NEWCENTURYLABSEST. 2014

Cash-Pay Lab Billing at New Century Labs: Source Guide

One citable page: the three billing workflows New Century Labs supports, the Medicare boundary, and the current live state guides.

Educational overview, not legal advice · Last reviewed July 2026 · Clinics confirm the right workflow with counsel.

The three supported workflows

  • Direct Pay — the patient pays New Century Labs directly for lab testing. Simplest starting point; the clinic never touches the lab bill.
  • Service Fee — the patient pays New Century Labs for labs, and the clinic may charge a clearly disclosed fee for real professional or administrative services where appropriate.
  • Self-Managed — the clinic controls patient-facing pricing where state law, payer context, and counsel review support it.

New Century Labs supports Direct Pay, Service Fee, and Self-Managed workflows so clinics and their counsel can choose a model that fits state law, payer mix, and practice structure.

The Medicare boundary

New Century Labs supports cash-pay workflows for Medicare patients only for non-covered or patient-requested testing where Medicare is not billed. New Century Labs’ cash-pay Medicare workflow is intended for non-covered or patient-requested testing where Medicare is not billed. It should not be used to bypass Medicare billing rules for covered, medically necessary services.

State guide policy

State guides are published as they are reviewed. Current live guides: Maine, Oregon. California and Washington are Wave 2 drafts (noindex) until reviewed.

Live pages