York County, Nebraska reported syphilis runs about 56% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Waco, Nebraska, compare community and public clinics, often low-cost or free, with private labs that tend to offer faster results and more flexible scheduling. Below are options for each.
Available testing centers
3 testing options are listed for Waco, NE. The nearest, Memorial Health Care Systems, is about 5.8 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 community safety-net rural health clinic about 6 miles from Waco. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Waco, 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 York 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.
1621 Front Street, Henderson, NE 68371
CMS-certified lab
2222 North Lincoln Avenue, York, NE 68467
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Waco. 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, 40 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Waco. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Joseph Erwin, MD
Family medicine · 2222 North Lincoln Avenue, York
Brady Fickenscher, MD
Family medicine · 2114 North Lincoln Avenue, York
David Jameson, MD
Family medicine · 1356 126th Road, Stromsburg
Brent Jameson, MD
Family medicine · 1356 126th Road, Stromsburg
Jaime Dodge, MD
Family medicine · 905 2nd Street, Friend
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.
Nearby pharmacies
No pharmacy near Waco, 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.
MBC Pharmacy
7.0 mi
7.2 mi 
8.6 mi Yungdahls Apothecary
17 miPacnsave Discount Pharmacy
18 miShowing the 5 closest pharmacies to Waco, 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 Waco, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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
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 York County, the county that includes Waco, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#33 of 93 Nebraska counties for chlamydia, a higher rate than 65% of the state
| Infection | York County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 209 30 cases ▼ 55% | 468.8 | 492.2 |
| Gonorrhea | 27.9 4 cases ▼ 76% | 115.5 | 179.5 |
| Syphilis (P&S) | 7 1 cases ▼ 33% | 10.4 | 15.8 |
| Syphilis (early) | 7 1 cases ▲ 17% | 6 | 16 |
| Syphilis (late/unknown) | 41.8 6 cases ▲ 93% | 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 York County, chlamydia has fallen from 354 to 209 per 100,000 (41%), gonorrhea has fallen from 162.8 to 27.9 per 100,000 (83%), and P&S syphilis has fallen from 35.4 to 7 per 100,000 (80%).
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 York County.
Local HIV snapshot
York County HIV care continuum (2022)
York County recorded 0 new HIV diagnoses per 100,000 (2022), against 6 statewide and 13.7 nationally. Among York County residents living with HIV, 33.3% are in care · 16.7% 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 York County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The rhythm of work in Waco turns on the seasons, harvest, livestock care, equipment maintenance, the steady churn of small-town commerce. Life here moves at a pace where people know the land and know each other, which can make a health decision feel less private than it actually is. STD testing in and around Waco is confidential by law and by practice; what you discuss with a provider stays between you and that provider, regardless of who you pass at the feed store or the grocery checkout. Young adults in their late teens through their thirties, whether they've stayed in Waco or returned after time away, often find themselves navigating questions about sexual health at moments when a quick, discreet screening matters. Testing clinics listed on this page offer that confidentiality without judgment or unnecessary delay.
The providers understand that routine screening is a basic health step, not an emergency or a confession. Highway 34 connects Waco to nearby clinics and testing services, so access doesn't require traveling far. A single visit can answer questions and set a baseline for health, whether you're in a new relationship, planning for the future, or simply staying on top of routine care. Knowing your status is straightforward once you decide to get tested.
Getting there
At 5.13/20 on the EPA walkability index, day-to-day errands in Waco 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 68460 snapshot
ZIP-level Census figures for the wider 68460 area around Waco: a single ZIP can span several communities, so they describe the area, not Waco alone.
Waco sits in York County, ZIP 68460. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Waco? 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 York 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 Waco-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 Waco 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
York County reported ~209 chlamydia cases per 100,000 in 2023, below the Nebraska average.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
At-home kits mail to 68460: self-collect, send to the lab, results in ~2–5 days.
It checks for the p24 antigen plus antibodies, detecting HIV a week or two sooner than older tests.
For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.