Cash-Pay Lab Billing by State
Start with your state, then compare the billing workflows New Century Labs supports.
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.
| State rule | Direct PayPatient pays New Century Labs directly for lab testing | Service FeeClinic adds a transparent fee for professional/admin services | Self-Managed PricingClinic controls patient pricing where state law allows |
|---|---|---|---|
| Limitless38 states incl. FL & DC | Yes | Yes | Yes |
| TransparentAZ · CT · LA · MD · PA · TX | Yes | Yes | Yes, but the margin must be visible on the invoice |
| PurposefulCA · MI · OR · WA | Yes | Yes | Not permitted |
| EffortlessNJ · NY · RI | Yes | Not permitted | Not permitted |
Every state supports at least one New Century Labs workflow — darker shading means state rules leave less room. A simplified summary, not legal advice: open a state guide for specifics and confirm the fit with counsel. States without a guide yet are shaded but not linked.
Plain-English answer
Lab billing rules differ by state, so the right workflow differs too. Start with your state guide below, or use the national guide and the verified-clinic calculator.
Lab billing rules differ by state, so the right workflow differs too. Each state guide below gives a plain-English answer, a recommended starting workflow, and the state-specific rules to review with counsel.
More states on the way
More state guides are published as they are reviewed. If your state is not listed yet, use the national guide and calculator, or walk through your state with our team on a call.
We re-check every state’s statutes monthly. One short email when something changes: no newsletter, no marketing list.
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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Next step
Talk through the right cash-pay lab workflow for your practice.
Pick the workflow that fits your state and your practice. We’ll help you compare Direct Pay, Service Fee, and Self-Managed Pricing, then confirm it with counsel.