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

Reported gonorrhea in Butler County runs about 87% lower than the US average. Before starting a new relationship or as part of ongoing care, you'll find local clinics and at-home kits for STI testing in Surprise, Nebraska. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time — see your options below.

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  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
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STD testing near Surprise, NE

4 testing options are listed for Surprise, NE. The nearest, Butler County Clinic, is about 13.8 miles away. Compare 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.

Highest rated 13.8 miles

Butler County Clinic

Where these reviews come from

Review sources

  • Google11
  • EasySTD2
Rated 4.3 out of 5 from 13 reviews

Butler County Clinic in David City requires an appointment, so scheduling ahead is the move, but that single visit covers gonorrhea, chlamydia, syphilis, conventional HIV, herpes, and TB, with same-visit treatment for bacterial infections, HPV and hepatitis A and B vaccines, and fees on a sliding scale.

Tests & treats Sliding-scale
Address
336 South 9th Street, David City, NE 68632
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:30 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:30 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday 8:00 AM – 11:00 AM
  • Sunday Closed
Website
Community health center 14.5 miles

Memorial Health Care Systems

No ratings yet

A community safety-net rural health clinic about 15 miles from Surprise. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
100 4th Street, Utica, NE 68456
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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Every other option

More ways to get tested in Surprise, 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 Surprise, NE

The nearest testing center is about 14 miles away; if you'd rather skip the trip, an at-home kit ships to Surprise, 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 Surprise, NE

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

  • Butler County Health Care Center

    372 South 9th Street, David City, NE 68632

    CMS-certified lab

    • STD testing

Showing the nearest 1 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Surprise. 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 Surprise, NE who may help arrange STD testing

Beyond dedicated clinics, 54 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Surprise. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.

  • Logan Mcguffey, MD

    Urology · 531 Beebe Street, Osceola

  • Joshua Sypal, MD

    Family medicine · 336 South 9th Street, David City

  • Jo Witter, MD

    Family medicine · 358 South, David City

  • David Jameson, MD

    Family medicine · 1356 126th Road, Stromsburg

  • Brent Jameson, MD

    Family medicine · 1356 126th Road, Stromsburg

  • David Dupy, MD

    Family medicine · 300 North Columbia Avenue, Seward

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 Surprise, NE

No pharmacy near Surprise, 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.

  • Trav's U-Save Pharmacy

    13 mi
    Rx pickupCondoms / EC
  • Bailey Drug

    13 mi
    Rx pickupCondoms / EC
  • Butler County Pharmacy

    14 mi
    Rx pickupCondoms / EC
  • David City Discount Pharmacy

    14 mi
    Rx pickupCondoms / EC
  • Yungdahls Apothecary

    15 mi
    Rx pickupCondoms / EC

Showing the 5 closest pharmacies to Surprise, 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 Surprise, 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 Butler County: the local picture

How reported STI rates in Butler County, the county that includes Surprise, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~7% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#39 of 93 Nebraska counties for chlamydia, a higher rate than 58% of the state

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

Butler County Nebraska U.S. ▲▼ = Butler County vs the state average
Infection Butler County Nebraska United States
Chlamydia
189.1 16 cases ▼ 60%
468.8 492.2
Gonorrhea
23.6 2 cases ▼ 80%
115.5 179.5
Syphilis (P&S) — no data 10.4 15.8
Syphilis (early) — no data 6 16
Syphilis (late/unknown)
11.8 1 cases ▼ 46%
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 Butler County over time (per 100,000)

Chlamydia ▲ 45% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 100 200 2020202120222023

Between 2020 and 2023 in Butler County, chlamydia has risen from 95.6 to 189.1 per 100,000 (98%), and gonorrhea has fallen from 59.7 to 23.6 per 100,000 (60%).

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 Surprise, NE

Adults uninsured
6.4%
No routine checkup
18.3%
No transportation
4.7%
Binge drinking
16.2%
Frequent mental distress
11.7%
Depression
15.1%
Below poverty line
3.7%
Primary-care ratio
1,407 : 1
Butler County
  • Medically Underserved Area · IMU 47.2
  • Social Vulnerability Index · 7th 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 Butler County.

Local HIV snapshot

HIV in Butler County (2023)

New diagnoses (2023)
0cases countywide
PrEP users / 100k
57

Butler County HIV care continuum (2023)

Butler 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.

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 Butler County tests for syphilis.

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

17 Sources

Local resources & officials

Data & references

About Surprise, NE

Surprise runs on its own rhythm: a town where most households are owner-occupied, many with two or three people under one roof, and where a significant share of married couples have built their lives around the steady cadence of work and home. That stability shapes how people think about healthcare: not urgent until it is, and easy to defer when the week fills up with other obligations. But deferred screening is the quiet problem in a place like this, especially for the younger adults here. People in their late teens and twenties who are statistically the most likely to carry an undiagnosed STI and the least likely to have a routine appointment that would catch one.

Butler County's rural spread means the options listed on this page aren't around the corner. With a labor force that's active but not universal, and a household income picture where most families are comfortable but high earners remain a minority, out-of-pocket costs can still give people pause before booking a visit. Every appointment is a deliberate drive, planned in advance, which means options listed on this page (their hours, their fees, their distance) aren't background details. They're the whole decision.

Getting there

How residents reach STD testing in Surprise, NE

Walkability 4.66 / 20 · Least walkable

At 4.66/20 on the EPA walkability index, day-to-day errands in Surprise 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 4 STD & STI testing locations in Surprise, Nebraska, EasySTD

ZIP 68667 snapshot

Residents
136
Median age
28.7
Median income
$116,250

ZIP-level Census figures for the wider 68667 area around Surprise: a single ZIP can span several communities, so they describe the area, not Surprise alone.

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

Everything to know before you test in Butler 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 Surprise-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 Surprise 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 Surprise, NE

Answers to the questions people ask most before getting tested.

Where's the nearest STD testing to Surprise, NE?

Butler County Clinic, about 13.8 mi away, with 2 options within 30 miles.

How much does STD testing cost near Surprise, NE?

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

Is there free STD testing near Surprise, NE?

Public health clinics nearby provide free testing.

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

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

How common is chlamydia in Butler County?

Butler County reported ~189 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.

My test was positive, what now?

A positive means treatment is the next step; many STIs are cured with antibiotics, and all are treatable.

Is my STD test private?

Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.

Do genital sores mean I need testing?

Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.

How do I prevent STDs?

Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.