LAB ORDERING FOR PRODUCT TEAMS

Order Quest labs from your app. Sandbox today. Live in days.

CareGap already runs a live Quest Diagnostics interface. Sign up, put a card on file, and order tests and pull results through one API — on HIPAA-compliant rails, with your ordering provider and your pricing.

$1,500 one-time setup $2.00 per order No sales call required

Every number, up front

No quote, no discovery call, no percentage of what the test costs. This is the whole price list.

$1,500

One-time setup

NPI and license verification, Quest account setup, your tenant and API keys, sandbox access.

$2.00

Per order placed

Flat. Charged to your card when you submit an order. Volume pricing available above 2,000 orders a month.

$1.00

Per patient, per year

Each patient record on HIPAA-compliant rails. Billed annually, not per API call.

+ Test

Paid to Quest

The lab bills the test itself. You order at CareGap account rates rather than Quest list price.

Why the fee is structured this way

Flat, not a percentage. The platform fee never moves with the price of the test. That keeps it a technology fee, which is what EKRA requires.

One contract. Ordering, results, and the patient record are a single agreement with CareGap. You are not signing two.

You set retail. You buy at your account rate and decide what your patient pays inside your own app.

You cannot order a test without a patient

And the moment real lab results come back, that patient record has to sit on HIPAA-compliant infrastructure. That base layer is included — testing stacks on top of it.

LAYER 3

Your application

You build this

Your brand, your checkout, your clinical workflow, your patient experience.

LAYER 2

Value-added services

$2.00 per order

What you are here for. Ordered through CareGap's live lab interface.

Quest lab ordering Structured results Test compendium Patient service center lookup At-home collection · add-on

LAYER 1 · GROUND ZERO

The patient record

$1 per patient / year

Not a customer list. A patient on compliant infrastructure — required before any order can exist.

HIPAA rails Data governance Patient security Audit logging FHIR layer

What you need before your first order

Most teams find at least one of these late. Read them now, not after you have built the checkout.

01

An ordering provider with an NPI

Every lab order needs a licensed clinician behind it. If you have your own physician or a telehealth group, you are ready. If you do not, you need one before you can order — this is not direct-access testing, and CareGap never originates the order.

02

Cash pay, billed to your account

Quest bills your account for the test, and you collect from the patient inside your own app at one price, known at checkout. Insurance billing is not supported today.

03

Your states of practice

You declare where you operate at signup. Some states restrict re-billing lab work through direct-bill, anti-markup, and disclosure rules. We flag those states for you so your pricing decision is an informed one.

04

Somewhere for the patient to live

Real lab results are protected health information the moment they land. Members in a web app are not the same thing as patients on HIPAA rails. That layer is included here, so this one is already handled.

Six steps, mostly automated

Sign up, pay, integrate. You do not have to meet anyone to get started.

1

Create your account

NPI and state license checked against NPPES automatically. Declare your states of practice.

2

Accept the terms

One click-through package: service agreement, BAA, cash-pay attestation, Quest use terms. E-signed.

3

Card on file

Stripe Checkout. Setup fee charged immediately, card stored for per-order billing. We never touch card data.

4

Quest account setup

You upload one templated form. We file it with Quest and track it to a client number. Your sandbox works the whole time.

5

Keys and sandbox

Your tenant is provisioned, API keys issued, and the test compendium and draw-site list scoped to your account.

6

Certify and go live

An automated test order and result round trip. Pass the suite and your account flips to production.

Straight answer on timing

Steps 1, 2, 3, 5 and 6 are automated. Step 4 is not — issuing a Quest account is a human process on Quest's side that typically takes several business days. So: sandbox in minutes, production in days. You can build the entire integration while the paperwork clears.

Two ways to do this

Same rails underneath. The only question is who writes the application code.

SELF-SERVE

You have a dev team

You hold an NPI and you want API access to order tests and pull results. Sign up, pay, integrate. You never have to meet us.

  • Full API access and sandbox
  • Test compendium and result delivery
  • Documentation and key management
  • CareGap account rates on tests

$1,500 setup, then $2.00 per order

Start Setup

MANAGED

You need it built

You have the clinical model but not the engineering team. The CareGap build team ships and maintains the application for you.

  • Everything in self-serve
  • Your app or portal designed and built
  • Branded intake, results, and reporting
  • Ongoing maintenance and support

Monthly rate, plus the same $2.00 per order

Talk To The Build Team

This interface is already live

You are not waiting on an integration to be built. You are getting access to one that already runs in production.

Orders out, results back

A live Quest interface with HL7 and file handling already in place, moving real orders and real results today.

Synced compendium

Test codes kept current for Quest, so you are ordering against a catalog that matches what the lab actually runs.

Multi-tenant and FHIR

Your data is scoped to your tenant, exposed through a FHIR layer, with audit logging on every order and result.

Questions people actually ask

Do I really need an NPI?

Yes. A valid lab order requires a licensed ordering provider, and that is true whether the patient pays cash or not. If you have your own clinician or a telehealth partner, you are covered. If you do not have one yet, tell us in the form below and we will point you at options.

What does a test actually cost me?

The test is billed by Quest to your account, separately from CareGap's platform fee. You order at CareGap account rates rather than Quest published list price. Tell us which panels you care about in the form and we will send your specific rates.

Can I charge my patients more than I pay?

You set your own retail price inside your app. Be aware that roughly half the states regulate re-billing lab work through direct-bill, anti-markup, or disclosure statutes. You declare your states of practice at signup, we flag the ones with restrictions, and your counsel should review before you publish pricing.

Can I bill insurance?

Not today. This is cash pay with the test billed to your account. Insurance billing brings payer enrollment, claims, denials, and appeals into scope, and it is deliberately out of scope for this offering.

Why is the fee flat instead of a percentage?

Because it has to be. EKRA reaches commercial and cash-pay testing, and payments that move with the volume or value of tests are exactly the pattern enforcers look at. A flat fee charged to you, priced to the technology, keeps everyone clean.

Do you support at-home collection?

Yes, as an add-on through our mobile phlebotomy partner, in addition to Quest patient service centers. Flag it in the form and we will include it in your setup.

Is there a BAA?

Yes, and it is part of the click-through package at signup, along with the service agreement and cash-pay attestation. CLIA certification and licensure sit with Quest. Card data is handled by Stripe and never stored by CareGap.

How fast can I be in sandbox?

Sandbox access does not wait on Quest paperwork. You can be calling the API and building against real test data while your account is being issued.

Start your setup

Tell us about your product. We will confirm your rates, send the agreement, and get your sandbox open.

Tell us and we will send your account rates for those specific tests.

No payment is taken on this form. We confirm your rates and send the agreement first.