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STD Testing in Madison, NE: Free, Same-Day & Confidential

Madison's reported gonorrhea runs about 81% lower than the US average. When starting a new relationship or managing ongoing care in Madison County, Nebraska, you can choose between low-cost or free community and public clinics, or private labs with faster results and more flexible scheduling. Check your options below.

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STD testing near Madison, NE

6 testing options are listed for Madison, NE. The nearest, Midtown Health Center, is about 0.1 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 0.1 miles

Midtown Health Center

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Midtown Health Center in Madison tests for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB on a sliding-scale fee, with same-visit treatment for bacterial STIs; appointments are required, and care is delivered in Spanish.

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Spanish Spoken Across Every Clinical Conversation

Midtown Health Center delivers care in Spanish, which means consent discussions, test results, and treatment instructions all happen in the same language. Reducing the chance that dosing details or follow-up timing get lost in translation.

Prevention Prescriptions Written Here, Not Forwarded

Without a clinic that prescribes PrEP and provides PEP on-site, patients often cycle through a primary care referral before getting the medication that matters most. Midtown Health Center in Madison carries both, so prevention isn't deferred to a second appointment at a separate practice.

Hepatitis C Treatment Runs Through Midtown Directly

Midtown Health Center in Madison treats hepatitis C on-site with curative antiviral therapy, the same direct-acting agents that achieve sustained virologic response, meaning a confirmed diagnosis moves immediately into a treatment plan managed by the clinic's own providers, not handed off elsewhere.

Tests & treats Sliding-scale PrEP
Address
222 Main Street, Madison, NE 68748
Booking
Appointment required
Opening hours
  • Monday 8:30 AM – 5:30 PM
  • Tuesday 8:30 AM – 5:30 PM
  • Wednesday 8:30 AM – 5:30 PM
  • Thursday 8:30 AM – 5:30 PM
  • Friday 8:30 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
8.9 miles

Faith Health

No ratings yet

Faith Health in Humphrey pairs testing for chlamydia, gonorrhea, syphilis, HIV, herpes, and hepatitis A, B, and C with same-visit treatment for bacterial STIs. Appointments required. Fees run on a sliding scale and Medicaid, Medicare, and private insurance are all accepted.

Tests & treats Sliding-scale
Address
47452 268th Avenue, Humphrey, NE 68642
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 12:00 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 13.6 miles

Midtown BHS

No ratings yet

Midtown BHS in Norfolk welcomes walk-ins for STI screening without an appointment. Backed by federally qualified health center standing, it applies a sliding-scale fee tied to income, covering syphilis, gonorrhea, and chlamydia testing in a single visit.

Sliding-scale
Address
1900 Vicki Lane, Norfolk, NE 68701
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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More ways to get tested in Madison, NE

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.

At-home STD testing in Madison, NE

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Madison, 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.

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.

Other CLIA-certified labs near Madison, NE

Beyond the public testing sites above, these federally certified (CLIA) labs serve Madison 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.

  • Midwest Dermatology Clinic

    1800 West Pasewalk Ave Suite 100, Norfolk, NE 68701

    CMS-certified lab

    • STD testing
  • Pathology Medical Services

    2700 West Norfolk Avenue, Norfolk, NE 68701

    CMS-certified lab

    • STD testing
  • Norfolk Outpatient Clinic

    3204 Raasch Drive, Norfolk, NE 68701

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madison. 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.

Clinicians near Madison, NE who may help arrange STD testing

Beyond dedicated clinics, 47 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madison. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.

  • Timothy Davy, MD

    Family medicine · 47452 268 Avenue, Humphrey

  • Alex Laudenklos, MD

    OB-GYN · 2701 West Norfolk Ave Floor, Norfolk

  • Alan Spanel, MD

    Internal medicine · 3901 West Norfolk Avenue, Norfolk

  • Bryon Hirschman, MD

    Family medicine · 3901 West Norfolk Avenue, Norfolk

  • Cailey Noonan

    Family medicine · 302 West Phillip Avenue, Norfolk

  • Alfred Fleming, MD

    OB-GYN · 301 North 31st Street, Norfolk

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.

Pharmacies near Madison, NE

No pharmacy near Madison, 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.

