Syphilis in Bremer County runs about 25% lower than the US average. If you live in Horton, Iowa and need STI testing for a one-time concern or regular check-ups, weigh your options based on cost, speed, and convenience. See your choices below.
Available testing centers
6 testing options are listed for Horton, IA. The nearest, Waverly Health Center, is about 8.3 miles away. Compare 3 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 community safety-net rural health clinic about 8 miles from Horton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 9 miles from Horton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Peoples Community Health Clinic in Clarksville tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis C, and TB, treating bacterial STIs the same visit, on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance. Appointments are required, and care is delivered in Spanish.
Without Spanish-language care at the point of treatment, a misunderstood diagnosis or incomplete instruction can leave an infection undertreated regardless of the test result. At Peoples Community Health Clinic, clinical care and counseling are conducted in Spanish. No second appointment, no missed follow-through.
When substance-use treatment lives somewhere else, the gap between an STI diagnosis and the care that addresses its underlying drivers often stays open indefinitely. Peoples Community Health Clinic offers substance-use treatment alongside STI care, so both concerns are handled at a single clinic without a separate referral chain to navigate.
Leaving hepatitis C off the panel means a patient may walk out with a clean gonorrhea and syphilis result while a hepatitis C infection goes undetected and untreated. Peoples Community Health Clinic adds hepatitis C to its testing panel, giving clinicians a complete picture and the ability to manage hepatitis C on-site.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Horton, 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 Bremer 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.
312 Ninth Street Southwest, Waverly, IA 50677
CMS-certified lab Accredited · Joint Commission
909 West First Street, Sumner, IA 50674
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horton. 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, 144 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 40 offer telehealth.
Timothy Horrigan, MD
Family medicine · 217 20th Street Northwest, Waverly
Emily Boevers Solverson, MD
OB-GYN · 312 9th Street Southwest, Waverly
Tarek Daoud, MD
Internal medicine · 312 9th Street Southwest, Waverly
Amelia Mcconaghy, DO
Family medicine · 118 South Main Street, Clarksville
Thoo Tan, DO
OB-GYN · 308 North Maple Avenue, New Hampton
Jody Harmsen, MD
Family medicine · 308 North Maple Avenue, New Hampton
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 Horton, IA 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.
Nashua Pharmacy
7.9 mi
8.4 mi Ryka
8.4 miWaverly Health Center
8.5 miHy-Vee
9.3 miShowing the 5 closest pharmacies to Horton, IA.
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 Horton, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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
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 Bremer County, the county that includes Horton, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#57 of 99 Iowa counties for chlamydia, a higher rate than 42% of the state
| Infection | Bremer County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 205.5 52 cases ▼ 52% | 426.8 | 492.2 |
| Gonorrhea | 35.6 9 cases ▼ 70% | 116.8 | 179.5 |
| Syphilis (P&S) | 11.9 3 cases ▲ 16% | 10.3 | 15.8 |
| Syphilis (early) | 7.9 2 cases ▼ 14% | 9.2 | 16 |
| Syphilis (late/unknown) | — no data | 9.9 | 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 Bremer County, chlamydia has fallen from 256.1 to 205.5 per 100,000 (20%), gonorrhea has fallen from 84 to 35.6 per 100,000 (58%), and P&S syphilis has risen from 4 to 11.9 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 Bremer County.
Local HIV snapshot
Bremer County HIV care continuum (2023)
Bremer County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Bremer County residents living with HIV, 85.7% are in care · 85.7% 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.
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 Bremer County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
IA 188 cuts through Horton as both 140th Street and 1st Street, and reaching any of the listed clinics means committing to a real drive on roads where walking isn't a practical option. A reality that shapes whether a screening appointment actually happens. That trip is easier to plan when you own the house you live in and aren't watching a tight monthly rent, and Horton skews heavily toward ownership. But roughly one in four households here does rent, and at around $880 a month, that outlay competes directly with discretionary health spending, making lower-cost or sliding-scale options worth identifying before you go.
More than half of Horton's adults are married, and average household size reflects a community built largely around families, which matters because STI screening is just as relevant to people in established relationships as to younger adults still forming them. They're the only slots that work. With nearly three in ten households earning above six figures, Horton has real economic range, but income spread means the clinic fee structures listed here will land very differently depending on where a given household falls. Checking hours and fees before heading out on 140th Street saves a wasted trip.
Getting there
At 7.61/20 on the EPA walkability index, day-to-day errands in Horton 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 50677 snapshot
ZIP-level Census figures for the wider 50677 area around Horton: a single ZIP can span several communities, so they describe the area, not Horton alone.
Horton sits in Bremer County, ZIP 50677. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Horton? 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 Bremer County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 Horton-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 Horton 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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 3 options within a 30-mile drive.
Yes, Medicaid typically covers it.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Bremer County reported ~206 chlamydia cases per 100,000 in 2023, below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.