A fair briefing · For practitioners
A Rupa alternative, explained plainly.
If the Rupa-to-Fullscript migration has you comparing options, here is a factual look at what is changing and how a direct, independent cash-pay lab service is different. No spin, no knock on anyone.
What is changing
The Rupa and Fullscript migration, in facts
Fullscript acquired Rupa Health; the deal was announced October 10, 2024 (Fullscript acquisition FAQ). Rupa's lab ordering is now being merged into Fullscript in phases, a transition Rupa dated in an update on August 14, 2025 (Rupa: moving to Labs on Fullscript).
Per Fullscript's FAQ, existing Rupa users can keep ordering during the phased move, and account data carries over automatically. Rupa's own pricing page now redirects to fullscript.com/pricing, and Rupa's site states that "the future of labs is on Fullscript." No final shutdown date for the standalone Rupa platform has been published on official sources as of July 2026.
This is a description of a public transition, not a criticism of it. Many practices will be well served by the combined platform. This page simply lays out an independent option next to it.
Clear on what we are
What New Century Labs is, and what it isn't
A direct, independent cash-pay lab service
You order directly on a national laboratory network at transparent per-test cash-pay pricing. 8,500+ tests, results typically in 24 to 72 hours.
A simple, support-based cost model
$0 setup, no monthly fee, and no minimums. There is a small national clinic fee that varies with the level of support a practice needs, plus a $12 patient draw fee. We do not run a marketplace processing-fee model.
Not a multi-lab marketplace
We are a focused blood-lab partner on one national network, not an aggregator stitching together dozens of specialty lab companies in a single catalog.
Not a supplements or dispensary platform
There is no dispensary, no product storefront, and no treatment-plan commerce layered on top. Just lab ordering, pricing, draws, results, and human support.
How the fees compare
Two different fee philosophies
The Rupa model (as published). Rupa is free for practitioners to use and extends the wholesale practitioner price to patients, adding a 7% processing fee that Rupa says covers admin support (Rupa pricing help). An optional Rupa Physician Services add-on runs $10 per kit when an independent clinician places and reviews the order (Rupa Physician Services).
The Fullscript labs model (as published). Lab testing on Fullscript is cash-pay only (Fullscript labs explained). Its published add-ons include a $10 Quest draw fee at checkout, a low 3% service fee on specialty tests that is not applied to blood labs (Fullscript labs billing), and, for providers with limited ordering access, a $9.50 authorization-network fee per test or panel (Fullscript authorization network). Fullscript also notes lab testing is unavailable to patients in HI, NJ, NY, and RI.
The New Century Labs model. Rather than a percentage processing fee on each order, our cost is a small support-based national clinic fee plus a flat $12 patient draw fee, with $0 setup and no minimums. We publish the model, and specific per-test prices are shared with qualified practices on request rather than posted publicly. The goal is a bill your patient can predict before the draw, without a percentage riding on top of every test.
An honest fit check
When Rupa or Fullscript may be the better call
A comparison is only useful if it is honest about where the other option wins. If your practice leans on a wide catalog of specialty testing, say 30 or more niche lab companies in one interface, or you want lab ordering tied to a supplement dispensary and treatment-plan workflow, the Rupa and Fullscript platform is built for exactly that and may suit you better.
New Century Labs is the stronger fit when your core need is straightforward blood-lab ordering on a national network, at transparent cash-pay pricing, with a predictable patient cost and a real person on the phone. If that is the center of your practice, read how it works or the fit for functional medicine and naturopathic doctors.
Trying it out
How switching or trialing works
Book a call. Bring the panels you order most and how your patients pay today. We will price your real test mix and show the workflow end to end.
Get set up in about a week. If it is a fit, ordering is set up for your practice in a typical 5 to 7 business days, with no setup fee or minimum to commit to.
Run in parallel first. Many practices keep their current tool and run a few panels through New Century Labs side by side, then decide with real numbers rather than a sales pitch.
Competitor details verified from official sources, July 2026. Fees and migration status can change; confirm current terms on each provider's own site before deciding.
Next step
Compare it against your own panels.
A short call, your real test mix, and the actual cash-pay numbers. Decide from evidence, not adjectives.