  • Louderback Drug

    0.1 mi
    Rx pickupCondoms / EC
  • Shopko Stores Operating

    13 mi
    Rx pickupCondoms / EC
  • Walmart Pharmacy 14 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
  • Hy-Vee

    14 mi
    Rx pickupCondoms / EC
  • Meds & More

    14 mi
    Rx pickupCondoms / EC
  • Faith Regional Health Services

    14 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Madison, NE.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Madison, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Madison County: the local picture

How reported STI rates in Madison County, the county that includes Madison, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#17 of 93 Nebraska counties for chlamydia, a higher rate than 82% of the state

Reported STD rates per 100,000, Madison County vs Nebraska vs U.S.

Madison County Nebraska U.S. ▲▼ = Madison County vs the state average
Infection Madison County Nebraska United States
Chlamydia
269.5 96 cases ▼ 43%
468.8 492.2
Gonorrhea
33.7 12 cases ▼ 71%
115.5 179.5
Syphilis (P&S)
14 5 cases ▲ 35%
10.4 15.8
Syphilis (early)
2.8 1 cases ▼ 53%
6 16
Syphilis (late/unknown)
11.2 4 cases ▼ 48%
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.

Reported STD rates in Madison County over time (per 100,000)

Chlamydia ▼ 27% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Madison County, chlamydia has fallen from 348.5 to 269.5 per 100,000 (23%), gonorrhea has fallen from 53.4 to 33.7 per 100,000 (37%), and P&S syphilis has risen from 8.5 to 14 per 100,000 (65%).

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 Madison, NE

Adults uninsured
16.8%
No routine checkup
26.3%
No transportation
8.9%
Binge drinking
18.2%
Frequent mental distress
14%
Depression
15.1%
Below poverty line
12.9%
Primary-care ratio
1,606 : 1
Madison County
  • Primary-care shortage score 14 / 26
  • Medically Underserved Area · IMU 60
  • Social Vulnerability Index · 46th 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 Madison County.

Local HIV snapshot

HIV in Madison County (2023)

People living with HIV
34 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
27

Madison County HIV care continuum (2023)

Madison County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. Among Madison County residents living with HIV, 30% are in care · 20% 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.

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 Madison County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Madison, NE

Memorial Park anchors a town where homes sell well below state norms and monthly rent sits genuinely modest by almost any measure, yet that affordability picture can obscure real budget pressure on households running tight on hours as much as dollars. With unemployment nudging above typical small-city levels and most adults carrying full-time schedules, the practical calculus of a medical appointment shifts: it's not reluctance that keeps people from screening, it's competing demands on a workweek that doesn't bend easily. Madison's household profile tells its own story. Large households, a majority of married adults, and a strong homeownership rate suggest a community that skews toward settled, rooted life, which makes the share of young adults in their late teens and twenties all the more worth noting.

That group tends to be mid-transition: changing partners, changing living arrangements, working through what routine preventive care actually looks like. For them, low-barrier access matters especially because their schedules are the least predictable and their familiarity with the healthcare system the most uneven. For residents near the Madison County Historical Society Museum corridor, that means planning ahead: though options in and around Madison means the right fit, whether by hours, cost, or distance, is likely findable.

Getting there

How residents reach STD testing in Madison, NE

Walkability 5.58 / 20 · Least walkable

At 5.58/20 on the EPA walkability index, day-to-day errands in Madison 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.

Map of 6 STD & STI testing locations in Madison, Nebraska, EasySTD

ZIP 68748 snapshot

Residents
2,698
Median age
35
Median income
$65,250

ZIP-level Census figures for the wider 68748 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.

Madison sits in Madison County, ZIP 68748. Local context that shapes where residents test:

Local landmarks

  • Memorial Park
  • Madison County Historical Society Museum

STD testing in Madison, NE: screening, costs & privacy

Everything to know before you test in Madison 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.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 Madison-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare 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 Madison 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.

TestReference priceCPT / 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 Nebraska

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

In Nebraska, 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)

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 Nebraska

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Madison, NE

Answers to the questions people ask most before getting tested.

How many places can I test near Madison, NE?

There are 3 options within a 30-mile drive.

How much does STD testing cost near Madison, NE?

Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Can I get tested in Madison, NE without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Madison, NE?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Madison County?

Madison County reported ~270 chlamydia cases per 100,000 in 2023, below the Nebraska average.

Can someone under 18 get tested in Nebraska without a parent?

In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.

Can I get PrEP near Madison, NE?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

Do routine blood tests include STD testing?

No, standard bloodwork doesn't include STIs unless you ask, so request STD testing specifically.

Can syphilis symptoms go away on their own?

Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.

Can STDs be treated near Madison, NE?

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.