Direct Pay
Patient pays New Century Labs directly for lab testing.
PatientNew Century Labs
How Oregon Clinics Can Offer Cash-Pay Labs Without Markup Risk
Oregon law does not allow a clinic to mark up an outside lab’s test (ORS 676.310) — Self-Managed Pricing is off the table, so Direct Pay or a transparent Service Fee is the workflow.
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
Can Oregon clinics offer cash-pay labs? Yes, but Oregon law caps what you can charge at the lab’s own price. No markup. Use Direct Pay or pass the lab charge through at cost, and bill your clinic’s own services separately.
Three billing workflows
Direct Pay, Service Fee, and Self-Managed Pricing
Service Fee
Clinic may charge a transparent fee for professional/admin services.
PatientNew Century Labs + Clinic fee
Self-Managed Pricing
Clinic controls patient pricing where state law and payer context allow.
PatientClinicNew Century Labs
Oregon bars adding a charge on top of an outside lab’s work (ORS 676.310). Direct Pay is the cleanest starting point for most Oregon clinics.
Recommended starting point for Oregon clinics
Start with Direct Pay. If you rebill, pass the lab charge through at cost. Your margin comes from a Service Fee for your own work, never from the lab test.
Oregon-specific billing considerations
Oregon bars marking up outside lab work, and requires clear patient disclosure of lab and clinic charges. Use Direct Pay, or pass the lab charge through at cost. Charge for your own services separately. For reference, see Oregon’s statute, ORS 676.310.
How each workflow fits in Oregon
| Workflow | Fit for Oregon clinics |
|---|---|
| Direct Pay | Recommended, or pass the lab charge through at cost. |
| Service Fee | Fine for the clinic’s own separate work; no profit on the lab service. |
| Self-Managed | Not permitted: Oregon caps the charge at the lab’s own price. |
Medicare-sensitive workflows
In Oregon, Medicare patients usually mean Direct Pay with any clinic fee separate and documented. New Century Labs’ cash-pay workflow is intended for non-covered or patient-requested testing where Medicare is not billed; covered, medically necessary services require a different billing analysis — see our Medicare guide.
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Common lab test mix
Based on frequently ordered tests across New Century Labs practices.
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Common lab test mix
How you bill patients
Patient pays New Century Labs directly
Add a transparent service fee
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You control patient pricing
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Estimated patient savings
For your practice
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saved per patient
Your patient pays $0 instead of $0 when insurance falls short.
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How you can bill for lab work is regulated and varies by state. You're responsible for choosing a model that complies with your state's rules. This is an illustration, not legal advice; we'll help you find the right fit on the call.
Common questions
Can Oregon clinics offer cash-pay lab testing?
Yes. The real question is which billing workflow, not whether. Most clinics start with Direct Pay: the patient pays the lab directly.
Can a Oregon clinic charge patients more than the lab’s price?
No. Oregon law caps your charge at what the lab charged. Bill your own services separately.
What’s the simplest way for a Oregon clinic to start?
Direct Pay. The patient pays New Century Labs directly and there is nothing to set up. Add a separate service fee for your own work where appropriate.
Sources & review notes
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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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.