How it works · For practices
Adding lab testing to your practice, step by step.
The account, the order, the draw, the results — and who’s responsible for what.
Billing workflows
Three ways to bill your patients
Your patient pays the lab
New Century Labs bills your patient at the known cash price. Your clinic never touches the lab bill. Available in every state.
Add a fee for your clinic’s own work
Direct Pay, plus a transparent fee for services your clinic performs: consultation, interpretation, specimen coordination. Available everywhere except New York, New Jersey, and Rhode Island.
Your clinic sets the patient price
Buy testing at wholesale and control what your patient pays, where state law allows markup; six of those states require the lab’s charge on the invoice.
Start with the cash-pay lab billing guide. Which workflows your state allows: the state-by-state map. Full comparison: Direct Pay vs Service Fee vs Self-Managed.
Open your account
Verify your clinic — automatic for most practices — and you’re set up. No membership fee, no volume commitment.
Place an order
3,500+ tests through Quest Diagnostics’ national laboratory network — with the cash-pay price known before the order moves.
The patient gets drawn
Any of 2,000+ draw locations nationwide in a CLIA-certified laboratory network — close to home. Draw access only; the order is always yours.
Results come back to you
Typically 24–72 hours, to the ordering provider — interpretation stays in your hands.
A human when something’s off
Missed draw, supplies, courier, records — call or text 1-800-519-2997. A person, not a queue.
Responsibilities
Who’s responsible for what
Your practice: clinical judgment, ordering, results review, and patient-facing pricing — under your license.
New Century Labs: pricing, lab access, draw logistics, and human support.
Never us: clinical decisions, insurance billing, or marketing to your patients. Group accounts →
Provider scope and licensure vary by state; nothing on this page is legal advice.
Common questions
How do I open a lab account for my practice?
Verify your clinic on the pricing page (about a minute), or book a call and we’ll set it up with you. There’s no fee to open an account.
Can providers order labs without dealing with insurance?
Yes — that’s the model. Every order is cash-pay: no claims, no prior authorizations, no coding disputes. The patient knows the price before the draw.
What if my patients are in another state?
The CLIA-certified laboratory network covers 2,000+ draw locations nationwide, so out-of-state and traveling patients can complete your orders. Draw access is nationwide; your ordering authority is governed by your own licensure.
How fast do results come back?
Typically 24–72 hours from the draw, depending on the test. Specialty panels can take longer.
What does it cost to get started?
Nothing to start — no membership or setup fee. You pay the cash-pay price of the tests you order, plus a flat patient draw fee. The only other cost is a small support-based clinic fee, never a percentage. See the sample price sheet.
Next step
Ready to see it with your own panels?
A quick call: your care model, your test mix, and the actual numbers.