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. Every published guide is listed on the state index.
Live pages
- Choose a cash-pay lab billing workflow (national guide)
- Compare the three cash-pay lab billing workflows
- Cash-pay lab guidance for Medicare patients
- Cash-pay lab billing by state
- California cash-pay lab billing guidance
- Colorado cash-pay lab billing guidance
- Florida cash-pay lab billing guidance
- Illinois cash-pay lab billing guidance
- Louisiana cash-pay lab billing guidance
- Maine cash-pay lab billing guidance
- Michigan cash-pay lab billing guidance
- New Jersey cash-pay lab billing guidance
- New York cash-pay lab billing guidance
- Oregon cash-pay lab billing guidance
- Pennsylvania cash-pay lab billing guidance
- Texas cash-pay lab billing guidance
- Virginia cash-pay lab billing guidance
- Washington cash-pay lab billing guidance
- Provider resources
- How cash-pay pricing works
- Request Information