ▼ 34% | 115.5 | 179.5 |
| Syphilis (P&S) | 4 8 cases ▼ 62% | 10.4 | 15.8 |
| Syphilis (early) | 3.5 7 cases ▼ 42% | 6 | 16 |
| Syphilis (late/unknown) | 9 18 cases ▼ 59% | 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 Sarpy County, chlamydia has fallen from 391.4 to 387.2 per 100,000 (1%), gonorrhea has fallen from 131.2 to 76.5 per 100,000 (42%), and P&S syphilis has fallen from 5.2 to 4 per 100,000 (23%).
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 Sarpy County.
Local HIV snapshot
Sarpy County HIV care continuum (2022)
Sarpy County recorded 4.4 new HIV diagnoses per 100,000 (2022), against 6 statewide and 13.7 nationally. Among Sarpy County residents living with HIV, 24.2% are in care · 18.2% 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 Sarpy County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Gretna households lean heavily toward couples raising children together, with more than half of adults married and an average household nudging past three people per home, health decisions here rarely stay purely personal. That dynamic cuts both ways: partners often motivate each other to follow through on screening, but the same tight-knit family structure can make something like an STI test feel like an announcement rather than a routine errand. The younger adults moving through Gretna's neighborhoods, people in their late teens and twenties who see the highest rates of chlamydia and gonorrhea nationally, are navigating that household calculus alongside real logistical ones.
With nearly two-thirds of residents owning their homes and a workforce participation rate that leaves very few people idle, schedules here fill fast. That's why the listed options matter as much as they do. Knowing before you leave the house exactly which clinic near Gretna Crossing Park or along Highway 6/31 fits your afternoon (hours confirmed, cost understood) is what separates a test that stays on the list from one you actually schedule before dinner.
Getting there
At 7.13/20 on the EPA walkability index, day-to-day errands in Gretna 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 68028 snapshot
ZIP-level Census figures for the wider 68028 area around Gretna: a single ZIP can span several communities, so they describe the area, not Gretna alone.
Gretna sits in Sarpy County, ZIP 68028. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Gretna? 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 Sarpy 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 Gretna-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 Gretna 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.
The closest is Nebraska Medicine (4.6 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, OneWorld Community Health Centers (9.7 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 387 cases per 100,000 residents (2023), below the Nebraska average.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Lab results typically come back in 1–2 days.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.