Lab Prices Direct Pay

This is how our direct pay prices compare to insurance billed prices with our negotiated pricing (using Labcorp).

For some tests it is better to pay the direct pay price rather than pay the copay with insurance or risk an insurance company claim denial, causing the patient to be billed for the expensive insurance priced amount. With Oakhaven direct pay, you know upfront what you will be billed and avoid surprise costs and avoid extra conversations with a health insurance company. In some cases an insurance company will approve and pay for something and then later claw back that payment because they decide that some rule was not followed when requesting approval. Given that Oakhaven direct is 4-12% of the cost, is it worth the risk of being billed the full insurance-based price?