Direct Pay
Patient pays New Century Labs directly for lab testing.
PatientNew Century Labs
How Oregon Clinics Can Offer Cash-Pay Labs Without Markup Risk
Oregon’s independent-lab markup rule makes Direct Pay or a transparent Service Fee the cleaner starting point.
New Century Labs supports all three billing workflows: Direct PayService FeeSelf-Managed Pricing
Educational overview, not legal advice · Last reviewed July 2026 · Choose a starting point here, then confirm it with counsel.
Plain-English answer
Yes. Oregon clinics can offer cash-pay lab testing, but rules limit what a clinic can add to an outside lab’s charge. Most start with Direct Pay or an at-cost pass-through, and charge separately for the clinic’s own services.
Three billing workflows
Direct Pay, Service Fee, and Self-Managed Pricing
Service Fee
Clinic may charge a transparent fee for professional/admin services.
PatientNew Century Labs + Clinic fee
Self-Managed Pricing
Clinic controls patient pricing where state law and payer context allow.
PatientClinicNew Century Labs
Oregon’s independent-lab markup rule makes the choice of billing workflow especially important: adding a charge on top of an outside lab’s work is restricted here, so Direct Pay is the cleanest starting point for most Oregon clinics.
Recommended starting point for Oregon clinics
Start with Direct Pay, or pass the lab charge through at cost with a separate Service Fee for your clinic’s own work — without profiting on the lab service itself.
Oregon-specific billing considerations
Oregon restricts marking up outside lab work, and expects clear patient disclosure of lab and clinic charges. In practice that points clinics toward Direct Pay or at-cost pass-through, with any clinic fee tied to separate services rather than the lab result. For reference, see Oregon’s statute.
How each workflow fits in Oregon
| Workflow | Fit for Oregon clinics |
|---|---|
| Direct Pay | Recommended, or pass the lab charge through at cost. |
| Service Fee | Fine for the clinic’s own separate work; don’t profit on the lab service. |
| Self-Managed | Needs careful, Oregon-specific review with counsel. |
Medicare-sensitive workflows
In Oregon, Medicare patients usually mean Direct Pay with any clinic fee separate and documented. New Century Labs’ cash-pay workflow is intended for non-covered or patient-requested testing where Medicare is not billed; covered, medically necessary services require a different billing analysis — see our Medicare guide.
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Common lab test mix
Based on frequently ordered tests across New Century Labs practices.
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Common lab test mix
How you bill patients
Patient pays New Century Labs directly
Add a transparent service fee
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You control patient pricing
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Estimated patient savings
For your practice
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How you can bill for lab work is regulated and varies by state. You're responsible for choosing a model that complies with your state's rules. This is an illustration, not legal advice; we'll help you find the right fit on the call.
Common questions
Can Oregon clinics offer cash-pay lab testing?
Generally yes. The billing model matters more than the concept: most clinics start with Direct Pay, where the patient pays the lab directly, and layer in other workflows only after review with counsel.
Can a Oregon clinic charge patients more than the lab’s price?
Oregon rules point toward passing the lab charge through at cost rather than profiting on it. Clinics typically charge separately for their own services instead.
What’s the simplest way for a Oregon clinic to start?
Direct Pay. There’s no rebilling to set up, the patient pays New Century Labs directly, and the clinic can add a separate service fee for its own work where appropriate.
Sources & review notes
Written by New Century Labs and reviewed for operational accuracy by the New Century Labs team — not reviewed as legal advice. Last reviewed July 2026; laws and payer rules may change. Confirm the right workflow for your practice with your healthcare counsel.
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Where to go next
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Talk through the right cash-pay lab workflow for your practice.
New Century Labs supports multiple billing workflows so clinics and their counsel can choose the structure that fits their state, payer mix, and practice model. Choose your starting point, then confirm it with counsel — we’ll help you compare Direct Pay, Service Fee, and Self-Managed pricing.