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.
Plain-English answer
Cash-pay lab billing rules differ by state, so the right workflow differs too. Start with a reviewed state guide below — or the national guide and the verified-clinic calculator — then confirm the fit with counsel.
Cash-pay lab billing rules differ meaningfully by state, so the right workflow differs too. New Century Labs supports clinics nationwide with multiple billing workflows; each state guide below gives a plain-English answer, a recommended starting workflow, and the state-specific considerations to review with counsel.
More states on the way
More state guides are published as they are reviewed. Wave 2 — California and Washington — is coming after review. If your state is not listed yet, use the national guide and calculator, then confirm the right workflow with counsel — or walk through your state with our team on a call.
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.
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.