Chlamydia diagnoses in Saunders County run about 63% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Ithaca, Nebraska, you'll face a trade-off between clinics that may bill insurance and private labs that let you pay a flat self-pay price.
Available testing centers
3 testing options are listed for Ithaca, NE. The nearest, Labcorp, is about 24.0 miles away. Compare private labs and at-home kits below.
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 24 miles away; if you'd rather skip the trip, an at-home kit ships to Ithaca, 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 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 Saunders 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.
1760 County Road J, Wahoo, NE 68066
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ithaca. 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, 816 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Ithaca. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 161 offer telehealth.
Nicole Akers, MD
Family medicine · 1760 County Rd J, Wahoo
Katrena Lacey, MD
Internal medicine · 11946 Standing Stone Drive, Gretna
William Weeks, MD
Family medicine · 11820 Standing Stone Drive, Gretna
Victor Estevez Telehealth
Internal medicine · 700 South Hwy 6, Gretna
Derek Marshall, MD Telehealth
Family medicine · 102 West Gruenther Road, Gretna
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 Ithaca, 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.
Vogt Pharmacies
5.4 miWahoo Man
5.4 miUrban Clinic Pharmacy
5.5 miDaileys Clinic Pharmacy
6.0 miShowing the 4 closest pharmacies to Ithaca, 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 Ithaca, 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
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
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 Saunders County, the county that includes Ithaca, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~12% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#41 of 93 Nebraska counties for chlamydia, a higher rate than 56% of the state
| Infection | Saunders County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 183.3 43 cases ▼ 61% | 468.8 | 492.2 |
| Gonorrhea | 12.8 3 cases ▼ 89% | 115.5 | 179.5 |
| Syphilis (P&S) | 4.3 1 cases ▼ 59% | 10.4 | 15.8 |
| Syphilis (early) | — no data | 6 | 16 |
| Syphilis (late/unknown) | — no data | 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 Saunders County, chlamydia has risen from 161.6 to 183.3 per 100,000 (13%), gonorrhea has fallen from 22.4 to 12.8 per 100,000 (43%), and P&S syphilis has fallen from 4.5 to 4.3 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
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 Saunders County.
Local HIV snapshot
Saunders County HIV care continuum (2023)
Saunders County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. 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 Saunders County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Ithaca sits where prairie meets the weight of Cold War history, the Atlas D Missile Site A-1 a stark reminder that this corner of Nebraska has always held secrets. That same discretion shapes how residents approach their own health. Young adults moving through their twenties and thirties often find themselves at inflection points: new relationships, shifts in living situations, changes in partnership status. Routine STI screening fits into those transitions as naturally as any other health check, and the testing available in and around Ithaca listed on this page meets that need without fanfare.
What matters most in a town where people notice each other is knowing exactly what confidentiality means in practice. Test results and the fact that you sought testing remain separate from the everyday interactions that define community life. Clinics serving Ithaca understand that screening is preventive care, not confession: a straightforward step taken during ordinary life, not something that requires explanation or carries weight beyond the medical facts. Getting tested here means working with providers who treat routine screening as routine.
Whether you're establishing baseline health status, following up after a partner's diagnosis, or simply staying on top of sexual health as part of regular care, the process moves forward without delay or judgment. That clarity is its own form of support.
Getting there
At 5.68/20 on the EPA walkability index, day-to-day errands in Ithaca 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 68033 snapshot
ZIP-level Census figures for the wider 68033 area around Ithaca: a single ZIP can span several communities, so they describe the area, not Ithaca alone.
Ithaca sits in Saunders County, ZIP 68033. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Ithaca? 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 Saunders 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 an Ithaca-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 Ithaca 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Saunders County reported ~183 chlamydia cases per 100,000 in 2023, below the Nebraska average.
Most results are ready in about 1–2 days.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 68033: self-collect, send to the lab, results in ~2–5 days.
No; "everything" means a panel of several tests, and some need a repeat later to be conclusive.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.