Gonorrhea reports in Cass County are 84% lower than the national average, so you may have a lower risk of infection. If you're in Nehawka, Nebraska, for either one-time concerns or regular check-ups, local clinics usually provide low-cost or free testing, while private labs can deliver faster results and more flexible scheduling. See the options below.
Available testing centers
6 testing options are listed for Nehawka, NE. The nearest, Community Memorial Hospital District, is about 11.0 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.
A safety-net rural health clinic about 11 miles from Nehawka. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
OneWorld Plattsmouth Aka Cass Family Medicine, in Plattsmouth, earned its federally qualified health center designation by tying fees to income: meaning STI screening for syphilis, gonorrhea, and chlamydia is priced on a sliding scale, no appointment required to get started.
Tests offered
Fees & payment
OneWorld Community Health Centers in Plattsmouth covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, hepatitis A, B, and C, herpes, HIV, and TB) treating bacterial infections the same visit, on a sliding-scale fee that extends to every patient, appointment required.
OneWorld delivers its entire range of services at no charge: testing, treatment, vaccines, PrEP, and counseling included. For anyone without insurance or paying out of pocket, that means walking out with care completed, not a payment plan to figure out afterward.
OneWorld conducts care in Spanish across every service it offers: testing, treatment, and prevention counseling alike. For a patient who navigates medical decisions most naturally in Spanish, that means clinical conversations happen with full nuance, not workarounds.
OneWorld prescribes both PrEP and PEP directly, which means a patient can establish ongoing HIV prevention, or address a specific exposure, without seeking a separate prescriber or waiting on an outside referral.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · 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 11 miles away; if you'd rather skip the trip, an at-home kit ships to Nehawka, 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 range: couples & full panels
$79 & up
Best value: single tests
$49 & 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 Cass 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.
306 North 7th Street, Plattsmouth, NE 68048
CMS-certified lab Accredited · COLA
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nehawka. 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, 380 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nehawka. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 51 offer telehealth.
Drew Packey, DO
Internal medicine · 1500 14th Avenue, Nebraska City
Daniel Defreece, MD
Family medicine · 1301 Grundman Boulevard, Nebraska City
Brett Meyer, MD
Family medicine · 1301 Grundman Boulevard, Nebraska City
John Horne, MD Telehealth
Infectious disease · 1301 Grundman Boulevard, Nebraska City
Randy Bain, DO
Family medicine · 2731 Healthcare Drive, Syracuse
Lori Platt, MD
OB-GYN · 320 Ebaugh Street, Glenwood
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 Nehawka, 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.
Syracuse Area Health
11 mi
13 mi Hy-Vee Pharmacy (1527)
13 miShopko Pharmacy 662
13 miRuffner Pharmacy
13 miShowing the 5 closest pharmacies to Nehawka, 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 Nehawka, 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.
$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 $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
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 Cass County, the county that includes Nehawka, 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.
#21 of 93 Nebraska counties for chlamydia, a higher rate than 77% of the state
| Infection | Cass County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 251.4 69 cases ▼ 46% | 468.8 | 492.2 |
| Gonorrhea | 29.1 8 cases ▼ 75% | 115.5 | 179.5 |
| Syphilis (P&S) | 7.3 2 cases ▼ 30% | 10.4 | 15.8 |
| Syphilis (early) | 3.6 1 cases ▼ 40% | 6 | 16 |
| Syphilis (late/unknown) | 7.3 2 cases ▼ 66% | 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 Cass County, chlamydia has risen from 184.2 to 251.4 per 100,000 (36%), gonorrhea has fallen from 71.4 to 29.1 per 100,000 (59%), and P&S syphilis has fallen from 7.4 to 7.3 per 100,000 (1%).
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 Cass County.
Local HIV snapshot
Cass County HIV care continuum (2020)
Cass County recorded 0 new HIV diagnoses per 100,000 (2020), against 6 statewide and 13.7 nationally. Among Cass County residents living with HIV, 33.3% are in care · 33.3% 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 Cass County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 34 stretches east out of Nehawka toward the nearest clinics listed on this page (a real drive, not a short errand) and that distance shapes how residents think about routine health care. For a community where nine in ten households own their homes and property values sit well below the state's urban centers, financial pressure isn't the main obstacle; it's time and miles. What stands out about Nehawka is how settled its household structure looks on paper: a majority of adults are married, households run larger than the national average, and essentially everyone who wants work has it. That kind of stability can make periodic screening feel like something to reschedule indefinitely: life is full, schedules are real, and a clinic trip on US 34 requires actual planning rather than a lunchtime walk.
Young adults in their late teens and twenties live inside those same busy households, and those are precisely the years when staying current on STI screening matters most. Cass County's STI picture makes that point more concretely than any national statistic. For someone sharing a home and a schedule with a partner or family, the options listed here (checked against hours, fees, and distance before committing) turn a manageable errand into one that actually fits around a household that has places to be.
Getting there
At 5.08/20 on the EPA walkability index, day-to-day errands in Nehawka 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 68413 snapshot
ZIP-level Census figures for the wider 68413 area around Nehawka: a single ZIP can span several communities, so they describe the area, not Nehawka alone.
Nehawka sits in Cass County, ZIP 68413. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Nehawka? 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 Cass 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 Nehawka-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 Nehawka 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.
Closest is Community Memorial Hospital District (11 mi), or order an at-home kit to 68413.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 251 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.
Yes, at-home kits ship to 68413; you collect a sample, mail it back, and get results in about 2–5 days.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.