In Pawnee County, reported syphilis runs about 20% higher than the US average. If you've had a recent risk or just test regularly, in Skedee, Oklahoma, you can choose between visiting a clinic for immediate answers and potential treatment, or using an at-home kit for convenience.
Available testing centers
7 testing options are listed for Skedee, OK. The nearest, Oklahoma State Department of Health, is about 6.2 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.
Oklahoma State Department of Health in Pawnee takes walk-ins for gonorrhea, chlamydia, syphilis, and HIV testing, folding STI treatment, TB testing and treatment, and HPV and hepatitis A and B vaccines into the same visit. All at no charge, with donations accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Indian Health Service in Pawnee delivers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB testing alongside same-visit bacterial STI treatment and hepatitis B and C treatment. All at no fee, on a sliding scale, by appointment.
The no-fee policy at Indian Health Service in Pawnee extends through the full service list: HIV testing, hepatitis C treatment, STI treatment, PrEP, DoxyPEP, mpox vaccine, and medication adherence counseling are each covered without a charge. That breadth means a patient managing HIV treatment alongside hepatitis B treatment never hits a cost barrier partway through care.
Indian Health Service in Pawnee provides care in American Sign Language and offers interpretation for non-English languages, meaning a Deaf patient can discuss medication adherence, PrEP initiation, or a positive hepatitis result in direct conversation. With no delay introduced by coordinating outside assistance.
Splitting PrEP, PEP, and DoxyPEP across separate providers creates gaps. A missed prescription, a lapsed follow-up, a prevention window that closes before the next appointment clears. Indian Health Service in Pawnee prescribes all three, so the full arc of bacterial and viral prevention is managed without routing any piece of it elsewhere.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Fairfax Medical Facilities, Inc. serves patients in Fairfax who are between providers, paying cash, or working without insurance coverage, and its federally qualified standing means STI screening for syphilis, gonorrhea, and chlamydia runs on a sliding-scale fee tied directly to household income.
Tests offered
Fees & payment
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Skedee, 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.
Local clinicians
Beyond dedicated clinics, 70 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Skedee. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 15 offer telehealth.
Gordon Laird, DO
Family medicine · 534 Illinois Street, Pawnee
David Wilkett, DO Telehealth
Internal medicine · 1201 Heritage Circle, Pawnee
Brett Nedich, DO
Internal medicine · 40 Hospital Road, Fairfax
Thara Damodaran, MD Telehealth
Infectious disease · 40 Hospital Road, Fairfax
Neal Brockbank, MD
Family medicine · 212 North Main Street, Fairfax
Stephanie Letney, DO
Family medicine · 1400 West Pawnee Street, Cleveland
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 Skedee, OK 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.
Fairfax Health Mart Drug
13 miOgm Investments
13 miMoore Healthcare
14 miPalace Drug Pharmacy
14 mi
16 mi Showing the 5 closest pharmacies to Skedee, OK.
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 Skedee, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Pawnee County, the county that includes Skedee, compare with Oklahoma and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#62 of 77 Oklahoma counties for chlamydia, a higher rate than 19% of the state
| Infection | Pawnee County | Oklahoma | United States |
|---|---|---|---|
| Chlamydia | 252.1 40 cases ▼ 47% | 471.3 | 492.2 |
| Gonorrhea | 37.8 6 cases ▼ 78% | 170.3 | 179.5 |
| Syphilis (P&S) | 18.9 3 cases ▼ 32% | 27.7 | 15.8 |
| Syphilis (early) | 6.3 1 cases ▼ 63% | 17.1 | 16 |
| Syphilis (late/unknown) | 6.3 1 cases ▼ 84% | 39.7 | 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 Pawnee County, chlamydia has fallen from 270 to 252.1 per 100,000 (7%), gonorrhea has fallen from 122.2 to 37.8 per 100,000 (69%), and P&S syphilis has fallen from 38.6 to 18.9 per 100,000 (51%).
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 Pawnee County.
Local HIV snapshot
Federal priority area: Oklahoma is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Pawnee County HIV care continuum (2023)
Pawnee County recorded 0 new HIV diagnoses per 100,000 (2023), against 11.4 statewide and 13.7 nationally. Among Pawnee County residents living with HIV, 73.3% are in care · 46.7% 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 Pawnee County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Skedee, where nearly two-thirds of residents own their homes, is a place where family ties run deep, with more than half of adults married and many households including multiple generations. The area's rural spread and low population density mean that for many residents, getting to the nearest clinic can be a challenge.
Residents here often balance work and family responsibilities, with many adults actively working and a relatively high number of people living in larger households. With no high-paying job opportunities in the area, and a tight-knit community where neighbors know each other, residents prioritize convenience and accessibility when it comes to healthcare. For younger adults still forming relationships and building their careers, having easy access to low-cost screening is crucial.
As you head out on the highway, consider making a quick stop to take care of your health. In Skedee, a practical next step could be getting screened at one of the options listed, especially if you're part of the younger crowd still figuring out life and relationships.
Getting there
At 5.55/20 on the EPA walkability index, day-to-day errands in Skedee 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 74058 snapshot
ZIP-level Census figures for the wider 74058 area around Skedee: a single ZIP can span several communities, so they describe the area, not Skedee alone.
Nearby cities & towns
Just outside Skedee? 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 Pawnee County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oklahoma 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 Skedee-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 Skedee 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 Oklahoma 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 Oklahoma, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Expedited Partner Therapy (EPT) is potentially allowable in Oklahoma: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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 OklahomaSource: 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 5 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Pawnee County reported ~252 chlamydia cases per 100,000 in 2023, below the Oklahoma average.
At-home kits mail to 74058: self-collect, send to the lab, results in ~2–5 days.
Most results are ready in about 1–2 days.
In Oklahoma, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.